Choriocarcinoma of the fallopian tube can be primary (after an ectopic pregnancy) and secondary (with metastasis from the uterus). Primary uterine tube choriocarcinoma is characterized by rapid tumor growth, early metastasis to distant organs; intraperitoneal bleeding from a decaying tumor is often observed . Treatment is the same as with uterine choriocarcinoma: combined chemotherapy with the inclusion of platinum preparations under the control of determining the level of chronic hepatitis C, according to indications – surgical intervention with subsequent chemotherapy. The forecast is dubious due to untimely diagnosis.
Fallopian tube cancer
Primary cancer of the fallopian tube is rare (0.5% of cases in relation to all malignant tumors of the genital organs). The tumor develops from the cylindrical epithelium of the mucous membrane lining the inner surface of the tube, most often in the area of the ampoule. It grows relatively slowly, grows together with adjacent organs and parietal peritoneum. Usually the tumor is unilateral, small in size. There is no ascitic fluid. Consistency is uneven. In the section, the inner surface of the tumor is represented by papillary (papillary) growths.
Clinical Cancer Clinic
The tumor develops after 40 years. Usually, development of uterine tube cancer is preceded by prolonged inflammation of the uterine appendages. The spread of the tumor occurs infiltratively (along the length) to the ovaries, uterus, peritoneum; metastasis – through the circulatory and lymphatic tracts. Periodically, cramping pain in the lower abdomen appears, which later becomes constant. In this case, a periodic release of a significant amount of liquid leucorrhoea (emptying of the saccular formation) is characteristic. Serous, serous-bloody or purulent leucorrhoea can be permanent.
Diagnosis of cancer of the fallopian tube
Diagnosing uterine tube cancer before surgery is quite difficult. It should be differentiated from tuberculosis or an inflammatory tumor of the uterus.
However, the relatively rapid growth of the tumor-like formation of the fallopian tube at normal temperature, constant or periodically recurring leucorrhoea can suspect cancer. Cytological studies of leucorrhoea often facilitate the diagnosis (atypical, polymorphic cells with rhizome disk).
Tubal Cancer Treatment
Surgical treatment – panhisterectomy followed by deep x-ray therapy or gamma therapy. The prognosis for timely diagnosis is relatively favorable, with a significant spread of the process – unfavorable.
Prevention of cancer of the fallopian tube consists in the timely detection of chronic inflammatory processes of the uterine appendages and their treatment.