Fallopian tube carcinoma is rarely encountered in clinical practice (incidence rates estimated at 3.6 in 1,000,000 women every year), comprising less than 2% of all malignancies of the female genital tract [1]. The tumor primarily affects women in their 5th, 6th, and 7th decades of life [1] [2]. Typical clinical presentation of fallopian tube carcinoma, known as the Latzko triad, encompasses three elements, namely a mass in the adnexal region, colicky abdominal or pelvic pain, and its relief after the appearance of a serosanguineous vaginal discharge [2] [3] [4] [5]. The term hydrops tubae profluens is used to describe the intermittent vaginal discharge spontaneously or after pressure, resulting in the decrease of the adnexal mass, and is considered to be a pathognomonic feature of fallopian tube carcinoma [3] [5]. Presumably, dynamic emptying and filling of the Fallopian tube blocked by the tumor is the related pathophysiological mechanism of hydrops tubae profluens [2] [3]. Only 15% of women present with the Latzko triad while hydrops tubae profluens is seen in only 5% of cases [2] [4]. Thus, the nonspecific clinical presentation and the rare occurrence of typical signs and symptoms might be the reasons why clinical suspicion is not raised early on, leading to a delayed diagnosis and poorer treatment outcomes [4] [5].

• Pneumonia

  Serum samples were analysed for IgG antibodies to different C. trachomatis serotype pools and to C. pneumoniae. [ncbi.nlm.nih.gov]

• Pelvic Mass

  Actually all these three cases presented as tubo-ovarian abscess because of the existence of tender pelvic mass. [ncbi.nlm.nih.gov]

• Abdominal Pain

  We report the case of a 56-year-old woman who presented with a 2 1/2-year history of intermittent vaginal bleeding and lower abdominal pain. [ncbi.nlm.nih.gov]

• Peritoneal Disease

  Although this is the first reported case of colon metastasis of PFTC, the possibility of such an unusual site of metastasis should be kept in mind, as PFTC may recur as isolated bowel lesions even in the absence of peritoneal disease. [ncbi.nlm.nih.gov]

  Kyriazi S, Collins DJ, Morgan VA, Giles SL, deSouza NM (2010) Diffusion-weighted imaging of peritoneal disease for noninvasive staging of advanced ovarian cancer. Radiographics 30:1269–1285 PubMed CrossRef Google Scholar 39. [springerlink.com]

  disease) have a relatively favourable outcome although it should be noted that the data are based mainly on cases of serous carcinoma. 71, 72 Positive extra-abdominal lymph nodes, including inguinal metastases, represent stage IVB disease. [nature.com]

• Diplopia

  Abstract This is the case report of a 61-year-old woman who presented with progressive diplopia and ataxia. [ncbi.nlm.nih.gov]

• Thigh Pain

  After surgery, the patient had progressive right thigh pain with activity. Radiographs of the femur showed a lytic lesion in the right proximal femur diaphysis with erosion of the medial cortex. [ncbi.nlm.nih.gov]

• Myopathy

  Dermatomyositis (DM) is an idiopathic inflammatory myopathy associated with characteristic cutaneous and extracutaneous manifestations, including malignancy. [ncbi.nlm.nih.gov]

• Myelopathy

  Diagnosis of radiation myelopathy in women with gynecologic malignancies may increase with the concomitant use of chemotherapy and radiation therapy. [ncbi.nlm.nih.gov]

  Higgins RV, Myers VT, Hall JB: Radiation myelopathy after chemotherapy and radiation therapy for fallopian tube carcinoma. Gynecol Oncol 1997;64:285–287. [karger.com]

• Forgetful

  Although a rare occurrence, we should not forget fallopian tube carcinoma in the differential diagnosis of peritoneal carcinomatosis, even in the absence of Latzke’s triad. [jmedicalcasereports.biomedcentral.com]

