Mouna Harrad, Fedoua Watik, Houssine Boufettal, Mahdaoui Sakher, Naïma Samouh
Department of Gynecology-Obstetrics, Ibn Rochd University Hospital, Casablanca, Morocco; Faculty of Medecine and Pharmacy, Hassan II University, Casablanca, Morocco.
Department of Gynecology-Obstetrics, Ibn Rochd University Hospital, Casablanca, Morocco; Faculty of Medecine and Pharmacy, Hassan II University, Casablanca, Morocco.
Int J Surg Case Rep. 2022 Sep;98:107555. doi: 10.1016/j.ijscr.2022.107555. Epub 2022 Aug 31.
Primary cancer of the fallopian tube is very rare. The diagnosis is rarely made before surgery or histological study.
We report the observation of a tubal adenocarcinoma in a 42-year-old female patient, discovered following an abdomino-pelvic mass. A total hysterectomy without adnexal preservation with omentectomy, appendectomy and partial bladder resection were performed, followed by platinum-based chemotherapy. Despite this observation, the authors report a review of the literature concerning the epidemiology, diagnosis, treatment and prognosis of this cancer.
Primary fallopian tube cancers are rare, representing 0.3 to 1.1 % of gynecological cancers. They are frequently confused with ovarian cancers in case of locally advanced disease and are clearly underestimated.
The positive diagnosis is difficult because the clinical picture is polymorphic, MRI is of great diagnostic interest, the prognosis depends on the FIGO stage.
原发性输卵管癌非常罕见。在手术或组织学研究之前很少能做出诊断。
我们报告了一名42岁女性患者的输卵管腺癌病例，该病例是在发现腹盆腔肿块后确诊的。实施了全子宫切除术，未保留附件，并进行了大网膜切除术、阑尾切除术和部分膀胱切除术，随后进行了铂类化疗。尽管有此病例，但作者还是对有关该癌症的流行病学、诊断、治疗和预后的文献进行了综述。
原发性输卵管癌很罕见，占妇科癌症的0.3%至1.1%。在局部晚期疾病的情况下，它们常与卵巢癌混淆，且明显被低估。
由于临床表现多样，阳性诊断困难，磁共振成像具有很大的诊断价值，预后取决于国际妇产科联盟（FIGO）分期。
