The majority of women with cancer causing BRCA1 and BRCA2 mutations experience sexual dysfunction, menopausal symptoms, cognitive and stress issues, and poor sleep following prophylactic removal of their Fallopian tubes and ovaries - a procedure known as risk-reducing salpingo-oophorectomy (RRSO) - according to results of a new study from the Abramson Cancer Center and the Perelman School of Medicine at the University of Pennsylvania. The team’s findings, which reaffirm the need for a better understanding of how to manage long-term effects of the risk-reducing procedure, will be presented during the annual meeting of the American Society of Clinical Oncology in Chicago’s McCormick Place on Saturday, May 31, 2014 ( abstract #1508 ).
"These results reinforce the need for care providers to better understand and communicate with patients about the possible long-term effects of bilateral RRSO," said lead author Susan Domchek, MD , director of Penn’s Basser Research Center for BRCA. "Removal of the Fallopian tubes and ovaries is associated with a decreased risk of death from breast and ovarian cancer for BRCA carriers, and is one of the most important interventions we have at the current time. However, this procedure comes with a price, so it’s extremely important that clinicians work with women to help alleviate symptoms."
The new study surveyed 637 women with BRCA1 or BRCA2 mutations who had undergone the risk-reducing surgical procedure to have both ovaries and Fallopian tubes removed. Domchek and colleagues assessed participant quality-of-life through a series of questionnaires. Results show that suboptimal scores were present in the majority of patients for the majority of measures. Specifically, 73 percent reported sexual dysfunction, such as the absence of satisfaction and presence of pain; 61 percent had problems sleeping; 57 percent had symptoms of menopause such as hot flashes and vaginal dryness; and 56 percent had elevated levels of stress. Hormone replacement therapy did help mitigate symptoms, particularly in women undergoing oophorectomy prior to age 50.
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According to Joan Hendricks, dean of Penn’s School of Veterinary Medicine, people go into veterinary medicine for a couple reasons. They love animals, probably first and foremost.
Tucked behind old factory buildings on Penn’s South Bank campus stands a gleaming greenhouse. The $2 million structure, completed late last year, is state-of-the-art. Drip irrigation ensures each pot receives just the right amount of water.
With the world watching, mare My Special Girl gave birth to a colt at 9:22 p.m. on Saturday, March 29, at Penn Vet’s New Bolton Center. The grey foal weighed 104 pounds and measured 39.5 inches from crown to tail.
