Ovarian Preservation during Surgery for Early Stage Endometrial Cancer: Survey of Practice among Thai Gynecologic Oncologists
Kantathavorn N, MD1,2, Chanpanitkitchot S, MD3, Chandeying N, MD4, Tangjitgamol S, MD4, Thai Gynecologic Cancer Society (TGCS)5
Affiliation : 1 Faculty of Medicine and Public Health, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand 2 Woman Health Centre, Chulabhorn Hospital, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand 3 Department of Obstetrics and Gynecology, Rajavithi Hospital, College of Medicine, Rangsit University, Bangkok, Thailand 4 Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand 5 Office of Thai Gynecologic Cancer Society, Bangkok, Thailand
Objective : To evaluate the insights of the Thai gynecologic oncologists towards ovarian preservation during staging surgery for
early-stage endometrial cancer.
Materials and Methods : The Thai Gynecologic Cancer Society (TGCS) conducted a national survey study on the management of
gynecologic cancer among Thai gynecologic oncologists who had been in practice for longer than one year. An electronic online
questionnaire was opened for a response during August 2nd and October 31st, 2019. This study retrieved and analyzed data about
the concept and practice of ovarian preservation during surgery for early-stage endometrial cancer patients.
Results : Among 170 gynecologic oncologists who responded to the questionnaires, 108 respondents (63.5%) considered ovarian
preservation during surgical staging for early-stage endometrial cancer. Young age patients (<40 years old) and low-grade tumors
were the 2 most common features taken into consideration. No significant differences in hospital setting grade and practice duration
of the respondents were associated with the consideration of ovarian preservation.
Conclusion : Nearly two-third of Thai gynecologic oncologists considered ovarian preservation during surgical staging for early-
stage endometrial cancer. The most common features taken into consideration were young age and low-grade tumor.
Keywords : Ovarian preservation, Endometrial cancer, Gynecologic oncologists, Survey
