Gynecologic Oncology Reports (Aug 2020)

Serous carcinoma of a prolapsed fallopian tube: A rare cause of a vaginal apex mass

  • Tyler J. Woodard,
  • Benjamin Margolis,
  • Sarah Lee,
  • Ghadir Salame

DOI
https://doi.org/10.1016/j.gore.2020.100618
Journal volume & issue
Vol. 33
p. 100618

Abstract

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Background: The differential diagnosis for women who present with a vaginal mass after undergoing a hysterectomy is dependent on the indication, type and timing of the hysterectomy. The differential diagnosis includes cervical dysplasia, malignancy, nabothian cysts, prolapsed endocervical polyp/fibroid, abscess, hematoma, granulation tissue, or dehiscence with organ evisceration. Case: We introduce a case of a woman who presented with a vaginal apex mass and had a remote history of a total hysterectomy for an unknown indication. She was ultimately diagnosed with high grade serous carcinoma of a prolapsed fallopian tube. Conclusion: This is the first reported case of serous carcinoma of a prolapsed fallopian tube and highlights the importance of maintaining a wide differential diagnosis for women who present with vaginal apex masses.