Schueler, Susanne and Ponnath, Marvin and Engel, Joerg and Ortmann, Olaf (2013) Ovarian epithelial tumors and reproductive factors: a systematic review. ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 287 (6). pp. 1187-1204. ISSN 0932-0067, 1432-0711
Full text not available from this repository. (Request a copy)Abstract
Purpose The aim of this systematic review is to summarize the current knowledge about the etiology and pathogenesis of borderline tumors ovarian cancer with special emphasis on the role of endocrine treatments and reproductive factors to establish a foundation for future studies. Methods We performed a systematic review on the relation between ovarian epithelial tumors (OET) and reproductive factors using the keywords: ovarian cancer, ovarian tumor, ovarian borderline tumor, age at menarche, age at menopause, parity, infertility, PCO syndrome, oral contraception, menopausal hormone therapy, fertility treatment. Totally, 3,290 abstracts were scanned for their relevance in this publication and 127 were finally included. Results The incidence of ovarian epithelial cancer and ovarian borderline tumors is influenced by certain reproductive factors. The strongest protective effects are conferred by parity and use of oral contraceptive pills. Recent molecular biologic and histopathologic studies prove that OET represent a diverse group of tumors, each histologic type with a different genetic background. This is at least partly reflected in epidemiologic and clinical studies showing different risk modulating effects of reproductive factors and endocrine therapies on OET. Conclusions The etiology and pathogenesis of ovarian cancer are still not fully understood. None of the so far proposed hypothesis on the development of OET can fully account for the epidemiologic and clinical findings in the context of reproductive factors and OET development. Further research approaches are warranted and need to put more weight on the clinical and genetical diversity of OET to yield a more detailed insight into their pathogenesis.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | HORMONE REPLACEMENT THERAPY; GONADOTROPIN-RELEASING-HORMONE; ORAL-CONTRACEPTIVE USE; SEROUS BORDERLINE TUMORS; CLEAR-CELL CARCINOMA; HUMAN CHORIONIC-GONADOTROPIN; LIFETIME OVULATORY CYCLES; IN-VITRO FERTILIZATION; SWEDISH CASE-CONTROL; STATES CASE-CONTROL; Epithelial ovarian tumors; Ovarian cancer; Borderline ovarian tumors; Reproductive factors; Endocrine factors; Age at menarche; Age at menopause; Parity; Infertility; PCO syndrome; Oral contraception; Menopausal hormone therapy; Fertility treatment |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Frauenheilkunde) |
| Depositing User: | Petra Gürster |
| Date Deposited: | 16 Jun 2020 06:27 |
| Last Modified: | 16 Jun 2020 06:27 |
| URI: | https://pred.uni-regensburg.de/id/eprint/16561 |
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