Primary carcinoma of the fallopian tube: A clinicopathologic analysis of 27 patients.

OBJECTIVES: To analyze the clinicopathologic features of women with primary fallopian tube carcinoma DESIGN: Descriptive cross sectional study MATERIAL AND METHOD: Twenty-eight women diagnosed with primary fallopian tube carcinoma treated at Chiang Mai University Hospital between January 1997 and December 2004. RESULTS: During the study period, the primary fallopian tube carcinoma accounted for 0.48% of all gynecologic malignancies. Of the 28 patients, one was excluded for unavailable medical records. Mean age at diagnosis was 53 years (range, 38-76 years). Seventeen (63.0%) were menopausal women. The most common clinical presentation was pelvic mass (55%), followed by abnormal vaginal bleeding (18.5%). Hydrops tubae profluens was present in three (11.1%) women. The rare presenting symptoms included pelvic peritonitis and abnormal glandular cells on cervicovaginal smear were noted in one (3.7%) woman of each category. In all women, primary fallopian tube carcinoma could not be diagnosed preoperatively. During the operation, an abnormal tubal lesion was suspected in only eleven (40.7%) women. Histology were serous adenocarcinoma (70.4%), endometrioid adenocarcinoma (22.2%), undifferentiated adenocarcinoma (3.77%) and carcinosarcoma (3.7%). As opposed to epithelial ovarian cancer, the majority of women in the present study were in the early stages of the disease. CONCLUSION: Primary fallopian tube carcinoma is a rare gynecologic malignancy that has various and nonspecific presentations. Definite diagnosis is usually made postoperatively. This malignancy should be considered in differential diagnosis of peri- and postmenopausal women who present with complex adnexal mass, unexplained uterine bleeding, abnormal glandular cells on cervicovaginal smear and complicated pelvic inflammatory disease.

Fallopian tube carcinoma--a report of two cases.

Primary adenocarcinoma is a rare tumour involving the fallopian tube. Two such cases are reported; the first case was associated with papillary carcinoma of the paratubal cysts and the second occurred in a young female.

Primary fallopian tube carcinoma.

Although Fallopian tubes are frequently involved in benign gynaecological conditions, primary malignant involvement is rare, and because of its rarity, lack of diagnostic accuracy, nonpresenting symptoms and physical findings, primary fallopian tube carcinoma is seldom diagnosed before laparotomy. We are reporting one such rare case.

Adenocarcinoma indiferenciado de trompa de falopio derecha. Reporte de un caso / Indiferenciated adenocarcinoma of the right fallopian tube. Report of a case

Es motivo de la presentación, comentar el caso de una paciente joven, que consultó por cuadro álgico pelviano intenso, de rápida evolución y masa palpable a ese nivel, compatible con origen anexial derecho, con diagnóstico de: "abdomen agudo quirúrgico" es llevada a laparatomía exploradora y resección completa de masa tumoral con la patología ya citada. Completó el tratamiento con Telecobaltoterapia, por compromiso sigmoideo, hasta 4,500 CGy en campo pelviano amplio, incluyendo cadenas lumboaórticas, más un esfuerzo pelviano de 600 RADS en campos anterior y posterior. Recibió poliquimioterapia con esquema CAP (Ciclosfosfamida 600 mg/m2, adriamicina 50 mg/m2 y DDP 75 mg/m2 en dos (2) días E.V. por seis (6) ciclos con mínima toxicidad, permaneciendo hasta la fecha, libre de enfernedad clínica, radiológica y patológicamente comprobada, por "second lool" negativo