title: Primary adenocarcinoma of the fallopian tube as an incidental finding during surgery in a postmenopausal patient with unspecific pelvic pain.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine of Ribeirao Preto, São Paulo University, Brazil. lgobrito@gmail.com
authors.forename: L G O
authors.initials: LG
authors.lastname: Brito
authors.forename: H R C
authors.initials: HR
authors.lastname: Marana
authors.forename: J M
authors.initials: JM
authors.lastname: de Andrade
authors.forename: P M
authors.initials: PM
authors.lastname: de Paula Philbert
authors.forename: D G
authors.initials: DG
authors.lastname: Tiezzi
authors.forename: F E
authors.initials: FE
authors.lastname: Zola
mesh_terms: 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