Korean J Obstet Gynecol.  2012 Nov;55(11):853-858. 10.5468/KJOG.2012.55.11.853.

A case of primary fallopian tube carcinoma diagnosed radiologically before operation

• Choi JK
• Choi JY
• Kim SY
• Kwon SY
• Shin SJ
• Cho CH
• Cha SD
• Kwon SH

• KMID: 2274156
• DOI: http://doi.org/10.5468/KJOG.2012.55.11.853

Abstract

Primary fallopian tube carcinoma is one of the rarest gynecological malignancies, accounting for 0.18% to 1.6% of all malignant neoplasms of the female reproductive tract. Preoperative diagnosis was difficult due to nonspecific symptoms and signs. This case of primary tubal cancer was diagnosed preoperatively on the basis of ultrasonography, computed tomography and magnetic resonance imaging. We have experienced a case of primary fallopian tube carcinoma before operation and so report with brief review of the literature.

Keyword

Primary fallopian tube cancer; Preoperative; Diagnosis

MeSH Terms

Accounting
Fallopian Tubes
Female
Humans
Magnetic Resonance Imaging

Figure

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  Fig. 1 Ultrasonographic finding of the primary fallopian tube cancer. It shows a bilocular cystic mass with intramural nodule, measuring 65×36 mm.

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  Fig. 2 Pelvic computed tomography finding of the primary tube cancer. Bilateral tubular shaped cystic masses with a nodular enhancing solid mass in the cystic mass of the right one (right, measuring 60×43×55 mm; left, 53×29 mm).

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  Fig. 3 Pelvic magnetic resonance imaging finding of the primary tubal cancer. Bilateral tubular shaped cystic masses with high S1 on T2W1 with an enhancing solid mural nodule in the Rt. cystic mass, measuring 56×45×45 mm on right and 50×24×50 mm on left.

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  Fig. 4 (A) The right fallopian tube is dilated due to hydrosalpinx the right ovary is grossly unremarkable. (B) Right fallopian tube reveal whitish fiable solid mass (1.8×1.8×1.8 cm) in lumen.

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  Fig. 5 (A) The lower power view of microscopic finding of solid tumor shows intraluminal growth of fallopian tube with partially infiltrate into the myometrium (H&E, ×40). (B) The high power view of solid tumor reveals no papillary or glandular configuration with prominent nuclear pleomorphism and increased atypical mitoses (H&E, ×200). (C) The immunohistochemical stain of WT-1 reveals strong nuclear expression (×100). (D) The immunohistochemical stain of cancer antigen 125 demonstrates diffusely strong positivity of membranous pattern (×100).

Reference

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