Abstract :
Introduction: Cervical adenocarcinoma accounts to about 10–20% of invasive cervical cancers and has
poor radiosensitivity and chemosensitivity. Papillary serous carcinoma of the uterine cervix (PSCC) is a
very rare variant of cervical adenocarcinoma. It is unique, as it histologically resembles the same tumour
occurring more commonly in the ovary, fallopian tube, endometrium, and peritoneum. The recognition that
serous carcinomas of ovarian type frequently involved the fallopian tube fimbria has recently led to a new
concept that, the fallopian tube epithelium was the origin of most high grade ovarian serous carcinomas.
Case History: A 58 years old woman, was apparently normal 2 months back, when she started to notice
pain abdomen which was dull aching, intermittent in the beginning and then gradually became continuous
type of pain. No aggravating or relieving factors, no radiating pain as well. She gave h/o white discharge per
vagina since 15 days, on and off, moderate in amount, serous in consistency, not associated with itching and
non foul smelling, changing one cloth per day. History of post-menopausal spotting Per vagina – 2 episodes
in a span of 15 days was present. History of burning micturition, increased frequency of micturition and
urge incontinence since 15 days. After routine investigations and preoperative work up, patient was taken
up for Total Abdominal Hysterectomy with Bilateral Salphingoophorectomy with an indication of CIN
II on 14/5/19. On table, there was no complications, uterus was 6 weeks size, bilateral tubes and ovaries
appeared normal. Post operative period was uneventful. Patient has now been started with radiotherapy and
chemotherapy with weekly Carboplatin 150mg.
Keyword :
Papillary serous carcinoma of the uterine cervix (PSCC), Fallopian tube carcinoma.