PMID- 16445606 OWN - NLM STAT- MEDLINE DCOM- 20060517 LR - 20220321 IS - 1048-891X (Print) IS - 1048-891X (Linking) VI - 16 IP - 1 DP - 2006 Jan-Feb TI - A 10-year review of primary fallopian tube cancer at a community hospital: a high association of synchronous and metachronous cancers. PG - 29-35 AB - Primary fallopian tube carcinomas (PFTC) are rare gynecological tumors infrequently diagnosed prior to operative intervention. A retrospective review was performed to characterize the distribution and clinicopathologic significance of these tumors. Identification of PFTC was achieved through a review of the tumor registry and medical record ICD-9 codes at a community teaching hospital. A total of 1.5% of all gynecological cancers were PFTC. Most patients were presumed to have ovarian cancer. Ultrasound had the highest sensitivity (82%) for preoperative diagnosis. Surgical exploration was needed for definitive diagnosis in all patients. Optimal debulking was predictive of survival and of a negative second-look laparotomy (P < 0.05). Twenty-five percent of patients had a metachronous cancer diagnosed prior to their fallopian tube cancer, and 22% had a synchronous gynecological malignancy diagnosed at the time of surgical exploration. The response rate to platinum-based chemotherapy was 78%. The 5-year survival rate was 87%, and the overall survival rate was 75%. The median follow-up was 38 months. This report details the diagnostic and therapeutic experience of patients with PFTC and describes the occurrence of synchronous and metachronous gynecological cancers. FAU - Benoit, M F AU - Benoit MF AD - Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The University of Texas Medical Branch, 301 University Boulevard, Route 0587, Galveston, TX 77555, USA. mibenoit@utmb.edu FAU - Hannigan, E V AU - Hannigan EV LA - eng PT - Comparative Study PT - Journal Article PL - England TA - Int J Gynecol Cancer JT - International journal of gynecological cancer : official journal of the International Gynecological Cancer Society JID - 9111626 SB - IM MH - Adult MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Carcinoma/*mortality/*pathology/therapy MH - Carcinoma, Transitional Cell/mortality/pathology/therapy MH - Combined Modality Therapy MH - Fallopian Tube Neoplasms/*mortality/*pathology/therapy MH - Female MH - Hospitals, Community MH - Humans MH - Immunohistochemistry MH - Incidence MH - Middle Aged MH - Neoplasm Staging MH - Neoplasms, Multiple Primary/*mortality/*pathology/therapy MH - Neoplasms, Second Primary/mortality/pathology/therapy MH - Prognosis MH - Registries MH - Retrospective Studies MH - Risk Assessment MH - Survival Analysis MH - Teratoma/mortality/pathology/therapy EDAT- 2006/02/01 09:00 MHDA- 2006/05/18 09:00 CRDT- 2006/02/01 09:00 PHST- 2006/02/01 09:00 [pubmed] PHST- 2006/05/18 09:00 [medline] PHST- 2006/02/01 09:00 [entrez] AID - IJG292 [pii] AID - 10.1111/j.1525-1438.2006.00292.x [doi] PST - ppublish SO - Int J Gynecol Cancer. 2006 Jan-Feb;16(1):29-35. doi: 10.1111/j.1525-1438.2006.00292.x.