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Primary carcinoma of the Fallopian tube

1950; Elsevier BV; Volume: 59; Issue: 1 Linguagem: Inglês

10.1016/0002-9378(50)90341-3

1097-6868

Chen Hu, Melvin L. Taymor, Arthur T. Hertig,

Endometrial and Cervical Cancer Treatments

At the Free Hospital for Women there have been twelve primary carcinomas of the Fallopian tube out of 3,878 primary malignant lesions of the female genital tract in the 90,611 admissions from 1903 to 1948, an incidence of 0.31 per cent of primary malignant tumors. Vaginal discharge is the most common symptom. Sterility was associated in 27 per cent. Hydrops tubae profluens was not the characteristic symptom as held in the literature. Other common signs or symptoms are pain, tumor mass, menstrual irregularities, or postmenopausal bleeding. Preoperative diagnosis is next to impossible. The routine use of the vaginal smear may prove to be a helpful adjunct. There appears to be a fairly consistent correlation between histological grading and prognosis, the well differentiated papillary forms having a good prognosis, although the five-year survival of the entire series was 40 per cent. Panhysterectomy, bilateral salpingo-oophorectomy, followed by postoperative radiation, is the treatment of choice.