title: Treatment of fallopian tube metastasis in cervical cancer after laparoscopic ovarian transposition.
abstract: A 40-year-old woman, gravida 2, para 2, with squamous cell carcinoma of the cervix, stage IIB, underwent ovarian transposition. Bilateral salpingectomy was performed as part of the operative technique. Histopathologic analysis revealed mucosal spread of the tumor to one of the fallopian tubes. The patient underwent radiation of the ovaries in their new location in addition to standard chemoradiotherapy to the pelvis. There has been no evidence of disease for more than 5 years. Inasmuch as performance of bilateral salpingectomy in ovarian transposition is not standard practice, the finding of fallopian tube metastasis presented a dilemma to the clinician. It remains to be proved whether the finding of metastasis to the fallopian tubes can be evidence for ovarian metastasis in grossly normal-appearing ovaries to validate this practice. Literature review demonstrates that fallopian tube metastasis is usually associated with endometrial involvement.
authors.affiliation: Department of Obstetrics and Gynecology, Medical Center, Manila, Philippines.
authors.forename: Renee Vina G
authors.initials: RV
authors.lastname: Sicam
authors.forename: Kuan-Gen
authors.initials: KG
authors.lastname: Huang
authors.forename: Chyi-Long
authors.initials: CL
authors.lastname: Lee
authors.forename: Chao-Yu
authors.initials: CY
authors.lastname: Chen
authors.forename: Shir-Hwa
authors.initials: SH
authors.lastname: Ueng
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000556:secondary / Q000628:therapy*; D059248:Chemoradiotherapy; D005185:Fallopian Tube Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000628:therapy*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010053:Ovary / Q000601:surgery*; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000628:therapy