Journal
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
Volume 20, Issue 2, Pages 153-159Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jmig.2012.11.010
Keywords
BRCA; Laparoscopy; Ovarian cancer; Ovarian dysplasia; Salpingectomy; STIC
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Since 2001, many studies by different investigators have demonstrated that the fallopian tube might be at the origin of most high-grade ovarian and peritoneal serous carcinomas. Simple changes in surgical practice (ie, prophylactic bilateral salpingectomy instead of salpingo-oophorectomy) could have significant implications for death from ovarian cancer and, on the other hand, for the morbidity caused by ovariectomy (surgical menopause). In this review, we describe the new tubal carcinogenic sequence, the advantages and disadvantages of exclusive use of salpingectomy in the general population, and in cases of hereditary predisposition to ovarian cancer such as for carriers of BRCA mutation. Journal of Minimally Invasive Gynecology (2013) 20, 153-159 (C) 2013 AAGL. All rights reserved.
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