Ovarian Metastasis and other Ovarian Neoplasms in Women with Cervical Cancer Stage IA-IIA

Objectives: To determine the prevalence and predicting factors of ovarian metastasis, and evaluate thehistology of other ovarian neoplasms in women with early-stage cervical cancer.
Methods: The medical recordsof women with cervical cancer stage IA-IIA who underwent primary surgical treatment at Siriraj Hospital,Mahidol University from January 2007 to December 2011 were used for the study. Demographic, clinical andhistopathologic data of the women who underwent salpingo-oophorectomy were reviewed.
Results: Of 264women, the mean age was 52.3 years. The types of hysterectomy procedures were composed of 210 radicalhysterectomy, 9 modified radical hysterectomy, 40 simple hysterectomy, and 5 abandoned hysterectomy. Theprevalence of ovarian metastasis was 0.76% (2/264). All of ovarian metastatic patients were older than 60 yearsold, postmenopause, and had macroscopical stage IB1 cervical cancer. Others ovarian tumors were foundin 7 patients including 1 synchronous ovarian carcinoma, 1 serous cystadenoma, 1 fibroma, and 4 teratoma.
Conclusions: In cases of early-stage cervical carcinoma of the population studied, ovarian preservation couldbe another option in <60-year-old patients, with non-neuroendocrine cell type, stage IA, and no extracervicalor ovarian lesions.