Vaginal route for breast cancer induced hysterectomy with oophorectomy

Abstract

A previous history of breast cancer can induce problems in some women, which may necessitate hysterectomy as well as oophorectomy. This study included 20 women with a history of breast cancer with endometrial hyperplasia and recurrent vaginal bleeding or the need for oophorectomy because of metastatic breast cancer along with concomitant hysterectomy. The aim of this study is to show that benign indications for hysterectomy with oophorectomy, arising out of management of breast cancer in the past, can be dealt with by the least invasive approach via the vaginal route, provided vaginal hysterectomy is not contraindicated and the abdomino-pelvic area is free of metastasis. All 20 women had an uneventful postoperative period with rapid recovery, economic benefit and short hospital stay.

Keywords::

• Breast cancer
• endometrial hyperplasia
• hysterectomy
• oophorectomy
• tamoxifen

Acknowledgements

I would like to acknowledge colleague surgeons and oncologists who referred their patients for vaginal surgery. Also, Dr Anju Hajari for references and Dr V. Karani for compiling this paper.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.