Is ovarian cancer still possible after a hysterectomy?
Answer From Yvonne Butler Tobah, M.D.
Yes, you still have a risk of ovarian cancer or a type of cancer that acts just like it (primary peritoneal cancer) if you've had a hysterectomy.
Your risk depends on the type of hysterectomy you had:
- Partial hysterectomy or total hysterectomy. A partial hysterectomy removes your uterus, and a total hysterectomy removes your uterus and your cervix. Both procedures leave your ovaries intact, so you can still develop ovarian cancer.
Total hysterectomy with salpingo-oophorectomy. This procedure removes your cervix and uterus as well as both ovaries and fallopian tubes. This makes ovarian cancer less likely to occur, but it does not remove all risk.
You still have a small risk of what's called primary peritoneal cancer. The peritoneum is a covering that lines the abdominal organs, and is close to the ovaries. Since the peritoneum and ovaries arise from the same tissues during embryonic development, it's possible that cancer could result from the cells of the peritoneum.
Currently, there are no effective screening tests for ovarian cancer in women with an average risk of the disease. If you're concerned about your risk, discuss your options with your doctor.
Yvonne Butler Tobah, M.D.
March 04, 2017
- Hysterectomy. The American Congress of Obstetricians and Gynecologists. http://www.acog.org/Patients/FAQs/Hysterectomy. Accessed Jan. 16, 2017.
- Lobo RA, et al. Fallopian tube and peritoneal carcinoma. In: Comprehensive Gynecology. 7th ed. Philadelphia, Pa.: Elsevier; 2017. http://www.clinicalkey.com. Accessed Jan. 16, 2017.
- Muto MG. Risk-reducing bilateral salpingo-oophorectomy in women at high risk of epithelial ovarian and fallopian tubal cancer. http://www.uptodate.com/home. Accessed Jan. 16, 2017.
- AskMayoExpert. Ovarian cancer screening. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017.
- Butler Tobah YS (expert opinion). Mayo Clinic, Rochester, Minn. Jan 26, 2017.