CASE REPORT
Primary fallopian tube carcinoma discovered by mistake – A case report
 
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1
Ministry of Internal Affairs Hospital with Warmia and Mazury Oncology Centre in Olsztyn, Poland
 
2
Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, Poland
 
3
Medical University of Gdańsk, Poland
 
4
Bialystok Oncology Center, Poland
 
5
Department of General Pathomorphology, Medical University of Bialystok, Poland
 
 
Submission date: 2015-10-26
 
 
Acceptance date: 2016-01-21
 
 
Online publication date: 2016-02-26
 
 
Publication date: 2020-03-24
 
 
Corresponding author
Leszek Frąckowiak   

Kieźliny 152, 10-371 Olsztyn, Poland. Tel.: +48 601611435.
 
 
Pol. Ann. Med. 2016;23(2):151-155
 
KEYWORDS
ABSTRACT
Introduction:
Fallopian tube carcinoma is a rare neoplasm derived from mucous tissue located inside fallopian tubes. The disease is most prevalent in women in 4th to 6th decade. The early stages are asymptomatic, advanced stages can be diagnosed based on Latzko's triad: serous, amber-colored discharges, pathological resistance during abdominal physical examination, colic abdominal pain alleviating when the discharge is released.

Aim:
To present a case of an uncommon neoplasm found by mistake.

Case study:
We present a case of a 60-year-old asymptomatic woman admitted to gynecological–oncological department with a suspicion of a neoplasm in the left ovarian cyst. The surgery performed excluded the possibility of malignancy of the ovary, but the histopathological examination afterwards revealed the presence of a high-grade serous carcinoma in the right fallopian tube. In CT imaging enlarged, paraaortic lymph nodes were revealed. The patient underwent a surgery and received postoperative adjuvant chemotherapy.

Results and discussion:
The fallopian tube cancer may be related to ovarian cancer. It can be found on one side or bilaterally. There is a need for further diagnostic proceedings in order to confirm diagnosis and to select optimal treatment. Main negative prognostic factors are stage and the lack of optimal cytoreduction. Depending on the staging appropriate treatment is chosen with surgery being the basic procedure. Adjuvant chemotherapy is used. Radiotherapy is only justified as a palliative procedure.

Conclusions:
The fallopian tube carcinoma if often found either during or after the surgery. The optimal treatment is the excision of the reproductive organs with lymphadenectomy.

CONFLICT OF INTEREST
The authors have no conflicts of interest relevant to this article.
REFERENCES (12)
1.
Horng HC, Teng SW, Huang BS, et al. Primary fallopian tube cancer: domestic data and up-to-date review. Taiwan Obstet Gynecol. 2014;53(3):287–292.
 
2.
Ma Y, Duan W. Clinical and survival analysis of 36 cases of primary fallopian tube carcinoma. World J Surg Oncol. 2014;12:311. http://dx.doi.org/10.1186/1477....
 
3.
Pectasides D, Pectasides E, Economopoulos T. Fallopian tube carcinoma: a review. Oncologist. 2006;11(8):902–991.
 
4.
Papakonstantinou K, Antoniou A, Palialexis K, Politi E, Karvouni E, Fotiou S. Fallopian tube cancer presenting as inflammatory breast carcinoma: report of a case and review of the literature. Eur J Gynaecol Oncol. 2009;30(5):568–571.
 
5.
Buyukkurt S, Vardar MA, Zeren H, Guzel B, Tuncer I. Fallopian tube carcinoma metastatic to the pericardium and breast. Eur J Gynaecol Oncol. 2009;30(3):335–337.
 
6.
Aziz S, Kuperstein G, Rosen B, et al. A genetic epidemiological study of carcinoma of the fallopian tube. Gynecol Oncol. 2001;80(3):315–341.
 
7.
Crum CP, McKeon FD, Xian W. BRCA, the oviduct, and the space and time continuum of pelvic serous carcinogenesis. Int J Gynecol Cancer. 2012;22(suppl 1):S29–S34.
 
8.
Frąckowiak L, Wroński K, Kozielec Z. Giant metastatic ovarian tumor originating from the colon in 61-year-old female – case report. Pol Ann Med. 2013;20(1):39–42.
 
9.
Gadducci A, Landoni F, Sartori E, et al. Analysis of treatment failures and survival of patients with fallopian tube carcinoma: a cooperation task force (CTF) study. Gynecol Oncol. 2001;81(2):150–159.
 
10.
Kosary C, Trimble EL. Treatment and survival for women with fallopian tube carcinoma: a population-based study. Gynecol Oncol. 2002;86(2):190–191.
 
11.
Wethington SL, Herzog TJ, Seshan VE, et al. Improved survival for fallopian tube cancer: a comparison of clinical characteristics and outcome for primary fallopian tube and ovarian cancer. Cancer. 2008;113(12):3298–3306.
 
12.
Moore KN, Moxley KM, Fader AN, et al. Serous fallopian tube carcinoma: a retrospective, multi-institutional case–control comparison to serous adenocarcinoma of the ovary. Gynecol Oncol. 2007;107(3):398–403.
 
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