Attitudes towards risk‐reducing early salpingectomy with delayed oophorectomy for ovarian cancer prevention: a cohort study
Risk reduction surgery is being offered more often to reduce the risk of developing ovarian cancer for women who have a genetic predisposition. The level of risk had been set at 10%, meaning that one in ten women would develop ovarian cancer before the age of 60, now women with only a 5% risk are being encouraged to consider surgery.
Traditionally the operation performed was bilateral resection of ovaries and fallopian tubes. Because of the loss of fertility and premature menopause there has been a move to a two-stage procedure with initial tube resection and delayed removal of the ovaries.
This study looked at 683 women all of whom had an increased genetic risk of ovarian cancer and half of them had agreed to risk reduction surgery. Of those who did not have operative therapy approximately 50% said they would find the two-stage procedure acceptable.
Amongst those women who had agreed to have risk reduction surgery almost 10% of premenopausal women, who had initial complete resection, regretted that choice.
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