Difference between revisions of "Fallopian tubes"
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− | {{Top | + | <noinclude>{{Top |
|author1=[[User:Mikael Häggström|Mikael Häggström]] | |author1=[[User:Mikael Häggström|Mikael Häggström]] | ||
|author2= | |author2= | ||
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*For sterilization | *For sterilization | ||
*[[Fallopian tube in ectopic pregnancy]] | *[[Fallopian tube in ectopic pregnancy]] | ||
+ | {{Comprehensiveness}}</noinclude> | ||
+ | ==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=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: | ||
*'''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: | ||
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==Microscopic examination== | ==Microscopic examination== | ||
+ | [[File:Histopathology of edematous fallopian tubes.jpg|thumb|220px|Fallopian tubes may be substantially edematous and congested, which can generally be attributed to surgery, in which case it does not need mention in the report.]] | ||
*Ensure there is at least one full cross-section from each tube, and take further samples otherwise. | *Ensure there is at least one full cross-section from each tube, and take further samples otherwise. | ||
*Check for patency of the lumen. | *Check for patency of the lumen. | ||
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===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= | + | <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. | ||
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===Reporting=== | ===Reporting=== | ||
− | Example of a normal report in sterilization: | + | Example of a normal report in '''sterilization''': |
+ | {|class=wikitable | ||
+ | | {{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. | ||
+ | |} | ||
+ | |||
+ | When included in a '''[[uterus]]''' specimen, normal tubes and ovaries may simply be mentioned as: | ||
+ | {|class=wikitable | ||
+ | | Bilateral fallopian tubes and ovaries, unremarkable. | ||
+ | |} | ||
+ | |||
+ | [[File:Histopathology of an ectopic pregnancy in a fallopian tube.jpg|thumb|Histopathology of an ectopic pregnancy in a fallopian tube, with chorionic villi and implantation site changes {{further|Products of conception}}.]] | ||
+ | When done for '''ectopic pregnancy''', report any rupture, either from the gross report or from microscopy, for example: | ||
{|class=wikitable | {|class=wikitable | ||
− | | | + | | Benign ruptured fallopian tube with ectopic products of conception, including degenerated immature chorionic villi and implantation site with fresh hemorrhage. |
|} | |} | ||
+ | {{further|Products of conception}} | ||
{{Bottom}} | {{Bottom}} |
Latest revision as of 14:24, 17 January 2023
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
(Look in the history for any intra-fallopian coils (Essure devices).)[note 2]
- 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:
(Right and left 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. |
When done for ectopic pregnancy, report any rupture, either from the gross report or from microscopy, for example:
Benign ruptured fallopian tube with ectopic products of conception, including degenerated immature chorionic villi and implantation site with fresh hemorrhage. |
Further information: Products of conception
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.
- ↑ 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.
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