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Serial measurement of CA 125 in patients with primary carcinoma of the fallopian tube.

Serial assay of serum CA 125 was carried out in five patients with advanced primary carcinoma of the fallopian tube. Pretreatmental levels of these patients were elevated, ranging from 145 to 535 U/ml (305 +/- 140.1, mean +/- SD). All patients showed rapid decreases in response to treatment; however, reelevations were noted in two patients concomitant with recurrence. In the remaining three patients, who are alive with no evidence of recurrence at 52, 29, and 21 months, serum CA 125 levels remained below 5 U/ml after remission. These results suggest that CA 125 is useful in monitoring patients with primary carcinoma of the fallopian tube.

Antigens, Tumor-Associated, Carbohydrate↗

Fallopian tube and pulmonary sarcoidosis. A case report.

BACKGROUND: Female reproductive tract sarcoidosis is a rare clinical condition, especially when the fallopian tube is the site of involvement. A search of the medical literature revealed 22 cases of female genital tract sarcoidosis, with 6 cases involving the fallopian tube. CASE: Sarcoidosis of the genital tract occurred in a woman with a 16-year history of pulmonary sarcoidosis. CONCLUSION: Since various diseases, including sarcoidosis and tuberculosis, cause similar histologic changes, obtaining bacteriologic proof is mandatory, for the diagnosis can have therapeutic and public health implications.

Epithelium↗

[Primary carcinoma of the fallopian tube: its clinical aspects and problems in the postoperative staging system].

Clinical features of primary carcinoma of the fallopian tube were studied in 13 patients treated in Osaka National Hospital between 1961 and 1987. The relationship between clinical staging and prognosis in each patient is discussed. The incidence of this disease among all cases of malignant tumor in the gynecological department during the same 27-year period was 0.18%. The mean age of the patients was 50.7 years. Twelve patients (92%) were within the age range from 41 to 59 years, the most common age of onset. Six patients (46%) were nulligravida and 9 (69%) were nulliparous, suggesting infertility as a possible important risk factor for the disease. None of the six who underwent cervical cytodiagnosis showed tumor cells. Three were positive for cytodiagnosis by aspiration biopsy. The concomitant use of many drugs, including CDDP given postoperatively to 2 patients with advanced disease, was markedly effective. The radiotherapy carried out in 4 patients was ineffective. When the patients were staged according to the classifications of Dodson et al. and Schiller et al., there was no difference between these classifications in advanced cases. However, Dodson et al.'s classification was considered unsuitable for patients with early-stage cancerous lesions localized in the fallopian tube, while that of Schiller et al. was considered to be superior in evaluating prognosis.

Adult↗

Immunohistochemical profile of serous papillary cystadenofibroma of the fallopian tube: a clue of paramesonephritic origin.

Cystadenofibromas of the fallopian tube are rare tumors of the female genital tract. These tumors are usually asymptomatic and are found incidentally. The authors present an incidentally found fallopian serous cystadenofibroma in a 48-year-old woman with leiomyoma uteri. The topographic localization of the lesion, histopathologic findings of müllerian-type epithelium, immunophenotypic profile of vimentin-cytokeratin coexpression, and diffuse apical epithelial membrane antigen (EMA) immunoreactivity suggested that the tumor was an embryologic remnant originating from the müllerian duct.

Cystadenoma, Serous↗

Preliminary experience with vascularised Fallopian tube transplants in the human female.

The preoperative screening and postoperative case records of two patients that underwent vascularised Fallopian tube transplants are described. In both cases the operation was followed by immunological rejection. This was chronic and clinically quiescent in the first patient, but an accelerated rejection associated with a pyrexial illness and a rise in serum fibrinogen, blood platelet and serum lactic dehydrogenase levels was observed in the second case. Technical feasibility was demonstrated but further progress in the field of Fallopian tube transplants will be dependent on the development of safer techniques of immunosuppression considered necessary for graft survival.

Adult↗

Malignant mixed mullerian tumour of the fallopian tube of heterologous variety--a case report.

A female aged 49 years presented with pain and progressive swelling of right lower abdomen. She was operated upon and gross examination revealed a proliferative growth in the fimbrial end of the right fallopian tube. Microscopically the tumour comprised of adenocarcinoma and component of spindle cell stromal sarcoma with areas of chondrosarcoma as heterologous element. A diagnosis of malignant mixed mullerian tumour of the fallopian tube, clinically FIGO stage III was made, which is extremely rare in available literature.

Adenocarcinoma↗

Torsion of benign serous cystadenoma of the fallopian tube: a challenge in differential diagnosis of abdominal pain in women during their childbearing years--a case report.

