Primary Carcinoma of the Fallopian Tube: A Review of a Single Institution Experience of 8 Cases

Table 1

Details of women characteristics.

Case number	Age	Parity	Menopausal/past/family	Presenting comp.	Preop; Usg/CT	Preop; CA-125 U/m	Surgical proc/FS	HPR/stage	Adj.CT	Followup
1	58	P0L0	PM/breast ca/—	Pain abd. watery vaginal discharge	USG-N	15.5	TAH + BSO + TO + RPLND + PC/yes	High grade (G3) serous adeno ca./IB (both tubes)	6 C	28 M; Alive
2	40	P1L1	REG/—/—	Pain abd. watery vaginal discharge	CT-ovarian cyst; 9.5×4×4.3 cms	08.38	TAH + BSO + TO + RPLND + PC/yes	Poorly (G3) diff.adeno ca/IC/PC+	6 C	28 M; Alive
3	47	P2L2	REG/—/—	Pain abd.	CT-adnexal mass-tubular shape 15×7×4 cms. Torsion+	16.1	TAH + BSO + TO + RPLND + PC/yes	Mod. diff. (G2) papillary.adeno ca./IC/PC+	6 C	41 M; Alive
4	42	P3L2	REG/—/—	Pain abd.vaginal discharge	USG-ovarian cyst-7×5×3 cms, ? torsion	60	TAH + BSO + TO + RPLND + PC/yes	Poorly diff. (G3) adeno ca/IIA/ext. Ut.	6 C	156 M Alive
5	56	P2L2	PM/—/—	Pain and distension abd.	USG-adv. ovarian ca.	>400	TAH + BSO + TD + TO + PLND + appendicectomy + RS-RA PC/NO/OCS	High grade (G3) serous adeno carcinoma/IIIC/pelvic nodes+	6 T + C	PFS-20 M and died at 28 M
6	68	P4L4	PM/—/brother colonic ca	Pain and mass abd.	USG: adv. ovarian ca.; asicitic+	986	TAH + BSO + TD + TO + PLND + pelvic peritonectomy + PC/NO (SODS)	Poorly diff. (G3) adeno carcinoma/IIIC/both nodes+	6 T + C	PFS-15 M; Died at 22 M
7	55	P0L0	PM/—	Pain and mass abd.	USG: adv. ovarian ca.; asicitic+	584	TAH + BSO + TD + TO + PLND + DS/NO/OCS	Poorly diff. (G3) adeno ca./IIIA/ micrometastasis to the omentum	6 T + C	PFS-18 M; Died at 22 M
8	59	P4L4	PM/—	Pain and mass abd.	USG: adv. ovarian ca.; ascitis.	988	TAH + BSO + TD + TO + RPLND + DS/NO/OCS	High grade (G3) serous adeno carcinoma/IIB	6 T + C	PFS- 21 M; Died at 36 M

P: parity; L: living children; his.: history; PM: postmenopausal; comp.: complaints; USG: abdominopelvic ultra sound; Adj. CT: adjuvant chemotherapy; Adv.: advanced; ca.: carcinoma; TAH: total abdominal hysterectomy; BS0: bilateral salphingooophorectomy; RPLND: retroperitoneal pelvic lymph node dissection (pelvic + para-aortic); PLND: pelvic lymphadenectomy; TD: tumour debulking; TO: total omentectomy; DS: diaphragmatic stripping; RS-RA: rectosigmoid resection and anastomosis; Proc.: procedure; T + C: taxol + carboplatin; C: carboplatin; PFS: progression-free survival; M: months; FS: frozen section; HPR: histopathology report; abd.: abdominal; G: grade; Ut.: uterus.; SODS: suboptimal debulking surgery; OCS: optima cytoreductive surgery.