Primary carcinoma of the fallopian tubes

Abstract

1. 1. Primary carcinoma of the fallopian tube, though rare, is undoubtedly often overlooked. It occurs about once in every 10,000 gynecological cases. Many reported cases have apparently been incorrectly diagnosed. 2. 2. Symptoms and signs are not specific. The cervix is normal, the fundus not usually pathologic. A soft, semi-fluctuant mass may be felt in the position of the tube. Slight irregularities in menstruation or post-menopausal spotting are common. A slight, continuous or intermittent watery discharge, which often comes in gushes, is suggestive. The finding of papillary carcinomatous tissue in this discharge, or at diagnostic curettage, yielding very little scrapings, is very suggestive evidence. 3. 3. The disease is usually advanced when first seen. Metastases occur early and the end results are very poor, with probably not over 5 per cent five-year cures. 4. 4. Pan-hysterectomy and the removal of both tubes and ovaries is the only treatment worthy of trial. Postoperative deep x-ray therapy or radiation should be given. 5. 5. The condition should always be borne in mind and all tissues carefully examined grossly at operation as well as microscopically postoperatively.