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Case Reports in Obstetrics and Gynecology
Volume 2011, Article ID 402127, 6 pages
Case Report

Asymptomatic Primary Fallopian Tube Cancer: An Unusual Cause of Axillary Lymphadenopathy

1Department of Surgery, School of Medicine, Clinical Science Institute, National University of Ireland, Galway, Ireland
2Department of Pathology, National University of Ireland, Galway, Ireland
3Department of Radiology, National University of Ireland, Galway, Ireland
4Division of Obstetrics and Gynaecology, National University of Ireland, Galway, Ireland

Received 10 August 2011; Accepted 13 September 2011

Academic Editors: J.-H. Nam and E. C. Nwosu

Copyright © 2011 N. A. Healy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Primary Fallopian tube malignancy is considered a rare disease and is often mistaken histologically and clinically for ovarian cancer. The etiology is poorly understood, and it typically presents at an advanced disease stage, as symptoms are often absent in the initial period. As a result, primary fallopian tube cancer is generally associated with a poor prognosis. We present the case of a 45-year-old female who presents with a 5-day history of left axillary swelling and a normal breast examination. Mammogram and biopsy of a lesion in the left breast revealed a fibroadenoma but no other abnormalities. Initial sampling of the axillary node was suspicious for a primary breast malignancy, but histology of the excised node refuted this. PET-CT showed an area of high uptake in the right pelvis, and a laparoscopy identified a tumor of the left fallopian tube which was subsequently excised and confirmed as a serous adenocarcinoma.