Bilateral Primary Fallopian Tube Carcinoma with the Classical Clinical Features: A Case Report

M, Neetha Vyas; Rai, Supriya; Manjeera, Lakshmi; Shetty, Darshith

doi:10.7860/jcdr/2013/4518.2894

Cited by 4 publications

(3 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A survey of the available literature implies that it is difficult to distinguish PFTC from EOC based on clinical manifestations. 27,28 The triad of symptoms considered pathognomonic for PFTC occurs in only 6e15% of patients when one includes hydrosalpinx dilation with fimbrial occlusion, serous fluid decompression through the uterus and vagina (which causes abnormal vaginal discharge), and tumour lesions invading the surrounding blood vessels (resulting in vaginal bleeding). Abdominal pain can be colicky as a result of forced tubal peristalsis or dull as a result of distension of the tube, but can be relieved after vaginal bleeding or discharge.…”

Section: Discussionmentioning

confidence: 99%

MRI can be used to differentiate between primary fallopian tube carcinoma and epithelial ovarian cancer

et al. 2020

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

MRI can be used to differentiate between primary fallopian tube carcinoma and epithelial ovarian cancer

et al. 2020

View full text Add to dashboard Cite

“…Now the management of PFTC is usually based on the same International Federation of Gynecology and Obstetrics (FIGO) guidelines which used for EOC, but debates referring to the optimal management of PFTC still exist due to differences of clinical characteristics between PFTC and EOC [4,5]. For example, compare with EOC, PFTC is more apt to metastasis to the retroperitoneal lymph nodes and distant sites [6], and often found at the early stage because of showing the Latzko's triad of symptoms, which includes profuse sero-sanguinous vaginal discharge, an abdominal or pelvic mass, and colicky pain [7]. Furthermore, compared with macroscopic intraperitoneal metastasis of EOC, PFTC shows a high tendency of microscopic distant metastasis which results in a high risk of recurrence and poor outcome.…”

Section: Introductionmentioning

confidence: 99%

Primary fallopian tube carcinoma: a single-institution retrospective study of 57 cases

Ma¹,

Gao²,

Li³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background In order to identify the characteristics and factors affecting the treatment and prognosis of primary fallopian tube cancer(PFTC),we analyzed the clinical profile of PFTC in the past 10 years in our hospital, which is center in Western China. Methods A retrospective analysis was performed on 57 patients diagnosed as PFTC at the Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xi’an Jiaotong University from past ten years. The clinical index and a Cox proportional hazards model was used for univariate and multivariate survival analyses. Results The mean age of PFTC at diagnosis was 57.35±9.01 years. Palpable pelvic and/or abdominal mass (68.4%) was the main clinical symptom. Preoperatively, 80.7% patients were misdiagnosed with ovarian cancer, and 43.8% of patients were at stage III. 26 patients were relapsed at the median of 18.5 (3-83) months. The 5-year overall survival (OS) rate was 15.4%, and the 5-year disease-free survival (DFS) was 11.5%. Additionally, univariate analysis showed that tumor stage and size of residual tumor were both related to 5-year OS and DFS. While level of serum carbohydrate antigen 125(CA125) pre-treatment was only related to DFS. The Cox proportional hazards model demonstrated that residual tumor size was the only independent factor related to both 5-year OS and DFS. Conclusions PFTC is a more common malignancy at post-menopause stage in women. The symptoms are not typical in most case and often diagnose at late clinical stage. Tumor stage, level of CA125, and residual lesion size affected the disease-free survival or/ and overall survival. Trial registration Not applicable.

show abstract

“…PFTC is usually not suspected pre-operatively or even intra-operatively due to its nonspecific clinical and surgical presentation, particularly when disseminated [ 1 , 3 , 20 – 22 ]. Regarding imaging studies, PFTC is also rarely diagnosed in pre-operative studies due to nonspecific findings and overlap with ovarian cancer features [ 2 , 3 , 21 – 27 ].…”

Section: Introductionmentioning

confidence: 99%

Primary fallopian tube carcinoma: review of MR imaging findings

et al. 2015

View full text Add to dashboard Cite

ObjectivesTo review the epidemiological and clinical features of primary fallopian tube carcinoma (PFTC), and to illustrate the spectrum of MRI findings, with pathological confirmation.MethodsThis article reviews the relevant literature on the epidemiological, clinical, and imaging features of primary fallopian tube carcinoma, with pathological confirmation, using illustrations from the authors’ teaching files.ResultsPrimary fallopian tube carcinoma came under focus over the last few years due to its possible role on the pathogenesis of high-grade serous epithelial ovarian and peritoneal cancers. Typical symptoms, together with the presence of some of the most characteristic MRI signs, such as a “sausage-shaped” pelvic mass, hydrosalpinx, and hydrometra, may signal the presence of primary fallopian cancer, and allow the radiologist to report it as a differential diagnosis.ConclusionsPrimary fallopian tube carcinoma has a constellation of clinical symptoms and magnetic resonance imaging features, which may be diagnostic. Although these findings are not present together in the majority of cases, radiologists who are aware of them may include the diagnosis of primary fallopian tube cancer in their report more frequently and with more confidence.Teaching Points• PFTC may be more frequent than previously thought• PFTC has specific clinical and MRI characteristics• Knowledge of typical PFTC signs enables its inclusion in the differential diagnosis• PFTC is currently staged under the 2013 FIGO system• PFTC is staged collectively with ovarian and peritoneal neoplasms

show abstract

Bilateral Primary Fallopian Tube Carcinoma with the Classical Clinical Features: A Case Report

Cited by 4 publications

References 4 publications

MRI can be used to differentiate between primary fallopian tube carcinoma and epithelial ovarian cancer

MRI can be used to differentiate between primary fallopian tube carcinoma and epithelial ovarian cancer

Primary fallopian tube carcinoma: a single-institution retrospective study of 57 cases

Primary fallopian tube carcinoma: review of MR imaging findings

Contact Info

Product

Resources

About