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Case 1 - A 45-Year-Old Woman Undergoing Hysterectomy Requests Oophorectomy

Published online by Cambridge University Press:  19 November 2021

By
Sarah Alhaddad Tout
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A multiparous, 45-year-old woman presents for preoperative evaluation. She has a long history of abnormal uterine bleeding that has been inadequately managed with her current levonorgestrel intrauterine device. She now desires definitive surgical management by hysterectomy. During her visit today, she requests that her ovaries be removed during the surgery. She shares that a good friend recently passed away after a long battle with ovarian cancer and she wants to lower her own risk of ovarian cancer as much as possible. Her past medical history includes depression managed on escitalopram 20 mg daily, and borderline hypertension currently managed with lifestyle modification. She has had no prior surgery.

Keywords

oopherectomymenopauseovarian cancer
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 1 - 3
Publisher: Cambridge University Press
Print publication year: 2021

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References

Committee Opinion No. 716: The role of the obstetrician–gynecologist in the early detection of epithelial ovarian cancer in women at average risk. Obstet Gynecol 2017; 130: e146–9.Google Scholar
Rossouw, JE, Anderson, GL, Prentice, RL, et al. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results from the Women’s Health Initiative randomized controlled trial. JAMA 2002; 288: 321–33.Google ScholarPubMed
Anderson, GL, Limacher, M, Assaf, AR, et al. The effects of conjugated equine estrogen in postmenopausal women with hysterectomy. JAMA 2004; 291: 1701–12.Google Scholar
Parker, WH, Feskanich, D, Broder, MS, et al. Long-term mortality associated with oophorectomy versus ovarian conservation in the nurses’ health study. Obstet Gynecol 2013; 121: 709–16.CrossRefGoogle Scholar
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Practice Bulletin No. 182: Hereditary breast and ovarian cancer syndrome. Obstet Gynecol 2017; 130: e110–26.Google Scholar
SGO Clinical Practice Statement: Salpingectomy for ovarian cancer prevention. Society of Gynecologic Oncology, 2013.Google Scholar

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