Maryland hospitals expand fallopian tube removal to prevent ovarian cancer
Area medical centers now routinely offer salpingectomy during other procedures, backed by research showing the surgery cuts cancer risk by up to 80%.
What to know
- Maryland hospitals are increasingly offering fallopian tube removal (salpingectomy) during routine procedures based on research showing the surgery reduces ovarian cancer risk by up to 80%.
- Insurance coverage remains a major barrier: health plans have not adopted billing codes for the procedure, and it is typically mislabeled as sterilization rather than cancer prevention.
- Dr. Rebecca Stone is pursuing Maryland legislation—a third attempt—to require insurers to cover the procedure at no cost, targeting the General Assembly in January 2027.
- Adoption has been spotty across Maryland; only a few hospitals like GBMC have developed formal programs pairing surgical specialists to routinely offer the option.
“Stone said she has been struck by how little most know about the cancer and its link to fallopian tubes, a finding she said reveals how low a national priority women's health issues have been.”
Baltimore Banner, Reporter (Meredith Cohn) · Baltimore Banner ↗
Dr. Rebecca Stone Gynecological oncologist, Johns Hopkins MedicineChristine Maple Patient at Greater Baltimore Medical CenterGreater Baltimore Medical Center (GBMC) Hospital system implementing salpingectomy programAmerican College of Obstetricians & Gynecologists Medical professional organization
How it unfolded 1 development · click the chart to see its coverage articlesposts
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Maryland General Assembly to consider insurance coverage legislation — Dr. Stone is working with Maryland lawmakers to pass legislation requiring insurers to cover salpingectomy at no cost to patients. This will be the third legislative attempt when the General Assembly meets in January.
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Rebecca Stone identifies insurance and awareness barriers to adoption — Dr. Rebecca Stone at Johns Hopkins reports that health plans have not adopted a billing code for salpingectomy and that the procedure is typically mislabeled as sterilization, limiting coverage. She also notes how little women know about ovarian cancer and its link to fallopian tubes.
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Christine Maple chooses salpingectomy during hernia repair
Patient Christine Maple opted to have her fallopian tubes removed during a hernia procedure at GBMC after her doctor explained the cancer prevention benefits and the minimal additional risk.
“I'm not one who ever thought I'd have an operation that isn't necessary. But I knew I was done having children, and I already had to have this operation anyway.”
— Christine Maple -
first by Baltimore Banner, 8d ago · also The Baltimore Banner
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GBMC develops formal salpingectomy program — Greater Baltimore Medical Center developed a formal program pairing gynecological staff with general surgeons to offer fallopian tube removal as an option during other procedures, becoming one of the few Maryland hospitals to adopt the practice routinely.
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American College of Obstetricians & Gynecologists issues new guidance on salpingectomy — The American College of Obstetricians & Gynecologists and other major medical associations issued new guidance recommending opportunistic salpingectomy—removal of fallopian tubes during other gynecological or abdominal procedures.
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Recent studies confirm tube removal reduces cancer risk by up to 80% — More recent research demonstrated that removing the fallopian tubes reduces the risk of ovarian cancer by up to 80%, providing strong evidence for preventive action.
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Researchers discover ovarian cancer origin in fallopian tubes — Researchers, including work that would later involve Johns Hopkins, discovered more than two decades ago that most ovarian cancer actually begins in the fallopian tubes rather than the ovaries themselves.