If an ovarian tumor is malignant, which organs are typically excised?

When a malignant ovarian tumor is diagnosed, the standard surgical approach typically involves the removal of not just the affected ovary, but also structures that may be at risk of containing malignant cells or could be affected by the spread of the cancer. This includes the bilateral fallopian tubes and the uterus, leading to a comprehensive excision known as a total abdominal hysterectomy with bilateral salpingo-oophorectomy.

The rationale behind this approach is based on the understanding that ovarian cancer can often spread within the pelvic region, potentially involving the fallopian tubes and uterus. By excising these organs, the surgical team aims to minimize the risk of recurrence and ensure that any potential cancerous cells are removed. This thorough procedure reflects current guidelines and best practices in treating ovarian malignancies, emphasizing the importance of addressing all at-risk tissues to enhance patient outcomes.