Abstract
Primary fallopian tubal carcinoma is a rare (0.2- 0.5%) gynecological malignancy. A primary transitional cell carcinoma (TCC) of the fallopian tube accounts for about 10% of primary fallopian tubal carcinomas. Exfoliation of cells of primary fallopian tubal TCC in cervical Pap smear has not been described previously. The present case is of a 52 years old female, who presented with episodic spotting per vaginum. Cervical Pap smear revealed clusters of malignant cells. Total abdominal hysterectomy with bilateral salpingo ophrectomy was performed. A tumor was found in the right fallopian tube occluding its fimbrial end. On microscopy, the tumor was confirmed to be a TCC. Therefore, if cervical Pap smear is positive for malignant cells and the cervical biopsy is negative, the patient should be investigated for a gynecological malignancy higher up in the gynecological tract. Though rare, a possibility of primary fallopian tubal malignancy should be considered in these cases.
Highlights
0.2 – 0.5% of primary female genital malignancies are tubal, and histologically most of these are adenocarcinomas
Primary transitional cell carcinoma (TCC) accounts for about 10% of primary tubal carcinomas
[1] Primary TCC of the fallopian tube with exfoliation of malignant cells in cervical Pap smear has not been described in the literature previously
Summary
0.2 – 0.5% of primary female genital malignancies are tubal, and histologically most of these are adenocarcinomas. Email: Nalini Gupta - nalini203@rediffmail.com; Radhika Srinivasan - ashim126@glide.net.in; Raje Nijhawan* - rajenijhawan@hotmail.com; Lakhbir Kaur Dhaliwal - Drlakhbir@yahoo.com Published: 09 December 2005 CytoJournal 2005, 2:20 doi:10.1186/1742-6413-2-20 Primary transitional cell carcinoma (TCC) accounts for about 10% of primary tubal carcinomas. [1] Primary TCC of the fallopian tube with exfoliation of malignant cells in cervical Pap smear has not been described in the literature previously.
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