{
  "abstract": "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.",
  "authors": [
    {
      "affiliations": [
        "The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA"
      ],
      "name": "Scarlett Bergam"
    },
    {
      "affiliations": [
        "Obstetrics and Gynecology, The George Washington University Hospital, Washington, District of Columbia, USA"
      ],
      "name": "Janice Hejirika"
    },
    {
      "affiliations": [
        "Obstetrics and Gynecology, The George Washington University Hospital, Washington, District of Columbia, USA"
      ],
      "name": "Nicole Chappell"
    },
    {
      "affiliations": [
        "Obstetrics and Gynecology, The George Washington University Hospital, Washington, District of Columbia, USA"
      ],
      "name": "Charelle Carter-Brooks"
    }
  ],
  "title": "Incidental tubal pathology from pelvic organ prolapse surgery",
  "uid": "1f54eff0-4a1a-5a47-baa7-bc5ac6991337"
}