Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 14 , ISSUE 1 ( January-February, 2022 ) > List of Articles

CASE REPORT

Primary Malignancy of the Salpinx: A Case Series and Review

Ektha M Shetty

Keywords : Carcinoma, Chemotherapy, Fallopian tube, Ovarian cancer

Citation Information : Shetty EM. Primary Malignancy of the Salpinx: A Case Series and Review. J South Asian Feder Obs Gynae 2022; 14 (1):75-77.

DOI: 10.5005/jp-journals-10006-1999

License: CC BY-NC 4.0

Published Online: 13-04-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: To analyze the case series of an incidentally detected primary fallopian tube cancer with various presentations, histopathological types, and management. Background: Carcinoma of the fallopian tube/salpinx being one of the rarest gynecological malignancies is most often incidentally diagnosed while operating for benign gynecological diseases. These carcinomas have been included under the term epithelial ovarian cancers which include ovarian, fallopian tube, and pelvic carcinomas, and the management techniques are the same for all three diseases. Case description: We have discussed a case series of two patients with incidentally detected fallopian tube carcinoma who presented with different clinical presentation and were incidentally detected during surgery with the management strategies undertaken for these patients along with a review of the literature in an attempt to clarify issues regarding presentation, diagnosis, and management of this condition. Conclusion: A correct preoperative diagnosis is made in very few cases. The Latzko\'s triad of watery vaginal discharge, a colicky lower abdominal pain, and a pelvic mass typical of a fallopian tube carcinoma are noted in very few patients. These two cases are being reported for their diagnostic dilemma, which resulted due to its rarity, in spite of having a classical clinical presentation. Clinical significance: Fallopian tube carcinoma has been a very infrequently encountered, often misdiagnosed genital malignancy which has been on a constantly rising trend, but once diagnosed, its treatment is very similar to epithelial ovarian cancer.


PDF Share
  1. Vaughan M, Modesitt S, Mo Y, et al. Serous tubal intraepithelial carcinoma: an incidental finding at the time of prophylactic bilateral salpingo-oophorectomy. Case Rep Obstet Gynecol 2015;2015:1–4. DOI: 10.1155/2015/760429.
  2. Stasenko M, Fillipova O, Tew W. Fallopian tube carcinoma. J Oncol Pract 2019;15(7):375–382. DOI: 10.1200/JOP.18.00662.
  3. Nordin A. Primary carcinoma of the fallopian tube. Obstet Gynecol Survey 1994;49(5):349–361. DOI: 10.1097/00006254-199405000-00026.
  4. Klein M, Rosen A, Lahousen M, et al. The relevance of adjuvant therapy in primary carcinoma of the fallopian tube, stages I and II: Irradiation vs chemotherapy. Int J Radiat Oncol Biol Phys 2000;48(5):1427–1431. DOI: 10.1016/s0360-3016(00)01381-x.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.