THE PRIMARY-CARCINOMA OF THE FALLOPIAN-TUBES - AN AUSTRIAN MULTICENTER STUDY

Incidence and prognostic factors of primary carcinomas of the Fallopia n tubes were studied in a retrospective multi-centre analysis of 81 wo men during the period of 1980 to 1990. Data from 13 departments (unive rsity as well as general hospitals) were included in the present study which was designed to evaluate the state-of-the-art of diagnosis and treatment of carcinoma of the Fallopian tubes in Austria, and to compa re the results with those from the literature. Stages were classified according to the modified FIGO-system for ovarian cancer; grading foll owed the criteria of Hu, Taylor and Hertig. The mean age of the patien ts was 62.1 years. Thirty-seven (45.7%) tumours were found to be in st age I, sixteen (19.8%) in stage II, nineteen (23.4%) in stage III, and nine (11.1%) tumours in stage IV. In 66 Patients, the tumour could be radically removed. The surgical method applied in 68 cases was remova l of the uterus, the adnexa, and/or the omentum, or lymph nodes. Posto peratively, patients underwent an adjuvant therapy which was either ir radiation (n = 32; 39.5%), or chemotherapy (n = 34; 42.0%). Fifteen pa tients had no therapy after operation. The five-year survival rate for stages I and II was 75% compared to 17% in stages III and IV.