April 2016, Volume 66, Issue 4

Letter to the Editor

Response to comment on Shama Chaudhry et al (J Pak Med Assoc 2016; 66: 107-110) Rare primary fallopian tube carcinoma; a gynaecologist\'s dilemma

Shama Chaudhry  ( Department of Obstetrics & Gynaecology, Ziauddin University Hospital, Karachi. )

Madam, it is very kind of you that you sent me the the letter to editor related to my publication" Rare primary fallopian tube carcinoma; a gynaecologist\\\'s dilemma: case series" published in the January 2016 issue of JPMA..
Answer to the queries is that:

  • All the cases were proven by histopathology that primary was in fallopian tubes and not in  ovaries and omentum.
  • On microscopic examination dysplastic changes in the mucosa adjacent to the tumour suggested origin from the fallopian tube
  • Dilated lymphatics and vascular invasion seen in the wall of the fallopian tube  fulfilled Sedlis criteria
  • Ovaries were involved by metastasis as cases were diagnosed at very advanced stages as in case 2 only outer surface was involved and rest of the residual ovaries were normal.

Journal of the Pakistan Medical Association has agreed to receive and publish manuscripts in accordance with the principles of the following committees: