Primary High Grade Serous Carcinoma of the Fallopian Tube: A Case Report

Dhakhwa, Ramesh; Giri, Arun; Shakya, Archana; Vaidya, Achala

doi:10.31729/jnma.5674

Cited by 3 publications

(2 citation statements)

References 8 publications

(2 reference statements)

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“…According to the literature review in the present study, abnormal vaginal bleeding and vaginal discharge were the most common symptoms of the fallopian tube carcinoma. Although the physical examination of our patient did not reveal a palpable pelvic mass, it may be detected in some patients (5).…”

Section: Discussioncontrasting

confidence: 62%

Primary High-grade Serous Carcinoma of the Fallopian Tube as an Incidental Intraoperative Finding: A Case Report

et al. 2021

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: Primary carcinoma of the fallopian tube is a rare, but fatal gynecologic cancer. The preoperative diagnosis of this carcinoma is challenging due to the absence of specific symptoms and signs, and in most patients, it is an intraoperative finding. A 55-year-old patient (G3Ab1P2) was referred to the urogynecology clinic of our hospital with the chief complaints of heavy, prolonged menstrual bleeding and a persistently abnormal yellow discharge, which could not be distinguished by the patient from urinary leaks. After a complete diagnostic work-up, the patient was identified as a candidate for hysterectomy due to abnormal vaginal bleeding resistant to megestrol acetate, family history of malignancy, and abnormal vaginal discharge. Laparotomy revealed unusual left fallopian tube features (large, bulky, and vegetative), suggesting malignancy. The intraoperative frozen-section analysis of the left fallopian tube and the ovarian specimens indicated the mass as a high-grade serous carcinoma of the fallopian tube. Total abdominal hysterectomy, bilateral salpingo-oophorectomy, and partial omentectomy were performed for the patient. The definitive histopathological diagnosis was high-grade serous carcinoma of the left fallopian tube (stage 2b) with omental involvement, without any evidence of lymphovascular invasion. High-grade serous carcinoma of the fallopian tube is likely to have non-specific symptoms, causing a significant delay in diagnosis and treatment, which negatively affects the prognosis and survival of these patients.

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Section: Discussioncontrasting

confidence: 62%

Primary High-grade Serous Carcinoma of the Fallopian Tube as an Incidental Intraoperative Finding: A Case Report

et al. 2021

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“…The author was also able to observe the rare fourth Bura Janko which is called Mahadev-Ratha-Rohan or Dibya-Ratha-Rohan and occurs at the age of 99-years-ninth-months-ninthdays-ninth-hours of Nhuchhe Maya Shakya [7] and Chhala Maya Shakya [8] in Vajrayana Buddhist tradition. Both celebrants were placed in a huge clay pot made as a womb and at the end of the sacred ritual procession, a hole was broken on the pot, and they were symbolically, "reborn."…”

Section: Bura Janko: Personal Observations and Reflectionsmentioning

confidence: 99%

Honouring Old Age Ritual Celebration in Newar Culture and Medicine Wheel in Anishinaabe Culture: Exploring an Indigenous Cross-Cultural Aging Wellness as an Alternative Medicine and Healing Approach

2023

Curr Res Cmpl Alt Med

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This article depicts a personal narrative and experience based on the observation and exposure of an ancient Newar tradition of honouring ageing and wellness in the native land of Nepal. Furthermore, this paper illuminates a shared pedagogy of holistic ageing-wellness physically, mentally, spiritually, and emotionally in both Newar and Anishinaabe cultures. In Newar culture, a ritualistic ceremony honours old age called "Bura Janko." It recognizes the foundation of intergenerational relationships that respect the spirituality and wisdom of the Elder. By examining the 5,000-year-old Bura Janko traditions in Nepal in conjunction with ancient Anishinaabe tradition Medicine Wheel teachings and ceremonies among First Nations Anishinaabe communities in Northern Ontario, we hope to highlight cross-cultural connections between the ancient Indigenous cultures' optimal ageing processes. Through cultural and spiritual-based ceremonies, the quality of life and active use of the wisdom of the Elders are enhanced to optimize the ageing timeframe. In turn, these culturally based celebrations contribute to the reduction of stigma and trauma associated with cognitive decline. It is the inactivity that may lead to loneliness and social isolation in Indigenous ageing populations. The Bura Janko celebrations preserve the ancient tradition of families and communities bonding by honouring ageing as a divine status phenomenon in contemporary Newar societies. There are five times that a Bura Janko ritual celebrates beyond the rites of passage in life. These are: 1) Bhima-Ratha-Rohan (to turn 77 years, seventh months, seventh days and seventh hours

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Primary High-Grade Serous Carcinoma of Fallopian Tube, an Incidental Intraoperative Finding: A Case Report

Shokouhi

Saeedi

Sarmadi

et al. 2020

Preprint

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Background: Primary carcinoma of fallopian tube is a rare but deadly gynecologic cancer, In addition, its preoperative diagnosis is strict due to the lack of specific symptoms and signs and in most patients, it is an intraoperative finding.Case presentation: A 55-year-old patient, G3Ab1P2 referred to urogynecology clinic of our hospital with chief complaint about heavy, prolonged menstrual bleeding and a permanently abnormal yellow discharge that could not be distinguished from its urinary or vaginal source.After complete diagnostic work-up, the patient became a candidate for hysterectomy due to the drug (Megestrol Acetate) -resistant abnormal vaginal bleeding, her abnormal vaginal bleeding, positive family history of malignancy, and abnormal vaginal discharge.Laparotomy revealed unusual left fallopian tube feature (Large, bulky, and vegetative feature), suspected to malignancy. Intraoperative frozen-section analysis of the left fallopian tube and ovary specimens detected the mass as a high-grade serous carcinoma of fallopian tube. Total abdominal hysterectomy, bilateral salpingo-oophorectomy, and partial omentectomy were performed. The definitive histopathological diagnosis was high-grade serous carcinoma of the left fallopian tube stage 2b with omental involvement without any evidence of lymph-vascular invasion.Conclusions: High-grade serous carcinoma of fallopian tube is likely to present nonspecific symptoms, which may cause considerable delay in diagnosis and treatment. This consequently, affects the prognosis and survival of the patient.

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Primary High Grade Serous Carcinoma of the Fallopian Tube: A Case Report

Cited by 3 publications

References 8 publications

Primary High-grade Serous Carcinoma of the Fallopian Tube as an Incidental Intraoperative Finding: A Case Report

Primary High-grade Serous Carcinoma of the Fallopian Tube as an Incidental Intraoperative Finding: A Case Report

Honouring Old Age Ritual Celebration in Newar Culture and Medicine Wheel in Anishinaabe Culture: Exploring an Indigenous Cross-Cultural Aging Wellness as an Alternative Medicine and Healing Approach

Primary High-Grade Serous Carcinoma of Fallopian Tube, an Incidental Intraoperative Finding: A Case Report

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