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Abstract
Computerized tomography (CT) scans and sonograms of the pelvis were performed in 17
young female patients (13 postpubertal and 4 prepubertal), whose ovaries had been
fixed either to the uterus or the pelvic wall to move them away from the field of
radiation. These patients were given radiation therapy for the treatment of Hodgkin's
disease (n = 15) or rhabdomyosarcoma (n = 2). The mean age of the postpubertal girls was 16.5 years (range 12–21) and the
CT scans were done 2–7 years following radiation therapy. Ovarian function was determined
based upon the patient reporting normal menstrual function and normal levels of follicle-stimulating
hormone (FSH). FSH levels in the postpubertal girls were elevated in 5 patients and
normal in 8. The ovaries could not be seen on CT scans of the 9 patients with elevated
FSH and clinical signs of estrogen deficiency, while of the 8 patients with normal
FSH levels, 7 had ovaries visualized by CT. Thus, visualization of the ovaries of
adolescent girls correlated with the preservation of ovarian function in the majority
of patients. Lack of detectable ovarian function correlated with lack of ability to
visualize ovarian tissue on the sonograms or CT radiographs. Estrogen replacement
is recommended to limit the consequences of therapy-induced ovarian failure.
Key Words
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References
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Article info
Footnotes
†This work was supported by the Cancer Center Support (CORE) Grant CA-21765, and the American Lebanese Syrian Associated Charities (ALSAC).
Identification
Copyright
© 1988 Springer-Verlag New York Inc. Published by Elsevier Inc. All rights reserved.
