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  • 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.
  • 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. (en)
Title
  • Underlying mechanisms of ovarian cancer risk reduction after tubal ligation
  • Underlying mechanisms of ovarian cancer risk reduction after tubal ligation (en)
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  • Underlying mechanisms of ovarian cancer risk reduction after tubal ligation
  • Underlying mechanisms of ovarian cancer risk reduction after tubal ligation (en)
skos:notation
  • RIV/00064165:_____/11:10148!RIV12-MZ0-00064165
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • V
http://linked.open...iv/cisloPeriodika
  • 6
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 236792
http://linked.open...ai/riv/idVysledku
  • RIV/00064165:_____/11:10148
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Cancer prevention; ovarian cancer; tubal ligation; states case-control; collaborative analysis; reproductive history; epithelial tumors; cosmetic talc; white women; sterilization; hysterectomy; carcinoma; exposure (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • DK - Dánské království
http://linked.open...ontrolniKodProRIV
  • [9032B2CBE877]
http://linked.open...i/riv/nazevZdroje
  • Acta Obstetricia et Gynecologica Scandinavica
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 90
http://linked.open...iv/tvurceVysledku
  • Cibula, David
  • Dušek, L.
  • Zikán, Michal
  • Widschwendter, M.
http://linked.open...ain/vavai/riv/wos
  • 000291433600002
issn
  • 0001-6349
number of pages
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