Diagnostic dilemmas and current therapy of Fallopian tube cancer

Primary tubal cancer, unlike ovarian cancer, is not routinely suspected pre operatively, and thus diagnosis and therapy are delayed. We have recently e ncountered two cases in which primary Fallopian tube cancer masqueraded as other lesions. One presented as a pelvic inflammatory process, the second a s cervical cancer. Primary Fallopian cancer should be suspected by the clin ician, even if the presenting symptoms are atypical. Chemotherapy with taxo l and cisplatin was instituted following debulking surgery.