title: Primary fallopian tube carcinoma diagnosed preoperatively by cervical smear.
abstract: Primary fallopian tube carcinoma is a rare clinical entity that constitutes a diagnostic challenge in gynecological practice. Patients generally suffer from the three symptoms: vaginal bleeding, pelvic pain, and vaginal discharge; however, this is usually not sufficient for confirming the diagnosis preoperatively in most circumstances. In this case report, we present a 49-year-old woman whose cervical smear raised a suspicion for fallopian tube carcinoma. All preoperative examination measures such as ultrasonography, hysteroscopy, and endometrial aspiration were normal. Repeated cervical smears were consistent with adenocarcinoma presumably ensourcing from the fallopian tube. The patient underwent laparatomy,total abdominal hysterectomy, bilateral salpingo-oophorectomy, and pelvic para-aortic lymph node dissection. The primary serous papillary adenocarcinoma of the right fallopian tube was detected at the histopathological analysis, and the patient was referred for adjuvant chemotherapy. Cervical smear findings can be the only clue for the diagnosis of fallopian tube carcinoma.
authors.affiliation: Dr. Ulku Mete Ural, Department of Obstetrics and Gynecology, Recep Tayyip Erdogan University School of Medicine, Rize, Turkey 53100, T: +906-464-213-0492, ulkumete2004@yahoo.com.
authors.forename: Ulku Mete
authors.initials: UM
authors.lastname: Ural
authors.forename: Gulsah
authors.initials: G
authors.lastname: Balik
authors.forename: Yesim Bayoglu
authors.initials: YB
authors.lastname: Tekin
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Sehitoglu
authors.forename: Recep
authors.initials: R
authors.lastname: Bedir
authors.forename: Figen Kir
authors.initials: FK
authors.lastname: Sahin
mesh_terms: D000231:Adenocarcinoma, Papillary / Q000473:pathology* / Q000601:surgery; D005185:Fallopian Tube Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D057234:Preoperative Period; D014626:Vaginal Smears
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