Magnetic resonance imaging in the diagnosis of serous adenocarcinoma of fallopian tubes - description of a clinical observation.

Abstract

Serous adenocarcinoma of the fallopian tubes is an extremely rare and difficult to diagnose form of the female genital tract malignancies. This pathology is often asymptomatic or accompanied by a nonspecific clinical picture, including serosanguineous vaginal discharge, colicky pain in the lower abdomen and pelvis, and adnexal mass. These symptoms are known in the literature as the Lacko triad and are considered pathognomonic for fallopian tube cancer. However, all of these symptoms occur in less than 15% of patients. The low frequency of occurrence and the absence of pathognomonic clinical picture lead to a high number of diagnostic errors, or to the diagnosis of the disease already in a neglected stage, which significantly worsens the prognosis for the patient. The exact diagnosis at the preoperative stage is established in only 4% of cases. This clinical observation describes a case of serous adenocarcinoma of the fallopian tube with all manifestations of the Lacko triad and MR imaging, which allowed us to suspect the presence of serous adenocarcinoma in the patient at the preoperative stage.