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Most bilateral oophorectomies (63%) are performed without any medical indication, and most (87%) are performed together with a hysterectomy. [9] Conversely, unilateral oophorectomy is commonly performed for a medical indication (73%; cyst, endometriosis, benign tumor, inflammation, etc.) and less commonly in conjunction with hysterectomy (61%).
In medicine, salpingo-oophorectomy is the removal of an ovary and its fallopian tube. [1] [2] This procedure is most frequently associated with prophylactic surgery in response to the discovery of a BRCA mutation, particularly those of the normally tumor suppressing BRCA1 gene (or, with a statistically lower negative impact, those of the tumour suppressing BRCA2 gene), which can increase the ...
Salpingectomy is commonly done as part of a procedure called a salpingo-oophorectomy, in which one or both ovaries, as well as one or both fallopian tubes, are removed in one operation (a bilateral salpingo-oophorectomy (BSO) if both ovaries and fallopian tubes are removed).
The surgery depends upon the extent of nearby invasion of other tissues by the cancer when it is diagnosed. This extent of the cancer is described by assigning it a stage, the presumed type, and the grade of cancer. The gynecological surgeon may remove one (unilateral oophorectomy) or both ovaries (bilateral oophorectomy).
Malignant OGCTs are predominantly unilateral and chemosensitive, which means they are localized in only one side of the ovary. [24] Fertility-preserving surgery is primarily standardized to keep the contralateral ovary and fallopian tube intact, also known as unilateral salpingo-oophorectomy.
In these cases, oophorectomy, unilateral salpingo-oophorectomy or cystectomy may be used, accompanied, just as with radical surgery, by the exploration of the cavity, omentectomy, peritoneal washing, resection of suspicious lesions, multiple peritoneal biopsies, and adnexectomy in mucinous BOTs.
Olivia Munn Karwai Tang/WireImage Olivia Munn recently underwent a fifth surgery in her ongoing cancer battle. “I have now had a full hysterectomy. I took out my uterus, fallopian tubes, and ...
The usual treatment is surgery. The surgery usually is a fertility-sparing unilateral salpingo-oophorectomy. For malignant tumours, the surgery may be radical and usually is followed by adjuvant chemotherapy, sometimes by radiation therapy. In all cases, initial treatment is followed by surveillance.