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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can A Hydrosalpinx Turn Cancerous?

I am 50 years of age and had a total hysterectomy and bowel resection after I was diagnosed with bowel cancer...two years ago. I am now in remission. I managed to keep my left ovary and tube but now have a hydrosalpinx and have recently had a blood marker test but do not have the results as yet. I do have pain radiating from this area daily. As I have had 3 caesarean sections my gynaecologist is saying that an operation may not be possible due to adhesions. 1. What I need to know is can a hydrosalpinx turn cancerous? What other facts do I need to know?
Wed, 18 Mar 2015
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Radiologist,  's  Response
Hi,
Thanks for writing in.

Hydrosalpinx is a condition where there is fluid collection in the tubes. As you have had a bowel cancer, there is less likelihood of having a cancer in the tubes if this finding is present for many months. It is important to know if you suffer from low immunity and whether there could be a chronic infection like tuberculosis due to which you are having this problem of fluid collecting in your tube.

However a cancer in the tube can cause obstruction and hydrosalpinx. Most primary fallopian tube cancers arise from ampulla with endoluminal growth that leads to obstruction and distension of the fallopian tube (hydrosalpinx), which explains why the majority of these patients are rarely asymptomatic. As you do not have symptoms due to hydrosalpinx there is no concern.
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Can A Hydrosalpinx Turn Cancerous?

Hi, Thanks for writing in. Hydrosalpinx is a condition where there is fluid collection in the tubes. As you have had a bowel cancer, there is less likelihood of having a cancer in the tubes if this finding is present for many months. It is important to know if you suffer from low immunity and whether there could be a chronic infection like tuberculosis due to which you are having this problem of fluid collecting in your tube. However a cancer in the tube can cause obstruction and hydrosalpinx. Most primary fallopian tube cancers arise from ampulla with endoluminal growth that leads to obstruction and distension of the fallopian tube (hydrosalpinx), which explains why the majority of these patients are rarely asymptomatic. As you do not have symptoms due to hydrosalpinx there is no concern.