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2009, Volume 25, Number 3, Page(s) 085-089
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DOI: 10.5146/tjpath.2009.01160 |
Primary Tubal Cancers: A Clinicopathological Study of Twenty Cases |
Semen YEŞİL ÖNDER1, Ekrem YAVUZ1, Sıtkı TUZLALI1, Rıdvan İLHAN1, Samet TOPUZ2, A. Cem İYİBOZKURT2, Duygu DERİN3, Yeşim ERALP3 |
Departments of 1Pathology and 2Gynecology and Obstetrics, Istanbul University, Istanbul Faculty of Medicine and 3Istanbul University, Institute of Oncology, ISTANBUL, TURKEY |
Keywords:
Primary cancer, Fallopian tube, Prognosis |
Objective: Primary tubal cancers are rare malignant tumors
that account for approximately less than 1% of all gynecological
malignancies. We retrospectively analyzed the clinicopathological
characteristics of twenty cases of primary cancers of the fallopian
tube.
Material and Method: Twenty patients diagnosed as primary tubal
cancer at the Pathology Department of the Istanbul Faculty of
Medicine between October 1997 and December 2005 are described
in our study.
Results: The patient age ranged from 43 to 74 years. Of the patients,
13 underwent surgical staging. Most of the patients were classified as
stage III. The most common histological type was serous carcinoma.
Only one patient had another synchronous primary gynecologic
cancer. Of the 11 patients with complete prognostic data, 9 were alive
for 16 to 106 months after initial surgery. In conclusion, primary
cancers of the fallopian tube are similar to ovarian cancers with
their pathological features and usually advanced stage - cancers with
peritoneal and lymphatic spread. They can be successfully treated
with the combination of cytoreductive surgery and chemotherapy.
Conclusion: We suggest that a thorough macroscopic examination
of gynecological specimens by the pathologists would increase the
percentage of these “rare” tumors.
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