目的:分析原发性输卵管癌的临床特点,提高临床医生对原发性输卵管癌的认识。方法:回顾性分析11例原发性输卵管癌的发病年龄、临床表现、辅助检查及治疗方法。结果:11例患者平均年龄57.9岁,8例(72.7%)为绝经后女性。最常见的临床表现依次为盆腔包块9例(81.8%),腹痛5例(45.5%),阴道流血4例(36.4%),腹胀2例(18.2%),异常阴道流血伴排液2例(18.2%),阴道排液1例(9.1%)。术前接受血清癌抗原125(CA125)测定的9例中,5例(55.6%)高于35U/ml。11例中术前仅1例诊断为输卵管癌,误诊率达90.9%。结论:原发性输卵管癌的发病率低,临床表现多样且缺乏特异性,术前明确诊断困难,辅助检查有助于诊断,手术是主要的治疗手段。 Objective: To analyze the clinical features of primary fallopian tube cancer and improve clinicians’ understanding of primary fallopian tube cancer. Methods: A retrospective analysis of 11 cases of primary fallopian tube cancer age of onset, clinical manifestations, laboratory examinations and treatment methods. Results: The average age of 11 patients was 57.9 years and 8 cases (72.7%) were postmenopausal women. The most common clinical manifestations were pelvic mass in 9 cases (81.8%), abdominal pain in 5 cases (45.5%), vaginal bleeding in 4 cases (36.4%), abdominal distension in 2 cases (18.2%), abnormal vaginal bleeding in 2 cases (18.2%), vaginal discharge in 1 case (9.1%). Of the 9 patients who received preoperative serum tumor antigen 125 (CA125) test, 5 (55.6%) were higher than 35 U / mL. Only 11 cases of preoperative diagnosis of fallopian tube cancer, misdiagnosis rate of 90.9%. Conclusion: The incidence of primary fallopian tube cancer is low, the clinical manifestations are diverse and lack of specificity. It is difficult to diagnose the disease preoperatively. Auxiliary examination is helpful for diagnosis. Surgical treatment is the main treatment.