Abstract
Primary fallopian tube carcinoma is an uncommon female genital tract malignancy that resembles epithelial ovarian neoplasm clinically and radiologically. We present a case of 49-year-old woman with postmenopausal intermittent vaginal bleeding, lower abdominal pain, and pelvic mass for 3 months. On physical examination, lower abdominal tenderness was found. Ultrasound examination revealed bilateral hydrosalpinx with hematometra. Her serum cancer antigen-125 was raised (190.0 U/ml). With the clinical diagnosis of endometrial cancer, patient underwent total abdominal hysterectomy with bilateral salpingo-oopherectomy, infracolic omentectomy and rectal deposit biopsy. Microscopic examination showed features of serous adenocarcinoma of the fallopian tube. Histologically, it is indistinguishable from primary ovarian malignancy. On post-surgical follow up at one year the patient is disease free. Here we report this rare entity and review the literature to highlight the preoperative clinical diagnostic difficulties.
Recommended Citation
Bhalla, Shalini; Rawat, Shalini; and Gupta, Sameer
(2023)
"Primary fallopian tube carcinoma Preoperative diagnostic dilemma,"
Indian Journal of Health Sciences and Biomedical Research KLEU: Vol. 16:
Iss.
2, Article 28.
DOI: https://doi.org/10.4103/kleuhsj.kleuhsj_677_22
Available at:
https://kleijhsbr.researchcommons.org/journal/vol16/iss2/28
Pages
324
Last Page
326
Copyright
© 2023 Indian Journal of Health Sciences and Biomedical Research KLEU | Published by Wolters Kluwer – Medknow