Abstract
Background:
Opportunistic bilateral salpingectomy is one of the primary strategies available for preventing epithelial ovarian cancer.
Case:
An 81-year-old woman underwent a vaginal pelvic organ prolapse and anti-incontinence procedure. An opportunistic bilateral salpingectomy was performed. Pathology testing revealed an occult fallopian tube adenocarcinoma.
Results:
The patient underwent surgical staging by gynecologic oncology, which revealed no further malignancy.
Conclusions:
In the setting of an occult tubal carcinoma identified at the time of opportunistic salpingectomy, adjuvant treatment with an interval staging procedure or chemotherapy will be needed—regardless of whether or not the ovaries were concurrently removed—and can be associated with an excellent patient outcome when early stage disease is identified. (J GYNECOL SURG 36:158)
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