Bilateral microscopic fallopian tube carcinoma detected by malignant serous glandular cells found in cervical smear (CROSBI ID 231001)
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Đelmiš, Josip ; Babić, Damir ; Barišić, Ana ; Mahovlić, Vesna ; Ivanišević, Marina ; Juras, Josip.
engleski
Bilateral microscopic fallopian tube carcinoma detected by malignant serous glandular cells found in cervical smear
Diagnosing early stage of fallopian tube carcinoma poses great diffi culties. In our patient, fallopian tube carcinoma was suspected because of the incidental fi nding of malignant glandular cells in VCE smear and patient history of surgery for breast carcinoma. Upon laparotomy, a small, macroscopically normal uterus and bilaterally normal ovaries, oviducts, fi mbriae, omentum, bowel and peritoneum were revealed. On cytology, papillary formations and individual malignant cells of columnar epithelium were detected in peritoneal washing. Because of the cytology fi nding of malignant cells in peritoneal washing, we decided to perform hysterectomy, bilateral salpingo-oophorectomy, omentectomy, appendectomy, and pelvic peritoneum ablation. Histopathologic diagnoses: adenocarcinoma serosum tubae in situ utriusque, carcinoma metastaticum ovarii utriusque. The case presented demonstrates that fallopian tube is the origin of ovarian carcinoma.
Fallopian tube carcinoma; Serous papillary carcinoma; Ovarian cancer; VCE smear
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