Chinese Medical Sciences Journal ›› 2017, Vol. 32 ›› Issue (3): 185-192.doi: 10.24920/J1001-9294.2017.022

• Review • Previous Articles     Next Articles

Current Updates on Salpingectomy for the Prevention of Ovarian Cancer and Its Practice Patterns Worldwide

Dhakal Sweta1, 2, 3, Zheng Yun-xi1, 2, 3, Yi Xiao-fang1, 2, 3, *()   

  1. 1 Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai 200011, China
    2 Department of Obstetrics and Gynecology, Shanghai Medical College, Fudan University, Shanghai 200011, China
    3 Shanghai Key Laboratory of Female Reproductive Endocrine Related Diseases, Shanghai 200011, China
  • Received:2016-11-24 Online:2017-09-26 Published:2017-09-27
  • Contact: Yi Xiao-fang E-mail:yix@fudan.edu.cn

Abstract:

A paradigm shift of the origin of ovarian cancer to fallopian tube has brought more focus on bilateral salpingectomy as a preventive method for ovarian cancer. Bilateral salpingectomy has shown a dramatic reduction in the risk of ovarian cancer. Bilateral salpingo-oophorectomy has been a long-used practice to prevent ovarian cancer, but it brings surgical menopause and an increased mortality rate to women undergoing such a surgery at the age of <47.5. With the prophylactic bilateral salpingectomy, however, the ovarian function remains unaltered. Recent studies have shown that prophylactic salpingectomy was helpful not only in preventing high-grade serous type ovarian cancer, but also in decreasing adnexal pathologies. With the publication of committee opinion, more practitioners have accepted this proposal, but some are more concerned about its disadvantages. This review illustrates the latest updates on salpingectomy as a preventive method for ovarian cancer, including its advantages and disadvantages, clinicians’ opinions, public opinions, so as to find out Obstetricians’ and Gynecologists’ practice pattern related to opportunistic salpingectomy worldwide.

Key words: ovarian cancer, salpingectomy, prevention, clinician opinion

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