This report describes a case of cu-fetoprotein (AFP)-producing carcino
ma of the fallopian tube, The patient was a 52-year-old woman who pres
ented with an abnormally high serum level of AFP. A left adnexal mass
was discovered in the subsequent close examination, Hysterectomy and a
dnexectomy revealed a 3 x 3 x 4-cm tumor in the fimbriae of the left t
ube. Histologically and immunohistochemically, the tumor was diagnosed
as an AFP-producing (hepatoid) carcinoma arising in the fallopian tub
e. To our knowledge, this is the first report of such a tumor appearin
g in the tube. This case supports the view that hepatoid cells may als
o arise from the mullerian epithelium. (C) 1996 Academic Press, Inc.