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This has changed. In 2001 a group of Dutch pathologists and gynecologists examined in detail the tubes and ovaries of women at high risk for ovarian cancer undergoing prophylactic bilateral salpingo-oophorectomy [1]. The Dutch investigators identified what they called dysplasias in the fimbria of the tubes of these specimens [1]. These dysplasias are now called serous tubal intraepithelial carcinomas (STICs) and work by pathologists around the world has substantiated that these STICs are very likely the origin of many serous ovarian and pelvic cancers [2].

Should national societies recommend opportunistic salpingectomy?