(Disclaimer: This article is for general science purposes only, and relevant information in the following content has been processed to protect patient privacy)
Abstract: The patient began to have irregular menstruation and a small amount of vaginal fluid six months ago, and then gradually worsened to abdominal pain, wasting and abdominal bulging before she went to the hospital. A whole abdominal CT examination was performed, and the patient was considered to have an occupying lesion in the right adnexal area with a high possibility of malignant tumor and multiple lymph node metastases and ascites, and was given tumor reduction surgery, during which most of the tumor was excised, and the postoperative pathology reported fallopian tube cancer, so chemotherapy was given to control and stabilize the patient’s condition.
Basic information】Female, 46 years old
Disease Type】Fallopian tube cancer
Hospital】Jiangbin Hospital of Guangxi Zhuang Autonomous Region
Date of consultation】March 2021
Treatment plan】Surgical treatment (tumor reduction) + drug treatment (paclitaxel injection, carboplatin for injection, cefuroxime sodium for injection, metronidazole injection, tranexamic acid injection)
Treatment period] 9 days in hospital
Treatment effect] Most of the tumor was removed by surgery, and the patient’s condition was stable.
I. Initial consultation
The patient reported that she had one abortion and two normal deliveries, and had a history of chronic gastritis and multiple gastric ulcers more than 10 years ago, but she was not treated systematically. Since February, the patient had weakness, poor appetite, significant weight loss, increased abdominal pain, and a slightly elevated abdomen. There was pelvic fluid and ascites, and the nature of the right adnexal mass was diagnosed as pending investigation.
II. Treatment history
After admission, physical examination showed normal vital signs, clarity, abdominal distension, mild pressure pain in the right abdomen, positive mobile turbid sounds, normal size of uterus in gynecological examination, and a fist-sized mass with unclear border and mild pressure pain in the right adnexal region. The patient and his family were told that the patient was considered to have a malignant tumor with metastasis, and it was feasible to reduce the tumor and slow down the disease, but the prognosis was not optimistic. As the patient insisted on surgery, she was sent to the operating room on March 4 for surgery under general anesthesia, and was found to have an indistinct mass on the right fallopian tube and multiple metastases in the abdominal cavity. The surgical procedure went smoothly, and paclitaxel injection and carboplatin for injection were given for chemotherapy, cefuroxime sodium for injection and metronidazole injection for intravenous anti-inflammation, as well as tranexamic acid injection for hemostasis.
III. Treatment effect
Most of the tumor was surgically removed, and some of the tissues were sent for pathological examination. The postoperative pathological examination was reported as fallopian tube cancer, which is a malignant tumor of the fallopian tube. The patient was depressed after knowing her condition, but she recovered well after surgery with normal vital signs, no fever, obvious abdominal pain and other uncomfortable symptoms, and good healing of abdominal wound. After 9 days of hospitalization, the patient’s condition was stable and she signed a firm request to be discharged from the hospital. The family was instructed to give more guidance to the patient to relieve her excessive psychological pressure and bad mood.
IV. Notes
The patient was treated surgically to remove part of the tumor and recovered well after the operation, which is still relatively gratifying. However, the patient’s fallopian tube cancer is malignant and has metastasized in multiple places. In this case, in order to slow down the situation and progress of cancer, active chemotherapy is recommended after surgery. Patients with cachexia in the advanced stage of tumor are weaker, so it is recommended to increase nutrition and rest more to avoid infection. After surgery and chemotherapy, it is important to review blood routine, liver and kidney function regularly at the outpatient clinic to understand the side effects of chemotherapy. Patients should face the disease positively and cooperate with the treatment, which is beneficial to prolong the survival time, and it is suggested that family members should encourage patients more.
V. Personal insight
In this case, because the patient did not pay enough attention to her health, she did not seek medical treatment in time for symptoms such as abdominal pain, vaginal discharge and menstrual disorder, which delayed the best treatment time. Fallopian tube cancer is generally difficult to be detected in early stage, and most of the fallopian tube cancer comes from the metastasis of other parts of cancer, such as intestinal cancer, stomach cancer, etc. Therefore, once fallopian tube cancer shows obvious symptoms, the stage is late and the prognosis is poor. In order to detect cancer as early as possible, it is recommended to have regular medical checkups and cancer prevention examinations.