Clinical and pathologic aspects of primary sarcoma of the uterine tube

Scheffey, Lewis C.; Lang, Warren R.; Nugent, Fred B.

doi:10.1016/0002-9378(46)90409-7

Cited by 14 publications

(3 citation statements)

References 5 publications

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“…In 1886, Senger [ 2 ] reported the first case of primary salpingosarcoma. In the same year, Gottschalk [ 3 ] reported the first case of primary fallopian LMS, which was described as spindle-cell sarcoma at that time. Since there are only 22 cases reported in English-language literature including this case we have reported, we cannot make any conclusions with the limited data at present.…”

Section: Discussionmentioning

confidence: 99%

“…Vaginal discharge, although considered as a significant symptom, has been reported only in 2 early cases. [ 3 , 5 ] Pelvic mass is often found during gynecologic examination, and ultrasound or computed tomography is often considered as the origin of the ovary or uterus. In addition, it is necessary to make complete preoperative evaluation to discover all suspected lesions and evaluate if the tumor has invaded or metastasized with computed tomography or magnetic resonance imaging scans.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative radiotherapy was used in some early LMS cases, and no recurrence was found after 3 months to 1 years of follow-up. [ 3 , 5 ] There is a case in German reporting telecobalt irradiation of the pelvis which showed 1-year tumor free survival time in the treatment of primary tube LMS. [ 10 ] A number of studies suggest that postoperative radiation therapy can effectively reduce pelvic recurrence, but there is still no clear evidence that radiotherapy can improve the survival rates in patients with LMS.…”

Section: Discussionmentioning

confidence: 99%

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Primary leiomyosarcoma of the fallopian tube

et al. 2018

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Rationale:Primary leiomyosarcoma (LMS) of the fallopian tube is extremely uncommon. To the best of our knowledge, so far only 21 cases of primary fallopian tube LMS have been reported in English-language literature. No new case has been reported in the past 7 years.Patient concerns:A 44-year-old premenopausal patient presented with a 5-day history of lower abdominal pain.Diagnoses:Pelvic ultrasonography detected an 8.8 × 7.8 × 6.5 cm solid and cystic mass in the left side of the pelvic cavity. The tumor was diagnosed as a primary fallopian tube LMS on paraffin section.Interventions:The patient treated surgically followed by 4 cycles of postoperative chemotherapy with dacarbazine and DDP.Outcomes:The patient succumbed to the disease 27 months after the initial therapy.Lessons:Tube LMS is a rare malignant tumor with unknown etiology, difficult early diagnosis, highly invasiveness, high local recurrence and distant metastasis rate, rapid progress, and poor prognosis. It is extremely rare so we can only summarize limited experience from limited data. Every case of tubal LMS is worth being reported.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Primary leiomyosarcoma of the fallopian tube

et al. 2018

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Extra-uterine müllerian tumorsa review of the literature and the report of a case

Palladino¹,

Trousdell²

1969

Cancer

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A 42‐year‐old woman underwent partial resection of inoperable stromal endo‐metriosis arising in pelvic endometriosis. Death of massive tumor followed 16 years 5 months later. Analysis of this and 43 reported cases of extra‐uterine Müllerian tumors of all histologic varieties showed 18 within or close to endometriosis. These involved ovary or peritoneum almost exclusively and were diagnosed stromal endometriosis or endometrial sarcoma. Average age was 47 years. Survival time varied widely and averaged 6 years. The remaining 26 cases involved patients with an average age of 57 years, whose tumors arose only in ovary or fallopian tube; 25 were diagnosed carcinosarcoma or malignant‐mixed Müllerian tumor. Death within one year was common. Histologic transitions among endometrial stroma, stromal endometriosis, endometrial sarcoma, and carcinosarcoma support the view that these tumors are closely related and that at least some Müllerian tumors spring from endometrial stromal cells.

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Pathology of the Fallopian Tube

Wheeler¹

1982

Pathology of the Female Genital Tract

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Clinical and pathologic aspects of primary sarcoma of the uterine tube

Cited by 14 publications

References 5 publications

Primary leiomyosarcoma of the fallopian tube

Primary leiomyosarcoma of the fallopian tube

Extra-uterine müllerian tumorsa review of the literature and the report of a case

Pathology of the Fallopian Tube

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