Prophylactic bilateral salpingo-oophorectomy

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Prophylactic bilateral salpingo-oophorectomy are done to prevent the development of cancer - when there is a genetic predisposition.

General

  • The pathology yield in prophylactic bilateral salpingo-oophorectomies is significant but modest; in series of 26 prophylatic surgeries (BRCA1 22 individuals, BRCA2 4 individuals) there were 2 in situ carcinoma and 2 atypical proliferations.[1] All of the pathology was in BRCA1 carriers.

Grossing

Sign out

Fallopian Tubes and Ovaries, Bilateral Salpingo-Oophorectomy:
	- Benign ovaries and Fallopian tubes.
	- NEGATIVE for malignancy.

See also

References

  1. Carcangiu, ML.; Radice, P.; Manoukian, S.; Spatti, G.; Gobbo, M.; Pensotti, V.; Crucianelli, R.; Pasini, B. (Jan 2004). "Atypical epithelial proliferation in fallopian tubes in prophylactic salpingo-oophorectomy specimens from BRCA1 and BRCA2 germline mutation carriers.". Int J Gynecol Pathol 23 (1): 35-40. doi:10.1097/01.pgp.0000101082.35393.84. PMID 14668548.
  2. Fedda FA, Euscher ED, Ramalingam P, Malpica A (July 2020). "Prophylactic Risk-reducing Hysterectomies and Bilateral Salpingo-oophorectomies in Patients With Lynch Syndrome: A Clinicopathologic Study of 29 Cases and Review of the Literature". Int J Gynecol Pathol 39 (4): 313–320. doi:10.1097/PGP.0000000000000643. PMID 31851061.
  3. Mingels MJ, Roelofsen T, van der Laak JA, de Hullu JA, van Ham MA, Massuger LF, Bulten J, Bol M (October 2012). "Tubal epithelial lesions in salpingo-oophorectomy specimens of BRCA-mutation carriers and controls". Gynecol Oncol 127 (1): 88–93. doi:10.1016/j.ygyno.2012.06.015. PMID 22710074.