Croatian Society of Gynaecology and Obstetrics, and Croatian Society of Perinatal Medicine of Croatian Medical Association
Abstract
Mrs. UB aged 35 years came to us with complaints of oligomenorrhoea, lower abdominal pain, haematuria, retention of urine with CT scan report of December 2008 which was suggestive of left sided ovarian tumor. We investigated her with ultrasonography and CA-125 level and primary diagnosis of left sided ovarian tumor was made. On laparotomy it turned out to be primary fallopian tube carcinoma. Abdominal total hysterectomy with bilateral salpingo-oophorectomy with omental and node biopsy was done. On histopathological examination it turned out, as primary serous adenocarcinoma of fallopian tube grade G2PT1(C)PN0. To patient were given two cycles of chemotherapy. Primary fallopian tube carcinomas are quite rare. In routine practice when we come across a case, it is usually diagnosed as an adnexal mass, more commonly as an ovarian tumor. The usual investigations cannot discriminate between the ovarian and the tubal mass. The fallopian tube cancer comes as a surprise on laparotomy. We have to be ready to deal with this condition even when it suddenly crops up.Gospođa UB, životne dobi 35 godina, javila sa smetnjama oligomenoreje, bolima donjeg trbuha, hematurijom i retencijom mokraće. Posjedovala je CT nalaz iz prosinca 2008. godine koji je upućivao na lijevostrani ovarijski tumor. Istražili smo je ultrazvukom i razinom Ca 125 u krvi te je bila postavljena dijagnoza lijevostranog ovarijskog tumora. Učinjena je laparotomija te je nađen primarni karcinom lijevog jajovoda. Ućinjena je totalna abdominalna histerektomija s obostranom salpingo-ooforektomijom s biopsijom omentuma i limfnih čvorova. Histopatološki je utvrđen primarni adenokarcinom jajovoda, stupnja G2PT(1C)PN0. Bolesnici su aplicirana dva ciklusa kemoterapije. Primarni rak jajovoda je zaista rijedak. U rutinskoj praksi se dijagnosticira kao adneksalna tvorba, obično kao ovarijski tumor. Uobičajene pretrage ne mogu razlikovati ovarijsku od tubarne tvorbe. Rak tube Fallopii je iznenađenje prigodom laparotomije. Moramo biti spremni suočiti se s tim stanjem makar ono naglo iskrsne
