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High-grade serous ovarian cancer is the most threatening type of gynaecological cancer with an important mortality due to late diagnosis. However the prognosis is excellent in the early stages of the disease. Recently it has been described a new serous carcinogenic sequence from the fallopian tube with tubal precancerous lesions. Therefore the identification of these early preinvasive lesions would be of great interest in the population with hereditary predisposition for ovarian cancer (concept of oncofertility) and in the general population (to determine whether bilateral salpingectomy has to be performed during a hysterectomy for benign disease).
The optical biopsy has been developed and validated in the detection of early precancerous lesions (such as Barrett's oesophagus or in situ cancer of the bladder). The first objective of this study is to prospectively assess the efficacy of optical biopsy (Cellvizio®) in the study of fallopian tubes during laparoscopy with correlation between the histopathological and immunohistochemical analysis and the endomicroscopy image interpretation. The second objective is to describe the optical biopsy pictures in order to state a classification.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| bilateral laparoscopic salpingectomy | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| bilateral laparoscopic salpingectomy | Procedure | Use of the confocal laser endomicroscopy Cellvizio® system during laparoscopy salpingectomy |
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| Measure | Description | Time Frame |
|---|---|---|
| Correlation between the histopathological and immunohistochemical analysis and the endomicroscopy image interpretation | DAY 1 |
| Measure | Description | Time Frame |
|---|---|---|
| : Description of the optical biopsy pictures in order to state a classification | DAY 1 |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service de Gynécologie, Hôpital Femme Mère Enfant, Lyon | Bron | 69500 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28652089 | Result | Chene G, Chauvy L, Buenerd A, Moret S, Nadaud B, Beaufils E, Le Bail-Carval K, Chabert P, Mellier G, Lamblin G. In vivo confocal laser endomicroscopy during laparoscopy for gynecological surgery: A promising tool. J Gynecol Obstet Hum Reprod. 2017 Sep;46(7):565-569. doi: 10.1016/j.jogoh.2017.06.003. Epub 2017 Jun 23. | |
| 28692889 | Result |
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| endomicroscopy Cellvizio® system | Device |
|
| Chene G, Chauvy L, Buenerd A, Moret S, Nadaud B, Chabert P, Lamblin G. Dynamic real-time in vivo confocal laser endomicroscopy of the fallopian tube during laparoscopy in the prevention of ovarian cancer. Eur J Obstet Gynecol Reprod Biol. 2017 Sep;216:18-23. doi: 10.1016/j.ejogrb.2017.07.002. Epub 2017 Jul 5. |