title: Synchronous primary endometrial and fallopian tube cancers.
abstract: BACKGROUND
  Synchronous primary cancers are relatively uncommon in the general population. We present a case of synchronous primary endometrial and fallopian tube cancers and review the literature.
  
  
  METHODS
  The patient, a 54-year-old, gravida 2, para 2 postmenopausal Greek woman presented with a complaint of abnormal vaginal bleeding. She underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and total omentectomy. The histopathology revealed synchronous primary cancers of the endometrium and right fallopian tube. The patient underwent postoperative chemotherapy and postoperative radiotherapy. She remains well without evidence of disease, 65 months after initial surgery.
  
  
  CONCLUSIONS
  The reason for the better median overall survival of patients with synchronous primary endometrial and fallopian tube cancers is not intuitively obvious. Perhaps it is due to the detection of patients at earlier clinical stage and lower grade disease state.
authors.affiliation: 2nd Department of Gynecology, St. Savvas Anticancer-Oncologic Hospital, Athens, Greece.
authors.forename: E
authors.initials: E
authors.lastname: Terzakis
authors.forename: G
authors.initials: G
authors.lastname: Androutsopoulos
authors.forename: C
authors.initials: C
authors.lastname: Grigoriadis
authors.forename: D
authors.initials: D
authors.lastname: Zygouris
authors.forename: G
authors.initials: G
authors.lastname: Derdelis
authors.forename: N
authors.initials: N
authors.lastname: Arnogiannaki
authors.forename: G
authors.initials: G
authors.lastname: Fragkakis
mesh_terms: D016889:Endometrial Neoplasms / Q000473:pathology* / Q000628:therapy; D005185:Fallopian Tube Neoplasms / Q000473:pathology* / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000473:pathology* / Q000628:therapy