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).
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.

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