IMR Press / EJGO / Volume 27 / Issue 5 / pii/2006228

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 Case Report

Fallopian tube carcinoma: incidental finding during surgery for acute pelvic inflammatory disease - case report

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1 Department of Obstetrics and Gynecology, Miguel Servet University Hospital, Zaragoz, Spain
Eur. J. Gynaecol. Oncol. 2006, 27(5), 526–527;
Published: 10 October 2006
Abstract

Background: Primary carcinoma of the fallopian tube is a rare condition. Preoperative diagnosis is difficult and in most cases it is an intraoperative finding or a histopathological diagnosis. Case: A 49-year-old woman presented with pelvic pain, fever (38 °C), elevated white blood cell count and a right adnexal mass. Pelvic inflammatory disease was suspected and broad spectrum antibiotics were established. Five days later, due to lack of clinical response, a total abdominal hysterectomy, bilateral salpingo-oophorectomy and appendectomy were performed. Histopathology showed a primary fallopian tube carcinoma. Postoperatively she received chemotherapy. Afterwards she underwent a staging laparo­tomy. Some months later, new chemotherapy regimens were instituted because of the presence of lymph node metastases. Conclusion: Malignancy should be included in the differential diagnosis of pelvic inflammatory disease.

Keywords
Fallopian tube
Carcinoma
Pelvic inflammatory disease
Adnexal mass
Laparotomy
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