Department of Pathology, Norvic International Hospital, Kathmandu, Nepal.
Department of Obstetrics and Gynaecology, Norvic International Hospital, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2020 Nov 22;58(231):927-929. doi: 10.31729/jnma.5674.
A 49-year-old, perimenopausal nulliparous woman with lower abdominal pain and abnormal uterine bleeding. Clinical and radiological findings suggested a right adnexal tumor. CA-125 level was moderately elevated. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was done. Peroperative findings revealed a soft to friable growth arising from right fallopian tube with no involvement of ovaries. Histopathologic examination confirmed it to be a high grade serous carcinoma, FIGO stage IA. The histomorphology resembled high grade serous carcinoma of ovary, however ovaries on both sides appeared unremarkable. Surgery was uneventful and the patient was discharged after seven days of hospital stay. She did not receive postoperative chemotherapy or radiotherapy and is under follow-up. The case is reported for its occurrence in an uncommon anatomic site and preoperative dilemma with relevant review of literature.
一位 49 岁的绝经前期未产妇，出现下腹痛和异常子宫出血。临床和影像学检查提示右侧附件肿瘤。CA-125 水平中度升高。行全子宫切除术加双侧输卵管卵巢切除术。术中发现右侧输卵管有一个柔软易碎的生长物，卵巢无受累。组织病理学检查证实为高级别浆液性癌，FIGO 分期 IA。组织形态学类似于卵巢高级别浆液性癌，但双侧卵巢无明显异常。手术过程顺利，患者在住院七天后出院。她未接受术后化疗或放疗，正在随访中。本病例报告罕见的解剖部位和术前困境，并进行了相关文献复习。
