Primary Fallopian Tube Carcinoma: An Extremely Rare Gynecological Cancer Misdiagnosed Intraoperatively as Benign Ovarian Neoplasm: A Case Report
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 positi...
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Published in | Clinics and practice Vol. 12; no. 3; pp. 253 - 260 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
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MDPI AG
22.04.2022
MDPI |
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Abstract | 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. |
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AbstractList | 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. |
Author | Stamouli, Dimitra Gerokostas, Ektoras-Evangelos Koutalia, Nikoleta Balafa, Konstantina Thanasa, Efthymia Thanasas, Ioannis |
AuthorAffiliation | 1 Department of Health Sciences, Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; effiethan@gmail.com 2 Department of Obstetrics and Gynecology, General Hospital in Trikala, Efkli 33, 42100 Trikala, Greece; dimistam37@gmail.com (D.S.); hectorger21@gmail.com (E.-E.G.); balafa_konstantina@hotmail.com (K.B.); kout_95@yahoo.gr (N.K.) |
AuthorAffiliation_xml | – name: 2 Department of Obstetrics and Gynecology, General Hospital in Trikala, Efkli 33, 42100 Trikala, Greece; dimistam37@gmail.com (D.S.); hectorger21@gmail.com (E.-E.G.); balafa_konstantina@hotmail.com (K.B.); kout_95@yahoo.gr (N.K.) – name: 1 Department of Health Sciences, Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece; effiethan@gmail.com |
Author_xml | – sequence: 1 givenname: Efthymia surname: Thanasa fullname: Thanasa, Efthymia organization: Department of Health Sciences, Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece – sequence: 2 givenname: Dimitra surname: Stamouli fullname: Stamouli, Dimitra organization: Department of Obstetrics and Gynecology, General Hospital in Trikala, Efkli 33, 42100 Trikala, Greece – sequence: 3 givenname: Ektoras-Evangelos surname: Gerokostas fullname: Gerokostas, Ektoras-Evangelos organization: Department of Obstetrics and Gynecology, General Hospital in Trikala, Efkli 33, 42100 Trikala, Greece – sequence: 4 givenname: Konstantina orcidid: 0000-0003-2957-6057 surname: Balafa fullname: Balafa, Konstantina organization: Department of Obstetrics and Gynecology, General Hospital in Trikala, Efkli 33, 42100 Trikala, Greece – sequence: 5 givenname: Nikoleta surname: Koutalia fullname: Koutalia, Nikoleta organization: Department of Obstetrics and Gynecology, General Hospital in Trikala, Efkli 33, 42100 Trikala, Greece – sequence: 6 givenname: Ioannis orcidid: 0000-0002-6665-0167 surname: Thanasas fullname: Thanasas, Ioannis organization: Department of Obstetrics and Gynecology, General Hospital in Trikala, Efkli 33, 42100 Trikala, Greece |
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Snippet | 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... |
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SubjectTerms | 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 |
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Title | Primary Fallopian Tube Carcinoma: An Extremely Rare Gynecological Cancer Misdiagnosed Intraoperatively as Benign Ovarian Neoplasm: A Case Report |
URI | https://www.ncbi.nlm.nih.gov/pubmed/35645307 https://www.proquest.com/docview/2679701932 https://pubmed.ncbi.nlm.nih.gov/PMC9150006 https://doaj.org/article/d0fa6196e6804a9cb4f707c58fe88a29 |
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