RT - European Journal of Gynaecological Oncology ID - 10.12892/ejgo4897.2019 T1 - Considerations related to radical fimbriectomy as an option in prophylaxis against serous carcinoma development A1 - J. Markowska A1 - E. Nowak-Markwitz A1 - Z. Kojs A1 - W. Sawicki K1 - Radical fimbriectomy; Risk-reducing salpingo-oophorectomy (RRSO) serous cancers in BRCA mutations YR - 2019 SP - 709 AB -
Research has shown that papillary tubal hyperplasia may lead to the development of serous cancer in the fallopian tubes, ovaries, and peritoneum. According to numerous studies, opportunistic bilateral salpingectomy significantly reduces the risk of developing ovarian cancer. Recent data proves that radical fimbriectomy involving the tube and fimbrio-ovarian junction lowers ovarian, fallopian, and peritoneal serous cancer incidence. Risk-reducing salpingo-oophorectomy (RRSO) remains the gold-standard in prophylaxis regarding ovarian cancer in carriers of BRCA mutations, other options may exist - radical fimbriectomy which preserves function of the ovaries, observation in dedicated centers, and removal of the ovaries upon menopause.