目的 探讨原发性输卵管癌的诊断，减少漏诊率的发生。方法 复习1例原发性输卵管癌的临床资料，分析原发性输卵管癌漏诊的原因及在诊断中容易忽视的几个环节。结果 根据患者诊刮病理提示为子宫内膜中分化腺癌，未考虑输卵管癌的可能，术中忽视输卵管的改变，未送快速冰冻切片检查，因此导致漏诊。结论 输卵管癌发病率较低，患者症状表现不典型，盆腔未发现包块，医生警惕性不够，根据诊刮病理结果形成了先入为主的观念，以致术中亦忽略了剖视输卵管。因此对于考虑子宫内膜癌的患者，应警惕输卵管癌的可能。Objective: To explore the diagnosis of primary fallopian tube carcinoma and reduce the occurrence of the missed diagnosis. Methods: To review the clinical data of primary fallopian tube carcinoma, analysis misdiagnosis of primary fallopian tube carcinoma, and several links which is easily overlooked. Results: According to the patients clinical curettage pathology for differentiation in endometrial adenocarcinoma, without considering the possibility of fallopian tube carcinoma, ignoring the change of the fallopian tubes during operation, not sending fast frozen section examination, which leads to misdiagnosis. Conclusion: The incidence of fallopian tube carcinoma is low, no atypical symptoms were presented, found no masses were found in pelvic, and the doctor was not vigilant, which formed the preconceived notions due to the clinical pathological results, so that fallopian tubes was ignored intraoperative. We should alert to the possibility of fallopian tube in the treatment of endometrial carcinoma
