Difference between revisions of "Fallopian tubes"
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(Undo revision 2754 by Mikael Häggström (talk)) Tag: Undo |
(→Gross processing: +Paratubal cysts) |
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{{Comprehensiveness}} | {{Comprehensiveness}} | ||
==Gross processing== | ==Gross processing== | ||
+ | [[File:Gross pathology of paratubal cysts.jpg|thumb|'''Paratubal cysts''' can be ignored,<ref group=notes>Paratubal cysts are essentially always benign.<br>- {{cite journal|last1=Shin|first1=You-Jung|last2=Kim|first2=Ji-Young|last3=Lee|first3=Hee Jin|last4=Park|first4=Jeong-Yeol|last5=Nam|first5=Joo-Hyun|title=Paratubal serous borderline tumor|journal=Journal of Gynecologic Oncology|volume=22|issue=4|year=2011|pages=295|issn=2005-0380|doi=10.3802/jgo.2011.22.4.295}}</ref> {{Moderate-begin}} or included in representative sections{{Moderate-end}}.]] | ||
;For sterilization: | ;For sterilization: | ||
*'''Measure''' length and average diameter of each tube | *'''Measure''' length and average diameter of each tube | ||
*Serially '''section''' at 3-4 mm intervals,<ref name=rcpa>{{cite web|url=https://www.rcpa.edu.au/Manuals/Macroscopic-Cut-Up-Manual/Gynaecology-and-perinatal/Ovary-and-fallopian-tube-benign-setting|title=Ovary and fallopian tube -benign setting|website=Royal College of Pathologists of Australasia|author=Kerryn Ireland-Jenkin and Marsali Newman|accessdate=2020-10-16}}</ref> or 2-3 mm if suspected malignant (including BRCA mutation).<ref name="CrumMckeon2012">{{cite journal|last1=Crum|first1=Christopher P.|last2=Mckeon|first2=Frank D.|last3=Xian|first3=Wa|title=The Oviduct and Ovarian Cancer|journal=Clinical Obstetrics and Gynecology|volume=55|issue=1|year=2012|pages=24–35|issn=0009-9201|doi=10.1097/GRF.0b013e31824b1725}}</ref> Submit | *Serially '''section''' at 3-4 mm intervals,<ref name=rcpa>{{cite web|url=https://www.rcpa.edu.au/Manuals/Macroscopic-Cut-Up-Manual/Gynaecology-and-perinatal/Ovary-and-fallopian-tube-benign-setting|title=Ovary and fallopian tube -benign setting|website=Royal College of Pathologists of Australasia|author=Kerryn Ireland-Jenkin and Marsali Newman|accessdate=2020-10-16}}</ref> or 2-3 mm if suspected malignant (including BRCA mutation).<ref name="CrumMckeon2012">{{cite journal|last1=Crum|first1=Christopher P.|last2=Mckeon|first2=Frank D.|last3=Xian|first3=Wa|title=The Oviduct and Ovarian Cancer|journal=Clinical Obstetrics and Gynecology|volume=55|issue=1|year=2012|pages=24–35|issn=0009-9201|doi=10.1097/GRF.0b013e31824b1725}}</ref> Submit | ||
− | *'''Submit''' | + | *'''Submit''' 1 {{Moderate-begin}}or 3{{Moderate-end}} circumferential transverse sections. If the specimen is only a segment of the tube of less than <5mm{{Comprehensive-begin}}, ink the surgical cut surfaces and{{Comprehensive-end}} submit all tissue.<ref name=rcpa/> |
Example gross report: | Example gross report: |
Revision as of 15:09, 23 November 2020
Author:
Mikael Häggström [note 1]
Contents
Presentations
- For sterilization
- Fallopian tube in ectopic pregnancy
Comprehensiveness
On this resource, the following formatting is used for comprehensiveness:
- Minimal depth
- (Moderate depth)
- ((Comprehensive))
Gross processing
- 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]
High magnification of the same case, showing the typical[3] features of tubular spaces of varying size composed of flattened cells resembling endothelium.
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
- ↑ 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.
Main page
References
- ↑ 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.
- ↑ Crum, Christopher P.; Mckeon, Frank D.; Xian, Wa (2012). "The Oviduct and Ovarian Cancer ". Clinical Obstetrics and Gynecology 55 (1): 24–35. doi: . ISSN 0009-9201.
- ↑ 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
Image sources