Mohamed Fadil, Mehdi Salmane, Asmae Guennouni, Rachida Saouab, Jamal El Fenni, Zakaria Toufga
Journal: Medpeer Publisher
ISSN: 3066-2737
Volume: 3
Issue: 8
Date of Publication: 2026/08/06
Primary fallopian tube carcinoma (PFTC) is a rare gynecological malignancy that shares clinical behavior and molecular origins with high-grade serous ovarian carcinoma [1, 2]. Due to its non-specific clinical presentation and frequent overlap with primary ovarian masses, preoperative diagnosis remains exceptionally challenging [2, 3]. We present the clinical case of a 62-year-old female admitted for the evaluation of chronic, intermittent left lower quadrant pelvic pain. While initial ultrasonography suggested a suspicious ovarian mass, multi-parametric pelvic magnetic resonance imaging (MRI) demonstrated a solid tissue mass within a dilated left fallopian tube, demonstrating heterogeneous T2 signal intensity, restricted diffusion, and prominent post-contrast enhancement. This report highlights the key multi-parametric MRI features capable of identifying primary intra-fallopian tube neoplasms prior to surgical exploration, emphasizing the critical role of advanced imaging in guiding tailored primary surgical staging [3, 4].
Fallopian tube; Carcinoma; Ovarian cancer mimicry; Oncology.
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