2011
Underlying mechanisms of ovarian cancer risk reduction after tubal ligation
CIBULA, D.; M. WIDSCHWENDTER; M. ZIKAN a Ladislav DUŠEKZákladní údaje
Originální název
Underlying mechanisms of ovarian cancer risk reduction after tubal ligation
Autoři
CIBULA, D.; M. WIDSCHWENDTER; M. ZIKAN a Ladislav DUŠEK
Vydání
Acta Obstetricia et Gynecologica Scandinavica, 2011, 0001-6349
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30214 Obstetrics and gynaecology
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 1.771
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/11:00054101
Organizační jednotka
Lékařská fakulta
UT WoS
000291433600002
Klíčová slova anglicky
Cancer prevention; ovarian cancer; tubal ligation
Příznaky
Mezinárodní význam
Změněno: 11. 10. 2012 13:06, Mgr. Michal Petr
Anotace
V originále
A recently published meta-analysis of 21 studies confirmed a protective effect of tubal ligation on the risk of invasive ovarian cancer. This protective measure has received little attention, particularly due to the elusive underlying mechanism. In this commentary we discuss available data concerning the contribution of different potential mechanisms by which tubal ligation might prevent ovarian cancer. Included were studies published in English, identified through a literature search using PubMed and EMBASE. Four main mechanisms are discussed: (a) a screening effect, (b) alteration of ovarian function, (c) a mechanical barrier against ascending carcinogenic agents and (d) prevention of endometrial and proximal Fallopian tube cell ascent. There are arguments supporting the major role of a mechanical barrier to the ascent of endometrial cells into the peritoneal cavity for decreasing risk of ovarian cancer after tubal ligation. Prevention of retrograde transport of carcinogenic substances from the vagina may be an additional mechanism.