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a case report - open access
Introduction
Fallopian tube carcinoma is a rare gyncological malignancy with low accuracy detection
preoperatively. The symptoms are unspecific and imaging can be misleading. Since it
was first described in 1847, there have been only a little over 2000 case reports.
Case presentation
This case report describes a 66-year-old Caucasian woman who presented with progressive
diffuse abdominal pain, without other symptoms. After abdominopelvic magnetic resonance
imaging, she was sent to the Portuguese Oncology Institute of Oporto with the suspicion
of peritoneal carcinomatosis of unknown primary tumor. Due to a pelvic palpable mass
(calcified giant uterine fibroid) she was directed to the Gynecology team. Surgery
was performed and a large mass in her upper abdomen was identified. The extemporary
examination revealed a high-grade adenocarcinoma. During surgery a small change of
color and consistency of her left fallopian tube was noted and unilateral adnexectomy
was performed. After pathologic and immunohistochemistry tests, the diagnosis of fallopian
tube carcinoma with peritoneal dissemination was made.
Conclusions
This case is very unique in the way that a small primary fallopian tube carcinoma
was able to disseminate to the upper abdominal quadrant with little pelvic dissemination.
The symptoms and imaging were unspecific. Although a rare occurrence, we should not
forget fallopian tube carcinoma in the differential diagnosis of peritoneal carcinomatosis,
even in the absence of Latzke's triad (symptoms).
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