Cancer of the fallopian tube - Causes, Symptoms and Treatment .MF .
Today, malignant tumors of the fallopian tube is 0.3% of malignant tumors of the female genital organs, thus becoming the most rare gynecological cancer disease.Almost all cancers of the fallopian tubes are of epithelial origin.Sarcomas are extremely rare.
Causes of fallopian tube cancer
fallopian tube cancer occurs most often between the ages of 50-60 years.Risk factors for this tumor is unknown.Histologically and by the nature of its structure, as well as during the process of cancer of the uterine tube resembles ovarian cancer, therefore the diagnosis and treatment of these diseases may be similar.Fallopian tubes are often amazed second time, provided the primary lesion of ovarian, uterine body, stomach, breast
cancer symptoms uterine tube
classic triad of symptoms in cancer of the uterine tube includes:
• profuse watery or discharge from the genitals,
• painabdomen, heaviness in the abdomen.
• volumetric education pelvis.
Clinical manifestations of fallopian tube cancer erased.Watery or b
The main diagnostic methods include:
• medical history, a detailed inspection,
examination • ultrasound
• Biopsy of oral
uterus • Diagnostic laparoscopy and laparotomy
Like ovarian cancer, fallopian tube cancer of disseminated(spread) mainly by contact, mainly by extending the peritoneum.At the time of diagnosis in 80% of patients have metastases within the abdominal cavity.Fallopian tubes contain a large number of lymph vessels through which lymph flows away in the lumbar and pelvic lymph nodes, cancer of the fallopian tube is often observed nodal metastases.The defeat of the lumbar lymph nodes detected in 33% of patients.
Currently classification to determine the stage of cancer of the fallopian tube is not formulated.Usually they use a modified classification developed for ovarian cancer.The stage of the tumor is determined by the results of laparotomy.As a rule, the later stages of cancer of the fallopian tube is less common than ovarian cancer.This is due to the fact that patients are usually used to go to the doctor in connection with the discharge from the genitals.
Treatment of fallopian tube cancer
Cure cancer of the fallopian tube also similar to ovarian cancer.Treatment usually surgical.The minimum amount of the operation - the removal of education as a rule is not valid.In cancer, fallopian tube showing hysterectomy with appendages and resection or removal of the greater omentum.In patients with disseminated cancer of the fallopian tube surgery should wear cytoreductive character (maximum removal of the primary tumor to the extent possible).
When monochemotherapy most commonly used alkylating agents and cisplatin.In cancer, the fallopian tube should be used the same regimens that ovarian cancer.
Despite the fact that radiation therapy is widely used in cancer of the uterine tube in the past, its role in the treatment of this disease remains unclear.Patients usually carried teletherapy pelvic, but the propagation of the tumor beyond the use of radiation therapy is illogical in recent years, with microscopic residual tumors or in their absence, it proposed to carry out the irradiation of the abdomen and pelvis.
prognosis of cancer of the uterine tube
five-year survival rate for cancer of the fallopian tube is about 40%.Typically, fallopian tube cancer is diagnosed before ovarian cancer, in view of the availability of complaints, but their absence diagnosis difficult and vice versa occurs later than the diagnosis of ovarian cancer.The forecast is largely determined by the stage of the tumor.This explains that the 5-year survival in stage I of the fallopian tube cancer, according to the literature, is only 65%.However, we must not forget that fallopian tube cancer is poorly understood, and many details are still not backed by real research.
fallopian tube sarcomas are usually carcinosarcoma.They are very rare, there are usually between the ages of 50-60 years and are diagnosed at later stages.During the operation should be possible to remove the primary tumor and all metastases within the abdominal cavity.Then, a combination chemotherapy based on cisplatin.Prognosis is poor - the majority of patients with sarcoma die within 2 years.
Gynecologist Kupatadze DD