title: Primary leiomyosarcoma of the fallopian tube.
abstract: Primary sarcoma of the fallopian tube is a very rare neoplasm. We report the case of a 69-year-old woman affected with leiomyosarcoma of the left fallopian tube. Her chief complaint was lower abdominal pain. The preoperative diagnosis was a left adnexal malignant tumor based on pelvic examination, abdominal computed tomography, and magnetic resonance imaging. Following a laparotomy, she was ultimately diagnosed with a FIGO IIc fallopian tube leiomyosarcoma. She was treated with total abdominal hysterectomy, bilateral salpingo-oophorectomy, pelvic lymph node dissection, partial omentectomy, and low anterior resection for rectal invasion. The patient subsequently received adjuvant chemotherapy with pirarubicin and ifosfamide. Thirty months after the first therapy, a computed tomography scan revealed metastasis of the liver, lung, and supraclavicular lymph node. The patient died of the disease 39 months after the initial treatment.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-Ku, Fukuoka 814-0180, Japan. uedataeko@cis.fukuoka-u.ac.jp
authors.forename: Taeko
authors.initials: T
authors.lastname: Ueda
authors.forename: Makoto
authors.initials: M
authors.lastname: Emoto
authors.forename: Miyoko
authors.initials: M
authors.lastname: Fukuoka
authors.forename: Daisuke
authors.initials: D
authors.lastname: Miyahara
authors.forename: Shinji
authors.initials: S
authors.lastname: Horiuchi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tsujioka
authors.forename: Tatsuhiko
authors.initials: T
authors.lastname: Kawarabayashi
mesh_terms: D000368:Aged; D001706:Biopsy; D017024:Chemotherapy, Adjuvant; D005185:Fallopian Tube Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007890:Leiomyosarcoma / Q000175:diagnosis* / Q000556:secondary / Q000601:surgery; D008113:Liver Neoplasms / Q000556:secondary; D008175:Lung Neoplasms / Q000556:secondary; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008279:Magnetic Resonance Imaging; D009852:Omentum / Q000601:surgery; D010052:Ovariectomy; D012007:Rectum / Q000473:pathology / Q000601:surgery; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome