Bhamarapravati Y, Israngura N, Ajjimakorn S
Department of Obstetrics & Gynaecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1990 Feb;73 Suppl 1:2-6.
Four cases of primary carcinoma of the fallopian tube treated at the Department of Obstetrics and Gynaecology, Ramathibodi Hospital, Mahidol University during a 20-year period were reviewed. The mean age was 54 years. The most common presenting symptoms were watery vaginal discharge, abnormal uterine bleeding and abdominal pain. A palpable abdominal or pelvic mass was also a common physical finding. The preoperative diagnosis was correct in three patients. The possibility of getting an early and correct preoperative diagnosis of this disease is also discussed. All of the patients in this report were in stage I & II. The initial treatment consisted of total abdominal hysterectomy and bilateral salpingo-oophorectomy with postoperative radiotherapy or chemotherapy.
回顾了玛希隆大学拉玛提波迪医院妇产科在20年期间治疗的4例原发性输卵管癌病例。平均年龄为54岁。最常见的症状是水样白带、异常子宫出血和腹痛。可触及的腹部或盆腔肿块也是常见的体格检查发现。3例患者术前诊断正确。还讨论了早期正确进行该病术前诊断的可能性。本报告中的所有患者均处于I期和II期。初始治疗包括全腹子宫切除术和双侧输卵管卵巢切除术，术后进行放疗或化疗。
