Incidental Fallopian Tube Adenocarcinoma Managed with Robotic Staging Surgery

C.-W. Wang, C.-H. Chen, L.-H. Chiu, W.-M. Liu

研究成果: 雜誌貢獻文章

摘要

Primary fallopian tube carcinoma is an uncommon gynecological malignancy. Management of primary fallopian tube carcinoma using a robotic-assisted approach is also rare. We have described here two cases of adenocarcinoma located in the fallopian tubes that were managed using robotic-assisted staging surgery, followed by subsequent serial chemotherapy. The surgical procedure consisted of a total hysterectomy, bilateral salpingo-oophorectomy, bilateral pelvi lymph node dissection, para-aortic lymph node dissection, appendectomy, omentectomy, peritoneal biopsies, and ascites cytology. After surgery, a test for CA-125 level and a computed tomography (CT) evaluation were conducted every 3 and 6 months, respectively. In Case I, the patient received 6 cycles of chemotherapy consisting of cisplatin and paclitaxel after surgery, and CA-125 level decreased from 55.9 U/mL to 9.5 U/mL over 6 months. At 16 months after surgery, a follow-up CT scan revealed no evidence of local recurrence. In Case II, the patient received 11 cycles of chemotherapy including cisplatin and paclitaxel, and CA-125 level decreased from 52.1 U/mL to 11.1 U/mL over 12 months. At 20 months after surgery, a follow-up CT scan revealed no evidence of local recurrence. In conclusion, robotic-assisted staging surgery is a feasible approach for treating incidentally located tumors in the fallopian tubes.
原文英語
頁(從 - 到)S73
期刊Journal of Minimally Invasive Gynecology
21
發行號6
DOIs
出版狀態已發佈 - 十一月 1 2014

指紋

Fallopian Tubes
Robotics
Adenocarcinoma
Tomography
Lymph Node Excision
Drug Therapy
Carcinoma
Recurrence
Appendectomy
Ovariectomy
Hysterectomy
Ascites
Cell Biology
Neoplasms
Biopsy

引用此文

Incidental Fallopian Tube Adenocarcinoma Managed with Robotic Staging Surgery. / Wang, C.-W.; Chen, C.-H.; Chiu, L.-H.; Liu, W.-M.

於: Journal of Minimally Invasive Gynecology, 卷 21, 編號 6, 01.11.2014, p. S73.

研究成果: 雜誌貢獻文章

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abstract = "Primary fallopian tube carcinoma is an uncommon gynecological malignancy. Management of primary fallopian tube carcinoma using a robotic-assisted approach is also rare. We have described here two cases of adenocarcinoma located in the fallopian tubes that were managed using robotic-assisted staging surgery, followed by subsequent serial chemotherapy. The surgical procedure consisted of a total hysterectomy, bilateral salpingo-oophorectomy, bilateral pelvi lymph node dissection, para-aortic lymph node dissection, appendectomy, omentectomy, peritoneal biopsies, and ascites cytology. After surgery, a test for CA-125 level and a computed tomography (CT) evaluation were conducted every 3 and 6 months, respectively. In Case I, the patient received 6 cycles of chemotherapy consisting of cisplatin and paclitaxel after surgery, and CA-125 level decreased from 55.9 U/mL to 9.5 U/mL over 6 months. At 16 months after surgery, a follow-up CT scan revealed no evidence of local recurrence. In Case II, the patient received 11 cycles of chemotherapy including cisplatin and paclitaxel, and CA-125 level decreased from 52.1 U/mL to 11.1 U/mL over 12 months. At 20 months after surgery, a follow-up CT scan revealed no evidence of local recurrence. In conclusion, robotic-assisted staging surgery is a feasible approach for treating incidentally located tumors in the fallopian tubes.",
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