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Title: PRIMARY FALLOPIAN TUBE CARCINOMA : A DIAGNOSTIC DILEMMA
e-poster Number: EP 217
Category: Gynecologic Oncology
Author Name: Dr. Viveka Jadkar
Institute: Bombay Hospital Institute of Health Sciences
Co-Author Name:
Abstract :
Introduction:
Primary fallopian tube carcinoma (PFTC) is a rare tumour of the female genital tract with an incidence of 0.1-1.8% of all genital malignancies. However, the incidence of fallopian tube cancers may have been underestimated.
Aims and objectives:
Diagnosis of fallopian tube carcinoma in a case of adnexal mass is difficult. In most cases, it is an intraoperative finding or a histopathological diagnosis. It histologically and clinically resembles epithelial ovarian cancer. Emphasis has to be given on presenting features supported with radiological studies.
Materials and methods:
This is a case description and report of a 39 years old female, with high grade adenocarcinoma of the fallopian tube, who presented with abdominal pain and leukorrhea. She was examined and routine investigations were performed. Patient further underwent a two-stage surgery.
Results:
Operative laparoscopy done during first surgery with frozen section of left adnexal mass, suggestive of ?fragmented papillae lined by atypical cells?. Histopathology confirmed high grade serous adenocarcinoma of fallopian tube with no ovarian malignancy. Patient underwent cytoreductive surgery after 14 days and histopathology report confirmed no residual tumour and no lymph node involvement.
Conclusion:
Tubal adenocarcinoma is a rare entity, of unknown etiology, underestimated or often confused with ovarian pathology. PFTC should be included in the differential diagnosis in a patient presenting with a tubo-ovarian mass. MRI holds a better diagnostic value than CT scan.
