Batra S, Singh M, Wynn J S
Wythen shawe Hospital, Manchester, United Kingdom.
Int J Gynecol Cancer. 2006 Jan-Feb;16 Suppl 1:365-8. doi: 10.1111/j.1525-1438.2006.00512.x.
Fallopian tube carcinoma is the rarest of all female genital tract malignancies. It usually occurs in postmenopausal women and is associated with infertility. We present the first reported case of it occurring as a primary tumor in a young primigravida. It presented as a large, rapidly growing adnexal mass at 9 weeks of gestation which was removed and found to be a papillary serous carcinoma of the fallopian tube. The patient continued the pregnancy to term and delivered a live healthy infant by ventouse. A staging laparotomy in the postnatal period showed no spread of tumor, and in view of her age and desire for further pregnancies, her uterus and other ovary and tube were conserved. She remains tumor free 2 years following detection. We discuss the incidence, progress, management, and survival rates of this rare gynecological malignancy.
输卵管癌是所有女性生殖道恶性肿瘤中最罕见的。它通常发生在绝经后女性中，且与不孕有关。我们报告了首例在年轻初孕妇中发生的原发性输卵管癌病例。该病例在妊娠9周时表现为一个大的、迅速生长的附件包块，手术切除后发现是输卵管乳头状浆液性癌。患者继续妊娠至足月，通过胎头吸引术分娩出一名健康活婴。产后分期剖腹探查显示肿瘤无扩散，鉴于其年龄及对再次妊娠的愿望，保留了她的子宫及对侧卵巢和输卵管。在确诊后2年，她仍无肿瘤复发。我们讨论了这种罕见妇科恶性肿瘤的发病率、病程、治疗及生存率。
