Please wait a minute...
European Journal of Gynaecological Oncology  2020, Vol. 41 Issue (2): 312-316    DOI: 10.31083/j.ejgo.2020.02.4981
Case Report Previous articles | Next articles
Primary fallopian tube carcinoma clinically manifested as vaginal adenocarcinoma in a post-hysterectomy patient: a case report and literature review
Mingming Sun1, 2, Tong Gao1, 2, Yuqing Zhao1, 2, Weiguo Hu1, 2, Wei Jiang1, 2, *()
1 Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China
2 Shanghai Key Laboratory of Female Reproductive Endocrine Related Diseases, Shanghai, China
Download:  PDF(6169KB)  ( 240 ) Full text   ( 5 )
Export:  BibTeX | EndNote (RIS)      
Abstract  
Objective: The present authors describe the first case of a primary fallopian tube carcinoma (PFTC) clinically manifested as vaginal adenocarcinoma in a post-hysterectomy patient, and it reminds of the importance to perform bilateral salpingectomy during hysterectomy for a benign condition. Case Report: A 65-year-old woman with a history of hysterectomy presented with vaginal bleeding. Localized vaginal adenocarcinoma was diagnosed after the MRI, PET-CT scan, and biopsy. However, the final diagnosis of primary fallopian tube high grade serous adenocarcinoma was made after optimal laparoscopic cytoreductive surgery. She received chemotherapy with carboplatin and docetaxel given once every three weeks for six cycles. Conclusion: When the imaging results were indistinguishable, post-hysterectomy vaginal bleeding could be the only early symptom of PFTC, and bilateral salpingectomy is important to help prevent re-intervention for malignant or benign fallopian tube pathology. It still requires more research to preoperatively find a better diagnostic method for PFTC.
Key words:  Primary fallopian tube carcinoma      Vaginal adenocarcinoma      Risk-reducing salpingectomy     
Published:  15 April 2020     
*Corresponding Author(s):  WEI JIANG     E-mail:  jw52317@126.com

Cite this article: 

Mingming Sun, Tong Gao, Yuqing Zhao, Weiguo Hu, Wei Jiang. Primary fallopian tube carcinoma clinically manifested as vaginal adenocarcinoma in a post-hysterectomy patient: a case report and literature review. European Journal of Gynaecological Oncology, 2020, 41(2): 312-316.

URL: 

https://ejgo.imrpress.com/EN/10.31083/j.ejgo.2020.02.4981     OR     https://ejgo.imrpress.com/EN/Y2020/V41/I2/312

[1] R. Dankovčík, J. Varga, E. Kučera, S. Vernerová, S. Jánošová, A. Ostró. Primary fallopian tube carcinoma. A small retrospective study[J]. European Journal of Gynaecological Oncology, 2017, 38(6): 838-840.
[2] V. Plesinac-Karapandzic, S. Stojanovic Rundic, R. Jankovic, M. Nadrljanski, Z. Milovanovic, A. Tomasevic, N. Perisic Jeremic. Non-diethylstilbestrol exposed vaginal adenocarcinoma in young patients associated with unilateral renal agenesis: two case reports and literature review[J]. European Journal of Gynaecological Oncology, 2017, 38(1): 157-161.
No Suggested Reading articles found!