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Fallopian tube carcinoma: incidental finding during surgery for acute pelvic inflammatory disease - case report

  • F. Puig1
  • M. Lapresta1
  • A. Lauzon1
  • R. Crespo1,*,

1Department of Obstetrics and Gynecology, Miguel Servet University Hospital, Zaragoza, Spain

DOI: 10.12892/ejgo200605526 Vol.27,Issue 5,September 2006 pp.526-527

Published: 10 September 2006

*Corresponding Author(s): R. Crespo E-mail:

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Abstract

Background: Primary carcinoma of the fallopian tube is a rare condition. Preoperative diagnosis is difficult and in most cases it is an intraoperative finding or a histopathological diagnosis.

Case: A 49-year-old woman presented with pelvic pain, fever (38 degrees C), elevated white blood cell count and a right adnexal mass. Pelvic inflammatory disease was suspected and broad spectrum antibiotics were established. Five days later, due to lack of clinical response, a total abdominal hysterectomy, bilateral salpingo-oophorectomy and appendectomy were performed. Histopathology showed a primary fallopian tube carcinoma. Postoperatively she received chemotherapy. Afterwards she underwent a staging laparotomy. Some months later, new chemotherapy regimens were instituted because of the presence of lymph node metastases.

Conclusion: Malignancy should be included in the differential diagnosis of pelvic inflammatory disease.

Keywords

Fallopian tube; Carcinoma; Pelvic inflammatory disease; Adnexal mass; Laparotomy

Cite and Share

F. Puig,M. Lapresta,A. Lauzon,R. Crespo. Fallopian tube carcinoma: incidental finding during surgery for acute pelvic inflammatory disease - case report. European Journal of Gynaecological Oncology. 2006. 27(5);526-527.

URL:

https://www.ejgo.net/articles/10.12892/ejgo200605526

References

[1] Nordin A.J.: "Primary carcinoma of the fallopian tube: a 20-year literature review". Obstet. Gynecol. Surv., 1994, 49, 349.

[2] Alvarado-Cabrero I., Young R.H., Vamvakas E.C., Scully R.E "Carcinoma of the fallopian tube: a clinicopathological study of 105 cases with observations on staging and prognostic factors" Gynecol. Oneal., 1999, 72, 367.

[3] Eddy G.L., Copeland L.J., Gershenson D.M., Atkinson E.N., Wharton J.T., Rutledge F.N.: "Fallopian tube carcinoma". Obstet. Gynecol., 1984, 64, 546.

[4] Baekelandt M., Kockx M., Wesling F., Guerris J.: "Primary adenocarcinoma of the fallopian tube. Review of the literature". Int. J. Gynecol. Cancer, 1993, 3, 65.

[5] Cristalli B., Devianne F., Dolley M.L., Izard V., Levardon M "Cancer primitif de la trompe. Un cas revele par une pelvi-peritonite". J. Gynecol. Obstet. Biol. Reprod., I 992, 21, 35.

[6] Romagosa C., Tome A., Iglesias X., Cardesa A., Ordi J.: "Carc1- noma of the fallopian tube presenting as acute pelvic inflammatory disease". Gynecol. Oneal., 2003, 89, 181.

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