Fallopian Tube Cancer with Palmar Fibromatosis or Fasciitis without Polyarthritis

Abstract

A 64-year-old Japanese woman had rapidly progressing bilateral palmar contracture associated with severe pain on both palms over the previous 8 weeks, without a history of arthritis in any joints. We suspected palmar fibromatosis or fasciitis without polyarthritis. Because palmar fibromatosis is known to be associated with cancer, we performed cancer screening and the patient was subsequently diagnosed with fallopian tube cancer. This is the first case report of palmar fibromatosis or fasciitis without polyarthritis associated with fallopian tube cancer. The characteristic rapid progression of palmar contracture is a key finding that suggests the potential existence of a malignancy.

Palmar fasciitis with polyarthritis-associated ovarian cancer: Case report and literature review

“…Interestingly in 2 cases of 3 fallopian tube cancers, the diagnosis of underlying malignancies by laparotomy preceded the onset of PFPA symptoms by 1 year (9,10). In another case of fallopian tube cancer, the diagnosis of PFPA led to the immediate detection of an underlying malignancy (11). There are many similarities between fallopian tube cancer and ovarian cancer, and ovarian cancer is believed to originate in the distal and proximal fallopian tube (12)(13)(14)(15).…”