Magnetic resonance imaging in diagnosis of serous adenocarcinoma of fallopian tubes: a case report

Serous adenocarcinoma of fallopian tubes is an extremely rare and difficult to diagnose type of cancer of the female reproductive system. This condition is often asymptomatic or has a non specific clinical presentation including serosanguineous vaginal discharge and colic like pain in the lower abdomen and pelvis. These symptoms are reported in the literature as the Latzko’s triad and are considered pathognomonic for tubal cancer, but their combination is observed in less than 15% of patients. The low incidence and lack of the pathognomonic clinical presentation lead to many diagnostic errors or detection of advanced disease, which significantly worsens the patient’s prognosis. An accurate surgical diagnosis is made in only 4% of cases. This case report describes serous adenocarcinoma of fallopian tubes with all signs of the Latzko’s triad and MRI suggestive of serous adenocarcinoma of fallopian tubes at a preoperative stage.