{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T11:25:45Z","timestamp":1764847545096,"version":"3.46.0"},"reference-count":17,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,11,6]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2025-268773","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T11:20:51Z","timestamp":1764847251000},"page":"e268773","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Incidental tubal pathology from pelvic organ prolapse surgery"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6550-8508","authenticated-orcid":false,"given":"Scarlett","family":"Bergam","sequence":"first","affiliation":[{"name":"The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janice","family":"Hejirika","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, The George Washington University Hospital, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Chappell","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, The George Washington University Hospital, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charelle","family":"Carter-Brooks","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, The George Washington University Hospital, Washington, District of Columbia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"key":"2025120403204581000_18.12.e268773.1","unstructured":"Chen CJ , Thompson H . Uterine prolapse. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing, 2023. Available: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK564429\/"},{"key":"2025120403204581000_18.12.e268773.2","doi-asserted-by":"crossref","unstructured":"Nygaard I , Barber MD , Burgio KL , et al . Pelvic Floor Disorders Network. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008;1311\u20136. doi:10.1001\/jama.300.11.1311","DOI":"10.1001\/jama.300.11.1311"},{"key":"2025120403204581000_18.12.e268773.3","doi-asserted-by":"crossref","first-page":"3131","DOI":"10.1007\/s00192-021-04858-z","article-title":"Prevalence of histological abnormalities in hysterectomy specimens performed for prolapse. A systematic review and meta-analysis","volume":"32","author":"Nicholson","year":"2021","journal-title":"Int Urogynecol J"},{"key":"2025120403204581000_18.12.e268773.4","unstructured":"CARE checklist. 2013. Available: https:\/\/www.care-statement.org\/checklist"},{"key":"2025120403204581000_18.12.e268773.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00412-018-0659-8"},{"key":"2025120403204581000_18.12.e268773.6","doi-asserted-by":"publisher","DOI":"10.1080\/14737140.2016.1247699"},{"key":"2025120403204581000_18.12.e268773.7","doi-asserted-by":"crossref","DOI":"10.1186\/s13000-019-0795-3","article-title":"Concurrent isolated retroperitoneal HGSC and STIC defined by somatic mutation analysis: a case report","volume":"14","author":"Suda","year":"2019","journal-title":"Diagn Pathol"},{"key":"2025120403204581000_18.12.e268773.8","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyu035"},{"key":"2025120403204581000_18.12.e268773.9","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1002\/dc.23957","article-title":"Detection of tumor cells of serous tubal intraepithelial carcinoma (STIC) in cervical smears and rapid development of the ovarian involvement: A case report","volume":"46","author":"Shintaku","year":"2018","journal-title":"Diagn Cytopathol"},{"key":"2025120403204581000_18.12.e268773.10","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1159\/000505406","article-title":"Pathology of the Fallopian Tube: Tubal Involvement by Ovarian Tumors and Incidental Findings in the Nontumoral Setting","volume":"87","author":"Karpathiou","year":"2020","journal-title":"Pathobiology"},{"key":"2025120403204581000_18.12.e268773.11","doi-asserted-by":"publisher","DOI":"10.1097\/PAS.0000000000000353"},{"key":"2025120403204581000_18.12.e268773.12","doi-asserted-by":"crossref","DOI":"10.3390\/diagnostics10020102","article-title":"Serous Tubal Intraepithelial Carcinoma: A Concise Review for the Practicing Pathologist and Clinician","volume":"10","author":"Bachert","year":"2020","journal-title":"Diagnostics (Basel)"},{"key":"2025120403204581000_18.12.e268773.13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.2007.02938.x"},{"key":"2025120403204581000_18.12.e268773.14","doi-asserted-by":"crossref","unstructured":"Ip PPC , Cheung ANY . Pathology of the fallopian tube. In: Pathology of the ovary, fallopian tube and peritoneum: essentials of diagnostic gynecological pathology. London: Springer, Available: https:\/\/doi.org\/10.1007\/978-1-4471-2942-4_17","DOI":"10.1007\/978-1-4471-2942-4_17"},{"key":"2025120403204581000_18.12.e268773.15","unstructured":"American College of Obstetricians and Gynecologists . Pelvic organ prolapse. practice bulletin no. 214. november 2019. (replaces practice bulletin no. 185, november 2017.). Reaffirmed; 2024."},{"key":"2025120403204581000_18.12.e268773.16","unstructured":"Committee on Gynecologic Practice . Opportunistic salpingectomy as a strategy for epithelial ovarian cancer prevention.]. American College of Obstetrics and Gynecology. Available: https:\/\/www.acog.org\/clinical\/clinical-guidance\/committee-opinion\/articles\/2019\/04\/opportunistic-salpingectomy-as-a-strategy-for-epithelial-ovarian-cancer-prevention [Accessed Aug 2024]."},{"key":"2025120403204581000_18.12.e268773.17","doi-asserted-by":"crossref","unstructured":"Mandelbaum RS . The rapid adoption of opportunistic salpingectomy at the time of hysterectomy for benign gynecologic disease in the United States. Am J Obstet Gynecol 2020;223.","DOI":"10.1016\/j.ygyno.2019.11.059"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-268773","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T11:20:52Z","timestamp":1764847252000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-268773"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":17,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,12,4]]},"published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1136\/bcr-2025-268773"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-268773","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]}}}