Primary adenocarcinoma of the fallopian tube as an incidental finding during surgery in a postmenopausal patient with unspecific pelvic pain.
Primary fallopian tube carcinoma (PFTC) is a rare gynecologic neoplasm and is usually diagnosed late and presents classically with a characteristic group of symptoms. We describe a case of a 76-year-old woman who underwent TVS requested by the family physician due to unspecific pelvic pain. An adnexal mass was found with morphology associated with high levels of CA125 suggestive of a malignant tumor. During laparotomy, a mass located in the left tube was found. Histopathology confirmed PFTC. Total hysterectomy, salpingo-oophorectomy and adjuvant chemotherapy with carboplatin/paclitaxel were performed. The patient has not yet presented any signs of recurrence.
Brito
L G O
LG
Department of Obstetrics and Gynecology, School of Medicine of Ribeirao Preto, São Paulo University, Brazil. lgobrito@gmail.com
Marana
H R C
HR
de Andrade
J M
JM
de Paula Philbert
P M
PM
Tiezzi
D G
DG
Zola
F E
FE
D000230:Adenocarcinoma / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy; D000368:Aged; D005185:Fallopian Tube Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy; D005260:Female; D006801:Humans; D033162:Incidental Findings; D017699:Pelvic Pain / Q000209:etiology* / Q000601:surgery; D017698:Postmenopause