[Hysterosalpingectomy. A contribution to the prevention of primary tubal neoplasms]

Reporting on 5103 hysterectomies performed within a period of 8 years (1970-1977), with a persistent high frequency of the vaginal approach (93,0%) independent of the dignity of the disease, the importance of a simultaneous bilateral salpingectomy is emphasized. Age and parity of the patients as well as size of uterus and indication for surgery were of little influence on the mode of operation. 3 carcinomas of the uterine tube, i.e. 0,43% of all gynecological neoplasms in our collective and a total of 701 other genital carcinoma were treated. With reference to current literature the clinical problems of primary malignant tumors of the uterine tube are discussed and the 3 cases of preoperatively undetected carcinoma are presented to underline the diagnostic and prognostic complexity. As a prophylactic measure hysterosalpingectopmy is recommmended for every uterus extirpation.