这是一例在目前杂志上报道过的最小的输卵管恶性肿瘤。患者51岁,孕5产4,绝经8年。体检发现宫颈巴氏涂片为“高度可疑癌细胞”而就诊。仅有症状是疲劳和头痛,否认绝经后阴道流血。略消瘦,盆腔检查无异常。腹腔镜检查盆腹腔均正常,但腹腔灌洗液中找到与巴氏涂片相同的腺癌细胞。因可疑输卵管癌于剖腹探查术中行全子宫加双附件切除术。首次病理报告仅提示卵巢,输卵管和子宫的萎缩型改变。后经对手术标本反复盲目切片才证实在右侧输卵管伞端有一2.3mm的腺癌病灶。诊 This is an example of the smallest reported fallopian tube malignancy in the current journal. 51-year-old patient, 5 pregnant and 4, menopause 8 years. Physical examination found that Pap smear cervical “highly suspected cancer cells” and treatment. Only symptoms are fatigue and headache, denying vaginal bleeding after menopause. Slight wasting, pelvic examination no abnormalities. Laparoscopy abdominal cavity were normal, but found in abdominal perfusion fluid and Pap smear the same adenocarcinoma cells. Due to suspicious tubal cancer in the laparotomy hysterectomy with double attachment resection. The first pathological report only prompted atrophy of the ovary, fallopian tubes and uterus. After repeated blind slices of surgical specimens confirmed only in the right side of the fallopian tube umbrella side of a 2.3mm adenocarcinoma lesions. Clinic