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Chen Y, Ling C, Bian C. Port-site metastasis as a primary complication following diagnostic laparoscopy of fallopian tube carcinoma: A case report. Medicine (Baltimore) 2018; 97:e11166. [PMID: 29952964 PMCID: PMC6039625 DOI: 10.1097/md.0000000000011166] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
RATIONALE Fallopian tube carcinoma is a rare female genital cancer with no specific clinical and surgical features. It is hardly diagnosed on imaging due to non-specific presentation. Laparoscopy has been recommended as the diagnostic procedure for the assessment of suspicious ovarian and adnexal masses. However, it has brought new complications like tumor recurrences at the trocar insertion sites, called port-site metastasis (PSM). PATIENT CONCERNS A 65-year-old, postmenopausal woman presented to hospital with loss of appetite, Ultrasound showed ill-defined pelvic mass. The patient was diagnosed with fallopian tube carcinoma by a diagnostic laparoscopy. DIAGNOSES The PSM as a primary complication following diagnostic laparoscopy of fallopian tube carcinoma, which is presumed by positron emission tomography/computed tomography and confirmed by Nodule resection and further pathological assessment. INTERVENTIONS As port-site metastasis was suspected, the patient was advised to undergo umbilical mass resection. OUTCOMES the patient has no signs of recurrence was detected 20 months after the last surgery during follow-up. LESSIONS Laparoscopy plays a significant role in the diagnose and treatment of fallopian tubal and ovarian malignancies but has a risk of PSM occurrence. When isolated PSM occurs the management should be local resection.
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Affiliation(s)
- Yan Chen
- Department of Gynecology and Obstetrics, Key Laboratory of Obstetrics & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, West China Second Hospital, Sichuan University
- Department of Gynecology and Obstetrics, Chengdu First People's Hospital, Chengdu, P. R. China
| | - Chen Ling
- Department of Gynecology and Obstetrics, Key Laboratory of Obstetrics & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, West China Second Hospital, Sichuan University
| | - Ce Bian
- Department of Gynecology and Obstetrics, Key Laboratory of Obstetrics & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, West China Second Hospital, Sichuan University
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Mamouni N, Saadi H, Belfatemi H, Erraghay S, Bouchikhi C, Banani A. The primary fallopian tube carcinoma: a rare association with pelvic nodal tuberculosis. Pan Afr Med J 2017; 28:163. [PMID: 29541309 PMCID: PMC5847045 DOI: 10.11604/pamj.2017.28.163.1119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2011] [Accepted: 06/25/2012] [Indexed: 11/11/2022] Open
Abstract
The primary carcinoma of fallopian tube is a rare entity. It represents 0.14 to 1.81% of genital cancers in women. It is a cancer of older women. Its association with tuberculosis is exceptional. We report a rare case of bilateral serous adenocarcinoma of the fallopian tube in a patient aged 42 years, multiparous, whose characteristic is the unexpected association with peritoneal tuberculosis.
