How to treat fallopian tube tumors

Fallopian tube is a common disease, there are very few problems with fallopian tube, but it happens to many women of childbearing age. Cysts and blockages of fallopian tubes can cause harm to the human body, but this is not the most serious. Severe fallopian tube tumors can cause infertility in patients and may even metastasize. Patients with fallopian tube tumors should mainly undergo surgery, combined with chemotherapy and radiotherapy as auxiliary treatments, and the patient's body also needs medication.

Fallopian tube tumors

Tumors of the fallopian tube are very rare, and benign ones are even less common than malignant ones. There are many tissue types of benign fallopian tube tumors, among which adenomatoid tumors are relatively common. Others such as papilloma, hemangioma, non-slip myoma, lipoma, etc. are extremely rare. Because the tumor is small and asymptomatic, it is difficult to diagnose preoperatively and has a good prognosis. There are two types of fallopian tube malignancy: primary and secondary. The vast majority are secondary cancers, accounting for 80% to 90% of fallopian tube malignant tumors. Most primary lesions are located in the ovaries and uterine body, and can also be metastasized from the contralateral fallopian tube, cervical cancer, rectal cancer, breast cancer, and so on. Mainly metastasizes through lymph nodes. Symptoms, signs, and treatment depend on the primary tumor. Prognosis is poor.

Treatment

The principle of treatment is comprehensive treatment with surgery as the main method and chemotherapy and radiotherapy as the auxiliary methods, emphasizing the thoroughness of the first treatment.

1. Surgery is the main treatment method. In principle, comprehensive staging surgery should be performed in the early stage and tumor cell reduction surgery should be performed in the late stage.

2. Chemotherapy is similar to that for ovarian cancer, and a combination chemotherapy regimen based on platinum and paclitaxel is often used.

3. Radiotherapy: Radiotherapy is less used due to its significant efficacy in combination chemotherapy based mainly on platinum.

Surgery is the main treatment method, which includes total hysterectomy, bilateral adnexectomy and greater omentum resection. If the cancer has spread to the pelvic or abdominal cavity, efforts should be made to remove the tumor in large pieces. Pelvic lymph node dissection is generally not recommended.

Benign fallopian tube tumors often have no clinical symptoms and are rarely diagnosed preoperatively. The final diagnosis depends on pathological tissue examination. Treatment is salpingectomy. The prognosis is good.

Overview

Fallopian tube tumors are very rare, and benign ones are even less common than malignant ones. There are many tissue types of benign fallopian tube tumors, among which adenomatoid tumors are relatively common. Others such as papilloma, hemangioma, non-slip myoma, lipoma, etc. are extremely rare. Because the tumor is small and asymptomatic, it is difficult to diagnose preoperatively and has a good prognosis.

There are two types of fallopian tube malignancy: primary and secondary. The vast majority are secondary cancers, accounting for 80% to 90% of fallopian tube malignant tumors. Most primary lesions are located in the ovaries and uterine body, and can also be metastasized from the contralateral fallopian tube, cervical cancer, rectal cancer, breast cancer, and so on. Mainly metastasizes through lymph nodes. Symptoms, signs, and treatment depend on the primary tumor. Prognosis is poor.

The average age of primary fallopian tube cancer is 55 years old, most of which are between 45 and 60 years old. There may be no symptoms in the early stage. The most important manifestation in symptomatic patients is a large amount of vaginal discharge, which may be yellow watery liquid or light blood water. The discharge may be intermittent, accompanied by lower abdominal pain and back pain. Occasionally, the patient may have symptoms such as tenesmus, difficulty urinating or frequent urination. During pelvic examination, a thick fallopian tube or mass may be felt on one or both sides. In the early stages, there may only be thickening. Diagnosis is difficult. When the patient complains of repeated vaginal discharge or bloody water, especially in postmenopausal women who have not given birth, and the diagnostic curettage and cervical biopsy are negative, the possibility of fallopian tube cancer should be considered.