Serous tubal intraepithelial carcinoma detected during benign gynecologic surgery: a case report

High-grade serous carcinoma (HGSC) is the most common type of pelvic cancer among women. Serous tubal intraepithelial carcinoma (STIC) is a precursor lesion of HGSC. Herein, we report a rare occurrence of STIC in patients undergoing surgery for benign indications without a family history of ovarian...

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Main Authors: Eun Seo Shin, Sung Yob Kim
Format: Article
Language:English
Published: Institute for Medical Science, Jeju National University 2023-03-01
Series:Journal of Medicine and Life Science
Subjects:
Online Access:http://www.e-jmls.org/upload/pdf/jmls-2023-20-1-48.pdf
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author Eun Seo Shin
Sung Yob Kim
author_facet Eun Seo Shin
Sung Yob Kim
author_sort Eun Seo Shin
collection DOAJ
description High-grade serous carcinoma (HGSC) is the most common type of pelvic cancer among women. Serous tubal intraepithelial carcinoma (STIC) is a precursor lesion of HGSC. Herein, we report a rare occurrence of STIC in patients undergoing surgery for benign indications without a family history of ovarian cancer. A 77-year-old woman underwent total laparoscopic hysterectomy and bilateral salpingo-oophorectomy for uterine prolapse. Pathological examination revealed bilateral STIC without ovarian abnormalities, and no other abnormal findings were noted. Another patient, a 49-year-old woman, underwent laparoscopic total hysterectomy and bilateral salpingectomy for uterine fibroids. STIC lesions were observed in both fallopian tubes. Subsequently, a staging was performed. No additional lesions were found, and the patient was followedup through imaging and blood tests. As reports of STIC lesions are rare, data on their clinical outcomes and management strategies are limited. In this report, we present cases of incidental STIC in benign surgery and discuss its proper interpretation and management. Through the early detection of STIC lesions, patients with risk factors can be identified in advance, which will allow prevention and early detection of ovarian cancer. Opportunistic salpingectomy was also actively discussed in this regard.
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spelling doaj.art-f675e305a8b548d1b92607c3131206172023-08-31T05:25:52ZengInstitute for Medical Science, Jeju National UniversityJournal of Medicine and Life Science2671-49222023-03-01201485210.22730/jmls.2023.20.1.48512Serous tubal intraepithelial carcinoma detected during benign gynecologic surgery: a case reportEun Seo Shin0Sung Yob Kim1 Department of Obstetrics and Gynecology, Jeju National University Hospital, Jeju, Republic of Korea Department of Obstetrics and Gynecology, Jeju National University College of Medicine, Jeju, Republic of KoreaHigh-grade serous carcinoma (HGSC) is the most common type of pelvic cancer among women. Serous tubal intraepithelial carcinoma (STIC) is a precursor lesion of HGSC. Herein, we report a rare occurrence of STIC in patients undergoing surgery for benign indications without a family history of ovarian cancer. A 77-year-old woman underwent total laparoscopic hysterectomy and bilateral salpingo-oophorectomy for uterine prolapse. Pathological examination revealed bilateral STIC without ovarian abnormalities, and no other abnormal findings were noted. Another patient, a 49-year-old woman, underwent laparoscopic total hysterectomy and bilateral salpingectomy for uterine fibroids. STIC lesions were observed in both fallopian tubes. Subsequently, a staging was performed. No additional lesions were found, and the patient was followedup through imaging and blood tests. As reports of STIC lesions are rare, data on their clinical outcomes and management strategies are limited. In this report, we present cases of incidental STIC in benign surgery and discuss its proper interpretation and management. Through the early detection of STIC lesions, patients with risk factors can be identified in advance, which will allow prevention and early detection of ovarian cancer. Opportunistic salpingectomy was also actively discussed in this regard.http://www.e-jmls.org/upload/pdf/jmls-2023-20-1-48.pdffallopian tube neoplasmssalpingectomycarcinomaovarian epithelialgynecologic surgical proceduresfallopian tube diseases
spellingShingle Eun Seo Shin
Sung Yob Kim
Serous tubal intraepithelial carcinoma detected during benign gynecologic surgery: a case report
Journal of Medicine and Life Science
fallopian tube neoplasms
salpingectomy
carcinoma
ovarian epithelial
gynecologic surgical procedures
fallopian tube diseases
title Serous tubal intraepithelial carcinoma detected during benign gynecologic surgery: a case report
title_full Serous tubal intraepithelial carcinoma detected during benign gynecologic surgery: a case report
title_fullStr Serous tubal intraepithelial carcinoma detected during benign gynecologic surgery: a case report
title_full_unstemmed Serous tubal intraepithelial carcinoma detected during benign gynecologic surgery: a case report
title_short Serous tubal intraepithelial carcinoma detected during benign gynecologic surgery: a case report
title_sort serous tubal intraepithelial carcinoma detected during benign gynecologic surgery a case report
topic fallopian tube neoplasms
salpingectomy
carcinoma
ovarian epithelial
gynecologic surgical procedures
fallopian tube diseases
url http://www.e-jmls.org/upload/pdf/jmls-2023-20-1-48.pdf
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