PMID- 37996138 OWN - NLM STAT- MEDLINE DCOM- 20231127 LR - 20231127 IS - 1757-790X (Electronic) IS - 1757-790X (Linking) VI - 16 IP - 11 DP - 2023 Nov 23 TI - Early-stage serous fallopian tube carcinoma. LID - 10.1136/bcr-2023-255638 [doi] LID - e255638 AB - Primary fallopian tube carcinoma (PFTC) is a rare disease. Its location, close association with epithelial ovarian carcinoma, and lack of specific signs and symptoms make diagnosis challenging especially in its early stages. We report a postmenopausal patient who presented with a 2-month history of abdominopelvic pain with watery vaginal discharge. Imaging findings showed a 7 cm complex left adnexal mass. The patient underwent a robotic-assisted total laparoscopic hysterectomy and bilateral salpingo-oophorectomy and surgical staging. Findings were significant for stage IA serous fallopian tube carcinoma. PFTC is sometimes missed preoperatively and intraoperatively. Available literature review has focused on the clinical and imaging characteristics of PFTC to aid in timely disease diagnosis. Minimally invasive surgery is a viable option in the diagnosis and management of early-stage ovarian cancer due to improved visualisation of pelvic structures, decreased length of hospital stay, decreased estimated blood loss and lower postoperative complication rates compared with laparotomy. CI - (c) BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Khromchenko, Keren AU - Khromchenko K AD - Department of Obstetrics and Gynecology, Hackensack Meridian Jersey Shore University Medical Center, Neptune, NJ, USA. FAU - Aikman, Noelle AU - Aikman N AD - Department of Obstetrics and Gynecology, Hackensack Meridian Jersey Shore University Medical Center, Neptune, NJ, USA. FAU - Sun, Xiu AU - Sun X AD - Department of Pathology, Hackensack Meridian Jersey Shore University Medical Center, Neptune, NJ, USA. FAU - ElSahwi, Karim AU - ElSahwi K AUID- ORCID: 0000-0002-3182-0808 AD - Division of Gynecologic Oncology, Hackensack Meridian Jersey Shore University Medical Center, Neptune, NJ, USA karim.elsahwi@hmhn.org. LA - eng PT - Case Reports PT - Journal Article DEP - 20231123 PL - England TA - BMJ Case Rep JT - BMJ case reports JID - 101526291 SB - IM MH - Female MH - Humans MH - Fallopian Tubes/surgery/pathology MH - *Fallopian Tube Neoplasms/diagnosis/surgery/pathology MH - Carcinoma, Ovarian Epithelial MH - Hysterectomy MH - *Ovarian Neoplasms/surgery PMC - PMC10668166 OTO - NOTNLM OT - Cancer - see Oncology OT - Gynecological cancer OT - Surgical oncology COIS- Competing interests: None declared. EDAT- 2023/11/24 00:42 MHDA- 2023/11/27 12:43 PMCR- 2025/11/23 CRDT- 2023/11/23 20:53 PHST- 2025/11/23 00:00 [pmc-release] PHST- 2023/11/27 12:43 [medline] PHST- 2023/11/24 00:42 [pubmed] PHST- 2023/11/23 20:53 [entrez] AID - 16/11/e255638 [pii] AID - bcr-2023-255638 [pii] AID - 10.1136/bcr-2023-255638 [doi] PST - epublish SO - BMJ Case Rep. 2023 Nov 23;16(11):e255638. doi: 10.1136/bcr-2023-255638.