Sunday, 9 February 2020

prophylaxis of ovarain ca

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Choose any one: Old Income tax frame with high tax or new reduced tax slab but no facility of deduction: Choice is yours. Can we prevent ovarian cancer –if so how?? Can we minimize ovarian cancer by excising healthy F tubes & healthy ovaries (to make the cancer ovary rate to zero) at routine TAH?? There is another choice for women:-should they opt for removal of tubes when even gonads are preserved?? Top of Form
Hysterectomy with salpingectomy versus hysterectomy alone
Cochrane Systematic Review - Intervention - Protocol Version published: 17 November 2017
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To evaluate the effect of bilateral salpingectomy during hysterectomy on:  Q1. What about the incidence of epithelial ovarian cancer; Dilemma: 2. What about Surgeryrelated adverse events; Dilemma 3) What about
The postoperative ovarian function and ovarian reserve – will oestrogen fall if tubes are removed in TAH for beningn diseases of uterus?/ members opinion pl?
Ovarian cancer is the gynaecological malignancy with the highest mortality rate; it has an overall fiveyear survival rate of 30 to 40%. This dismal prognosis is mainly the result of nonspecific symptoms, leading to detection at an advanced stage of disease. Despite progress over the past decades in the field of cancer treatment in general, only limited improvements have been made in ovarian cancer.

Studies aimed at the detection of ovarian cancer at an early stage of disease failed to show survival benefit. Hence, preventive measures that are both safe and effective are needed. Currently, the only option for the prevention of ovarian cancer is bilateral salpingooophorectomy (BSO; the removal of both of the ovaries and the fallopian tubes), which reduces the risk of ovarian cancer by 80% to 96% .If we like to minimize the brisk of ov Ca  to zero then in the debit side there will  be more fracture risk & heart attack . However, BSO results in immediate menopause, which in turn leads to elevated risks of, for example, ischaemic heart disease and an allcause mortality 

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