Laparoscopic approach to an uncommon adnexal neoplasm associated with infertility: serous cystadenofibroma of the fallopian tube.
A rare case of serous cystadenofibroma of the fallopian tube was discovered during evaluation for in vitro fertilization-embryo transfer. Bilateral tubal occlusion was noted on hysterosalpingogram, and a right adnexal cyst, initially thought to be of ovarian origin, was identified by office transvaginal sonography. Laparoscopy revealed a 5.5-cm, fluid-filled mass involving the distal aspect of the right fallopian tube. Both ovaries and uterine exterior appeared grossly normal. The cyst was decompressed and removed intact without incident through a 5-mm laparoscopic cannula. The mass showed histologic features consistent with benign serous cystadenofibroma. The patient had an uncomplicated postoperative convalescence and continued to do well 3 months after surgery.
Sills
E Scott
ES
Georgia Reproductive Specialists LLC, and Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Atlanta Medical Center, Georgia, USA.
Kaplan
Carolyn R
CR
Perloe
Mark
M
Tucker
Michael J
MJ
D000290:Adnexa Uteri / Q000601:surgery; D018293:Cystadenoma, Serous / Q000150:complications / Q000601:surgery*; D005185:Fallopian Tube Neoplasms / Q000150:complications / Q000601:surgery*; D005260:Female; D005350:Fibroma / Q000150:complications / Q000601:surgery*; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged