ID Design 2012/DOOEL Skopje, Republic of
Open Access Macedonian Journal of Medical Sciences.
Primary Fallopian Tube
Carcinoma: A Case Report and Literature Review
Meral Rexhepi1*, Elizabeta Trajkovska2,
Hysni Ismaili3, Florin Besimi1, Nagip Rufati1
1Clinical Hospital Tetovo, Department of Gynecology and
Obstetrics, University of Tetovo, Faculty of Medical Sciences, Tetovo,
Republic of Macedonia; 2Clinical Hospital Tetovo, Department of
Pathology, Tetovo Republic of Macedonia; 3University of Tetovo,
Faculty of Medical Sciences, Tetovo, Republic of Macedonia
BACKGROUND: Primary fallopian tube carcinoma (PFTC) is a rare tumour
of the female genital tract with an incidence of 0.1-1.8% of all genital
malignancies, and it is very difficult to diagnose preoperatively, because
of its non-specific symptomatology. In most cases, it is an intraoperative
finding or a histopathological diagnosis. It is a tumour that histologically
and clinically resembles epithelial ovarian cancer.
CASE PRESENTATION: We are reporting a case of a 62-year-old,
postmenopausal women with primary fallopian tube carcinoma of the right
fallopian tube in stage IA. The patient has lower abdominal pain, watery
vaginal discharge and repeated episodes of bleeding from the vagina. The
clinical and radiological findings suggested a right adnexal tumour with
elevated CA-125 levels. Total abdominal hysterectomy, bilateral
salpingo-oophorectomy, omentectomy and peritoneal washing were performed.
Pathologic confirmation of primary serous cystadenocarcinoma of the right
fallopian tube was made. Peritoneal washings were negative for malignancy.
FIGO stage was considered as IA, and the patient received no courses of
chemotherapy and postoperative radiation because she refused it. Ten months
after initial surgery, the patient is alive and in good condition.
CONCLUSION: Cytoreduction surgery followed by adequate cycles of
chemotherapy is an important strategy to improve patients’ prognosis.
Citation: Rexhepi M, Trajkovska E, Ismaili H,
Besimi F, Rufati N. Primary Fallopian Tube Carcinoma: A Case Report and
Literature Review. Open Access Maced J Med Sci. https://doi.org/10.3889/oamjms.2017.044
Keywords: fallopian tube; serous cystadenocarcinoma; post-menopausal
female; intraoperative assessment; histopathological diagnosis.
*Correspondence: Meral Rexhepi. Clinical Hospital Tetovo, Department
of Gynecology and Obstetrics, University of Tetovo, Faculty of Medical
Sciences, Tetovo, Republic of Macedonia. E-mail: email@example.com
Received: 13-Jan-2017; Revised: 16-Mar-2017; Accepted: 17-Mar-2017; Online
Copyright: © 2017 Meral Rexhepi, Elizabeta Trajkovska, Hysni Ismaili,
Florin Besimi, Nagip Rufati. This is an open-access article
distributed under the terms of the Creative Commons Attribution-NonCommercial
4.0 International License (CC BY-NC 4.0).
Funding: This research did not receive any financial support.
Competing Interests: The authors have declared that no competing
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- Rexhepi M
- Trajkovska E
- Ismaili H
- Besimi F
- Rufati N