PMID- 33230808 OWN - NLM STAT- MEDLINE DCOM- 20210617 LR - 20210617 IS - 1879-3479 (Electronic) IS - 0020-7292 (Linking) VI - 153 IP - 3 DP - 2021 Jun TI - Clinical characteristics of primary Fallopian tube carcinoma: A single-institution retrospective study of 57 cases. PG - 405-411 LID - 10.1002/ijgo.13497 [doi] AB - OBJECTIVE: To analyze the clinical profile and prognosis of primary Fallopian tube cancer (PFTC) in order to improve earlier diagnosis. METHODS: In this retrospective study, 57 women with PFTC were assessed from 2006 to 2016. Pathology, clinical index, recurrence, and survival were analyzed. RESULTS: Mean age was 57.35 +/- 9.01 years, and 73% (19/26) of the patients with early-stage PFTC (I/II) were aged less than 60 years. Of patients who presented with abnormal vaginal bleeding, 75% (9/12) were at an early stage and their condition was often misdiagnosed as endometrial carcinoma preoperatively. In patients with Stages I/II and Stages III/IV PFTC, 59.09% (13/22) and 96.43% (27/28), respectively, had adnexal masses on color Doppler ultrasonography. The 5-year overall survival (OS) and disease-free survival rates were 69.23% and 44.23%, respectively, and univariate analysis showed that tumor stage and residual tumor size significantly affected the two survival rates. CONCLUSION: Primary Fallopian tube cancer is more likely to be misdiagnosed in patients aged less than 60 years or those presenting with vaginal bleeding at the premenopausal stage. Magnetic resonance imaging, cervical smear, and endometrial brush may be helpful for early PFTC diagnosis. Satisfactory cytoreductive surgery is critical because tumor stage and residual tumor size are significantly associated with the OS rate. CI - (c) 2020 International Federation of Gynecology and Obstetrics. FAU - Ma, Zhihua AU - Ma Z AD - Department of Gynecology & Obstetrics, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China. FAU - Gao, Li AU - Gao L AD - Department of Gynecology & Obstetrics, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China. FAU - Li, Han AU - Li H AD - Department of Gynecology & Obstetrics, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China. FAU - Li, Jie AU - Li J AD - Department of Pathology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China. FAU - Zhang, Guanjun AU - Zhang G AD - Department of Pathology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China. FAU - Xue, Yan AU - Xue Y AD - Department of Gynecology & Obstetrics, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China. LA - eng GR - 2017JM8055/Shannxi Natural Science Basic Research Program - General Projects/ GR - 2019YK8/Science Foundation of The First Affiliated Hospital of Xi'an Jiaotong University/ PT - Journal Article DEP - 20201231 PL - United States TA - Int J Gynaecol Obstet JT - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics JID - 0210174 RN - 0 (CA-125 Antigen) RN - 0 (MUC16 protein, human) RN - 0 (Membrane Proteins) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - CA-125 Antigen/blood MH - Carcinoma/diagnostic imaging/*mortality/*pathology/therapy MH - Diagnostic Errors MH - Disease-Free Survival MH - Fallopian Tube Neoplasms/diagnostic imaging/*mortality/*pathology/therapy MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Membrane Proteins/blood MH - Middle Aged MH - Neoplasm Staging MH - Retrospective Studies MH - Survival Rate MH - Tomography, X-Ray Computed MH - Ultrasonography, Doppler, Color MH - Uterine Hemorrhage/etiology OTO - NOTNLM OT - clinical characteristics OT - primary Fallopian tube carcinoma OT - prognosis OT - treatment EDAT- 2020/11/25 06:00 MHDA- 2021/06/22 06:00 CRDT- 2020/11/24 06:07 PHST- 2020/10/02 00:00 [revised] PHST- 2020/06/28 00:00 [received] PHST- 2020/11/21 00:00 [accepted] PHST- 2020/11/25 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/11/24 06:07 [entrez] AID - 10.1002/ijgo.13497 [doi] PST - ppublish SO - Int J Gynaecol Obstet. 2021 Jun;153(3):405-411. doi: 10.1002/ijgo.13497. Epub 2020 Dec 31.