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Hysterectomy and bilateral salpingo-oophorectomy for fallopian tube cancer

General

For confirmed cancer, radical surgery is ordinarily performed by removal of both adnexa (bilateral salpingo-oophorectomy – BSO) and the uterus (hysterectomy). Staging of the pelvic and paraaortal lymph nodes is also performed, as well as checking for spreading to the rest of the abdomen and lymph nodes. The omentum is also removed due to the threat of spreading to the omentum (omentectomy).  

During the operation, the adnexa is sent for frozen microscopic examination to obtain a histological diagnosis. The diagnosis is usually available after 30 minutes.  The further course of the operation is planned based on the histological examination.

Fertility-conserving surgery is not recommended for fallopian tube cancer.

Indications

  • Suspect or confirmed fallopian tube cancer.

Goal

  • Stage determination and curative treatment.

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