Primary fallopian tube cancer is the rarest cancer of the female genital tract with an incidence of 0.3% to 1.9% of all gynecologic cancers, Preoperative diagnosis of fallopian tube carcinoma is difficult, with fewer than 21% being diagnosed preoperatively. Early clinical manifestation and prompt investigations lead to diagnosis in the early stage of disease accounting for a better survival compared with ovarian cancer, Principles of treatment usually are similar to that of epithelial ovarian cancer, As with ovarian cancer, stage and residual tumor are the most important prognostic factors.