title: Case report: Bone metastases from fallopian tube carcinoma.
abstract: Fallopian tube carcinoma is a rare gynecologic tumor that has metastasized to bone in only one documented case. This case report is of a 56-year-old woman with a primary fallopian tube cancer metastasizing to her right femur and rib cage. This patient was referred to our orthopaedic department from her gynecologic oncologist. A total abdominal hysterectomy and bilateral salpingectomy and oophorectomy revealed fallopian tube cancer. After surgery, the patient had progressive right thigh pain with activity. Radiographs of the femur showed a lytic lesion in the right proximal femur diaphysis with erosion of the medial cortex. We did an open biopsy and curettage of the lesion and intramedullary rod placement. The biopsy confirmed a metastatic lesion arising from the primary fallopian tube cancer. Currently, the patient is recovering and is receiving radiation and chemotherapy. In this case report, we discuss the presentation and treatment course of the patient and summarize the available literature on fallopian tube carcinomas.
authors.affiliation: School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA.
authors.forename: Xan F
authors.initials: XF
authors.lastname: Courville
authors.forename: Zenia
authors.initials: Z
authors.lastname: Cortés
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Katzman
authors.forename: Randy N
authors.initials: RN
authors.lastname: Rosier
mesh_terms: D001707:Biopsy, Needle; D001859:Bone Neoplasms / Q000473:pathology / Q000556:secondary* / Q000628:therapy*; D002277:Carcinoma / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D005185:Fallopian Tube Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D005269:Femur; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D023821:Limb Salvage / Q000379:methods*; D008875:Middle Aged; D009367:Neoplasm Staging; D019637:Orthopedic Procedures / Q000379:methods; D018714:Radiotherapy, Adjuvant; D018570:Risk Assessment; D016896:Treatment Outcome