Incidental tubal pathology from pelvic organ prolapse surgery

Document Type

Journal Article

Publication Date

12-4-2025

Journal

BMJ case reports

Volume

18

Issue

12

DOI

10.1136/bcr-2025-268773

Keywords

Gynecological cancer; Urological surgery

Abstract

Incidental gynaecologic malignancies are detected in up to 1.3% of pelvic organ prolapse (POP) surgeries. There is limited data on the incidence of fallopian tube pre-malignancies, such as serous tubal intraepithelial lesion (STIL) and carcinoma (STIC), which progress to ovarian cancer in 10.5% of patients over 5 years. We report two new cases of incidental tubal pathology after POP surgery. Patient one is a woman in her 70s who underwent a laparoscopically assisted vaginal hysterectomy and bilateral salpingectomy with sacrocolpopexy, revealing STIC and STIL in the left adnexa. Follow-up laparoscopic bilateral oophorectomy with peritoneal biopsies was benign. Patient two is a woman in her 70s who underwent vaginal hysterectomy, left salpingectomy, uterosacral ligament suspension and enterocele repair and was found to have STIL. Follow-up robotic bilateral oophorectomy, right salpingectomy and peritoneal biopsies were benign. Patients with incidental tubal carcinoma should be monitored by gynaecologic oncology to prevent progression to ovarian cancer.

Department

Obstetrics and Gynecology

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