[Association of fallopian tube cancer and polymyositis. Apropos of 1 case].
A 51-year-old woman consulted for pelvic pain, metrorrhagia and leukorrhea. Physical examination revealed a renitent and mobile mass in the pelvis. A right lateral uterine mass with hydroxalpinx was found at ultrasonography. Pathology examination of the right annexectomy specimen provided the definitive diagnosis: fallopian tube cancer with polymyositis. No residual tumor was found at total hysterectomy with total bilateral annexectomy. The patient was lost to follow-up for three years without complementary treatment then consulted later for functional disability of the upper then lower limbs with myalgia, swallowing disorders and left supraclavian node enlargement resulting from pelvic relapse of the right fallopian tube adenocarcinoma and left supraclavian metastasis with paraneoplastic polymositis. The patient was given 6 courses of chemotherapy with radiotherapy (45 Gy) centered on the left clavian region. The patient exhibited a spectacular response, and remains in complete remission 50 months after diagnosis. The association of a fallopian tube tumor with polymyositis is exceptional, requiring rapid anticancer treatment effective against the cancer and the paraneoplastic polymyositis.
Tahri
A
A
Centre d'Oncologie Ibn Rochd. tahri_ali@caramail.com
Jouhadi
H
H
Fadil
H
H
Benchekroun
N
N
Khalid
H
H
Rafai
A
A
Sahraoui
S
S
Acharki
A
A
Benider
A
A
Slassi
I
I
Kahlain
A
A
D000230:Adenocarcinoma / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000970:Antineoplastic Agents / Q000627:therapeutic use; D005185:Fallopian Tube Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D017285:Polymyositis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D011878:Radiotherapy; D012074:Remission Induction
D000970:Antineoplastic Agents