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Prophylactic oophorectomy or hysterectomy?

Page last modified on: October 7, 2008
Question from Sarah: I was diagnosed a year and a half ago with hormone-positive breast cancer and went through dose-dense treatment, etc. Now I have found out that I am positive for the BRCA2 mutation. I am making plans to have a prophylactic oophorectomy and hope to have it done laparoscopically [through a belly-button incision]. Is it enough to just get the ovaries and fallopian tubes removed or should I consider a full hysterectomy?
Answer —Lynn Hartmann, M.D.: Generally, we recommend the removal of ovaries and tubes and a thorough evaluation by the surgeon. A hysterectomy is not routinely recommended although for some women this is preferred. Again, this needs to be considered on a case-by-case basis, but it is not necessarily done routinely.

On Wednesday, February 15, 2006, our Ask-the-Expert Online Conference was called Risk ReductionLynn C. Hartmann, M.D. and moderator Beth Baughman DuPree, M.D., F.A.C.S. answered your questions about a variety of topics such as screening with mammograms, MRIs, and ultrasounds; breast biopsies; lifestyle changes that make a difference; and making hard decisions about prophylactic surgeries.


The materials presented in these conferences do not necessarily reflect the views of breastcancer.org. A qualified healthcare professional should be consulted before using any therapeutic product or regimen discussed. All readers should verify all information and data before employing any therapies described here.

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Meet the Experts

Lynn C. Hartmann, M.D.Lynn Hartmann, M.D. is a professor of oncology at the Mayo Clinic and associate director for education of the Mayo Clinic Cancer Center.

Beth Baughman DuPree, M.D., F.A.C.S.Beth Baughman DuPree, M.D., F.A.C.S. is a general surgeon. Her clinical practice is located at Holy Redeemer Hospital and St. Mary Medical Center.

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