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Primary Fallopian Tube Carcinoma: A Case Report and Literature Review

BACKGROUND: 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, and it is very difficult to diagnose preoperatively, because of its non-specific symptomatology. In most cases, it is an intraoperative finding...

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Autores principales: Rexhepi, Meral, Trajkovska, Elizabeta, Ismaili, Hysni, Besimi, Florin, Rufati, Nagip
Formato: Online Artículo Texto
Lenguaje:English
Publicado: ID Design 2012/DOOEL Skopje 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5503735/
https://www.ncbi.nlm.nih.gov/pubmed/28698755
http://dx.doi.org/10.3889/oamjms.2017.044
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author Rexhepi, Meral
Trajkovska, Elizabeta
Ismaili, Hysni
Besimi, Florin
Rufati, Nagip
author_facet Rexhepi, Meral
Trajkovska, Elizabeta
Ismaili, Hysni
Besimi, Florin
Rufati, Nagip
author_sort Rexhepi, Meral
collection PubMed
description BACKGROUND: 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, and it is very difficult to diagnose preoperatively, because of its non-specific symptomatology. In most cases, it is an intraoperative finding or a histopathological diagnosis. It is a tumour that histologically and clinically resembles epithelial ovarian cancer. CASE PRESENTATION: We are reporting a case of a 62-year-old, postmenopausal women with primary fallopian tube carcinoma of the right fallopian tube in stage IA. The patient has lower abdominal pain, watery vaginal discharge and repeated episodes of bleeding from the vagina. The clinical and radiological findings suggested a right adnexal tumour with elevated CA-125 levels. Total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy and peritoneal washing were performed. Pathologic confirmation of primary serous cystadenocarcinoma of the right fallopian tube was made. Peritoneal washings were negative for malignancy. FIGO stage was considered as IA, and the patient received no courses of chemotherapy and postoperative radiation because she refused it. Ten months after initial surgery, the patient is alive and in good condition. CONCLUSION: Cytoreduction surgery followed by adequate cycles of chemotherapy is an important strategy to improve patients’ prognosis.
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spelling pubmed-55037352017-07-11 Primary Fallopian Tube Carcinoma: A Case Report and Literature Review Rexhepi, Meral Trajkovska, Elizabeta Ismaili, Hysni Besimi, Florin Rufati, Nagip Open Access Maced J Med Sci Case Report BACKGROUND: 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, and it is very difficult to diagnose preoperatively, because of its non-specific symptomatology. In most cases, it is an intraoperative finding or a histopathological diagnosis. It is a tumour that histologically and clinically resembles epithelial ovarian cancer. CASE PRESENTATION: We are reporting a case of a 62-year-old, postmenopausal women with primary fallopian tube carcinoma of the right fallopian tube in stage IA. The patient has lower abdominal pain, watery vaginal discharge and repeated episodes of bleeding from the vagina. The clinical and radiological findings suggested a right adnexal tumour with elevated CA-125 levels. Total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy and peritoneal washing were performed. Pathologic confirmation of primary serous cystadenocarcinoma of the right fallopian tube was made. Peritoneal washings were negative for malignancy. FIGO stage was considered as IA, and the patient received no courses of chemotherapy and postoperative radiation because she refused it. Ten months after initial surgery, the patient is alive and in good condition. CONCLUSION: Cytoreduction surgery followed by adequate cycles of chemotherapy is an important strategy to improve patients’ prognosis. ID Design 2012/DOOEL Skopje 2017-05-20 /pmc/articles/PMC5503735/ /pubmed/28698755 http://dx.doi.org/10.3889/oamjms.2017.044 Text en Copyright: © 2017 Meral Rexhepi, Elizabeta Trajkovska, Hysni Ismaili, Florin Besimi, Nagip Rufati. http://creativecommons.org/licenses/CC BY-NC/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).
spellingShingle Case Report
Rexhepi, Meral
Trajkovska, Elizabeta
Ismaili, Hysni
Besimi, Florin
Rufati, Nagip
Primary Fallopian Tube Carcinoma: A Case Report and Literature Review
title Primary Fallopian Tube Carcinoma: A Case Report and Literature Review
title_full Primary Fallopian Tube Carcinoma: A Case Report and Literature Review
title_fullStr Primary Fallopian Tube Carcinoma: A Case Report and Literature Review
title_full_unstemmed Primary Fallopian Tube Carcinoma: A Case Report and Literature Review
title_short Primary Fallopian Tube Carcinoma: A Case Report and Literature Review
title_sort primary fallopian tube carcinoma: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5503735/
https://www.ncbi.nlm.nih.gov/pubmed/28698755
http://dx.doi.org/10.3889/oamjms.2017.044
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