Preoperative CT Diagnosis of Primary Fallopian Tube Carcinoma in a Patient with a History of Total Abdominal Hysterectomy

Sant’Ana, Patrícia Costa; Desser, Terry S.; Teng, Nelson N.H.

doi:10.1097/00004728-200305000-00011

Cited by 8 publications

(2 citation statements)

References 11 publications

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“…Most patients were thought to have primary ovarian disease identified by radiologic imaging: ultrasound confirmed an adnexal mass in nine patients, yielding the highest sensitivity of the diagnostic tests performed. Few articles in the medical literature report the radiologic findings in PFTC (29) . Kawakami et al (30) described results from computed tomography and magnetic resonance imaging in ten cases of fallopian tube cancer and found an association only with hydrosalpinges.…”

Section: Discussionmentioning

confidence: 99%

A 10-year review of primary fallopian tube cancer at a community hospital: a high association of synchronous and metachronous cancers

Benoit

Hannigan

2006

Int J Gynecol Cancer

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Primary fallopian tube carcinomas (PFTC) are rare gynecological tumors infrequently diagnosed prior to operative intervention. A retrospective review was performed to characterize the distribution and clinicopathologic significance of these tumors. Identification of PFTC was achieved through a review of the tumor registry and medical record ICD-9 codes at a community teaching hospital. A total of 1.5% of all gynecological cancers were PFTC. Most patients were presumed to have ovarian cancer. Ultrasound had the highest sensitivity (82%) for preoperative diagnosis. Surgical exploration was needed for definitive diagnosis in all patients. Optimal debulking was predictive of survival and of a negative second-look laparotomy (P < 0.05). Twenty-five percent of patients had a metachronous cancer diagnosed prior to their fallopian tube cancer, and 22% had a synchronous gynecological malignancy diagnosed at the time of surgical exploration. The response rate to platinum-based chemotherapy was 78%. The 5-year survival rate was 87%, and the overall survival rate was 75%. The median follow-up was 38 months. This report details the diagnostic and therapeutic experience of patients with PFTC and describes the occurrence of synchronous and metachronous gynecological cancers.

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Section: Discussionmentioning

confidence: 99%

A 10-year review of primary fallopian tube cancer at a community hospital: a high association of synchronous and metachronous cancers

Benoit

Hannigan

2006

Int J Gynecol Cancer

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“…The solid part is lightly-to-moderately enhanced, and the cystic part is not enhanced on the post contrast MRI. [ 16 – 18 ] Kawakami et al [ 6 ] think that the signals of MMMTs of fallopian tube are more inhomogeneous than that of the fallopian tube carcinoma, which is helpful for differential diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Primary malignant mixed Müllerian tumors of the fallopian tube with cervix metastasis

Zhang

Liu

et al. 2018

Medicine

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Rationale:Primary malignant mixed mullerian tumors of the fallopian tube is very rare and has only 1 case in the current literature with cervix metastasis.Patient concerns:We reported a 49-year-old woman sufferring from primary malignant mixed mullerian tumors of the fallopian tube with cervix metastasis, and the imaging examination found a strip of solid mass in the right fallopian tube and a nodular mass in cervical canal, which were both hyperintense on T2 weighted image (T2WI) and diffusion weighted image (DWI) and continuous moderate enhancement on dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI).Diagnoses:The diagnosis was confirmed according to the specific anatomical location and pathological examination which was proved as primary malignant mixed mullerian tumors of the fallopian tube with cervix metastasis.Interventions:The patient underwent radical hysterctomy, bilateral adnexectomy, pelvic lymph node dissection, omentum majus excision and intravenous chemotherapy.Outcomes:Her posttreatment condition was good.Lessons:Primary malignant mixed mullerian tumors of the fallopian tube can be located by magnetic resonance image examination, which may also offer several diagnostic tips according to changes in signal and enhancement. When combined with pathological findings, qualitative diagnosis can be determined. Surgery and adjuvant chemotherapy are considered as effective methods. Our paper discussed its epidemiology, clinical symptoms, pathologic characters, therapeutic method as well as magnetic resonance imaging findings suggesting the diagnosis and differential diagnosis, including precontrast scan, contrast scan and diffusion weighted image and provided magnetic resonance imaging characteristics of primary malignant mixed mullerian tumors of the fallopian tube described in other literatures.

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Tubenkarzinom

Malur¹,

Meerpohl²,

Beckmann³

2006

Kompendium Internistische Onkologie

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Preoperative CT Diagnosis of Primary Fallopian Tube Carcinoma in a Patient with a History of Total Abdominal Hysterectomy

Cited by 8 publications

References 11 publications

A 10-year review of primary fallopian tube cancer at a community hospital: a high association of synchronous and metachronous cancers

A 10-year review of primary fallopian tube cancer at a community hospital: a high association of synchronous and metachronous cancers

Primary malignant mixed Müllerian tumors of the fallopian tube with cervix metastasis

Tubenkarzinom

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