Primary Adenocarcinoma of the Fallopian Tube: A Rare Entity

Primary fallopian tube carcinoma is an uncommon gynaecologic malignancy usually seen in postmenopausal females. We present a case of a 66-year-old postmenopausal female who presented with complaint of blood mixed vaginal discharge on and off for past one month. Workup of the patient revealed no abno...

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Bibliographic Details
Published inJournal of clinical and diagnostic research Vol. 11; no. 9; pp. QD03 - QD04
Main Authors Singh, Ankita, Prasad, Sudha, Kumar, Ashok, Tanwar, Renu
Format Journal Article
LanguageEnglish
Published India JCDR Research and Publications (P) Limited 01.09.2017
JCDR Research and Publications Private Limited
Subjects
chemotherapy
fallopian tube
Obstetrics & Gynaecology Section
post menopausal
Post menopausal
Fallopian tube
Chemotherapy
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Summary:Primary fallopian tube carcinoma is an uncommon gynaecologic malignancy usually seen in postmenopausal females. We present a case of a 66-year-old postmenopausal female who presented with complaint of blood mixed vaginal discharge on and off for past one month. Workup of the patient revealed no abnormality other than presence of atypical squamous cells on Papanicolaou (PAP) smear. MRI showed mildly bulky cervix with around 4cc fluid in endometrial cavity. As the patient remained symptomatic and fluid in endometrial cavity persisted, total abdominal hysterectomy with bilateral salpingo-oophorectomy was done. On histopathological examination, fimbrial end of left tube had features of poorly differentiated papillary serous adenocarcinoma. Postoperatively, she was given chemotherapy and is doing well with more than 3 years of follow up. This case highlights the importance of high suspicion in postmenopausal women with bleeding per vaginum, where there is little to suggest clinically or radiologically.
ISSN:2249-782X
0973-709X
DOI:10.7860/JCDR/2017/28813.10627