A 52-year-old woman with a background of vaginal hysterectomy for heavy menstrual bleeding underwent an elective laparoscopic adhesiolysis, left salpingo-oophorectomy for left-sided pelvic pain, and a right salpingectomy. Despite a grossly normal appearance, histology revealed a rare presentation of mature teratoma with insular carcinoid tumour arising from the left fallopian tube. Even though the salpingectomy was thought to be curative, the patient underwent a second operation to remove her remaining right ovary as a precaution against malignant spread. In light of limited information in such rare cases, counselling on best management and discussion of risks to guide patient decision making remains challenging.
- obstetrics and gynaecology
- gynecological cancer
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Contributors JP has been involved in patient care, conception of the case report, literature review, analysis and write-up, and final approval of the case report. TS has contributed to the literature review, analysis, write-up and final approval of the case report. JP has been the lead histopathologist in the case and has contributed to the intellectual content, editing and the final approval of the case report. SV has been involved in patient care, conception of the case report, literature review analysis, editing and final approval of the case report.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Patient consent for publication Obtained.
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