Fallopian tubes: Difference between revisions

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Mikael Häggström (talk | contribs)
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==Gross processing==
==Gross processing==
[[File:Gross pathology of paratubal cysts.jpg|thumb|'''[[Paratubal cysts]]''' can be ignored if incidentally found.]]
[[File:Gross pathology of paratubal cysts.jpg|thumb|'''[[Paratubal cysts]]''' can be ignored if incidentally found.]]
{{Moderate-begin}}Look in the history for any intra-fallopian coils (Essure devices).{{Moderate-end}}<ref group=notes>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.</ref>
{{Moderate-begin}}Look in the history for any intra-fallopian coils (Essure devices).{{Moderate-end}}<ref group=note>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.</ref>


;For sterilization:
;For sterilization:
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*Check for patency of the lumen.
*Check for patency of the lumen.


===Tumor===
===Neoplasias===
The most common tumor of the fallopian tubes is '''adenomatoid tumor''':<ref name=adenomatoid>{{cite web|url=http://www.pathologyoutlines.com/topic/fallopiantubesadenomatoid.html|title=Fallopian tubes & broad ligament - Fallopian tube tumors - Adenomatoid tumor|author=Nicole Riddle, Jamie Shutter|website=Pathology Outlines}} Topic Completed: 1 September 2013. Minor changes: 13 December 2019</ref>
Look for:
*'''Adenomatoid tumor''', the most common tumor of the fallopian tubes:<ref name=adenomatoid>{{cite web|url=http://www.pathologyoutlines.com/topic/fallopiantubesadenomatoid.html|title=Fallopian tubes & broad ligament - Fallopian tube tumors - Adenomatoid tumor|author=Nicole Riddle, Jamie Shutter|website=Pathology Outlines}} Topic Completed: 1 September 2013. Minor changes: 13 December 2019</ref>
<gallery mode=packed heights=230>
<gallery mode=packed heights=230>
File:Histopathology of an adenomatoid tumor of the fallopian tube, low magnification.jpg|An '''adenomatoid tumor''' of the fallopian tube, low magnification, displaying infiltrative-like borders.
File:Histopathology of an adenomatoid tumor of the fallopian tube, low magnification.jpg|An '''adenomatoid tumor''' of the fallopian tube, low magnification, displaying infiltrative-like borders.
File:Histopathology of an adenomatoid tumor of the fallopian tube, intermediate magnification.jpg|High magnification of the same case, showing the typical<ref name=adenomatoid/> features of tubular spaces of varying size composed of flattened cells resembling endothelium.
File:Histopathology of an adenomatoid tumor of the fallopian tube, intermediate magnification.jpg|High magnification of the same case, showing the typical<ref name=adenomatoid/> features of tubular spaces of varying size composed of flattened cells resembling endothelium.
</gallery>
</gallery>
*'''Atypia/crowding''' of the serous epithelium.
[[File:Histopathology of serous tubal intraepithelial lesion (STIL).jpg|thumb|Serous tubal intraepithelial lesion (STIL).<ref>{{cite journal
| last1 = Mizuno
| first1 = M
| last2 = Togami
| first2 = S
| last3 = Shirota
| first3 = K
| last4 = et al.
| title = Three Cases of Serous Tubal Intraepithelial Lesions (STILs)
| journal = Cureus
| year = 2024
| volume = 16
| issue = 6
| pages = e62895
| doi = 10.7759/cureus.62895
| pmc = 11261535
| doi-access = free
}}</ref> H&E staining shows mildly atypical tubal epithelium with largely preserved polarity. Immunohistochemistry demonstrates aberrant block-type p53 expression but a low Ki-67 proliferation index, insufficient for classification as serous tubal intraepithelial carcinoma (STIC).]]


===Reporting===
===Reporting===
Example of a normal report in '''sterilization''':
Example of a normal report in '''sterilization''':
{|class=wikitable
{|class=wikitable
| {{Moderate-begin}}Right and left fallopian tubes, laparoscopic bilateral salpingectomy:{{Moderate-end}}<br>Complete cross-sections of histologically unremarkable fallopian tubes.
| {{Moderate-begin}}Right and left fallopian tubes, {{Comprehensive-begin}}laparoscopic{{Comprehensive-end}} bilateral salpingectomy:{{Moderate-end}}<br>Complete cross-sections of histologically unremarkable fallopian tubes.
|}
|}


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