Background: Primary fallopian tube carcinoma (PFTC) is
one of the rarest malignancies of female genital tract. It
represents <1% of all gynecologic malignancies. Preoperative
diagnosis is uncommon due to its rarity and non-specific
symptoms. In most cases diagnosis is made during surgery or
histological examination. Rarity of this type of carcinoma
prompted us to report it as individual case. Case: A 40-yearold
parous women presented with bilateral PFTC. The patient
gave a history of lower abdominal and pelvic pain for 2
years on several occasions. An abdominal ultrasound finding
showed an adnexal mass and her CA125 level was 30IU/ml
(normal- <35IU/ml). Clinically she was suspected as a case
of pelvic inflammatory disease (PID). She underwent Total
Abdominal Hysterectomy with bilateral salpingoophorectomy.
Intraoperative findings were consistent with
PID. Final pathologic analysis showed bilateral primary
fallopian tube carcinoma —well differentiated serous
adenocarcinoma. Post operatively she was referred for
oncological management. Conclusion: Malignancy should
be considered in the differential diagnosis of PID especially
in premenopausal age and intraoperative frozen section
biopsy is crucial to make correct diagnosis and to allow
appropriate surgical staging.
Key words: Primary fallopian tube carcinoma,
Adenocarcinoma
(J Bangladesh Coll Phys Surg 2020; 38: 49-52)
DOI: http://dx.doi.org/10.3329/jbcps.v38i1.44689