Abstract
Objective:The aim of the current study is to review the experience of the Gynaecology Department of Zaragoza’s Miguel Servet University Hospital with primary cancer of the fallopian tube.Materials and methods:We review 9 cases of primary tubal carcinoma treated and followed up in our hospital between the first of January 1995 and the thirtieth of June 2003.Results:According to the FIGO staging system 2 patients were stage IA, 2 stage IC, 2 stage IIIA, 2 stage IIIC and 1 stage IV. All patients underwent initial surgery and 7 received adjuvant chemotherapy; no one received radiotherapy. There was preoperative suspicion in only one case, and in all patients the histological type was serous papillary adenocarcinoma. The follow up period ranged from 9 to 95 months, with an average of 52 months. Two patients died of the disease after 12 and 42 months of follow up, 2 patients are alive with persistent disease and 5 are alive with no evidence of disease.Conclusions:Fallopian tube carcinoma is a tumor which is difficult to diagnose preoperatively, whose most common presenting symptoms are abnormal vaginal bleeding and pelvic pain. Treatment is mainly surgical, and following the same principles as in ovarian carcinoma is recommended.
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