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Choi, Choi, Kim, Kwon, Shin, Cho, Cha, and Kwon: A case of primary fallopian tube carcinoma diagnosed radiologically before operation
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(11): 853-858.

Published online: 16 November 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.11.853

A case of primary fallopian tube carcinoma diagnosed radiologically before operation

June Kuk Choi, MD1, Jun Yong Choi, MD1, Sun Yeon Kim, MD1, Sun Young Kwon, MD2, So Jin Shin, MD1, Chi Heum Cho, MD1, Soon Do Cha, MD1, Sang Hoon Kwon, MD1

1Department of Obstetrics and Gynecology, Keimyung University School of Medicine, Daegu, Korea.

2Department of Pathology, Keimyung University School of Medicine, Daegu, Korea.

Corresponding author: Sang Hoon Kwon, MD. Department of Obstetrics and Gynecology, Keimyung University School of Medicine, 56 Dalseong-ro, Jung-gu, Daegu 700-712, Korea. Tel: +82-53-250-7992, Fax: +82-53-250-7599, ksh1999@dsmc.or.kr

Received 24 May 2012       Revised 10 August 2012       Accepted 17 September 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Primary fallopian tube carcinoma is one of the rarest gynecological malignancies, accounting for 0.18% to 1.6% of all malignant neoplasms of the female reproductive tract. Preoperative diagnosis was difficult due to nonspecific symptoms and signs. This case of primary tubal cancer was diagnosed preoperatively on the basis of ultrasonography, computed tomography and magnetic resonance imaging. We have experienced a case of primary fallopian tube carcinoma before operation and so report with brief review of the literature.

Keywords: Primary fallopian tube cancer, Preoperative, Diagnosis

Figures and Tables

Fig. 1
Ultrasonographic finding of the primary fallopian tube cancer. It shows a bilocular cystic mass with intramural nodule, measuring 65×36 mm.
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Fig. 2
Pelvic computed tomography finding of the primary tube cancer. Bilateral tubular shaped cystic masses with a nodular enhancing solid mass in the cystic mass of the right one (right, measuring 60×43×55 mm; left, 53×29 mm).
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Fig. 3
Pelvic magnetic resonance imaging finding of the primary tubal cancer. Bilateral tubular shaped cystic masses with high S1 on T2W1 with an enhancing solid mural nodule in the Rt. cystic mass, measuring 56×45×45 mm on right and 50×24×50 mm on left.
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Fig. 4
(A) The right fallopian tube is dilated due to hydrosalpinx the right ovary is grossly unremarkable. (B) Right fallopian tube reveal whitish fiable solid mass (1.8×1.8×1.8 cm) in lumen.
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Fig. 5
(A) The lower power view of microscopic finding of solid tumor shows intraluminal growth of fallopian tube with partially infiltrate into the myometrium (H&E, ×40). (B) The high power view of solid tumor reveals no papillary or glandular configuration with prominent nuclear pleomorphism and increased atypical mitoses (H&E, ×200). (C) The immunohistochemical stain of WT-1 reveals strong nuclear expression (×100). (D) The immunohistochemical stain of cancer antigen 125 demonstrates diffusely strong positivity of membranous pattern (×100).
kjog-55-853-g005

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