Fallopian tube cancer incidentally diagnosed during laparoscopy for metastatic adenocarcinoma of unknown primary lesion
| Autor: | Susumu Murata, Michihisa Fujiwara, Masahiko Nakata, Yukiko Kagawa, Yasumasa Monobe, Mitsuru Shiota, Mayumi Takano |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
metastatic adenocarcinoma medicine.medical_treatment laparoscopy unknown primary cancer Malignancy lcsh:Gynecology and obstetrics 03 medical and health sciences 0302 clinical medicine Laparotomy Biopsy Medicine fallopian tube cancer Laparoscopy lcsh:RG1-991 030219 obstetrics & reproductive medicine Hysterectomy medicine.diagnostic_test business.industry Obstetrics and Gynecology medicine.disease medicine.anatomical_structure 030220 oncology & carcinogenesis Fallopian tube cancer Right Fallopian Tube Radiology business Fallopian tube |
| Zdroj: | Gynecology and Minimally Invasive Therapy, Vol 5, Iss 4, Pp 166-169 (2016) |
| ISSN: | 2213-3070 |
| Popis: | Primary fallopian tube cancer is a rare gynecological malignancy. We report a case of fallopian tube cancer that was incidentally diagnosed during laparoscopy for metastatic adenocarcinoma of unknown primary lesion. A 60-year-old woman had two intraperitoneal calcific masses, which a biopsy revealed to be a metastatic malignancy with an unknown primary site. She was asymptomatic, and the primary site was not identified in imaging evaluations such as transvaginal ultrasonography. A diagnostic laparoscopy was performed and revealed papillary tumor-like lesions in the right fallopian tube. The laparoscopy was immediately converted to laparotomy. Total hysterectomy, bilateral salpingo-oophorectomy, and an omentectomy were also performed. The histopathologic diagnosis was primary serous adenocarcinoma of the fallopian tube. The patient received adjuvant chemotherapy. At 8 months postoperatively, there were no signs of recurrence. In this patient, the diagnostic laparoscopy was more useful for detecting the primary small-volume fallopian tube cancer, compared with ultrasonography, computed tomography (CT), magnetic resonance imaging, and positron emission tomography–computed tomography (PET-CT). Laparoscopy may be a tool for revealing an obscure primary lesion in the abdominal cavity. |
| Databáze: | OpenAIRE |
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