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Affiliation(s)
- Nisrine Mamouni
- Department of Gynecology and Obstetrics I, University Hospital Hassan II, Fez, Morocco
| | - Hanane Saadi
- Department of Gynecology and Obstetrics I, University Hospital Hassan II, Fez, Morocco
| | - Hinde Belfatemi
- Department of Pathology- University Hospital Hassan II, Fez, Morocco
| | - Sanaa Erraghay
- Department of Gynecology and Obstetrics I, University Hospital Hassan II, Fez, Morocco
| | - Chahrazade Bouchikhi
- Department of Gynecology and Obstetrics I, University Hospital Hassan II, Fez, Morocco
| | - Abdelaziz Banani
- Department of Gynecology and Obstetrics I, University Hospital Hassan II, Fez, Morocco
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Eken M, Temizkan O, Kaygusuz EI, Herkiloğlu D, Çöğendez E, Karateke A. Primary carcinoma of the fallopian tubes: Analysis of sixteen patients. Turk J Obstet Gynecol 2015; 12:83-88. [PMID: 28913049 PMCID: PMC5558382 DOI: 10.4274/tjod.67355] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2015] [Accepted: 05/07/2015] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE The aim of this study was to review patients with tubal carcinoma who underwent surgery in our clinic due to primary carcinoma of the fallopian tubes, a very rare gynecologic malignancy. MATERIALS AND METHODS Sixteen patients who were diagnosed as having primary carcinoma of the fallopian tubes and underwent surgery in Zeynep Kamil Research and Training Hospital between January 2007 and December 2014 were included in the study. Demographic data such as age, gravidity, parity, menopausal condition, symptoms, adjuvant therapy, recurrence of tumor, as well as time and type of operation were extracted from patient epicrisis reports and oncology files. Patient information was extracted from the patients' current files and phone calls were made with patients and their relatives. RESULTS The mean age of patients was 59.6 (range, 43-78) years. Seventy-five percent of the women were menopausal at admission; the mean menopause duration was 10 years (range, 1-20 years). None of the patients were nulliparous and mean parity was 4.3 (2-8). The most common presenting symptom was abdominopelvic pain, followed by abnormal uterine bleeding. The most common histopathologic type was high-grade serous carcinoma. The mean follow-up duration was 23.7 months (range, 2-53 months). During follow-up, recurrence was seen in 4 (25%) patients. One patient left the study during follow-up. The mean disease-free survival was 48 months. No relation was found between disease-free survival, age, stage, grade, and histologic type in univariate logistic regression analysis. CONCLUSION Primary carcinoma of the fallopian tubes is a rare gynecologic tumor that is seen in older patients, has no specific signs, and usually cannot be diagnosed before surgery. Therefore, we think that large-series, multi-centered studies with long-term follow-up duration are needed to define its etiopathogenesis and treatment strategies for the disease.
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Affiliation(s)
- Meryem Eken
- Zeynep Kamil Training and Research Hospital, Clinic of Gynecology and Obstetrics, İstanbul, Turkey
| | - Osman Temizkan
- Şişli Hamidiye Etfal Training and Research Hospital, Clinic of Gynecology and Obstetrics, İstanbul, Turkey
| | - Ecmel Işık Kaygusuz
- Zeynep Kamil Training and Research Hospital, Clinic of Pathology, İstanbul, Turkey
| | - Dilşad Herkiloğlu
- Zeynep Kamil Training and Research Hospital, Clinic of Gynecology and Obstetrics, İstanbul, Turkey
| | - Ebru Çöğendez
- Zeynep Kamil Training and Research Hospital, Clinic of Gynecology and Obstetrics, İstanbul, Turkey
| | - Ateş Karateke
- Zeynep Kamil Training and Research Hospital, Clinic of Gynecology and Obstetrics, İstanbul, Turkey
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Kalampokas E, Kalampokas T, Tourountous I. Primary fallopian tube carcinoma. Eur J Obstet Gynecol Reprod Biol 2013; 169:155-61. [PMID: 23622731 DOI: 10.1016/j.ejogrb.2013.03.023] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2012] [Revised: 03/07/2013] [Accepted: 03/09/2013] [Indexed: 01/04/2023]
Abstract
Primary fallopian tube carcinoma (PFTC) is a rare gynaecological tumour that accounts for 0.14-1.8% of genital malignancies. The most common age of occurrence is between 40 and 65 years, and the mean age is 55 years. The factors that contribute to its appearance are not well known. Population studies show that the mean incidence of PFTC is 3.6 per million women per annum. Overall survival percentages for patients with PFTC are generally low, in the range of 22-57%. Pre-operative diagnosis is rare and PFTC is usually confirmed by a pathologist, but earlier diagnosis with early clinical manifestation and prompt investigation improves the prognosis. Both PFTC and epithelial ovarian cancer (EOC) are treated with similar surgical and chemotherapy methods. Studies have shown that the prognosis for PFTC is worse than that for EOC or other primary gynaecological tumours. This article reviews and presents the current updates of this rare gynaecological malignancy.
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Affiliation(s)
- E Kalampokas
- University of Athens Medical School, Second Department of Obstetrics and Gynaecology, Aretaieio Hospital, Athens, Greece.
