Primary fallopian tube carcinoma (PFTC) is a rare tumor. It is seen in the age group between 40 and 60 years. It has resemblance to epithelial ovarian cancer, both clinically and histologically. Only 5% of patients show symptoms of profuse watery vaginal discharge (hydrops tubae profluens). Ultrasound, computerized tomography, and magnetic resonance imaging (MRI) can help in arriving at a diagnosis. Tumor marker cancer antigen (CA)-125 levels can be used as a diagnostic and prognostic marker to detect recurrence.
The most common histopathology is serous papillary. Transcoelomic exfoliation of cells is the most common mode of spread of the tumor. Other modes of spread include contiguous invasion, hematogenous and transluminal dissemination.
The PFTC is managed surgically like epithelial ovarian cancer. Adjuvant chemotherapy is also similar to epithelial ovarian cancer.
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