He told her that he too would recommend a complete hysterectomy. She reported that he informed her, "Once cancer is exposed to air (such as from a surgical procedure like conization) it is likely to spread very quickly."
Despite the two medical opinions in favor of a complete hysterectomy, she decided that she wanted to just get the conization, not the complete hysterectomy, while receiving nutritional therapy and then have a follow-up examination in 30 days to see if she was progressing or getting worse.
The National Comprehensive Cancer Network (NCCN) guidelines recommend complete hysterectomy
with bilateral salpingo-oophorectomy and additional procedures based on preoperative and intraoperative findings.
While these findings may bring forward a new perspective in how younger women who have undergone a complete hysterectomy may be treated with hormone therapy, it's important to understand that this study addresses a very select population, according to Leslie Cho, MD, Director of Cleveland Clinic's Women's Cardiovascular Center.
"This study is talking exclusively about women who have undergone a complete hysterectomy between the ages of 50 to 59.
In this extraordinary Kentucky case, the courts were confront with the issue of whether or not a patient had, in fact, given consent to undergo a complete hysterectomy
including the removal of her uterus and ovaries.
In addition, screening can be discontinued in women who have had a complete hysterectomy
for benign disease or three consecutive normal Pap smears with no previous abnormal smears and no new exposure to human papillomavirus, he said.