Primary Fallopian Tube Carcinoma: An Extremely Rare Gynecological Cancer Misdiagnosed Intraoperatively as Benign Ovarian Neoplasm: A Case Report

• Published in: Clinics and practice Vol. 12; no. 3; pp. 253 - 260
• Main Authors: Thanasa, Efthymia, Stamouli, Dimitra, Gerokostas, Ektoras-Evangelos, Balafa, Konstantina, Koutalia, Nikoleta, Thanasas, Ioannis
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 22.04.2022; MDPI
• Subjects: Abdomen; Cancer therapies; Case Report; Case reports; Chemotherapy; Endometrial cancer; examination of the frozen section; fallopian tube; Fallopian tubes; Family medical history; Genetic counseling; Gynecology; Hysterectomy; Laparoscopy; Magnetic resonance imaging; Medical prognosis; Oophorectomy; Ovarian cancer; Pathology; Patients; primary cancer; Surgery; Tomography; Tumors; Ultrasonic imaging; Vagina; fallopian tube; primary cancer; chemotherapy; examination of the frozen section; surgery
• ISSN: 2039-7275; 2039-7283; 2039-7283
• DOI: 10.3390/clinpract12030030

Primary fallopian tube carcinoma is very rare. Diagnosis is challenging. The description of our case concerns an asymptomatic 71-year-old patient who came for a routine gynecological examination. Imaging of the pelvis revealed the presence of a two-chambered cystic formation in the anatomical position of the right ovary. It was decided to investigate the disease by laparotomy. Examination of the frozen section from the site of the cystic lesion was negative for malignancy. An abdominal total hysterectomy was performed with bilateral salpingo-oophorectomy. Serous carcinoma of the fallopian tube was diagnosed postoperatively by histological examination of the surgical preparation. Immediately after surgery, the patient's health was good.The patient was referred to an oncology center and was monitored. Chemotherapy based on platinum and taxane was recommended. Six months after the operation the patient is in good health. The possibility of a second surgery to treat fallopian tube cancer with pelvic lymph node dissectionis under discussion and is expected to be decided by oncologists and gynecologists-oncologists. In this article, after describing the case report, a brief review of this rare entity disease's diagnostic and therapeutic approach is attempted.