Primary Fallopian Tube Carcinoma (PFTC) - A Rare Genital Malignancy with Unusual Presentation

A 33 yrs. multiparous lady attended GOPD with insidious dull abdominal pain with sudden onset of abdominal distension. On examination, along with positive shifting dullness, an intra-abdominal firm mass was palpable in left iliac fossa which corroborates USG findings. After proper preoperative investigations, patient was admitted and planned for laparotomy.On laparatomy about 1.5 litres of ascitic fluid was drained, uterus was found bulky & inspite of normal right fallopian tube, left tube had been replaced by firm growth. After adhesiolysis, total abdominal hysterectomy with bilateral shaphingo-oophorectomy was performed and specimen sent for HP study. HP examination revealed – poorly differentiated papillary adenocrcinoma of left fallopian tube with metastasis in both ovaries and other fallopian tube. Body of uterus & cervix were not invaded. Thus the patient was diagnosed to be a case of PFTC. Patient received six courses post-operative chemotherapy at 3 weeks interval consisting of – Inj. Paclitaxel & Carboplatin. Patient is reasonably well upto seven months of follow up.