{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:40:19Z","timestamp":1756366819881,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,6,24]]},"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>The fallopian tube has received attention as an origin of high-grade pelvic malignancies. This is a case of bilateral fallopian tube cancer discovered after an abnormal Pap test. A 62-year-old woman with a history of one term delivery had atypical glandular cells on a Pap test. She had an unsatisfactory colposcopy and a normal transvaginal ultrasound. A loop electrode excision procedure and hysteroscopy with dilation and curettage revealed atypical glandular cells concentrated in floating balls. CA-125 was 10\u2009U\/mL. A robotic hysterectomy revealed histopathological stage IIIA serous carcinoma arising from both fallopian tubes. She received six cycles of carboplatin and paclitaxel. After chemotherapy, she has no evidence of disease at 5 years. Fallopian tube carcinoma is a differential diagnosis of abnormal glandular cells on a Pap test. Diagnosis by systematic pursuit of abnormal tests can lead to successful treatment of a small disease burden.<\/jats:p>","DOI":"10.1136\/bcr-2019-229762","type":"journal-article","created":{"date-parts":[[2019,7,25]],"date-time":"2019-07-25T07:29:03Z","timestamp":1564039743000},"page":"e229762","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Medical diligence uncovers fallopian tube cancer after abnormal Pap test"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1313-1192","authenticated-orcid":false,"given":"Cara","family":"Buskmiller","sequence":"first","affiliation":[{"name":"Obstetrics, Gynecology, and Women\u2019s Health, Saint Louis University, St Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany","family":"Cline","sequence":"additional","affiliation":[{"name":"School of Medicine, Saint Louis University, St Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8583-4180","authenticated-orcid":false,"given":"Francisco","family":"Xynos","sequence":"additional","affiliation":[{"name":"Obstetrics, Gynecology, and Women\u2019s Health, Saint Louis University, St Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,7,24]]},"reference":[{"key":"2025082800031332000_12.7.e229762.1","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1002\/jso.2930240413","article-title":"Primary malignancy of the fallopian tube: a clinical review of 13 cases","volume":"24","author":"Johnston","year":"1983","journal-title":"J Surg Oncol"},{"key":"2025082800031332000_12.7.e229762.2","doi-asserted-by":"crossref","DOI":"10.1186\/1742-6413-2-20","article-title":"Primary fallopian tubal transitional cell carcinoma with exfoliation of malignant cells in cervical Pap 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with neoadjuvant chemotherapy versus primary debulking surgery","volume":"37","author":"Soleymani Majd","year":"2017","journal-title":"J Obstet Gynaecol"},{"key":"2025082800031332000_12.7.e229762.10","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1007\/s00404-016-4265-9","article-title":"The impact of ultra-radical surgery in the management of patients with stage IIIC and IV epithelial ovarian, fallopian tube, and peritoneal cancer","volume":"295","author":"Turnbull","year":"2017","journal-title":"Arch Gynecol Obstet"}],"container-title":["BMJ Case 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