The differential diagnosis of abdominal pain in women during their childbearing years is still a challenge. Abdominal pain caused by isolated tubal torsion is extremely rare. In the report, we presented a case of isolated tubal torsion caused by benign serous cystadenoma. A 28-year-old married woman (G0) having lower abdominal pain and nausea was referred to our Emergency Room with suspicion of ovarian mass. Physical examination, transvaginal ultrasound and computed tomography showed a 4-cm right adnexal cystic mass. Other laboratory data were all within normal limits. She was managed by laparoscopic examination due to a lack of improvement in her clinical symptoms and inclusive diagnosis after 48-hours' conservative treatment. Laparoscopy showed isolated torsion of right fallopian tube but the right ovary was normal without torsion. Initially, detorsion was performed but necrotic change of the fallopian tube persisted because of permanent darkened color tube without blood flow redistribution, so salpingectomy was performed 30 minutes later. Final pathology showed benign serous cystadenoma of fallopian tube. The present case is the first case of benign serous cystadenoma with resultant necrotic tubal torsion. We reported this case to emphasize the possible value of early performance of laparoscopy in aiding an accurate diagnosis.

Abdominal Pain↗

Effects of prostaglandins F2 alpha and E2 on the contractility of non-pregnant human fallopian tube in vitro.

The effects of PGF2 alpha and PGE2 on the distal part of the isolated non-pregnant human fallopian tubes obtained from known menstrual phases has been investigated. Both PGF2 alpha and PGE2 produced an increased contractility of fallopian tube. However, PGF2 alpha was found to be more potent than PGE2 and also the contractions produced by the former compound showed wave forms of relatively high amplitude and low in frequency than that produced by the latter compound. These two compounds did not show a priming effect on each other. There was no discernible effect of phase of the menstrual cycle upon the contractile response to PG.

Electric Stimulation↗

Regulated storage and subsequent transformation of spermatozoa in the fallopian tubes of an Australian marsupial, Sminthopsis crassicaudata.

The disposition of spermatozoa in the female tract of the dasyurid marsupial, Sminthopsis crassicaudata, was examined before and after ovulation, by transillumination using differential interference optics. At 6-30 h after mating in females with maturing follicles, spermatozoa were restricted to special storage crypts that define the isthmus of the Fallopian tube. These spermatozoa were mostly immotile and were spear shaped, except for 50-200 vanguard spermatozoa within anterior crypts that were T shaped due to a rotation of the head on the tail. After ovulation and arrival of eggs in the narrow upper ovarian segment of the tube, several hundred isthmic spermatozoa migrated to that region, dispersed singly or in small groups of variable motility with some festooned around eggs. Most clearly displayed a T configuration, and subsequently, those remaining in the isthmic crypts also adopted a T shape in situ. The motility of mature epididymal spermatozoa and of those flushed from the isthmus before and after ovulation was similar in vitro, and all were spear shaped except for some T-shaped isthmic spermatozoa recovered after ovulation. However, neither spear- nor T-shaped active isthmic spermatozoa ever adhered to the zona pellucida when incubated with eggs. We conclude that transport to and storage of spermatozoa in the isthmus of the Fallopian tube, and their later migration up to the fertilization site and coincident transformation to a T shape, all are closely regulated by the ovarian follicular cycle in Sminthopsis. Only on reaching the upper ovarian segment of the Fallopian tube do Sminthopsis spermatozoa appear to be able to bind to the egg, when the T shape brings the whole surface area of the acrosome into apposition with the zona pellucida. These observations are discussed with special reference to sperm capacitation, sperm penetration mechanisms, and the different idiosyncratic designs of the sperm head in marsupial and eutherian mammals, respectively.

Animals↗

[A clinical report of refractory carcinoma of ovary and fallopian tube treated with taxol].

From September 1993 through March 1994, 30 cases of refractory carcinoma of the ovary and Fallopian tube were treated with Taxol. Complete response was seen in 4 and partial response in 8 cases with a response rate of 40%. The average length of remission was 5 months in CR and 3.9 months in PR. The major toxic side effect was decrease in total white cell count and in neutrophil count. Apart from flushing of face during Taxol infusion in 6 patients, no other allergic reaction was observed. Gastrointestinal, neurologic, liver and renal toxicities were mild. Taxol is a drug of choice in the treatment of patients with cancer of the ovary and Fallopian tube who are resistant to conventional chemotherapy.

Adenocarcinoma↗

[Carcinoma of the fallopian tube. Clinical analysis of 40 cases].

The results of clinical analysis of 40 cases of primary carcinoma of the fallopian tube are presented. All patients were treated with surgery and post operative external beam irradiation. Overall 5 years survival was 37% and symptom free survival 21%. The influence of following prognostic factors on the results of treatment had been evaluated: clinical stage, histologic grading and depth of infiltration of fallopian tube wall. Only the depth of infiltration proved to be statistically significant negative prognostic factor. The main cause of treatment failure was the intraperitonal dissemination of the disease. The results of treatment of recurrences was only palliative. No long term survivors were noted.

Adult↗

Characteristics of uptake of [3-H](plus or minus)-metaraminol by human fallopian tube.

