title: Posthysterectomy carcinoma of the fallopian tube presenting as vaginal adenocarcinoma: a case report.
abstract: The clinical and pathological features of a case of adenocarcinoma of the fallopian tube with a unique presentation are described. The 68-year-old patient presented with vaginal bleeding 25 years after a vaginal hysterectomy. Pelvic examination revealed a 0.5-cm nodule of tumor involving the mucosa of the vaginal apex. At laparoscopy, the left fallopian tube was dilated and adherent to the vaginal vault. Pathological examination of the upper vaginectomy and bilateral salpingo-oophorectomy specimen revealed a primary papillary adenocarcinoma of the left fallopian tube that had invaded directly into the mucosa of the vaginal apex. Vaginal involvement, either at the time of presentation or subsequently in the course of the disease, is very rare in patients with carcinoma of the fallopian tube.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
authors.forename: T
authors.initials: T
authors.lastname: Ehlen
authors.forename: G
authors.initials: G
authors.lastname: Randhawa
authors.forename: M
authors.initials: M
authors.lastname: Turko
authors.forename: P B
authors.initials: PB
authors.lastname: Clement
mesh_terms: D000231:Adenocarcinoma, Papillary / Q000175:diagnosis*; D000368:Aged; D003937:Diagnosis, Differential; D005185:Fallopian Tube Neoplasms / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D009361:Neoplasm Invasiveness; D014625:Vaginal Neoplasms / Q000175:diagnosis*