Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : September | Volume : 11 | Issue : 9 | Page : QD03 - QD04

Primary Adenocarcinoma of the Fallopian Tube: A Rare Entity

Ankita Singh, Sudha Prasad, Ashok Kumar, Renu Tanwar

1. Senior Resident, Department of Obstetrics and Gynaecology, Lok Nayak Hospital, New Delhi, India. 2. Director Professor, Department of Obstetrics and Gynaecology, Lok Nayak Hospital, New Delhi, India. 3. Director Professor, Department of Obstetrics and Gynaecology, Lok Nayak Hospital, New Delhi, India. 4. Professor, Department of Obstetrics and Gynaecology, Lok Nayak Hospital, New Delhi, India.

Correspondence Address :
Dr. Ankita Singh,
150, Kadambari Apartments, Sector 9, Rohini-110085, New Delhi, India.
E-mail: drankitasingh@hotmail.com

Abstract

Primary fallopian tube carcinoma is an uncommon gynaecologic malignancy usually seen in postmenopausal females. We present a case of a 66-year-old postmenopausal female who presented with complaint of blood mixed vaginal discharge on and off for past one month. Workup of the patient revealed no abnormality other than presence of atypical squamous cells on Papanicolaou (PAP) smear. MRI showed mildly bulky cervix with around 4cc fluid in endometrial cavity. As the patient remained symptomatic and fluid in endometrial cavity persisted, total abdominal hysterectomy with bilateral salpingo-oophorectomy was done. On histopathological examination, fimbrial end of left tube had features of poorly differentiated papillary serous adenocarcinoma. Postoperatively, she was given chemotherapy and is doing well with more than 3 years of follow up. This case highlights the importance of high suspicion in postmenopausal women with bleeding per vaginum, where there is little to suggest clinically or radiologically.

Keywords

Chemotherapy, Fallopian tube, Post menopausal

How to cite this article :

Ankita Singh, Sudha Prasad, Ashok Kumar, Renu Tanwar. PRIMARY ADENOCARCINOMA OF THE FALLOPIAN TUBE: A RARE ENTITY. Journal of Clinical and Diagnostic Research [serial online] 2017 September [cited: 2018 Jan 17 ]; 11:QD03-QD04. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=September&volume=11&issue=9&page=QD03-QD04&id=10627

DOI and Others

DOI: 10.7860/JCDR/2017/28813.10627

Date of Submission: Apr 10, 2017
Date of Peer Review: May 16, 2017
Date of Acceptance: Aug 01, 2017
Date of Publishing: Sep 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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