Primary Fallopian Tube Carcinoma with Endometrial Cancer at the Same Time:a Misdiagnosised and Missed diag-nosised Report

GAO Ya-juan; JIAN Wen-wen; CAO Jun; LI Li-xiang; WANG Xin-lei; LI Zhuo; CUI Man-hua

doi:10.3969/j.issn.1002-3429.2018.01.013

Abstract：Objective To investigate clinical features,diagnosed key points, treatment approaches and prognosis of patients with primary fallopian tube carcinoma and endometrial cancer at the same time in order to improve the level of differ-ential diagnosis. Methods Clinical data of one misdiagnosised and missed diagnosised case of primary fallopian tube carcino-ma and endometrial cancer was retrospectively analyzed. Results A 50-year-old patient complained pelvic mass with right lower quadrant pain for six months. Two times in the course of treatment outside the hospital were unable to confirm the diagno-sis. The imaging examination suggested that it was occupying lesions in pelvis. Preoperative diagnosis was Inflammatory mass or appendicitis surrounding abscess. The patient underwent laparotomy. Intraoperative, the right attachment area neoplasm was from the fallopian tube. Rapid pathologic examination report:the right fallopian tube serous carcinoma ( poorly differentiated) . The patient underwent abdominal hysterectomy,bilateral salpingo-oophorectomy, pelvic,lymphadenectomy, omentum resection and appendectomy . The postoperative diagnosis was stage ⅢC Primary fallopian tube carcinoma and stage ⅠA endometrial cancer. The patients received 8 cycles of chemotherapy of paclitaxel plus carboplatin and remained alive without evidence of recurrence during 6 months of follow-up. It is still being followed. Conclusion Primary fallopian tube carcinoma and endome-trial cancer is rare, and it is easily misdiagnosed and missed diagnosed in the preoperative and intraoperative diagnosis. Diag-nosis can be confirmed by pathological examination and immunohistochemical staining.