The utility of prophylactic salpingectomy – case report

D. Cozmei, O. Ursică, S. Vameșu, C.V. Cristurean, V. Tica

Rezumat: We present an informative case of a relatively young patient in which it was accidentally discovered a serous tubal intraepithelial carcinoma, after a hysterectomy with bilateral salpingectomy for a benign condition. The diagnosis was substantiated by immunomarkers p53 and Ki-67. Our case supports the concept that salpingectomy can be performed at the time of benign gynecological surgeries. It is a simple and rapid procedure that can be done with ease and does not influence the overall status of the patient. In terms of complications, it appears to be safe, as it does not increase them. The examination of the fallopian tubes samples is important, as serous tubal intraepithelial carcinoma (STIC) is one of the precursor lesions of the high-grade pelvic serous carcinoma. The mechanism of STIC development is yet neither fully understood, nor described. The investigation of p53 and Ki-67 are part of the immunohistochemistry workup that brings more information about the disease. Women who achieved reproduction and undergo pelvic surgery are recommended to have both fallopian tubes removed, but the decision should be taken by the patient, based on the benefits and risks that the medical team must explain before the procedure.
Cuvinte cheie: salpingectomy, serous tubal intraepithelial carcinoma, immunohistochemistry.