Primary fallopian tube cancer: Domestic data and up-to-date review
Primary fallopian tube carcinoma (PFTC) is a rare gynecological malignancy with the following characteristics: its preoperative diagnosis is easy to miss or delay because of a lack of specific symptoms and signs; it is difficult to distinguish from serous epithelial ovarian cancer or primary periton...
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doaj-bbbbc34aafc24fb48e4c5bd99568a5b62020-11-24T22:14:41ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592014-09-0153328729210.1016/j.tjog.2014.07.003Primary fallopian tube cancer: Domestic data and up-to-date reviewHuann-Cheng Horng0Sen-Wen Teng1Ben-Shian Huang2Hsu-Dong Sun3Ming-Shyen Yen4Peng-Hui Wang5Kuan-Hao Tsui6Kuo-Chang Wen7Yi-Jen Chen8Chi-Mu Chuang9Hsiang-Tai Chao10Wen-Hsun Chang11Division of Gynecology, Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Obstetrics and Gynecology, Cardinal Tien Hospital-Hsintien, New Taipei City, TaiwanDepartment of Obstetrics and Gynecology, National Yang-Ming University School of Medicine, Taipei, TaiwanDepartment of Obstetrics and Gynecology, National Yang-Ming University School of Medicine, Taipei, TaiwanDivision of Gynecology, Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, TaiwanDivision of Gynecology, Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, TaiwanDivision of Gynecology, Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, TaiwanDivision of Gynecology, Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, TaiwanDivision of Gynecology, Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, TaiwanDivision of Gynecology, Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, TaiwanDivision of Gynecology, Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Nursing, Taipei Veterans General Hospital, Taipei, TaiwanPrimary fallopian tube carcinoma (PFTC) is a rare gynecological malignancy with the following characteristics: its preoperative diagnosis is easy to miss or delay because of a lack of specific symptoms and signs; it is difficult to distinguish from serous epithelial ovarian cancer or primary peritoneal serous carcinoma during or even after operation because they have the same histopathological features; and there is uncertainty regarding the optimal management because of the lack of available standard guidelines. All of these factors contribute to the major challenge of undertaking a comprehensive study of this disease. To improve our understanding of this rare disease, the domestic data were summarized first. We searched PubMed on this topic, using the term “primary fallopian tube tumor and Taiwan” (from January 1, 1990 to November 3, 2013) and identified 15 published articles, but only 11 studies focused on the outcome of patients with PFTC in Taiwan. These limited data were not enough to increase our knowledge in dealing with this disease; therefore, the addition of large series or published review articles addressing this topic was needed. According to these reports, we concluded: (1) the main type of PFTC was serous type, often poorly differentiated; (2) the diagnosis of PFTC is frequently missed or delayed; (3) PFTC is often of an earlier International Federation of Gynecology and Obstetrics (FIGO) stage than is epithelial ovarian cancer (EOC), because of the appearance of earlier but nonspecific symptoms or signs, such as abdominal pain, vaginal bleeding, and watery discharge or mass; (4) the most important clinicopathological prognostic factor was FIGO stage; (5) the therapeutic strategy is still uncertain, but is often based on the guidelines for treating EOC. An intensive surgical effort such as a complete surgical resection or optimal cytoreduction surgery with a minimal residual tumor followed by a platinum-paclitaxel combination chemotherapy with/without targeted therapy (for example, antiangiogenesis agents) may provide the best possibility of disease-free or overall survival.http://www.sciencedirect.com/science/article/pii/S1028455914001181outcomeprimary fallopian tube carcinomaprognosistreatment |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Huann-Cheng Horng Sen-Wen Teng Ben-Shian Huang Hsu-Dong Sun Ming-Shyen Yen Peng-Hui Wang Kuan-Hao Tsui Kuo-Chang Wen Yi-Jen Chen Chi-Mu Chuang Hsiang-Tai Chao Wen-Hsun Chang |
spellingShingle |
Huann-Cheng Horng Sen-Wen Teng Ben-Shian Huang Hsu-Dong Sun Ming-Shyen Yen Peng-Hui Wang Kuan-Hao Tsui Kuo-Chang Wen Yi-Jen Chen Chi-Mu Chuang Hsiang-Tai Chao Wen-Hsun Chang Primary fallopian tube cancer: Domestic data and up-to-date review Taiwanese Journal of Obstetrics & Gynecology outcome primary fallopian tube carcinoma prognosis treatment |
author_facet |
Huann-Cheng Horng Sen-Wen Teng Ben-Shian Huang Hsu-Dong Sun Ming-Shyen Yen Peng-Hui Wang Kuan-Hao Tsui Kuo-Chang Wen Yi-Jen Chen Chi-Mu Chuang Hsiang-Tai Chao Wen-Hsun Chang |
author_sort |
Huann-Cheng Horng |
title |
Primary fallopian tube cancer: Domestic data and up-to-date review |
title_short |
Primary fallopian tube cancer: Domestic data and up-to-date review |
title_full |
Primary fallopian tube cancer: Domestic data and up-to-date review |
title_fullStr |
Primary fallopian tube cancer: Domestic data and up-to-date review |
title_full_unstemmed |
Primary fallopian tube cancer: Domestic data and up-to-date review |
title_sort |
primary fallopian tube cancer: domestic data and up-to-date review |
publisher |
Elsevier |
series |
Taiwanese Journal of Obstetrics & Gynecology |
issn |
1028-4559 |
publishDate |
2014-09-01 |
description |
Primary fallopian tube carcinoma (PFTC) is a rare gynecological malignancy with the following characteristics: its preoperative diagnosis is easy to miss or delay because of a lack of specific symptoms and signs; it is difficult to distinguish from serous epithelial ovarian cancer or primary peritoneal serous carcinoma during or even after operation because they have the same histopathological features; and there is uncertainty regarding the optimal management because of the lack of available standard guidelines. All of these factors contribute to the major challenge of undertaking a comprehensive study of this disease. To improve our understanding of this rare disease, the domestic data were summarized first. We searched PubMed on this topic, using the term “primary fallopian tube tumor and Taiwan” (from January 1, 1990 to November 3, 2013) and identified 15 published articles, but only 11 studies focused on the outcome of patients with PFTC in Taiwan. These limited data were not enough to increase our knowledge in dealing with this disease; therefore, the addition of large series or published review articles addressing this topic was needed. According to these reports, we concluded: (1) the main type of PFTC was serous type, often poorly differentiated; (2) the diagnosis of PFTC is frequently missed or delayed; (3) PFTC is often of an earlier International Federation of Gynecology and Obstetrics (FIGO) stage than is epithelial ovarian cancer (EOC), because of the appearance of earlier but nonspecific symptoms or signs, such as abdominal pain, vaginal bleeding, and watery discharge or mass; (4) the most important clinicopathological prognostic factor was FIGO stage; (5) the therapeutic strategy is still uncertain, but is often based on the guidelines for treating EOC. An intensive surgical effort such as a complete surgical resection or optimal cytoreduction surgery with a minimal residual tumor followed by a platinum-paclitaxel combination chemotherapy with/without targeted therapy (for example, antiangiogenesis agents) may provide the best possibility of disease-free or overall survival. |
topic |
outcome primary fallopian tube carcinoma prognosis treatment |
url |
http://www.sciencedirect.com/science/article/pii/S1028455914001181 |
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