IMR Press / EJGO / Volume 38 / Issue 4 / DOI: 10.12892/ejgo3619.2017

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
How often are residual adnexal structures identified at surgery on a gynecologic oncology service after previous bilateral salpingo-oophorectomy?
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1 Division of Gynecologic Oncology, Cancer Treatment Centers of America, Newnan, GA, USA
Eur. J. Gynaecol. Oncol. 2017, 38(4), 533–535; https://doi.org/10.12892/ejgo3619.2017
Published: 10 August 2017
Abstract

Objective: To determine how often adnexal remnants are found surgically after documented bilateral salpingo-oophorectomy. Materials and Methods: Retrospective chart review of all referrals to gynecologic oncology service. Patients undergoing surgery on the gynecologic oncology service after previous hysterectomy and bilateral salpingo-oophorectomy were analyzed. Results: Seventy-two patients met the inclusion criteria including having obtainable operative reports. Dysfunctional bleeding was the most common indication for the surgery involving bilateral salpingo-oophorectomy, while a suspicious pelvic mass was the most common indication for referral to the gynecologic oncology service. Twenty-nine patients (40.3%) were found to have residual ovarian tissue. Residual fallopian tube tissue was found in seven patients. No specific diagnosis was statistically more likely to lead to remnant tissue (p = 0.7). Conclusion: Although the majority of patients undergoing bilateral salpingo-oophorectomy had no residual ovarian or adnexal tissue, over 40% of patients were found to have residual ovarian tissue after a previous bilateral salpingo-oophorectomy.
Keywords
Ovarian remnant
Bilateral salpingo-oophorectomy
Surgery
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