A rare primary malignant tumor of fallopian tube

Primary adenocarcinoma of fallopian tube is one of the rarest and accounts for about 1% of all gynecological malignancies. We are presenting this rare case of the primary fallopian tubal carcinoma. A 60-year-old female patient with para 2 visited the Gynecologic and Obstetric Department with the complaints of white discharge and abdominal pain since 4 months duration. Radiological study suggested hydrometra with polypoidal growth in the left adnexa suggestive of malignant lesion. The patient underwent the total abdominal hysterectomy with bilateral salpingo-oopherectomy along with the omental resection. On histopathology diagnosed as the primary adenocarcinoma of the fallopian tube and was confirmed by immunohistochemistry with cytokeratin-7 positivity.