PMID- 23195378 OWN - NLM STAT- MEDLINE DCOM- 20130826 LR - 20220318 IS - 1532-8198 (Electronic) IS - 1092-9134 (Linking) VI - 17 IP - 2 DP - 2013 Apr TI - Carcinoma of the fallopian tube: Results of a multi-institutional retrospective analysis of 127 patients with evaluation of staging and prognostic factors. PG - 159-64 LID - S1092-9134(12)00127-X [pii] LID - 10.1016/j.anndiagpath.2012.10.001 [doi] AB - The aim of this study was to determine the impact of prognostic factors in primary fallopian tube carcinoma (PFTC). All cases of PFTC diagnosed between 1990 and 2010 were retrieved from the files of 6 academic centers. The cases were staged according to a modification of the International Federation of Obstetrics and Gynecology staging system proposed by Alvarado-Cabrero et al (Gynecol Oncol 1999; 72: 367-379). One hundred twenty-seven PFTC cases were identified. The mean age of the patients was 64.2 years. Stage distribution was as follows: 72 (57%), stage I; 19 (15%), stage II; 28 (22%), stage III; and 8 (6.2%), stage IV. Depth of infiltration of the tubal wall was an independent prognostic factor in stage I cases (P < .001). Carcinomas located in the fimbriated end even without invasion had a worse prognosis than did carcinomas involving the tubal portion of the organ. The presence of vascular space invasion correlated with the depth of tubal wall invasion (P = .001) and the presence of lymph node metastases (P = .003). Tumor grade significantly correlated with survival (P < .0001), but histologic type was of marginal significance and only if it was grouped as nonserous/non-clear cell vs serous/clear cell (P = .04). The depth of invasion of the tubal wall and the presence of carcinoma in the fimbriated end even without invasion are important prognostic indicators. The modified International Federation of Obstetrics and Gynecology staging system should be used on a routine basis in all carcinomas of the fallopian tube. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Alvarado-Cabrero, Isabel AU - Alvarado-Cabrero I AD - Department of Pathology, Hospital de Oncologia, Centro Medico Nacional, IMSS, CMN Siglo XXI, Mexico City, DF 06720, Mexico. keme2.tijax12@gmail.com FAU - Stolnicu, Simona AU - Stolnicu S FAU - Kiyokawa, Takako AU - Kiyokawa T FAU - Yamada, Kyosuke AU - Yamada K FAU - Nikaido, Takashi AU - Nikaido T FAU - Santiago-Payan, Hector AU - Santiago-Payan H LA - eng PT - Journal Article PT - Multicenter Study DEP - 20121126 PL - United States TA - Ann Diagn Pathol JT - Annals of diagnostic pathology JID - 9800503 SB - IM MH - Aged MH - Aged, 80 and over MH - Carcinoma/*classification/*pathology MH - Fallopian Tube Neoplasms/*classification/*pathology MH - Female MH - Humans MH - Middle Aged MH - Neoplasm Grading MH - Neoplasm Staging/*methods MH - Prognosis MH - Retrospective Studies EDAT- 2012/12/01 06:00 MHDA- 2013/08/27 06:00 CRDT- 2012/12/01 06:00 PHST- 2012/07/14 00:00 [received] PHST- 2012/09/19 00:00 [revised] PHST- 2012/10/04 00:00 [accepted] PHST- 2012/12/01 06:00 [entrez] PHST- 2012/12/01 06:00 [pubmed] PHST- 2013/08/27 06:00 [medline] AID - S1092-9134(12)00127-X [pii] AID - 10.1016/j.anndiagpath.2012.10.001 [doi] PST - ppublish SO - Ann Diagn Pathol. 2013 Apr;17(2):159-64. doi: 10.1016/j.anndiagpath.2012.10.001. Epub 2012 Nov 26.