J 2011

Underlying mechanisms of ovarian cancer risk reduction after tubal ligation

CIBULA, D.; M. WIDSCHWENDTER; M. ZIKAN a Ladislav DUŠEK

Základní 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.