Fallopian tubes: Difference between revisions
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*Check for patency of the lumen. | *Check for patency of the lumen. | ||
=== | ===Neoplasias=== | ||
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. | ||
|} | |} | ||