[ Monash University ]

Museum of Pathology

ADENOCARCINOMA OF THE UTERINE TUBE

ADENOCARCINOMA OF THE UTERINE TUBE

Clinical History

This 61 year old female presented complaining of post-menopausal bleeding every day for 6 months. At times a brownish discharge was also present. On examination the patient had a bulky, irregular, firm uterus which was thought to contain leiomyomata. At operation the uterus with fibroids was removed as well as bilaterally dilated fallopian tubes. Post-operative course was satisfactory.

Pathology

This specimen consists of a slice of uterine wall inferiorly measuring 2 x 8 x 3 cm with an attached and swollen fallopian tube superiorly with ovary. Uterine slice shows the presence of pale nodules, the cut surface of which posteriorly shows a whorled appearance (1-2 mm). A small segment of endometrium is also visible posteriorly and is haemorrhagic. The Fallopian tube is shortened and dilated (6 cm maximum diameter) and closely attached to the ovary on the extreme right inferiorly. The tube has been slit open and shows a trabeculated lining with a pale buff-coloured friable tumour tissue attached to the internal lining in parts. Surface of the tumour tissue is necrotic and shows small patchy haemorrhages. The ovary, apart from being flattened by the dilated tube, appears normal. This is an example of an adenocarcinoma of the fallopian tube associated with uterine leiomyomata.