Primary tubal carcinoma

摘要

In November 2011, 63 year old woman, in menopause since the age of 51, who has never taken hormonal therapy, contacted the Gynecology unit of the Department of Woman and Child Health, University of Padua, because of abnormal uterine bleeding. A transvaginal ultrasound showed a solid mass in the left adnexa, (20 x 37 mm) (Fig. 1). Because of a suspect early ovarian cancer the patient underwent thoracic and abdominal tomography, hysteroscopy and colposcopy. The surgical procedure started with a laparoscopy but was immediately converted to a laparotomy. In the distal left fallopian tube there was a smooth surface 3 cm lesion (Fig. 2).