1980 年 19 巻 4 号 p. 546-552
This is a 51-year old female case, gravida 3, para 1, complaining of postmenopausal spotting.
Though nothing could be palpated in both adnexal region and the pathology report on the endometrial curettage was “atrophy of endometrium”, aspiration cytology from uterine cavity was positive (Vaginal pool smear and cervical scraping smear were negative.).
Early adenocarcinoma of the endometrium was suspected and total hysterectomy and bilateral salpingo-oophorectomy were performed.
Postoperavive pathology of uterus and both adnexe revealed a tiny focus of adenocarcinoma in the right fallopian tube.
Eighty five cases with carcinoma of the fallopian tube have been reported in Japanese literature and our case is the 84th.
Thirteen cases having carcinoma of the fallopian tube with positive cytology have been reported in Japan and this case is the 14th.
We find that endometrial aspiration cytology is very useful for detecting primary carcinoma of fallopian tube.