Recurrent metastatic Fallopian tube carcinoma in pregnancy

Background. Fallopian tube cancer is the rarest of all gynecologic cancers. An extensive literature search on Medline reveals no previous case reports of fallopian tube carcinoma in association with a term pregnancy. Case, A woman with surgical stage IIB fallopian tube carcinoma was treated with limited staging laparotomy, as per the patient's fertility wishes, fol lowed by adjuvant cis-platinum and paclitaxel (Taxol), One year following c hemotherapy, she conceived. She was noted to have an asymptomatic intraabdo minal recurrence at 16 weeks. The patient completed 37 weeks of pregnancy w ithout further therapy according to her wishes. She subsequently underwent a cesarean section with optimal tumor reduction surgery. Carboplatin and pa clitaxel were reinstituted, achieving partial response. She is presently al ive with stable disease status 6 months after completing her salvage chemot herapy. Conclusion. This is the first case report of recurrent fallopian tube cance r in pregnancy. (C) 2001 Academic Press.