Purbadi Sigit, Andika Santawi Victor Prana, Tjahjadi Hartono, Matondang Sahat, Nuranna Laila
Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Indonesia, Central Jakarta, Indonesia.
Department of Anatomical Pathology, Faculty of Medicine, Universitas Indonesia, Central Jakarta, Indonesia.
Ann Med Surg (Lond). 2020 Jan 16;51:44-47. doi: 10.1016/j.amsu.2020.01.002. eCollection 2020 Mar.
Primary tubal cancer is very rare, most are diagnosed intra and post operatively. Histopathology is vital in determining the cancer origin. Here we present a case of fallopian tube cancer with clinical presentation mimicking endometrial origin.
A 74-year old patient came with complaints of intermittent post-menopausal bleeding and pelvic pain. The patient had several investigations using Ultrasonography, Hysteroscopy-guided biopsy, and Magnetic Resonance Imaging. Pre-operative diagnosis was endometrial cancer based on histopathology of endometrial biopsy during hysteroscopy. Explorative laparotomy, total abdominal hysterectomy, bilateral salphingo-oophorectomy, pelvic and para-aortic lymph node dissection were then performed, and the tumor samples were sent to the histopathology laboratory. It was found that the post-operative diagnosis was in fact primary fallopian tube cancer stage IIB.
For patients with gynecological malignancies, rare cases such as fallopian tube cancer should never be overlooked as a differential diagnosis.
原发性输卵管癌非常罕见，大多数在手术中和术后被诊断出来。组织病理学对于确定癌症起源至关重要。在此，我们报告一例临床表现酷似子宫内膜起源的输卵管癌病例。
一名74岁患者因绝经后间歇性出血和盆腔疼痛前来就诊。该患者接受了多项检查，包括超声检查、宫腔镜引导下活检和磁共振成像。根据宫腔镜检查时子宫内膜活检的组织病理学结果，术前诊断为子宫内膜癌。随后进行了剖腹探查术、全腹子宫切除术、双侧输卵管卵巢切除术、盆腔及腹主动脉旁淋巴结清扫术，并将肿瘤样本送至组织病理学实验室。结果发现术后诊断实际上是原发性输卵管癌IIB期。
对于妇科恶性肿瘤患者，像输卵管癌这样的罕见病例作为鉴别诊断时绝不能被忽视。
