Primer Tubal Adenokarsinom

Abstract

Amaç: Over kanseri ön tanısıyla opere edilen ve intraoperatif bilateral primer tubal kanser tanısı konulan olgunun sunumu. Olgu Sunumu: 45 yaşında nullipar, pelvik kitle nedeniyle klini ğimize refere edilen pelvik muayenede bilateral adneksiyal kitle ve transvaginal ultrasonografide 11x6 cm ve 7x5 cmlik bilateral kitle tespit edilen olgunun Serum CA 125 düzeyi 1371 U/ml idi. Over tümörü olarak operasyona alındı. Laparotomide bilateral tubal kitle saptandı. Frozen sonucu tubal adenokarsinom gelen hastaya evreleme cerrahisi yapıldı. Cerrahi-patolojik evreleme stage IB olarak yorumlandı. Postoperatif adjuvant kemoterapi verilmedi. CA-125 monitorizasyonu ile takibe alındı. Sonuç: Fallop tüp kanserleri nadir görülür. Olgumuzda olduğu gibi preoperatif olarak adneksiyal kitle ve yükselmiş tümör markerleri ile over kanserini düşündürebilir.

Keywords

• Tubal adenokarsinom

Primer Tubal Adenokarsinom

Abstract

Objective : To present the case that has been operated for ovarian tumor and had been diagnosed as bilateral primary tubal carcinoma intraoperatively.Case: 45 years old nullipar woman referred to our clinic because of pelvic mass. Bilateral adnexial mass was obtained by bimanuel examination. Transvaginal ultrasonography showed 11 x 6 cm and 7 x 5 cm bilateral adnaxial mass. Serum CA-125 was 1371 U/ml.Diagnosis was ovary tumor and operation had done. Bilateral tubal mass seen during laparatomy. Frozen pathology was tubal adenocarcinoma so staging surgery applied. Surgery pathologic staging was stage1B. Adjuvant chemotherapy did not applied postoperatively. Following is done by CA-125 monitorisation. Conclusion: Fallopian tubal carcinomas seen rarely. As in our case adnexial mass and high tumor markers may lead to diagnose as ovarian tumor.

Keywords

• Tubal Adenocarcinoma