Primary Fallopian Tube Carcinoma: An Extremely Rare Gynecological Cancer Misdiagnosed Intraoperatively as Benign Ovarian Neoplasm: A Case Report
Primary fallopian tube carcinoma is very rare. Diagnosis is challenging. The description of our case concerns an asymptomatic 71-year-old patient who came for a routine gynecological examination. Imaging of the pelvis revealed the presence of a two-chambered cystic formation in the anatomical positi...
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| Format: | Article |
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MDPI AG
2022-04-01
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| Series: | Clinics and Practice |
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| Online Access: | https://www.mdpi.com/2039-7283/12/3/30 |
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| author | Efthymia Thanasa Dimitra Stamouli Ektoras-Evangelos Gerokostas Konstantina Balafa Nikoleta Koutalia Ioannis Thanasas |
| author_facet | Efthymia Thanasa Dimitra Stamouli Ektoras-Evangelos Gerokostas Konstantina Balafa Nikoleta Koutalia Ioannis Thanasas |
| author_sort | Efthymia Thanasa |
| collection | DOAJ |
| description | Primary fallopian tube carcinoma is very rare. Diagnosis is challenging. The description of our case concerns an asymptomatic 71-year-old patient who came for a routine gynecological examination. Imaging of the pelvis revealed the presence of a two-chambered cystic formation in the anatomical position of the right ovary. It was decided to investigate the disease by laparotomy. Examination of the frozen section from the site of the cystic lesion was negative for malignancy. An abdominal total hysterectomy was performed with bilateral salpingo-oophorectomy. Serous carcinoma of the fallopian tube was diagnosed postoperatively by histological examination of the surgical preparation. Immediately after surgery, the patient’s health was good.The patient was referred to an oncology center and was monitored. Chemotherapy based on platinum and taxane was recommended. Six months after the operation the patient is in good health. The possibility of a second surgery to treat fallopian tube cancer with pelvic lymph node dissectionis under discussion and is expected to be decided by oncologists and gynecologists-oncologists. In this article, after describing the case report, a brief review of this rare entity disease’s diagnostic and therapeutic approach is attempted. |
| first_indexed | 2024-03-10T00:06:39Z |
| format | Article |
| id | doaj.art-d0fa6196e6804a9cb4f707c58fe88a29 |
| institution | Directory Open Access Journal |
| issn | 2039-7283 |
| language | English |
| last_indexed | 2024-03-10T00:06:39Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-d0fa6196e6804a9cb4f707c58fe88a292023-11-23T16:08:07ZengMDPI AGClinics and Practice2039-72832022-04-0112325326010.3390/clinpract12030030Primary Fallopian Tube Carcinoma: An Extremely Rare Gynecological Cancer Misdiagnosed Intraoperatively as Benign Ovarian Neoplasm: A Case ReportEfthymia Thanasa0Dimitra Stamouli1Ektoras-Evangelos Gerokostas2Konstantina Balafa3Nikoleta Koutalia4Ioannis Thanasas5Department of Health Sciences, Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceDepartment of Obstetrics and Gynecology, General Hospital in Trikala, Efkli 33, 42100 Trikala, GreeceDepartment of Obstetrics and Gynecology, General Hospital in Trikala, Efkli 33, 42100 Trikala, GreeceDepartment of Obstetrics and Gynecology, General Hospital in Trikala, Efkli 33, 42100 Trikala, GreeceDepartment of Obstetrics and Gynecology, General Hospital in Trikala, Efkli 33, 42100 Trikala, GreeceDepartment of Obstetrics and Gynecology, General Hospital in Trikala, Efkli 33, 42100 Trikala, GreecePrimary fallopian tube carcinoma is very rare. Diagnosis is challenging. The description of our case concerns an asymptomatic 71-year-old patient who came for a routine gynecological examination. Imaging of the pelvis revealed the presence of a two-chambered cystic formation in the anatomical position of the right ovary. It was decided to investigate the disease by laparotomy. Examination of the frozen section from the site of the cystic lesion was negative for malignancy. An abdominal total hysterectomy was performed with bilateral salpingo-oophorectomy. Serous carcinoma of the fallopian tube was diagnosed postoperatively by histological examination of the surgical preparation. Immediately after surgery, the patient’s health was good.The patient was referred to an oncology center and was monitored. Chemotherapy based on platinum and taxane was recommended. Six months after the operation the patient is in good health. The possibility of a second surgery to treat fallopian tube cancer with pelvic lymph node dissectionis under discussion and is expected to be decided by oncologists and gynecologists-oncologists. In this article, after describing the case report, a brief review of this rare entity disease’s diagnostic and therapeutic approach is attempted.https://www.mdpi.com/2039-7283/12/3/30fallopian tubeprimary cancersurgeryexamination of the frozen sectionchemotherapy |
| spellingShingle | Efthymia Thanasa Dimitra Stamouli Ektoras-Evangelos Gerokostas Konstantina Balafa Nikoleta Koutalia Ioannis Thanasas Primary Fallopian Tube Carcinoma: An Extremely Rare Gynecological Cancer Misdiagnosed Intraoperatively as Benign Ovarian Neoplasm: A Case Report Clinics and Practice fallopian tube primary cancer surgery examination of the frozen section chemotherapy |
| title | Primary Fallopian Tube Carcinoma: An Extremely Rare Gynecological Cancer Misdiagnosed Intraoperatively as Benign Ovarian Neoplasm: A Case Report |
| title_full | Primary Fallopian Tube Carcinoma: An Extremely Rare Gynecological Cancer Misdiagnosed Intraoperatively as Benign Ovarian Neoplasm: A Case Report |
| title_fullStr | Primary Fallopian Tube Carcinoma: An Extremely Rare Gynecological Cancer Misdiagnosed Intraoperatively as Benign Ovarian Neoplasm: A Case Report |
| title_full_unstemmed | Primary Fallopian Tube Carcinoma: An Extremely Rare Gynecological Cancer Misdiagnosed Intraoperatively as Benign Ovarian Neoplasm: A Case Report |
| title_short | Primary Fallopian Tube Carcinoma: An Extremely Rare Gynecological Cancer Misdiagnosed Intraoperatively as Benign Ovarian Neoplasm: A Case Report |
| title_sort | primary fallopian tube carcinoma an extremely rare gynecological cancer misdiagnosed intraoperatively as benign ovarian neoplasm a case report |
| topic | fallopian tube primary cancer surgery examination of the frozen section chemotherapy |
| url | https://www.mdpi.com/2039-7283/12/3/30 |
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