Bouraoui S, Goucha A, El Ouertani L, Mekni A, Bellil S, Mahjoub S, Zouari F, Kchir N, Haouet S
Service d'anatomie pathologique, hôpital la Rabta, 1007 Bab Saadoun, Tunis, Tunisie.
Gynecol Obstet Fertil. 2003 Jan;31(1):43-5. doi: 10.1016/s1297-9589(02)00004-8.
The primitive endometrioid carcinoma of the fallopian tube is exceptional. Only three cases have been reported in the literature. Its rise on tubal endometriosis like for the ovary needs to meet the strict histological criteria established by Sampson and Scott in 1953. We report one case observed on a patient aged 45 years, who needed a total hysterectomy with bilateral annexectomy for menometrorrhagias associated to uterine leiomyomas which resisted to medical treatment. The finding of a primitive intra-epithelial endometrioid carcinoma of the left fallopian tube developed on bilateral tubo-ovarian endometriosis was fortuitously found during histological examination. Our observation seems to be unique since it shows an evident filiation between the lesions of tubal endometriosis and the adjoining endometrioid carcinoma contrary to the similar unique case reported in the literature where the link between the two lesions has not been demonstrated.
原发性输卵管子宫内膜样癌极为罕见。文献中仅报道过3例。其起源于输卵管子宫内膜异位症，如同卵巢的情况一样，需要符合1953年桑普森和斯科特制定的严格组织学标准。我们报告1例45岁患者，因子宫肌瘤伴月经过多且药物治疗无效，行全子宫切除术及双侧附件切除术。组织学检查时偶然发现左侧输卵管原发性上皮内子宫内膜样癌，该癌发生于双侧输卵管卵巢子宫内膜异位症。我们的病例似乎很独特，因为它显示出输卵管子宫内膜异位症病变与相邻的子宫内膜样癌之间存在明显的连续性，这与文献中报道的类似唯一病例不同，后者未证实这两种病变之间的联系。
