Treatment of Fallopian Tube Metastasis in Cervical Cancer after Laparoscopic Ovarian Transposition

Renee Vina G. Sicam, Kuan Gen Huang*, Chyi Long Lee, Chao Yu Chen, Shir Hwa Ueng

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

5 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)262-265
Number of pages4
JournalJournal of Minimally Invasive Gynecology
Volume19
Issue number2
DOIs
StatePublished - 03 2012

Keywords

  • Fallopian tube metastasis
  • Laparoscopy
  • Ovarian transposition
  • Radiotherapy
  • Uterine cervical cancer

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