TY - JOUR
T1 - Treatment of Fallopian Tube Metastasis in Cervical Cancer after Laparoscopic Ovarian Transposition
AU - Sicam, Renee Vina G.
AU - Huang, Kuan Gen
AU - Lee, Chyi Long
AU - Chen, Chao Yu
AU - Ueng, Shir Hwa
PY - 2012/3
Y1 - 2012/3
N2 - A 40-year-old woman, gravida 2, para 2, with squamous cell carcinoma of the cervix, stage IIB, underwent ovarian transposition. Bilateral salpingectomy was performed as part of the operative technique. Histopathologic analysis revealed mucosal spread of the tumor to one of the fallopian tubes. The patient underwent radiation of the ovaries in their new location in addition to standard chemoradiotherapy to the pelvis. There has been no evidence of disease for more than 5 years. Inasmuch as performance of bilateral salpingectomy in ovarian transposition is not standard practice, the finding of fallopian tube metastasis presented a dilemma to the clinician. It remains to be proved whether the finding of metastasis to the fallopian tubes can be evidence for ovarian metastasis in grossly normal-appearing ovaries to validate this practice. Literature review demonstrates that fallopian tube metastasis is usually associated with endometrial involvement.
AB - A 40-year-old woman, gravida 2, para 2, with squamous cell carcinoma of the cervix, stage IIB, underwent ovarian transposition. Bilateral salpingectomy was performed as part of the operative technique. Histopathologic analysis revealed mucosal spread of the tumor to one of the fallopian tubes. The patient underwent radiation of the ovaries in their new location in addition to standard chemoradiotherapy to the pelvis. There has been no evidence of disease for more than 5 years. Inasmuch as performance of bilateral salpingectomy in ovarian transposition is not standard practice, the finding of fallopian tube metastasis presented a dilemma to the clinician. It remains to be proved whether the finding of metastasis to the fallopian tubes can be evidence for ovarian metastasis in grossly normal-appearing ovaries to validate this practice. Literature review demonstrates that fallopian tube metastasis is usually associated with endometrial involvement.
KW - Fallopian tube metastasis
KW - Laparoscopy
KW - Ovarian transposition
KW - Radiotherapy
KW - Uterine cervical cancer
UR - http://www.scopus.com/inward/record.url?scp=84863139407&partnerID=8YFLogxK
U2 - 10.1016/j.jmig.2011.12.006
DO - 10.1016/j.jmig.2011.12.006
M3 - 文章
C2 - 22381975
AN - SCOPUS:84863139407
SN - 1553-4650
VL - 19
SP - 262
EP - 265
JO - Journal of Minimally Invasive Gynecology
JF - Journal of Minimally Invasive Gynecology
IS - 2
ER -