TAYFUN GÜNGÖR, H LEVENT KESKİN, SEMA ZERGEROĞLU, ESRA A KESKİN, HAKAN YALÇIN, TUĞRUL AYDOĞDU, TUNCAY KÜÇÜKÖZKAN
Gynecology Obstetrics & Reproductive Medicine - 2004;10(1):54-56
The objective of this study is to review our experience with primary fallopian tube carcinoma and to indicate the association between this rare malignancy and tuberculosis. Five patients with adenocarcinoma of the fallopian tube, treated during the period 1997 to 2001, were analysed. Their mean age was 58.6 and mean parity 4.8. All of them were postmenopausal. Preoperative CA125 levels were high except for one. The diagnosis of tubal cancer could not be established preoperatively in any patient. All patients underwent therapeutic TAH- BSO, with omentectomy and tumor debulking followed by adjuvant chemotherapy. All cases were adenocarcinoma in the unilateral tube and had stage I disease. In two cases tuberculous salpingitis was diagnosed in the contralateral tube by histologic examination, thereafter they received antituberculous therapy. We suggest primary fallopian tube carcinoma might have developed on the background of tuberculous salpingitis. It is our recommendation that pelvic tuberculosis should be sought carefully in the evaluation of fallopian tube carcinoma.
