16 responses to “Advocating Fallopian Tube removal at the time of hysterectomy to prevent ovarian cancer”

  1. good confirmation of the knowledge that was passed down to me during residency by general gynecologists i worked under.

  2. I believe that a lot of this research was done at UBC? Well done!! I’ve been recommending it to patients since reading the original press release in September, 2010. Ovarian cancer is a devastating disease and often we feel so powerless to prevent it. Now – what about prophylactic fallopian tube removal in women at high-risk for ovarian cancer?

  3. I am not a gynecological surgeon, but now I understand why the tubes were removed at premenopausal hysterectomies.

  4. I was aware of this new knowledge, and this changed my practice e-mail has reinforced the information. I now discuss this knowledge with all of my patients that are referred to a gynecologist for tubal ligation or any gynecologic problems that might lead to hysterectomy.

  5. I am aware of this issue and have been promoting removal of fallopian tubes

  6. Interesting piece of information

  7. this is interesting.

  8. Fascinating homegrown research! Kudos to the researchers at the BCCA

  9. good news

  10. Useful and informative. I’ll definitely bring it up if a patient is considering hysterectomy.

  11. I am not yet convinced that this is good practice. I appreciate the benefits (redution in the risk of ovarian cancer – a disasterous but relatively uncommon condition). But there is no discussion regarding the risks of prophylactic salpingectomy. We have all witnessed the generous vascular connections between the fallopian tube and the ovary, which can be compromised at the time of salpingectomy (witness the thermal injury spread at the time of cauterization). We may be inducing a premature ovarian failure (menopause). And this may increase the overall risk for cardiovascular disease – a much more serious health riosk for women. Before I change my practice pattern, I need to know both the benefits and the risks to properly counsel my patients about options. I need good evidence (not theoretical evidence) that there is true benefit and no associated risk.

  12. Always wondered why we leave cancer catchers in. Reasonable to consider risk of to ovaries?

  13. One of the clearest change of practice guidlines yet

  14. very useful information. very practical and has totally changed the way i counsel patients who wish to undergo sterilization.

  15. Agree.
    Many thanks on an amazing progress on ovarian cancer research.

    Fimbriectomy could be an alternative if there are doubts of POF risks.

    Would appreciate a comment on tubal ligation as well as it is a big group of our patients in a gynecological office.

  16. High grade serous cancers spread by budding off from the primary tumor site, now often found by our pathologists to be in the fallopian tube, first to the ovaries, then soon after to the pelvis and upper abdomen, when it no longer deemed curable. It is silent spread. I regulary attend our gyne tumor conference, and our pathologists are very good at finding what we believe to be the primary source of serous carcinoma in one of the fallopian tubes, now that they look for it routinely.

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