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Clayton NL, Jaaback KS, Hirschowitz L. Primary fallopian tube carcinoma – the experience of a UK cancer centre and a review of the literature. J OBSTET GYNAECOL 2009; 25:694-702. [PMID: 16263546 DOI: 10.1080/01443610500292395] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Primary fallopian tube carcinoma (PFTC) is rare but may be under-diagnosed. We have analysed the incidence, clinical findings and outcome in patients with PFTC at the RUH Gynaecological Cancer Centre in Bath between 1999 and 2004, and compared the incidence with that of advanced ovarian carcinoma (OC). Eight patients had PFTC, seven of whom were diagnosed after 2001, and 55 patients had advanced OC. Our data suggest a relative increase in the number of patients with PFTC over the study period. PFTC patients had a mean age of 69.6 years, most presented with postmenopausal bleeding, two had a second carcinoma, three were nulliparous and none were diagnosed pre-operatively. All were treated surgically and received platinum-based chemotherapy. Although PFTC patients had better outcomes than those with advanced OC, the difference was not statistically significant (p = 0.088). Accurate diagnosis and differentiation of PFTC from advanced OC are important for monitoring trends in incidence, for better characterisation of prognostic features and improved management.
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Affiliation(s)
- N L Clayton
- Department of Obstetrics and Gynaecology, University of Bristol, UK
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García Palomo M, Castellanos Clemente Y, Díez Fernández R, Martínez Sesmero JM, Iglesias Bolaños AM, Hernández Muniesa B. [Retrospective analysis of the carboplatin dosage and relationship with toxicity in cancer patients]. FARMACIA HOSPITALARIA 2007; 31:218-22. [PMID: 18052616 DOI: 10.1016/s1130-6343(07)75377-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To analyse carboplatin dosage in cancer patients in order to establish whether they are over- or underdosed in comparison to the theoretical dose calculations during the first cycle of chemotherapy and to find a relationship between the dosage in the first cycle and dose reduction in subsequent cycles, as a result of adverse effects related to the same. METHOD Retrospective analysis over a one year period of prescriptions of chemotherapy with carboplatin. Patients were stratified into 4 groups according to body mass index and serum creatinine values. The mean percent error (MPE) was used to determine the relationship between the dose received and the theoretical dose calculation during the first cycle. The Mann-Whitney U test was used to study the possible relationship between patients dosage during the first cycle and dose reduction in subsequent cycles. RESULTS A total of 86 patients were selected. Only the cohort of patients who were overweight/obese showed significant differences between the theoretical dose calculation and the dose actually received. The mean MPE value with the standard error for this group was 7.963 +- 2.610%. No links were found with the dose reduction in subsequent cycles for this cohort of patients. CONCLUSIONS Not using adjusted weight or serum creatinine values in the Cockcroft-Gault equation may lead to incorrect doses of carboplatin in obese patients. Studies including a larger number of patients are required to confirm the relationship between overdosing during the first cycle and dose reduction in subsequent cycles, as a result of carboplatin toxicity.
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Affiliation(s)
- M García Palomo
- Servicio de Farmacia, Hospital Universitario Getafe, Madrid, Spain.
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Daskalakis M, de Bree E, Giannikaki E, Tsousis S, Tsiftsis DD. Synchronous granulosa cell tumour of the ovary and fallopian tube adenocarcinoma: two rare gynaecological malignancies. Aust N Z J Obstet Gynaecol 2006; 46:558-9. [PMID: 17116067 DOI: 10.1111/j.1479-828x.2006.00661.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Markos Daskalakis
- Department of Surgical Oncology, Medical School of Crete University Hospital, Crete, Greece
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Abstract
PURPOSE Primary fallopian tube carcinoma (PFTC) is a rare tumor that histologically and clinically resembles epithelial ovarian cancer (EOC). The purpose of this study is to review the current available literature data on PFTC. PATIENTS AND RESULTS Early clinical manifestation and prompt investigation often lead to diagnosis at an early stage of disease. However, the diagnosis of PFTC is rarely considered preoperatively and is usually first appreciated by the pathologist. Surgical staging/management and the use of chemotherapy follow the concepts used in epithelial ovarian cancer (EOC). In contrast to EOC is the importance of early lymphatic spread in this disease. The earlier diagnosis of PFTC leads to an apparent better survival compared with EOC. However, as with EOC, stage and residual tumor are the most important prognostic variables. CONCLUSION Until more extensive clinical research has been performed, ovarian carcinoma management principles should be used in clinical practice.
