Fallopian tubes
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]
An adenomatoid tumor of the fallopian tube, low magnification, displaying infiltrative-like borders.
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
