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Cancer of the fallopian tube

Royal Cornwall Hospital, Truro, Cornwall, TR1 3LJ, UK

Richard Kerr-Wilson, FRCS(Ed) FRCOG, Consultant Gynaecologist

Cheltenham General Hospital, Sandford Road, Cheltenham, Gloucestershire, GL53 7AN, UK Email: richard.kerr-wilson{at}glos.nhs.uk (corresponding author)

Keith McCarthy, MD FRCPath, Consultant Histopathologist

Cheltenham General Hospital, Cheltenham, UK

Primary cancer of the fallopian tube is a rare malignancy of the female genital tract. The majority are papillary serous adenocarcinomas. Malignant epithelial lesions of the fallopian tube behave in a similar way to malignant epithelial ovarian tumours. Diagnosis of primary fallopian tube malignancies is difficult, especially in the earlier stages. Careful surgical and pathological staging is important. The management of fallopian tube cancer is similar to that of ovarian cancer. Although the overall survival at five years of women with epithelial tubal cancer is higher than for those with ovarian cancer, when compared stage for stage, women with early fallopian tube cancer may have a poorer prognosis. Further clinical research is needed to define definite aetiological, diagnostic and prognostic markers and to compare management modalities.

Keywords chemotherapy / laparotomy / papillary serous adenocarcinoma / primary fallopian tube cancer / surgical pathological staging