Ovarian Cancer Incidence and Death in Average-Risk Women Undergoing Bilateral Salpingo-Oophorectomy at Benign Hysterectomy “Prevention is better than a cure”. This certainly seems to be the case for ovarian cancer, which despite progress in therapy remains a highly lethal condition. One suggestion for prevention of ovarian cancer is that any woman who has a hysterectomy should have removal of the fallopian tubes and ovaries at the same time.
It is thought that most ovarian cancer starts in the tubes. One in five women will have a hysterectomy during their lifetime. Previously there has been little hard evidence about the benefit from tube and ovary removal.
This retrospective review of almost 200,000 women who had a hysterectomy, in Ontario, during the period 1996-2010, looked at the incidence of and death from ovarian cancer. 25% of those women had tube and ovary removal at the time of hysterectomy. Results from the review confirmed that the women who had the tubes and ovaries removed had about 70% reduction in the risk of developing and dying from ovarian cancer, with even better outcomes when done before the age of 50.
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