A rare case report on a concomitant papillary serous carcinoma of the uterine cervix and fallopian tube in a tertiary care centre

Abstract

Cervical adenocarcinoma accounts to about 10–20% of invasive cervical cancers and has poor radiosensitivity and chemosensitivity. Papillary serous carcinoma of the uterine cervix (PSCC) is a very rare variant of cervical adenocarcinoma. It is unique, as it histologically resembles the same tumour occurring more commonly in the ovary, fallopian tube, endometrium, and peritoneum. The recognition that serous carcinomas of ovarian type frequently involved the fallopian tube fimbria has recently led to a new concept that, the fallopian tube epithelium was the origin of most high grade ovarian serous carcinomas.A 58 years old woman, was apparently normal 2 months back, when she started to notice pain abdomen which was dull aching, intermittent in the beginning and then gradually became continuous type of pain. No aggravating or relieving factors, no radiating pain as well. She gave h/o white discharge per vagina since 15 days, on and off, moderate in amount, serous in consistency, not associated with itching and non foul smelling, changing one cloth per day. History of post-menopausal spotting Per vagina – 2 episodes in a span of 15 days was present. History of burning micturition, increased frequency of micturition and urge incontinence since 15 days. After routine investigations and preoperative work up, patient was taken up for Total Abdominal Hysterectomy with Bilateral Salphingoophorectomy with an indication of CIN II on 14/5/19. On table, there was no complications, uterus was 6 weeks size, bilateral tubes and ovaries appeared normal. Post operative period was uneventful. Patient has now been started with radiotherapy and chemotherapy with weekly Carboplatin 150mg.