IMR Press / EJGO / Volume 26 / Issue 3 / pii/2005177

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report

Primary leiomyosarcoma of the fallopian tube: A case report

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1 Department of Gynecological Oncology, Regina Elena National Cancer Institute of Rome, Rome (Italy)
2 Laboratory of Anatomo-Pathology, Regina Elena National Cancer Institute of Rome, Rome (Italy)
Eur. J. Gynaecol. Oncol. 2005, 26(3), 333–335;
Published: 10 June 2005

A primary leiomyosarcoma (LMS) arising from the left fallopian tube in a perimenopausal 48-year-old woman is reported. Primary tubal LMS is an uncommon, exceedingly rare neoplasm, accounting for only a few reported cases so far. To our knowl­edge, the present case is the 17th tubal LMS reported in the English-language literature. The diagnosis is usually made at the time of laparotomy for a pelvic or adnexal mass or other gynaecological indications. As in ovarian neoplasms, the mainstay of treatment is represented by debulking surgery consisting of total abdominal hysterec­tomy, bilateral salpingo-oophorectomy, random biopsies, peritoneal washing and excision of all the abdominal tumour masses. Although the approach is radical, the clinical behaviour is very poor. The role of adjuvant radio- or chemotherapy still remains unsolved.

Mixed mesodermal tumour
Ovarian and fallopian tube neoplasm
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