• Even with an annual Pap smear test and the new vaccination for young women, cervical cancer can’t be totally prevented. But there are some things you can do to reduce your risk of developing cancer of the cervix.

  • Vaginal cancer is a relatively rare disorder, comprising about 2% to 3% of all gynecologic cancers. Approximately 2,400 women are diagnosed each year with vaginal cancer in the United States.

  • The chance of getting ovarian cancer increases as a woman gets older. Ovarian cancer occurs in women over the age of 50 and the highest risk is in women over 60.

  • Uterine cancer is the most common of all cancers in the female reproductive system. It can either form in the inner lining of the uterus or the outer layer of muscle tissue.

  • Thought to be caused by a problem with the genetic information transmitted between an egg and sperm, molar pregnancy can develop during the first trimester of pregnancy.

Testimonials

  • When Jan Holsclaw found out she had ovarian cancer, she was referred to Dr. Bigsby at Florida Hospital Cancer Institute for surgery and treatment. With reassuring words and...

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    TV Personality Jan C. Garavaglia, M.D., (aka "Dr. G") is the chief medical examiner for the District Nine (Orange-Osceola) Medical Examiner's Office in Florida.  When she...
  • Bonnie has helped to raise millions of dollars for ovarian cancer research taking place at National Cancer Institute (NCI), Department of Defense (DOD), Centers for Disease...

Ovarian Risk Reduction Surgery

Ophorectomy is the removal of the ovaries to treat or prevent ovarian cancer or other ovarian abnormalities. “Prophylactic oophorectomy” refers to the removal of healthy ovaries in women who have an elevated risk for ovarian cancer. Women with elevated hereditary risk for ovarian cancer also have an elevated risk for fallopian tube cancer. For this reason, when their ovaries are removed prophylactically, the fallopian tubes must also be removed. “Bilateral salpingo-oophorectomy” (BSO) refers to the surgical removal of both ovaries and both tubes. In women at substantially increased risk for ovarian cancer, bilateral prophylactic oophorectomy has been shown to be a highly effective tool to lower the risk for both ovarian cancer and breast cancer.  Although effective, some consider oophorectomy a drastic way to lower cancer risk. After prophylactic oophorectomy, there is still a small risk for developing cancer of the “peritoneum,” which is the lining of the abdomen. This type of cancer, called “primary peritoneal cancer,” is related to ovarian cancer. Although the risk remains, it is quite small. Currently there is no proven method of preventing or screening for primary peritoneal cancer.

Oophorectomy has been shown to be the most effective method for lowering risk for ovarian cancer in high-risk women. If performed before menopause, oophorectomy also lowers the risk for breast cancer in high-risk women. However, oophorectomy leads to early menopause, and women need to be counseled about the menopausal symptoms that they will likely experience.In post-menopausal women, oophorectomy is less likely to trigger new menopausal symptoms.

The decision to surgically remove the ovaries is highly personal. Confronting your personal cancer risk can be confusing and frustrating. If you are a high-risk woman trying to choose the best risk-management option, you need a clear sense of your own personal risk and an understanding of the potential benefits, risks, and side effects of prophylactic surgery. Therefore, it is important to consult with a cancer genetics specialist when determining your risk for ovarian cancer and making the risk-management decisions that are best for you.