➡️ All women should consider prophylactic removal of the fallopian tubes at the same time as other pelvic surgery once they are finished having children, the ocrahope has advised. ovariancancer ObGynTwitter
There is increasing evidence that most high-grade serous ovarian cancers arise from cells in the fallopian tubes, William Dahut, MD, chief scientific officer for the American Cancer Society , told"Indirect evidence suggests a fairly strong degree of risk reduction associated with opportunistic salpingectomy for the most prevalent type of ovarian cancer , and some risk reduction of epithelial ovarian cancer. At this time, these discussions seem warranted," Dahut said.
At this point, however, the fact that leading organizations advise"consideration" means that the evidence base has"not been judged to be sufficiently strong to advise a direct recommendation for opportunistic salpingectomy," Dahut added. There is no current recommendation to have fallopian tubes removed as a stand-alone procedure, he pointed out. However, he commented that"the occasion of scheduled gynecologic surgery presents an opportunity to possibly reduce the risk of ovarian cancer without known adverse effects in women who have completed childbearing. Having the discussion seems to be justified by the current evidence," Dahut said.
Deanna Gerber, MD, gynecologic oncologist at NYU Langone Perlmutter Cancer Center-Long Island, agrees."In women who are scheduled to have a gynecologic or pelvic procedure, clinicians should discuss the possibility of removing the fallopian tubes at that time.
OCRA also encourages all women to know their risk for ovarian cancer. To that end, the organization has launched a pilot program offering free, at-home genetic testing kits to people with a personal or family history of breast, ovarian, uterine, or
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