Unusual presentation of a case of fallopian tube carcinoma

Abstract

Background: Primary fallopian tube carcinoma (PFTC) accounts only for <1% of all female genital cancers. The diagnosis of PFTC is rarely considered preoperatively and is usually first appreciated at the time of operation or by a pathologist. Case Presentation: Here we are presenting a case report of 45 years old lady with fallopian tube carcinoma, who presented to us with features of advanced ovarian malignancy. FNAC from tumor showed epithelial malignancy and she received neo-adjuvant chemotherapy followed by staging laparotomy and interval debulking surgery. She developed a non-healing ulcer at FNAC site which was excised during laparotomy. On laparotomy, 200cc ascitic fluid was drained. Uterus, right ovary and tube appeared normal. Left side tube showed growth of 3cm x 2cm. Total abdominal hysterectomy, bilateral salpingo-oophorectomy and infracolic omentectomy was done. Histopathological examination revealed left side poorly differentiated primary fallopian tube carcinoma. Uterus and right tube with ovary were free of tumor. She was advised to get 3 cycle of chemotherapy postoperatively. Conclusion: In our patient, FNAC gave a positive diagnosis of malignancy and we were able to operate her malignancy properly following chemotherapy.