A rare case of primary fallopian tube carcinoma in a woman with post-menopausal bleeding

Authors

  • P. G. Paul Paul’s Hospital, Centre for Advanced Gynecological Endoscopy and Infertility, Kochi, Kerala, India http://orcid.org/0000-0002-6519-530X
  • Anjana Annal Paul’s Hospital, Centre for Advanced Gynecological Endoscopy and Infertility, Kochi, Kerala, India
  • K. Anusha Chowdary Paul’s Hospital, Centre for Advanced Gynecological Endoscopy and Infertility, Kochi, Kerala, India http://orcid.org/0000-0003-0262-4039
  • Manali Shilotri Paul’s Hospital, Centre for Advanced Gynecological Endoscopy and Infertility, Kochi, Kerala, India http://orcid.org/0000-0002-6057-1695
  • George Paul Paul’s Hospital, Centre for Advanced Gynecological Endoscopy and Infertility, Kochi, Kerala, India
  • Madhumathi Degapudi Paul’s Hospital, Centre for Advanced Gynecological Endoscopy and Infertility, Kochi, Kerala, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20213502

Keywords:

Fallopian tube carcinoma, Post-menopausal bleeding, Adnexal mass

Abstract

Primary fallopian tube carcinoma (PFTC) is a rare tumor accounting for about 0.5% of all gynecological cancers. The rarity of the tumor with its non-specific clinical presentation and radiological findings lead to a low suspicion of PFTC by the attending clinician. We present a case of this tumor in a 62 years post-menopausal parous woman who presented with intermittent vaginal bleeding with normal clinical examination and an adnexal mass on USG and MRI. She underwent laparosopic total hysterectomy with bilateral salpingo-oophorectomy, infracolic omentectomy and staging biopsies followed by adjuvant chemotherapy. Primary fallopian tube carcinoma should be considered in the differential diagnosis of peri and postmenopausal women who present with an adnexal mass, unexplained bleeding per vaginum, pelvic pain, or a cervical smear with abnormal glandular cells. The treatment is similar to epithelial ovarian carcinoma, which includes total hysterectomy with bilateral salpingo-oophorectomy and comprehensive surgical staging.

Author Biographies

Anjana Annal, Paul’s Hospital, Centre for Advanced Gynecological Endoscopy and Infertility, Kochi, Kerala, India

Assistant Gynecologist, Department of Endoscopy

K. Anusha Chowdary, Paul’s Hospital, Centre for Advanced Gynecological Endoscopy and Infertility, Kochi, Kerala, India

Assistant Gynecologist, Department of Endoscopy

Manali Shilotri, Paul’s Hospital, Centre for Advanced Gynecological Endoscopy and Infertility, Kochi, Kerala, India

Assistant Gynecologist, Department of Endoscopy

George Paul, Paul’s Hospital, Centre for Advanced Gynecological Endoscopy and Infertility, Kochi, Kerala, India

Consultant Gynecologist, Department of Endoscopy

Madhumathi Degapudi, Paul’s Hospital, Centre for Advanced Gynecological Endoscopy and Infertility, Kochi, Kerala, India

Assistant Gynecologist, Department of Endoscopy

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Published

2021-08-26

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Section

Case Reports