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Article
October 1925

PRIMARY BILATERAL CARCINOMA OF THE FALLOPIAN TUBES: RECOGNITION OF EARLY METASTASIS ESSENTIAL TO SUCCESSFUL TREATMENT: REPORT OF A CASE

Author Affiliations

PHILADELPHIA
From the Surgical and Pathological Departments, Samaritan Hospital.

Arch Surg. 1925;11(4):586-597. doi:10.1001/archsurg.1925.01120160099006
Abstract

The similarity in symptomatology between primary carcinoma of the fallopian tubes and salpingitis, the rarity of the disease, the paucity of correct preoperative diagnoses and the fact that the condition is often recognized only histologically make it imperative to report all cases. In addition, the youth of our patient and the early involvement of the uterus, as shown by microscopic examination, are interesting items worthy of note. Like most of the cases in the literature, the one we are reporting was diagnosed as salpingitis and a double salpingectomy was performed, the true nature of the disease not being suspected until after the operation.

REPORT OF CASE 

History.  —M. A. D., a woman, aged 25, with a negative family history, except that her mother died of pulmonary tuberculosis at the age of 40, stated that she had had sleeping sickness, in 1916, and was confined to bed for three weeks. There

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