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REVIEW ARTICLE
Year : 2016  |  Volume : 3  |  Issue : 1  |  Page : 178-180

Fallopian tubes: Keep or remove?


Consultant, DNB, MNAMS, Department of Gynae Oncology, Max Cancer Centre, Max Super Specialty Hospital, Vaishali, Ghaziabad, India

Correspondence Address:
Swasti
Department of Gynae Oncology, Max Cancer Centre, Max Super Specialty Hospital, Vaishali, Ghaziabad, IndiaK-245 SaritaVihar, New Delhi-110076
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5530/ami.2016.1.36

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Ovarian cancer is a devastating disease. The pathogenesis of ovarian carcinomashas always remained unclear. Enough evidence is now available clearly highlighting distal fallopian tube as the site of origin for serous ovarian carcinomas particularly in women with BRCA mutations. The ovaries and fallopian tubes may not be simultaneously involved. After the completion of childbearing, there exists no known physiological benefit of retaining the fallopian tubes. Post-salpingectomy,the ovarian endocrine function remains unaffected. Removal of premenopausal ovaries leads to attainment of early surgical menopause. Prophylactic salpingectomy at hysterectomy for benign reasons or sterilization rules out any subsequent tubal pathology and offers considerable protection against later tumor development. Risk reducing salpingectomy even if the ovaries are retainedare beneficial especially in young women with BRCA mutations.


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