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Primary leiomyosarcoma of the fallopian tube: a case report.

AbstractA primary leiomyosarcoma (LMS) arising from the left fallopian tube in a perimenopausal 48-year-old woman is reported. Primary tubal LMS is an uncommon, exceedingly rare neoplasm, accounting for only a few reported cases so far. To our knowledge, the present case is the 17th tubal LMS reported in the English-language literature. The diagnosis is usually made at the time of laparotomy for a pelvic or adnexal mass or other gynaecological indications. As in ovarian neoplasms, the mainstay of treatment is represented by debulking surgery consisting of total abdominal hysterectomy, bilateral salpingo-oophorectomy, random biopsies, peritoneal washing and excision of all the abdominal tumour masses. Although the approach is radical, the clinical behaviour is very poor. The role of adjuvant radio- or chemotherapy still remains unsolved.
AuthorsL Mariani, M Quattrini, M Galati, B Dionisi, G Piperno, F Modafferi, C Sbiroli (Affiliation: Department of Gynecological Oncology, Regina Elena National Cancer Institute of Rome, Italy.)
JournalEuropean journal of gynaecological oncology (Eur J Gynaecol Oncol) Vol. 26 Issue 3 Pg. 333-5 ( 2005) ISSN: 0392-2936 Italy
PMID15991540 (Publication Type: Case Reports, Journal Article)
Topics
  • Fallopian Tube Neoplasms (diagnosis, surgery)
  • Female
  • Gynecologic Surgical Procedures
  • Humans
  • Leiomyosarcoma (diagnosis, surgery)
  • Middle Aged
  • Treatment Outcome