Incidence of intraepithelial fallopian tube neoplasias in mexican women over 40 years of age that underwent elective hysterectomy

J Ovarian Res. 2019 Jun 10;12(1):54. doi: 10.1186/s13048-019-0515-3.

Abstract

Aims: The incidence of intraepithelial neoplasia in the fallopian tubes of women over 40 years of age who had undergone elective hysterectomy was assessed at the Aguascalientes Women's Hospital.

Methods: An observational, prospective, descriptive study was carried out at the Aguascalientes Women's Hospital on female patients over 40 years of age who underwent elective hysterectomy between July and October 2017. In these 4 months, 85 patients underwent elective hysterectomy.

Results: In this study, 85 patients who received a hysterectomy for non-oncological reasons were analyzed. Salpinx alterations compatible with intraepithelial neoplasia in the Fallopian tubes were found in 2.4% of the patients studied.

Conclusions: The incidence of intraepithelial neoplasia in the fallopian tubes of high-risk patients at the Aguascalientes Women's Hospital is 2.4%. Prophylactic salpingectomy is a simple procedure and has the potential to decrease the risk of high-grade ovarian cancer. In premenopausal patients, total abdominal hysterectomy with bilateral salpingectomy should be the procedure most often performed.

Keywords: Hysterectomy; Malignant; ovarian tumor; Prophylactic salpingectomy; Salpinge.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Aged
  • Carcinoma in Situ / epidemiology*
  • Carcinoma in Situ / pathology
  • Carcinoma in Situ / surgery
  • Fallopian Tube Neoplasms / epidemiology*
  • Fallopian Tube Neoplasms / pathology
  • Fallopian Tube Neoplasms / surgery
  • Fallopian Tubes / pathology
  • Female
  • Humans
  • Hysterectomy / statistics & numerical data*
  • Incidence
  • Mexico / epidemiology
  • Middle Aged
  • Ovarian Neoplasms / prevention & control
  • Premenopause
  • Prophylactic Surgical Procedures
  • Prospective Studies
  • Salpingectomy