Article

Opportunistic salpingectomy during hysterectomy for benign indications in women at low and high risk for ovarian cancer: a cross-sectional study

Authors: Ahmed H. Elsayed (Department of Obstetrics & Gynecology, Faculty of Medicine, Aswan University, Egypt) , Emad Moussa Ibrahim (Department of Obstetrics & Gynecology, Faculty of Medicine, Minia University, Egypt) , Mo'men Mohamed (Department of Obstetrics & Gynecology, Faculty of Medicine, Minia University, Egypt) , Ahmed Rabee Abdelrahim (Department of Obstetrics & Gynecology, Faculty of Medicine, Minia University, Egypt) , Salwa Gaber (Department of Pathology, Faculty of Medicine, Minia University, Egypt) , Mohamed S. Fahmy (Department of Obstetrics & Gynecology, Faculty of Medicine, Aswan University, Egypt) , Ahmed Mohamed Abbas (Department of Obstetrics & Gynecology, Faculty of Medicine, Assiut University, Egypt) , Abdou S. Ait-Allah (Department of Obstetrics & Gynecology, Faculty of Medicine, Sohag University, Egypt)

Abstract

Objective

Our study aims to evaluate the role of pathology evaluation of fallopian tubesduring hysterectomy for benign indications for the purpose ofearly detection of serous tubal intraepithelial carcinoma (STIC) in women at high and low risk for ovarian cancer.

Material and methods

This cross-sectional study was conducted at Minia Maternity University Hospital, Egypt, between June 2015 and December 2017. Our study included all women undergoing hysterectomy for benign conditions in the genital tract. Appropriate histories were taken, as well as physical exams, and laboratory and ultrasound evaluations were done prior to scheduling surgery. Abdominal hysterectomies including opportunistic salpingectomies were performed and the whole specimens including the tubal fimbria were sent to the pathology lab for histo-pathological examination.

Results

A total of 526 patients met inclusion criteria for this study. The mean age of the study participants was 49.75±8.95 years, the mean parity was 3.91±1.62 and the mean BMI was 24.21±2.38 Kg/m2. The most common surgical indications for hysterectomy were postmenopausal bleeding (34.6%), a clinically benign adnexal/pelvic mass (31.7%), and menorrhagia (24.7%). The fallopian tubes were found to have either no pathology or benign conditions in 500 out of the 526 patients. Among these patients, 56% had no pathologic abnormality. The most common benign conditions were paratubal cysts (25%), endometriosis (9%), torsion (2%) and hydrosalpinx (1%). STIC was identified in the fallopian tubes of 8 out of 526 patients.

Conclusions

Microscopic examination of the entire fimbriae from all patients regardless of the clinical context represents a novel method of early detection of sporadic tubal carcinoma, a putative precursor to advanced-stage pelvic cancer.

Keywords: Salpingectomy, ovarian cancer, hysterectomy

How to Cite: Elsayed, A. H. , Ibrahim, E. M. , Mohamed, M. , Abdelrahim, A. R. , Gaber, S. , Fahmy, M. S. , Abbas, A. M. & Ait-Allah, A. S. (2019) “Opportunistic salpingectomy during hysterectomy for benign indications in women at low and high risk for ovarian cancer: a cross-sectional study”, Proceedings in Obstetrics and Gynecology. 9(1). doi: https://doi.org/10.17077/2154-4751.1446