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Affiliation(s)
- Dimitrios Pectasides
- Second Department of Internal Medicine, Propaedeutic, Oncology Section, Attikon University Hospital, Rimini 1, Haidari, Athens, Greece.
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Batra S, Singh M, Wynn JS. An unusual case of primary fallopian tube carcinoma in pregnancy. Int J Gynecol Cancer 2006; 16 Suppl 1:365-8. [PMID: 16515625 DOI: 10.1111/j.1525-1438.2006.00512.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Fallopian tube carcinoma is the rarest of all female genital tract malignancies. It usually occurs in postmenopausal women and is associated with infertility. We present the first reported case of it occurring as a primary tumor in a young primigravida. It presented as a large, rapidly growing adnexal mass at 9 weeks of gestation which was removed and found to be a papillary serous carcinoma of the fallopian tube. The patient continued the pregnancy to term and delivered a live healthy infant by ventouse. A staging laparotomy in the postnatal period showed no spread of tumor, and in view of her age and desire for further pregnancies, her uterus and other ovary and tube were conserved. She remains tumor free 2 years following detection. We discuss the incidence, progress, management, and survival rates of this rare gynecological malignancy.
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Affiliation(s)
- S Batra
- Wythen shawe Hospital, Manchester, United Kingdom
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Devine C, Szklaruk J, Tamm EP. Magnetic resonance imaging in the characterization of pelvic masses. Semin Ultrasound CT MR 2005; 26:172-204. [PMID: 15987066 DOI: 10.1053/j.sult.2005.02.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Female pelvic masses most commonly arise from the reproductive tract, although masses may arise from other structures in the pelvis, such as the gastrointestinal or urinary tracts. The evaluation of a pelvic mass often begins with the physical exam and proceeds to ultrasound, computed tomography, or magnetic resonance imaging. Each of these modalities has a role in the work-up of pelvic masses and each modality has inherent advantages and disadvantages. The focus of this article is to demonstrate the imaging features and role of MRI, in contrast to CT, for detecting, characterizing, and staging pelvic masses. The differential diagnosis for pelvic masses is extremely broad. Clinical history, precise anatomical localization, and MR imaging characterization can significantly narrow the differential diagnosis. With recent advances in therapeutic strategies, a non-invasive, preoperative diagnosis is highly desirable to suggest prognosis and to tailor the treatment approach.
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Affiliation(s)
- Catherine Devine
- Diagnostic Radiology, Department of Diagnostic Imaging, University of Texas M.D. Anderson Cancer Center, Houston, TX 77030, USA
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Abstract
UNLABELLED Primary fallopian tube cancer constitutes 1% of gynecologic malignancies. Early clinical manifestation and prompt investigations lead to diagnosis in the early stage of disease accounting for a better survival compared with ovarian cancer. Principles of management generally follow that of epithelial ovarian cancer. This article reviews the current understanding of this rare cancer. TARGET AUDIENCE Obstetricians & Gynecologists, Family Physicians. LEARNING OBJECTIVES After completion of this article, the reader should be able to describe the clinical features of a patient with fallopian tube carcinoma, to list the prognostic factors associated with fallopian tube cancer, and to outline the treatment options for a patient with fallopian tube cancer.
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Affiliation(s)
- T V Ajithkumar
- Oncology Centre, Addenbrooke's NHS Trust, Cambridge, UK.
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Carcinoma de trompa de Falopio: revisión de 10 casos clínicos. CLINICA E INVESTIGACION EN GINECOLOGIA Y OBSTETRICIA 2004. [DOI: 10.1016/s0210-573x(04)77293-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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