Primary carcinoma of the fallopian tube is very rare, accounting for fewer than 1% of all malignant gynecologic tumors. Abnormal vaginal bleeding is the leading presenting complaint. The histology and behavior of primary tubal carcinoma are similar to ovarian cancer, thus the evaluation and treatment are also essentially the same. The correct preoperative diagnosis of tubal carcinoma is very difficult and its incidence is less than 1%. The prognosis of patients with primary tubal carcinoma has generally been regarded poor, with an overall survival rate parallels that of epithelial ovarian cancer. Recently we experienced two cases of primary tubal carcinoma, therefore we present these rare malignant neoplasm of the female genital tract with a brief review of the literature.