Primary Adenocarcinoma of the Fallopian Tube Mimicking Pelvic Inflammatory Disease
Primary Adenocarcinoma of the Fallopian Tube Mimicking Pelvic Inflammatory Disease
Abstract
Primary fallopian tube carcinomas are rare and are difficult to diagnose preoperatively. We describe a fallopian tube carcinoma in a 50-year-old lady who presented with symptoms of pelvic inflammatory disease. Ultrasound examination showed bilateral hydrosalphinx. However, CT scan showed features suggestive of a malignant ovarian tumour. At surgery, a markedly dilated left fallopian tube was found and histopathological examination confirmed the presence of a primary serous adenocarcinoma. The uterus and both ovaries were free of tumour. This report highlights that carcinoma of the fallopian tube should be considered as a differential diagnosis in females who present with lower abdominal pain.
Keywords :
diagnosis,
fallopian tube carcinoma,
pelvic inflammatory disease,
Abstrak
Karsinoma tiub falopian primer jarang ditemui dan sukar didiagnos prabedah. Kami melaporkan satu kes karsinoma tiub falopian primer yang ditemui pada seorang wanita berumur 50 tahun yang mempertunjukkan simptom penyakit inflamatori pelvis. Pemeriksaan ultrasound menunjukkan hidrosalfinks bilateral. Walaubagaimanapun, imbasan CT menunjukkan ciri-ciri yang menandakan kanser ovari. Pembedahan dilakukan di mana terdapat dilatasi teruk pada tiub falopian kiri. Pemeriksaan histologi mengesahkan adenokarsinoma serus primer pada tiub tersebut. Bahagian rahim dan kedua-dua ovari adalah bebas dari kanser. Laporan ini menekankan bahawa karsinoma tiub falopian primer harus difikirkan sebagai salah satu diagnosis yang mungkin pada pesakit yang mempertunjukkan simptom penyakit inflamatori pelvis.
Kata Kunci :
diagnosis,
karsinoma tiub falopian,
penyakit inflamatori pelvis,
Correspondance Address
Prof Mohammad Rafaee Tamby, Department of O&G, Faculty of Medicine and Health Sciences, University Putra Malaysia, 43400 UPM, Serdang Selangor Darul Ehsan.
Tel: 03-89472640 Fax: 03-89472639
Email: rafaee.tamby@gmail.com