title: Post-hysterectomy fallopian tube carcinoma presenting with a positive Papanicolaou smear.
abstract: BACKGROUND
  Fallopian tube carcinoma is a rare gynecologic malignancy. The majority of women present with vaginal bleeding and have advanced disease.
  
  
  METHODS
  A 76-year-old woman presented 34 years after vaginal hysterectomy with a routine Papanicolaou smear showing adenocarcinoma. Rectovaginal examination was remarkable for thickening at the vaginal apex. Colposcopy found a pinpoint opening in this area, and a cytobrush passed through the opening confirmed adenocarcinoma. Pelvic ultrasound, computed tomography scan, and CA 125 were normal. At laparotomy, the right fallopian tube and ovary were adherent to the vaginal apex. A grade II papillary serous adenocarcinoma confined to the tube was discovered.
  
  
  CONCLUSIONS
  According to a MEDLINE search, this is the third report detailing a unique presentation of fallopian tube carcinoma after hysterectomy and possibly the first detected with positive Papanicolaou cytology.
authors.affiliation: Department of Obstetrics and Gynecology, University of Medicine and Dentistry of New Jersey, the Cooper Health System, Camden 08103, USA. warshal-david@cooperhealth.edu
authors.forename: D P
authors.initials: DP
authors.lastname: Warshal
authors.forename: E R
authors.initials: ER
authors.lastname: Burgelson
authors.forename: J K
authors.initials: JK
authors.lastname: Aikins
authors.forename: T F
authors.initials: TF
authors.lastname: Rocereto
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology*; D000368:Aged; D005185:Fallopian Tube Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D065006:Papanicolaou Test; D011183:Postoperative Complications / Q000473:pathology*; D014626:Vaginal Smears