IMR Press / EJGO / Volume 40 / Issue 5 / DOI: 10.12892/ejgo4897.2019
Open Access Review
Considerations related to radical fimbriectomy as an option in prophylaxis against serous carcinoma development
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1 Gynecological-Oncology, Poznań University of Medical Sciences, Poznan, Poland
2 Department of Gynecologic Oncology, Poznań University of Medical Sciences, Poznan, Poland
3 Department of Gynecology-Oncology, M. Skłodowska-Curie Institute, Cracow, Poland
4 Chair and Department of Obstetrics and Gynecological Oncology, Medical University of Warsaw, Warsaw, Poland
Eur. J. Gynaecol. Oncol. 2019, 40(5), 709–710;
Published: 10 October 2019

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.

Radical fimbriectomy
Risk-reducing salpingo-oophorectomy (RRSO) serous cancers in BRCA mutations
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