Anaplastic carcinoma of the fimbriated end of the fallopian tube as an incidental finding

Carcinoma of the fallopian tube is an uncommon gynecologic tumor that is us ually diagnosed in an advanced stage. The majority are tubal in origin, and rarely arise in the fimbriae. It appears that the latter map have a worse prognosis than the equivalent stage of tubal tumors that do not arise from fimbriae. We present a case of a 53-year-old white woman with FIGO stage 1 primary anaplastic carcinoma of the fimbriated end of the fallopian tube th at was incidentally found in a specimen resected during a total abdominal h ysterectomy with bilateral salpingo-oophorectomy. The patient underwent sur gery because of findings of severe cervical dysplasia, atypia and dyskaryos is on a routine Papanicolau smear. Postoperative recovery was uneventful, a nd follow-up abdominal and pelvic CT scans showed no evidence of disease. H owever, because of the poor degree of differentiation, focal serosal infilt ration and fimbrial end tube site of the carcinoma she was considered to ha ve a high risk of recurrence. Thus, it was recommended that she undergo adj uvant chemotherapy with cyclophosphamide and carboplatin. Eighteen months a fter diagnosis, the patient is alive and well with no evidence of disease.