The characteristics of accumulation of 5 X 10 minus8M [3-H] (plus or minus)-metaraminol were studied in isolated human fallopian tube. In both the ampulla and isthmus, the amine was concentrated against the concentration gradient; Accumulation was inhibited by noradrenaline, cocaine, and ouabain but not by oxytetracycline or normetanephrine. It was concluded that [3-H] (plus or minus)-metaraminol was accumulated in the adrenergic nerves present in the human fallopian tube.

Cocaine↗

Fallopian tube prostaglandin production with and without endometriosis.

OBJECTIVE: To investigate the potential role of prostaglandins (PGs) in tubal function in endometriosis. SUBJECTS: Fallopian tubes were obtained from 36 women undergoing abdominal total hysterectomy. METHODS: PG production of the human fallopian tube was measured by radioimmunoassay. RESULTS: In normal controls, ampulla and fimbriae in the proliferative and secretory phases produced more PGE and PGF than isthmus. PGE production in ampulla and fimbriae increased in proliferative and secretory phases. PGF production was predominant in the proliferative phase in all parts. There was no significant cyclic or regional variation in 6-keto-PGF1 alpha and thromboxane B2 production. CONCLUSIONS: In patients with endometriosis, isthmus and ampulla produced much more PGE and PGF in the proliferative phase than normal controls. The variation of PGF/PGE ratio in endometriosis was different from that of normal controls. It was apparent that tubal PG production is altered in endometriosis.

6-Ketoprostaglandin F1 alpha↗

Anatomy of pelvic and para-aortic nodal spread in patients with primary fallopian tube carcinoma.

BACKGROUND: To describe characteristics of patients with nodal spread and the anatomy of pelvic and para-aortic node involvement in primary fallopian tube carcinoma. STUDY DESIGN: Between 1985 and 2003, 19 women with primary fallopian tube carcinoma underwent systematic bilateral pelvic and para-aortic lymphadenectomy up to the level of the left renal vein. Initial lymphadenectomy (without chemotherapy) was performed in 6 patients and in 13 patients lymphadenectomies were performed after chemotherapy at the time of second-look operation. RESULTS: Nine patients had nodal involvement: four in the pelvic area and eight in the para-aortic nodes. Two, one, and six patients had stages I, II, or III disease, respectively. When para-aortic nodes were involved, the left para-aortic chain above the level of the inferior mesenteric artery was the site most frequently involved (six patients). CONCLUSIONS: In patients with primary tubal carcinoma, the left para-aortic chain above the level of the inferior mesenteric artery is the most frequently involved. Lymphadenectomy should involve all pelvic and para-aortic chains up to the level of the left renal vein, even in patients with stage I disease.

Adult↗

Extraskeletal chondroma of the fallopian tube.

Extraskeletal chondroma can occur in the hands, feet, head and neck. This tumor usually presents as a small solitary nodule. The histogenesis of the tumor is controversial, but some have suggested a metaplastic origin. Chondroma of the fallopian tube is very rare. There is only one report in English literature. The origin of this tumor can be subcoelomic mesenchyme of the tubal serosa or mesenchyme of the myosalpinx. We describe a case of chondroma arising from the serosal surface of the fallopian tube with a review of literature. A 30-yr-old woman visited hospital due to left adnexal mass. On operating finding, 2 x 3 cm sized nodular mass was noted on the left tubal serosal area. The excised mass showed multilobulated appearance covered with thin fibrous membrane. The cut surface was solid, grayish yellow, and myxoid with a focal gelatinous area. The microscopic finding showed islands and elongated lobules of mature benign cartilage without cytologic atypia.

Adult↗

Macroscopic and microscopic studies of fallopian tube after laparoscopic sterilization.

Histological study was carried out on human fallopian tubes one hour and one month after various methods of laparoscopic sterilization. Ciliated cells were counted and histological lesions were observed. Deciliation is proved at a distance from the site of sterilization. Taking into account these two data, it has been possible to display the substance loss provoked by each of the usual sterilization methods (unipolar electro-coagulation, bipolar electrocoagulation, silicone ring and Hulka-Clements clip) which have to be taken into consideration in case of surgical re-anastomosis.

Fallopian Tubes↗

Influence of pregnancy and the postpartum period on estrogen uptake of the rat fallopian tubes and uterus.

After incubation with 6,7-3H-estradiol, the uptake of radioactivity was measured in rat fallopian tubes and uterus during diestrus, estrus, early and late stages of gestation, and the postpartum period (PP). Uptake patterns during early and late pregnancy reflect the critical endogenous estogenic influence on in vitro hormonal (estrogenic) sensitivity of fallopian tubes and uterus. Very low levels of uptake are observed during the middle and late stages of pregnancy, i.e., day 12 to day 20 postcoitum, followed by a sharp increase during the puerperium (days 1 to 6 PP). However, a close similarity exists between tubal and uterine estrogen uptake patterns during the estrous cycle and critical stages of implantation, followed by pregnancy and the postpartum period.

Animals↗