• Adnexal Mass

  During laparotomy, bilateral adnexal masses were identified, presumed to be of ovarian origin, and total abdominal hysterectomy, bilateral salpingo-oophorectomy, infracolic omentectomy, and retroperitoneal lymph nodes sampling were performed. [ncbi.nlm.nih.gov]

  Typical manifestations are the presence of an adnexal mass, abdominal or pelvic pain, and vaginal discharge that relieves pain, although they are not always present. [symptoma.com]

• Adnexal Tenderness

  Mucopurulent (green or yellow) discharge on speculum examination and acute cervical motion tenderness, uterine or adnexal tenderness are indicative for PID and TOA. [cancertherapyadvisor.com]

  On the pelvic examination, she had cervical motion and adnexal tenderness. [e-crt.org]

To make the diagnosis of Fallopian tube carcinoma, it is necessary to conduct a thorough workup. A detailed patient history and a meticulous physical examination are the first steps in raising suspicion toward this malignancy, but because typical signs and symptoms are not always present, imaging studies are the cornerstone in making the initial diagnosis [2] [3] [4]. Abdominal (but also transvaginal) ultrasonography is a very useful initial method in detecting a tumor in the area where the Fallopian tubes are located, but many reports have revealed that the mass may be often misidentified as ovarian carcinoma [2] [4] [5] [6] [7]. However, more advanced methods, such as magnetic resonance imaging (MRI), are used to confirm the diagnosis [2] [3]. A small tubular or sausage-shaped mass that exerts low signal intensity on T1-weighted imaging and high signal intensity on T2-weighted imaging are main findings on MRI [2] [7]. Computed tomography (CT), on the other hand, is beneficial for determining the stage of the tumor. Histopathological examination is often performed postoperatively [2]. The cancer antigen 125 (CA-125) is a protein tumor marker that is frequently expressed by carcinoma of the Fallopian tube, and its assessment should be done whenever clinical and radiographic findings point to an adnexal mass [4] [6] [7].

• Right Pleural Effusion

  Evaluation demonstrated a right pleural effusion, fluid of which was malignant. The immunohistochemical profile, including negative calretinin, favored metastatic adenocarcinoma over mesothelioma but could not identify the primary tumour site. [ncbi.nlm.nih.gov]

• Ovarian Mass

  Transvaginal ultrasonography revealed bilateral tubo-ovarian masses. Patient underwent abdominal hysterectomy with bilateral salpingo-oophorectomy. On gross examination, uterus, cervix and ovaries were normal. [casereports.in]

  Left-sided tubo-ovarian mass was present, cut section of which showed yellowish solid area in tubal wall and encroaching on ovarian surface. [jmidlifehealth.org]

  […] associated with the finding of STIC (11%) as compared to those patients without a dominant ovarian mass (45%). [cancerjournal.net]

  Cases with a dominant ovarian mass(es) and identifiable fallopian tubes with STIC should be classified as tubal primaries. [nature.com]

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2. Rezvani M, Shaaban AM. Fallopian tube disease in the nonpregnant patient. Radiographics. 2011;31(2):527-548.
3. Pectasides D, Pectasides E, Economopoulos T. Fallopian tube carcinoma: a review. Oncologist. 2006;11(8):902-912.
4. Jeung IC, Lee YS, Lee HN, Park EK. Primary Carcinoma of the Fallopian Tube: Report of Two Cases with Literature Review. Cancer Res Treat. 2009;41(2):113-116.
5. Kalampokas E, Kalampokas T, Tourountous I. Primary fallopian tube carcinoma. Eur J Obstet Gynecol Reprod Biol. 2013;169(2):155-161.
6. Chaudhry S, Hussain R, Zuberi MM, Zaidi Z. Rare primary fallopian tube carcinoma; a gynaecologist's dilemma. J Pak Med Assoc. 2016;66(1):107-110.
7. Lau HY, Chen YJ, Yen MS, Chen RF, Yeh SO, Twu NF. Primary fallopian tube carcinoma: a clinicopathologic analysis and literature review. J Chin Med Assoc. 2013;76(10):583-587.