Clinical manifestations of fallopian tube cancer

Fallopian tube cancer is a relatively rare malignant tumor in women, and its incidence is mostly seen in the age of 50~70, and the average age of patients is 55~60, among which 33%~60% have a history of infertility. (1) Vaginal fluid discharge: Vaginal fluid is the most special symptom for patients with tubal cancer. The discharged fluid is yellowish or blood-like thin fluid, the amount of which varies. If the tumor has necrosis and bleeding, the fluid will be bloody and watery. (2) Vaginal bleeding: Irregular vaginal bleeding is also one of the common symptoms. Bleeding and fluid discharge can be explained as the same source, when tumor necrosis invades blood vessels, blood can flow into uterus and be discharged through vagina. (3) Abdominal pain: About half of the patients have lower abdominal pain, which is usually not heavy and often manifests as intermittent dull pain or colic in one side of lower abdomen. (4) Lower abdomen or pelvic mass: only some patients can palpate a mass in the lower abdomen by themselves, and those with a mass as the main complaint are even more rare. (5) Others: Due to the development of the disease, the mass grows up and presses the nearby organs or as a result of extensive metastasis, symptoms of dyspareunia, partial intestinal obstruction and even malignant fluid may appear, which are all manifestations of advanced stage. Physical signs of fallopian tube cancer mainly include the following aspects: (1) Pelvic examination: Since fallopian tube cancer is mostly combined with inflammatory adhesions, pelvic examination is often similar to that of adnexal inflammatory masses. The masses may be solid, cystic or cystic, located on one side of the uterus or posterior to the uterus, some of them are deep in the rectal fossa of the uterus, and most of them are restricted in movement or fixed. (2) Ascites: less common. The incidence of ascites is about 10%.