Fallopian tubes

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Author: Mikael Häggström [notes 1]

Presentations

Comprehensiveness

On this resource, the following formatting is used for comprehensiveness:

  • Minimal depth
  • (Moderate depth)
  • ((Comprehensive))

Gross processing

Paratubal cysts can be ignored if incidentally found,[notes 2] ( or included in representative sections).

(Look in the history for any intra-fallopian coils (Essure devices).)[notes 3]

For sterilization
  • Measure length and average diameter of each tube
  • Serially section at 3-4 mm intervals,[1] or 2-3 mm if suspected malignant (including BRCA mutation).[2] Submit
  • Submit 1 (or 3) circumferential transverse sections. If the specimen is only a segment of the tube of less than <5mm((, ink the surgical cut surfaces and)) submit all tissue.[1]

Example gross report:

(A. Labeled - __. The specimen is received in formalin and consists of) two fimbriated segments of fallopian tube measuring __ cm in length and __ cm in average diameter. On sectioning, each displays a patent lumen. No gross abnormalities are identified. The tubes are unoriented. The specimen is serially cross-sectioned and representative sections are submitted for microscopic examination in two cassettes.

Microscopic examination

  • Ensure there is at least one full cross-section from each tube, and take further samples otherwise.
  • Check for patency of the lumen.

Tumor

The most common tumor of the fallopian tubes is adenomatoid tumor:[3]

Reporting

Example of a normal report in sterilization:

(Left and right fallopian tubes, laparoscopic bilateral salpingectomy:)
Complete cross-sections of histologically unremarkable fallopian tubes.

When included in a uterus specimen, normal tubes and ovaries may simply be mentioned as:

Bilateral fallopian tubes and ovaries, unremarkable.

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.
  2. Paratubal cysts are essentially always benign.
    - Shin, You-Jung; Kim, Ji-Young; Lee, Hee Jin; Park, Jeong-Yeol; Nam, Joo-Hyun (2011). "Paratubal serous borderline tumor ". Journal of Gynecologic Oncology 22 (4): 295. doi:10.3802/jgo.2011.22.4.295. ISSN 2005-0380. 
    Even more insignificant are sessile smaller cyst-like along the fallopian tube, which are serosal inclusion cysts.
  3. For a case with intra-fallopian coils in the medical records, an inability to find them on gross processing must be noted in order to raise the possibility of coil expulsion.

Main page

References

  1. 1.0 1.1 Kerryn Ireland-Jenkin and Marsali Newman. Ovary and fallopian tube -benign setting. Royal College of Pathologists of Australasia. Retrieved on 2020-10-16.
  2. Crum, Christopher P.; Mckeon, Frank D.; Xian, Wa (2012). "The Oviduct and Ovarian Cancer ". Clinical Obstetrics and Gynecology 55 (1): 24–35. doi:10.1097/GRF.0b013e31824b1725. ISSN 0009-9201. 
  3. 3.0 3.1 Nicole Riddle, Jamie Shutter. Fallopian tubes & broad ligament - Fallopian tube tumors - Adenomatoid tumor. Pathology Outlines. Topic Completed: 1 September 2013. Minor changes: 13 December 2019