PMID- 17642164
OWN - NLM
STAT- MEDLINE
DCOM- 20070802
LR  - 20070723
IS  - 0014-1755 (Print)
IS  - 0014-1755 (Linking)
VI  - 45
IP  - 1
DP  - 2007 Jan
TI  - Primary fallopian tube carcinoma (PFTC) comorbidity with infertility and 
      bilateral hydrosalpinx.
PG  - 95-102
AB  - Primary fallopian tube carcinoma (PFTC) is the rarest gynecologic malignancy. We 
      present the first documented case of this rare neoplasm in Ethiopia, in a 50 
      years old perimenopausal woman. The patient complained of irregular menses, on 
      and off vaginal discharge and longstanding lower abdominal pain. She had 
      longstanding infertility for which she did not seek medical help. The patient was 
      subjected for laparotomy with the preoperative diagnosis of chronic pelvic 
      inflammatory disease. Huge bilateral hydrosalpinges were found with pelvic 
      adhesions involving the ovaries. Total hysterectomy with bilateral adnexectomy 
      was performed following adhesiolysis. The diagnosis of low-grade papillary tubal 
      carcinoma was made postoperatively when the specimen from total abdominal 
      hysterectomy and bilateral salpingoopherectomy was examined histologically. The 
      patient declined relaparatomy for proper staging or further adjuvant treatment. 
      She was free of clinically demonstrable recurrence five months after discharge. 
      Challenges in the detection of PFTC relating to its signs and symptoms, 
      diagnostic difficulties, choice of treatment and factors that may influence 
      survival are outlined It is prudent to perform histopathologic examination on all 
      surgically excised specimens however obvious the clinical findings appear to be.
FAU - Gaym, Asheber
AU  - Gaym A
AD  - Faculty of Medicine, Addis Ababa University, Department of Gynecology.
FAU - Getaneh, Workineh
AU  - Getaneh W
FAU - B/Tsion, Yonas
AU  - B/Tsion Y
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Ethiopia
TA  - Ethiop Med J
JT  - Ethiopian medical journal
JID - 0373223
SB  - IM
MH  - Carcinoma, Papillary/complications/*pathology/surgery
MH  - Fallopian Tube Neoplasms/complications/*pathology/surgery
MH  - Female
MH  - Humans
MH  - Infertility, Female/etiology
MH  - Middle Aged
EDAT- 2007/07/24 09:00
MHDA- 2007/08/03 09:00
CRDT- 2007/07/24 09:00
PHST- 2007/07/24 09:00 [pubmed]
PHST- 2007/08/03 09:00 [medline]
PHST- 2007/07/24 09:00 [entrez]
PST - ppublish
SO  - Ethiop Med J. 2007 Jan;45(1):95-102.