Malignancies of the fallopian tube are usually adenocarcinomas, which manifest themselves as mass adnexal or with non-specific symptoms. Diagnosis, staging and treatment done surgically.
Primary carcinoma of the fallopian tube are rare. The average age at diagnosis is 50-60 years. Risk factors are chronic salpingitis or other inflammatory diseases (e.g., as tuberculosis) and infertility.
Malignancies of the fallopian tube are usually adenocarcinomas, which manifest themselves as mass adnexal or with non-specific symptoms. Diagnosis, staging and treatment done surgically. Primary carcinoma of the fallopian tube are rare. The average age at diagnosis is 50-60 years. Risk factors are chronic salpingitis or other inflammatory diseases (e.g., as tuberculosis) and infertility. Most tubal carcinomas (> 95%) are papillary serous adenocarcinomas, a few are sarcomas. The propagation takes place, as in ovarian cancer by direct growth, peritoneal seeding or lymph. Symptoms and signs Most patients present with a mass in the range of adnexal or nonspecific abdominal or pelvic symptoms before (z. B. abdominal discomfort, bloating, pain). A few patients present with the more specific syndrome hydrops tubae profluens before (a triad of abdominal pain, large-volume aqueous outflow and adnexaler mass). Diagnostic CT surgery to confirm the diagnosis and staging typically is performed CT. An extended solid mass of the adnexa in normal ovary suggests a tube carcinoma. Except in postmenopausal women, a pregnancy test is performed to rule out an ectopic pregnancy. If cancer is suspected, surgery for diagnosis, staging and treatment is necessary. The staging (such as ovarian cancer) requires pelvic rinses of the pelvis, paracolic gutters and paradiaphragmatischen recess Multiple abdominal and peritoneal Pelvic and para-aortic lymphadenectomy treatment Complete abdominal hysterectomy, bilateral Salpingoovarektomie and suprakolische Omentumresektion. The treatment consists of complete abdominal hysterectomy, bilateral Salpingoovarektomie and suprakolischer Omentumresektion. If the tumor appears expanded surgical tumor mass reduction is indicated. The postoperative treatment for ovarian cancer is consistent with the agreement. An external radiotherapy is rarely indicated.