Difference between revisions of "Fallopian tubes"

From patholines.org
Jump to navigation Jump to search
(Ref)
(→‎Gross processing: Linked away)
(11 intermediate revisions by the same user not shown)
Line 6: Line 6:
 
*For sterilization
 
*For sterilization
 
*[[Fallopian tube in ectopic pregnancy]]
 
*[[Fallopian tube in ectopic pregnancy]]
 +
 +
{{Comprehensiveness}}
 +
==Gross processing==
 +
[[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>
 +
 +
;For sterilization:
 +
*'''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
 +
*'''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:
 +
{|class=wikitable
 +
| {{Moderate-begin}}A. Labeled - __. The specimen is received in formalin and consists of{{Moderate-end}} 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==
 
==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===
 
===Tumor===
 
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>
 
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>
 
<gallery mode=packed heights=200>
 
<gallery mode=packed heights=200>
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>
  
 
===Reporting===
 
===Reporting===
{{Comprehensiveness|noheader=yes}}
+
Example of a normal report in '''sterilization''':
 +
{|class=wikitable
 +
| {{Moderate-begin}}Left and right fallopian tubes, laparoscopic bilateral salpingectomy:{{Moderate-end}}<br>Complete cross-sections of histologically unremarkable fallopian tubes.
 +
|}
  
Example of a normal report in sterilization:
+
When included in a '''[[uterus]]''' specimen, normal tubes and ovaries may simply be mentioned as:
 
{|class=wikitable
 
{|class=wikitable
| {{Moderate-begin}}Left and right fallopian tubes, laparoscopic bilateral salpingectomy:{{Moderate-end}}<br>Complete cross-sections of histologically unremarkable fallopian tubes.
+
| Bilateral fallopian tubes and ovaries, unremarkable.
 
|}
 
|}
 +
 
{{Bottom}}
 
{{Bottom}}

Revision as of 16:09, 30 March 2021

Author: Mikael Häggström [note 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.

(Look in the history for any intra-fallopian coils (Essure devices).)[notes 1]

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 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.
  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.

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

Image sources