PMID- 28698755 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220419 IS - 1857-9655 (Print) IS - 1857-9655 (Electronic) IS - 1857-9655 (Linking) VI - 5 IP - 3 DP - 2017 Jun 15 TI - Primary Fallopian Tube Carcinoma: A Case Report and Literature Review. PG - 344-348 LID - 10.3889/oamjms.2017.044 [doi] AB - BACKGROUND: Primary fallopian tube carcinoma (PFTC) is a rare tumour of the female genital tract with an incidence of 0.1-1.8% of all genital malignancies, and it is very difficult to diagnose preoperatively, because of its non-specific symptomatology. In most cases, it is an intraoperative finding or a histopathological diagnosis. It is a tumour that histologically and clinically resembles epithelial ovarian cancer. CASE PRESENTATION: We are reporting a case of a 62-year-old, postmenopausal women with primary fallopian tube carcinoma of the right fallopian tube in stage IA. The patient has lower abdominal pain, watery vaginal discharge and repeated episodes of bleeding from the vagina. The clinical and radiological findings suggested a right adnexal tumour with elevated CA-125 levels. Total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy and peritoneal washing were performed. Pathologic confirmation of primary serous cystadenocarcinoma of the right fallopian tube was made. Peritoneal washings were negative for malignancy. FIGO stage was considered as IA, and the patient received no courses of chemotherapy and postoperative radiation because she refused it. Ten months after initial surgery, the patient is alive and in good condition. CONCLUSION: Cytoreduction surgery followed by adequate cycles of chemotherapy is an important strategy to improve patients' prognosis. FAU - Rexhepi, Meral AU - Rexhepi M AD - Clinical Hospital Tetovo, Department of Gynecology and Obstetrics, University of Tetovo, Faculty of Medical Sciences, Tetovo, Republic of Macedonia. FAU - Trajkovska, Elizabeta AU - Trajkovska E AD - Clinical Hospital Tetovo, Department of Pathology, Tetovo, Republic of Macedonia. FAU - Ismaili, Hysni AU - Ismaili H AD - University of Tetovo, Faculty of Medical Sciences, Tetovo, Republic of Macedonia. FAU - Besimi, Florin AU - Besimi F AD - Clinical Hospital Tetovo, Department of Gynecology and Obstetrics, University of Tetovo, Faculty of Medical Sciences, Tetovo, Republic of Macedonia. FAU - Rufati, Nagip AU - Rufati N AD - Clinical Hospital Tetovo, Department of Gynecology and Obstetrics, University of Tetovo, Faculty of Medical Sciences, Tetovo, Republic of Macedonia. LA - eng PT - Case Reports DEP - 20170520 PL - North Macedonia TA - Open Access Maced J Med Sci JT - Open access Macedonian journal of medical sciences JID - 101662294 PMC - PMC5503735 OTO - NOTNLM OT - fallopian tube OT - histopathological diagnosis OT - intraoperative assessment OT - post-menopausal female OT - serous cystadenocarcinoma EDAT- 2017/07/13 06:00 MHDA- 2017/07/13 06:01 PMCR- 2017/05/20 CRDT- 2017/07/13 06:00 PHST- 2017/01/13 00:00 [received] PHST- 2017/03/16 00:00 [revised] PHST- 2017/03/17 00:00 [accepted] PHST- 2017/07/13 06:00 [entrez] PHST- 2017/07/13 06:00 [pubmed] PHST- 2017/07/13 06:01 [medline] PHST- 2017/05/20 00:00 [pmc-release] AID - OAMJMS-5-344 [pii] AID - 10.3889/oamjms.2017.044 [doi] PST - epublish SO - Open Access Maced J Med Sci. 2017 May 20;5(3):344-348. doi: 10.3889/oamjms.2017.044. eCollection 2017 Jun 15.