A case report of tubal high grade serous carcinoma, which was diagnosed incidentally after appendectomy

Abstract

Primary tubal carcinoma is an uncommon tumor of female genitale system. The clinical approach of primary tubal cancers is similar to primary ovarian cancers. Fallopian tube carcinoma is hard to diagnosed preoperatively because of its indistinct symptoms. Optimal cytoreductive surgery is the most important treatment step in ovarian, tubal and peritoneal carcinomas. We report a case of serous tubal intraepithelial carcinoma with appendix metastasis. A 65 years old post-menopausal woman (gravida 4, para 3) submitted to an external hospital with lower abdominal pain and acute abdominal symptoms. Appendectomy was performed on the patient with preliminary diagnosis of apendicitis. The pathology result was reported as high grade serous carcinoma infiltration. Staging surgery was performed with the diagnosis of carcinoma. Until the final pathology result, the diagnosis was considered as appendiceal metastasis of serous tubal cancer. Our clinical and surgical approach to the case, which was diagnosed incidentally with an appendectomy specimen and reported as high grade tubal serous carcinoma, is presented as a case study.

Keywords

• Adnexal diseases
• appendiceal neoplasms
• neoplasm metastasis

Apendektomi sonrası tesadüfen teşhis edilen tubal yüksek dereceli seröz karsinom olgu sunumu

Öz

Tubanın primer karsinomları kadın genital sisteminde nadir görülen tümörlerdir ve klinik olarak primer over karsinomlarına benzerler. Belirsiz semptomları nedeniyle sıklıkla ileri evrede tanı alırlar ve preoperatif tanı koymak zordur. En önemli tedavi basamağı optimal sitoredüksiyonun sağlanmasıdır. Bu olgu sunumunda apendektomi sonrası tesadüfen saptanan high grade seröz tubal karsinom olarak raporlanan olguya yönelik klinik ve cerrahi yaklaşımımızdan bahsedilmektedir. 65 yaşında postmenopozal hasta (gravida 4, parite 3) akut karın semptomları ile başka bir merkeze başvurdu. Apandisit ön tanısı ile hastaya apendektomi yapıldı ve apendektomi spesmeninin nihai patoloji sonucu seröz karsinom infiltrasyonu olarak raporladı. Hastaya seröz karsinom endikasyonu ile evreleme cerrahisi yapıldı. Appendektomi materyali ile tesadüfen saptanan ve high grade tubal seröz karsinom olarak bildirilen olguya klinik ve cerrahi yaklaşımımız vaka çalışması olarak sunulmaktadır.

Anahtar Kelimeler

• Ovaryum ve tubauterina hastalıkları
• apendiks neoplazileri
• tümör metastazı

Kaynakça

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