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Publication
Primary fallopian tube carcinoma: review of MR imaging findings
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Advisor(s)
Abstract(s)
Objectives To review the epidemiological and clinical features
of primary fallopian tube carcinoma (PFTC), and to illustrate
the spectrum of MRI findings, with pathological
confirmation.
Methods This article reviews the relevant literature on the
epidemiological, clinical, and imaging features of primary
fallopian tube carcinoma, with pathological confirmation,
using illustrations from the authors’ teaching files.
Results Primary fallopian tube carcinoma came under focus
over the last few years due to its possible role on the pathogenesis
of high-grade serous epithelial ovarian and peritoneal
cancers. Typical symptoms, together with the presence of
some of the most characteristic MRI signs, such as a
Bsausage-shaped^ pelvic mass, hydrosalpinx, and hydrometra,
may signal the presence of primary fallopian cancer, and allow
the radiologist to report it as a differential diagnosis.
Conclusions Primary fallopian tube carcinoma has a constellation
of clinical symptoms and magnetic resonance imaging
features, which may be diagnostic. Although these findings
are not present together in the majority of cases, radiologists
who are aware of them may include the diagnosis of primary
fallopian tube cancer in their report more frequently and with
more confidence.
Teaching Points
• PFTC may be more frequent than previously thought
• PFTC has specific clinical and MRI characteristics
• Knowledge of typical PFTC signs enables its inclusion in the
differential diagnosis
• PFTC is currently staged under the 2013 FIGO system
• PFTC is staged collectively with ovarian and peritoneal
neoplasms
Description
Keywords
Fallopian tube neoplasms Magnetic resonance imaging High-grade serous carcinoma Epithelial ovarian cancer Peritoneal cancer
Citation
Filipe Veloso Gomes; Joao Lopes Dias; Rita Lucas; Teresa Margarida Cunha. Primary Fallopian Tube Carcinoma: Review of MR Imaging Findings, Insights Imaging, 6, 4, 431-439, 2015.