A middle age nulliparous woman presented with vaginal bleeding and pelvic pain on a background of positive family history for ovarian cancer. Underwent hysterectomy and bilateral salpingectomy. Histopathology confirms serous tubal intra epithelial carcinoma of bilateral fallopian tubes with benign uterus and cervix. Despite the positive family history, the BRCA gene screen was negative. Subsequently, she had a surgical staging with bilateral oophorectomy and received six courses of chemotherapy. She is currently on regular follow up with gynaecological oncology team.

Keywords: Fallopian; Bilateral; Tubes; Carcinoma; Cancer; Ovarian; Pelvic