J Cancer 2012; 3:191-195. doi:10.7150/jca.4316 This volume Cite

Research Paper

The Effect of Abdominal Radical Trachelectomy on Ovarian Reserve: Serial Changes in Serum Anti-Müllerian Hormone Levels

Miho Muraji1, Tamotsu Sudo1,2✉, Shinichi Iwasaki1, Sayaka Ueno1, Senn Wakahashi1, Satoshi Yamaguchi1, Kiyoshi Fujiwara1, Ryuichiro Nishimura1,2

1. Department of Gynecologic Oncology, Hyogo Cancer Center, 13-70 Kita-Oji, Akashi 6738558, Japan
2. Section of Translational Research, Hyogo Cancer Center, 13-70 Kita-Oji, Akashi 6738558, Japan

Citation:
Muraji M, Sudo T, Iwasaki S, Ueno S, Wakahashi S, Yamaguchi S, Fujiwara K, Nishimura R. The Effect of Abdominal Radical Trachelectomy on Ovarian Reserve: Serial Changes in Serum Anti-Müllerian Hormone Levels. J Cancer 2012; 3:191-195. doi:10.7150/jca.4316. https://www.jcancer.org/v03p0191.htm
Other styles

File import instruction

Abstract

Aim: To evaluate the effect of abdominal radical trachelectomy on ovarian reserve and compare it with abdominal radical hysterectomy and a control group that did not have surgery.

Method: We enrolled eighteen women who had abdominal radical trachelectomy with pelvic lymphadenectomy and sixteen patients who had abdominal radical hysterectomy for this study. Ten thousand one hundred eighty-six women were also included as a control group for comparison. The Mann-Whitney U test was used for comparison of patient characteristics and comparison of serum anti-Müllerian hormone levels between the three groups.

Results: Serum anti-Müllerian hormone levels in patients with abdominal radical trachelectomy were significantly higher than those of patients with abdominal radical hysterectomy (P<0.05). Serum anti-Müllerian hormone levels in the abdominal radical hysterectomy group were significantly lower than those in the control group (P=0.02), with no significant difference between the abdominal radical trachelectomy and control groups. These data indicated that abdominal radical trachelectomy did not affect ovarian function with respect to ovarian reserve and the response to ovarian stimulation.

Conclusions: Serum anti-Müllerian hormone levels could be useful as a marker of ovarian reserve after abdominal radical trachelectomy. It is important to avoid postoperative complications causing a reduction in ovarian function to accomplish fertility-sparing surgery.

Keywords: abdominal radical trachelectomy, anti-Müllerian hormone, cervical cancer, fertility, ovarian reserve


Citation styles

APA
Muraji, M., Sudo, T., Iwasaki, S., Ueno, S., Wakahashi, S., Yamaguchi, S., Fujiwara, K., Nishimura, R. (2012). The Effect of Abdominal Radical Trachelectomy on Ovarian Reserve: Serial Changes in Serum Anti-Müllerian Hormone Levels. Journal of Cancer, 3, 191-195. https://doi.org/10.7150/jca.4316.

ACS
Muraji, M.; Sudo, T.; Iwasaki, S.; Ueno, S.; Wakahashi, S.; Yamaguchi, S.; Fujiwara, K.; Nishimura, R. The Effect of Abdominal Radical Trachelectomy on Ovarian Reserve: Serial Changes in Serum Anti-Müllerian Hormone Levels. J. Cancer 2012, 3, 191-195. DOI: 10.7150/jca.4316.

NLM
Muraji M, Sudo T, Iwasaki S, Ueno S, Wakahashi S, Yamaguchi S, Fujiwara K, Nishimura R. The Effect of Abdominal Radical Trachelectomy on Ovarian Reserve: Serial Changes in Serum Anti-Müllerian Hormone Levels. J Cancer 2012; 3:191-195. doi:10.7150/jca.4316. https://www.jcancer.org/v03p0191.htm

CSE
Muraji M, Sudo T, Iwasaki S, Ueno S, Wakahashi S, Yamaguchi S, Fujiwara K, Nishimura R. 2012. The Effect of Abdominal Radical Trachelectomy on Ovarian Reserve: Serial Changes in Serum Anti-Müllerian Hormone Levels. J Cancer. 3:191-195.

This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) License. See http://ivyspring.com/terms for full terms and conditions.
Popup Image