AI Summary & Key Takeaways
AI InsightAppropriate therapy for each stage of the disease should be defined, and further studies are required to better depict the clinical course and prognostic factors.
📌 3 Key Takeaways
Abstract
We report on a 75-year-old postmenopausal woman with primary fallopian tube carcinoma confined to the left fallopian tube in stage IA-2, who is alive without evidence of the disease 3 years after total abdominal hysterectomy, bilateral salpingo-oophorectomy, total omentectomy, pelvic and paraaortic lynph node dissections were performed. Histopathological examination revealed a poorly differentiated (grade 3) papillary serous adenocarcinoma of the left fallopian tube. Adjuvant irradiation was performed. Primary fallopian cancer should be suspected by the clinician, even if the presenting symptoms are atypical and the primary treatment remains surgical resection followed by adjuvant chemotherapy or radiation. Appropriate therapy for each stage of the disease should be defined, and further studies are required to better depict the clinical course and prognostic factors.
Özet
Total abdominal histerektomi, bilateral salpingoooferektomi, total omentektomi, pelvik ve paraaortik lenf nodu disseksiyonu sonrası 3 yıldır hastalık belirtisi göstermeden sağ kalmış, sol tubadan köken alan, evre 1A-2, primer tuba karsinomlu 75 yaşında ve postmenopozal dönemde olan bir olguyu sunmak istedik. Histopatolojik olarak sol tubadan köken alan, az diferansiye, seröz papiller adenokarsinoma tespit edildi. Adjuvan radyoterapi verildi. Spesifik semptomları olmamasına rağmen klinisyen primer tuba kanserinden şüphe etmelidir. Primer tedavisi halen cerrahi olup sonrasında adjuvan kemoterapi veya radyoterapi önerilmektedir. Klinik seyir, prognostik faktörleri daha iyi tanımlayacak yeni çalışmalara gereksinim olduğu gibi hastalığın her evresine göre uygun tedavi belirlenmelidir.