Fallopian Tube Cancer: Incidence and Role of Lymphatic Spread

Re, E. Di; Grosso, Giuseppe; Raspagliesi, Francesco; Baiocchi, G.

doi:10.1006/gyno.1996.0215

Cited by 59 publications

(19 citation statements)

References 6 publications

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“…The most common histological types are shown in Table 2 [50,[71][72][73][74][75]. Serous tumors are graded with respect to their differentiation and extent of solid components: most tumors are poorly differentiated [48,50,71] (Table 3).…”

Section: Pathologymentioning

confidence: 99%

Fallopian Tube Carcinoma: A Review

2006

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Purpose. Primary fallopian tube carcinoma (PFTC) is a rare tumor that histologically and clinically resembles epithelial ovarian cancer (EOC). The purpose of this study is to review the current available literature data on PFTC.Patients and Results. Early clinical manifestation and prompt investigation often lead to diagnosis at an early stage of disease. However, the diagnosis of PFTC is rarely considered preoperatively and is usually first appreciated by the pathologist. Surgical staging/management and the use of chemotherapy follow the concepts used in epithelial ovarian cancer (EOC). In contrast to EOC is the importance of early lymphatic spread in this disease. The earlier diagnosis of PFTC leads to an apparent better survival compared with EOC. However, as with EOC, stage and residual tumor are the most important prognostic variables.Conclusion. Until more extensive clinical research has been performed, ovarian carcinoma management principles should be used in clinical practice. The Oncologist 2006;11:902-912

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Section: Pathologymentioning

confidence: 99%

Fallopian Tube Carcinoma: A Review

2006

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“…It is presumed that lymphatic spread of PFTC occurs via three routes: (1) via the lymphatic vessels accompanying the ovarian blood vessels, the cancer spreads to the paraaortic and paracaval lymph nodes; (2) via the subovarian plexus in the broad ligament, it spreads to the obturator and pelvic lymph nodes; and (3) through the round ligament, it metastasizes to the external iliac and inguinal lymph nodes [4,5]. Deffieux et al [6] reported that the left para-aortic chain above the level of the inferior mesenteric artery was the chain most frequently involved in patients with positive nodes.…”

Section: Discussionmentioning

confidence: 99%

Supraclavicular lymph node metastasis as the initial presentation of primary fallopian tube carcinoma

et al. 2010

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Supraclavicular lymph node metastasis is a rare presentation of primary fallopian tube carcinoma. A 76-year-old woman presented with an enlarged supraclavicular lymph node. A biopsy was performed, and its findings confirmed metastatic adenocarcinoma. Subsequent exploratory laparotomy revealed right fallopian tube carcinoma as the primary lesion; consequently, right salpingo-oophorectomy was performed. After adjuvant chemotherapy, she underwent a laparotomy with total abdominal hysterectomy, left salpingo-oophorectomy, pelvic and para-aortic lymph node sampling, and omentectomy. Supraclavicular lymph node metastasis was thought to be, although rarely, the first manifestation of primary fallopian tube carcinoma (PFTC). When supraclavicular lymph node metastasis of an unknown origin is encountered, the possibility of PFTC should be considered.

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“…Quatre études seulement rapportent des lymphadénecto-mies complètes pour cancer tubaire, et la topographie précise de l'extension ganglionnaire n'y est pas détaillée [8][9][10][11] [8][9][10]. Plus récemment, Klein a rapporté une série de 38 patientes ayant eu des curages complets dans le cadre d'un cancer de la trompe [11].…”

Section: Discussionunclassified

“…Les lymphadénectomies ont été réalisées par laparotomie selon une procédure précédemment décrite [7][8][9][10][11][12]. Le curage lomboaortique comprend les groupes ganglionnaires suivants : latéroaortique gauche sus-mésentérique (dont la limite supérieure est le bord inférieur de la veine rénale gauche), latéroaortique gauche sous-mésentérique, interaorticocave, latérocave, iliaque primitif (droit et gauche) et présacré.…”

Section: Patientes Et Méthodeunclassified

“…Si de nombreux auteurs se sont intéressés à l'extension ganglionnaire du cancer de l'ovaire [2][3][4][5][6][7], il existe très peu de travaux concernant le cancer de la trompe, et la topographie précise de l'extension ganglionnaire n'est pas décrite [8][9][10][11]. Il nous a donc semblé intéressant de rapporter notre expérience, car depuis 1985 nous réalisons systématique-ment des lymphadénectomies pelviennes et lomboaortiques chez les femmes affectées d'un cancer annexiel.…”

Section: Introductionunclassified

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