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Over 60,000 women died last year from ovarian cancer. Over 75% of ovarian cancers have already spread when first diagnosed. Unfortunately Screening Programs using ultrasound or Ca125 blood testing have been extremely disappointing.

Recent published evidence* suggests that the most dangerous form of "ovarian cancer"(High-Grade Serous) ORIGINATES FROM THE FALLOPIAN TUBE - NOT THE OVARY! 

NEW CONCLUSION: a policy of always removing the fallopian tubes at the time of hysterectomy makes sense.  Also, favoring tubal ligation or removal as the chosen form of sterilization holds promise for reducing the incidence of the most lethal form of ovarian cancer in the U.S.

A CREATIVE THOUGHT: If a couple is considering sterilization, They should be informed about an opportunity to markedly reduce future ovarian cancer risk by undergoing BTL (Bilateral Tubal Ligation or Tubal Removal) -simple for an experienced laparoscopist.

VASECTOMY or TUBAL LIGATION? - Tubal LIgation allows a woman to lower her risks of ovarian cancer, vasectomy does not.

TUBAL LIGATION or TUBAL REMOVAL? - Removal would be expected to lower at woman's risks of ovarian cancer more than ligation,

DR. LACKORE'S TAKE: I heard two cancer specialists in San Francisco discussing this conclusion back in 2011 well before it was published. Since that time:

  • I remove the fallopian tubes in ALL hysterectomies.
  • Tubal Ligation or Removal is MORE THAN JUST BIRTH CONTROL - it is also a means of reducing the risk of the worst form of ovarian cancer.
  • Vasectomy? - I continue to advocate for it.  But tubal ligation/removal adds the benefit of lowering ovarian cancer risk. Patients must be told.

Time to Rethink Ovarian Cancer Screening - Obstet Gynecol 2012(Oct);120(4):935-40
Role of the Fallopian Tube in the Origin of Ovarian Cancer - Am J Obstet Gynecol 2013 (Nov);209(5):409-14

* (p53 protein and T53 mutation)

Page Updated 3/02/2014 Dr. Lackore