Primary Fallopian tube carcinomas (PFTCs) are rare malignancies that are often misclassified as ovarian cancers due to overlapping clinical and pathological features. This frequent misdiagnosis contributes to the under-recognition of PFTCs, which account for a larger proportion of pelvic malignancies than historically reported. The central aim of this literature review is to highlight the critical importance of and methods for achieving an early diagnosis of Fallopian tube cancer, to improve patient outcomes. We classify benign and malignant fallopian tube neoplasms and evaluate the essential role of clinical evaluation and advanced imaging techniques, considering especially ultrasound, MRI, and PET-CT, in achieving an accurate and timely diagnosis. While histopathology remains the gold standard, imaging is pivotal for differentiating benign from malignant tubal lesions. This review details clinical manifestations, diagnostic pitfalls, and the necessity of a multidisciplinary approach to management. We conclude that advancing early detection through refined diagnostic criteria is essential to guiding effective, patient-specific therapeutic interventions.
原发性输卵管癌是一种罕见的恶性肿瘤，因其临床与病理特征与卵巢癌存在重叠，常被误诊为卵巢癌。这种频繁的误诊导致输卵管癌的认知不足，其在盆腔恶性肿瘤中所占比例实际上高于历史文献报道。本文献综述的核心目的在于强调输卵管癌早期诊断的关键意义及实现方法，以改善患者预后。我们对输卵管良性与恶性肿瘤进行分类，并评估临床评估与先进影像学技术（特别是超声、磁共振成像及正电子发射计算机断层扫描）在实现准确及时诊断中的关键作用。尽管组织病理学仍是金标准，影像学对于鉴别输卵管良恶性病变至关重要。本综述详细阐述了临床表现、诊断误区以及多学科综合诊疗的必要性。我们得出结论：通过完善诊断标准以推进早期检测，对于指导有效且个体化的治疗干预至关重要。
The Imaging of Primary Fallopian Tube Carcinoma: A Literature Review
肿瘤(癌症)患者之家