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Results for “Fallopian Tube Neoplasms”

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[Immunohistochemical demonstration of CA 125, CA 19-9 and CEA in normal and pathologically changed adnexa].

Sections of formalin fixed and paraffin embedded tissue samples from 11 normal ovaries and fallopian tubes, 13 tuboovarian abscesses, 3 carcinomas of the fallopian tube and 105 common epithelial ovarian tumors were examined to demonstrate the morphological background of elevated serum levels of CA 125, CA 19-9 and CEA. 9/13 tuboovarian abscesses were positive for CA 125 and 5/13 for CA 19-9, elevated serum levels of these markers could be explained by the expression of markers in epithelial cells of the inflamed tubes. Serous tumors and undifferentiated carcinomas were CA 125 positive in 86% and 70%, respectively. All mucinous tumors were CA 125 negative; most of them, however, were CA 19-9 positive (77%). CEA was found in endometroid tumors in 44% of the cases. Only one marker was detected in 42% of the borderline tumors and carcinomas. The immunohistochemical detection of a marker indicates its potential usefulness for monitoring. Although we used three tumor markers, 7% of the ovarian malignancies were negative for all markers tested. The marker expression was very heterogeneous: positive areas were directly adjacent to negative areas. There was no specificity for histological type, tumor localization or malignancy, all markers could be detected in some of the benign tumors, CA 125 and CA 19-9 also in inflamed tissue.

Abscess↗

Laparoscopic approach to an uncommon adnexal neoplasm associated with infertility: serous cystadenofibroma of the fallopian tube.

A rare case of serous cystadenofibroma of the fallopian tube was discovered during evaluation for in vitro fertilization-embryo transfer. Bilateral tubal occlusion was noted on hysterosalpingogram, and a right adnexal cyst, initially thought to be of ovarian origin, was identified by office transvaginal sonography. Laparoscopy revealed a 5.5-cm, fluid-filled mass involving the distal aspect of the right fallopian tube. Both ovaries and uterine exterior appeared grossly normal. The cyst was decompressed and removed intact without incident through a 5-mm laparoscopic cannula. The mass showed histologic features consistent with benign serous cystadenofibroma. The patient had an uncomplicated postoperative convalescence and continued to do well 3 months after surgery.

Adnexa Uteri↗

Mixed serous and endometrioid carcinoma of the fallopian tube: a case report with literature review.

Malignant neoplasms of the fallopian tube are the rarest of the gynecologic cancers. The frequency of histologic subtypes has been difficult to ascertain from the literature because most authors have not classified these tumors according to their cell types. Papillary serous adenocarcinoma appears to be the most common histologic type. On the contrary, mixed cell types of fallopian tube carcinoma have rarely been reported in the literature. A case of mixed serous and endometrioid carcinoma of the fallopian tube is presented and the related literature is reviewed.

Adult↗

A case report: rare case of primary transitional cell carcinoma of the fallopian tube.

Carcinomas other than adenocarcinomas are extremely rare in the fallopian tube. A 42-year-old woman with watery, intermittent vaginal discharge was found to have a left adnexal tumor. This case was diagnosed as primary carcinoma of the fallopian tube, FIGO Stage Ia. She underwent a total abdominal hysterectomy, a bilateral salpingo-oophorectomy, a pelvic and periaortic lymphoadenectomy, and an omentectomy, followed by cisplatin-based chemotherapy. Four years after the initial diagnosis of the disease, she remains in a disease-free state. Histologically, the tumor revealed a primary transitional cell carcinoma of the left fallopian tube. The findings on an immunohistochemical test for an epithelial membrane antigen, the CA125 antigen, were positive, whereas findings on a test for CEA were negative. We report a case of a malignant neoplasm of the fallopian tube with histological features of transitional cell carcinoma that arose from the tubal epithelium.

Adult↗