IMR Press / EJGO / Volume 21 / Issue 4 / pii/2000187

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 imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research

Primary fallopian tube carcinoma with isolated torsion of involved tube

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1 Rootstown, Ohio and Aultman Hospital, Canton, Ohio and Yale University School of Medicine, New Haven, Connecticut, USA
2 Dept. of Obstetrics and Gynecology, Northeastern Ohio Universities College of Medicine, Ohio and Yale University School of Medicine, New Haven, Connecticut, USA
Eur. J. Gynaecol. Oncol. 2000, 21(4), 364–367;
Published: 10 August 2000
Abstract

Background: Primary fallopian tube carcinoma (FTC) is an aggressive but rare tumor. Worldwide, more than 1,500 cases have been published, and about 20 new cases are added every year. Isolated fallopian tube torsion (IFTT) is an unusual and uncommon event. Case: We report a 69-year-old Caucasian woman, Gravida 4, Para 3, with a long history of hypertension. diabetes mellitus with retinopathy and neuropathy, and history of extensive coronary artery disease, for which a triple-by-pass graft was performed. She was placed on anticoagulation therapy. Subsequently, she developed intermittent vaginal bleeding. Results: We reviewed and discussed the symptoms and workup of the patient in detail. She underwent exploratory laparotomy, and primary FTC with isolated torsion of the involved fallopian tube was diagnosed. Peritoneal washings, omentectomy, total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed. Conclusion: Review of the English literature on the presenting symptoms and diagnostic management of primary FTC and IFTT is presented.

Keywords
Fallopian Tube Carcinoma (FTC)
Torsion
Adnexa
Tumors
Isolated Fallopian Tube Torsion (IFTT)
Transvaginal Ultrasound
Color Doppler
Endometrial Biopsy (EMB)
Dilation and Curettage (D&C)
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