Surgical Removal of Fallopian Tubes OR Fallopian Tubes and Ovaries to Reduce Risk of Ovarian Cancer in Women with BRCA1 Mutations

Inclusion Criteria:

• Women 35-50 years of age
• At least one intact ovary and fallopian tube is in situ at the time of counseling and consent: prior hysterectomy only is allowed; prior tubal ligation is allowed if one intact ovary and tube are present
• Positive CLIA-approved test results for pathogenic or likely pathogenic germline BRCA1 mutation in the patient herself
• Transvaginal ultrasound and CA-125 within 180 days of registration

Exclusion Criteria:

• Women with a history of any prior cancer who have received chemotherapy within the past 12 months, hormonal therapy within the past 90 days or radiotherapy to the abdomen or pelvis at any prior time
• Prior history of ovarian cancer, including low malignant potential neoplasms, primary peritoneal carcinoma or fallopian tube carcinoma
• Patients medically deemed unfit for the planned surgical procedure
• Patients with an abnormal transvaginal ultrasound or CA-125 that is suspicious for occult or gross pelvic malignancy or neoplasm within the past 180 days
• Women who are currently pregnant or plan to become pregnant in the future