Serosal endometriosis of Fallopian tubes

Sheldon, Richard S.; Wilson, Robert B.; Dockerty, Malcolm B.

doi:10.1016/0002-9378(67)90406-1

Cited by 13 publications

(4 citation statements)

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“…The most common form of EM is involved in the tubal serosa or subserosa. Most cases were associated with EM elsewhere in the pelvis, which can be considered an extension of pelvic EM to the peritoneal surface of the fallopian tubes [14,16]. The current study showed that with respect to serosal or seromuscular tube EM, 2/3 of cases were associated with EM elsewhere in the pelvis, which was significantly higher than that for the mucosal tube EM (1/3).…”

Section: Discussionmentioning

confidence: 51%

Reassessment of prevalence of tubal endometriosis, and its associated clinicopathologic features and risk factors in premenopausal women received salpingectomy

Zhang

et al. 2019

European Journal of Obstetrics & Gynecology and Reproductiv

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Introduction To reassess the prevalence of fallopian tube endometriosis (EM), and its associated clinicopathologic characteristics and risk factors. Methods Cross-sectional study was conducted from June 2016 to August 2017. Unpregnant premenopausal women who underwent unilateral or bilateral salpingectomy due to gynecologic diseases were recruited. Patient clinical data and fallopian tube specimens were collected. Hematoxylin-eosin (H&E) staining and CD10 immunohistochemistry were used to diagnose tubal EM. Results Tubal EM prevalence was 14.48% (161/1112, 95% confidence interval [CI] 12.41%–16.55%). Prevalence of tubal EM in patients with EM was 37.37% (95%CI 30.58%–44.17%) which is higher in patients without EM (9.52%, 95%CI 7.61%–11.42%) and even higher in those with multi-organ EM (43.94%, 95%CI 35.36%–52.52%). At unilateral or bilateral salpingectomy, tubal EM was more likely located in the left fallopian tube (52.17%) than the right one (40.37%) and presence of hydrosalpinx/ hematosalpinx increased in women with tubal EM than without tubal EM (43.47% versus 23.79%). With increasing severity of pelvic EM (r = 0.26, P< 10 −4 ) and adhesion (r = 0.25, P< 10 −4 ), the tubal EM prevalence also increased. Pathological examination found that tubal EM was more likely located in the mucosa of the proximal tube with significantly more surrounding inflammation and fibrotic lesions than the serosa/sub-serosa in the distal tube (r = 0.90, P< 10 −4 ). Multivariate analysis showed that abnormal uterine bleeding (AUB) (AOR = 3.10), previous EM surgery (AOR = 4.22) and tubal ligation (AOR = 2.33) were risk factors for tubal EM. Conclusions These data provide clinicians with important information that the prevalence of tubal EM among premenopausal unpregnant patients was higher than previous investigators, especially higher among women with EM diseases. Identifying its clinicopathologic characteristics and predictors may facilitate clinical decision making.

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Section: Discussionmentioning

confidence: 51%

Reassessment of prevalence of tubal endometriosis, and its associated clinicopathologic features and risk factors in premenopausal women received salpingectomy

Zhang

et al. 2019

European Journal of Obstetrics & Gynecology and Reproductiv

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“…Endometriosis frequently involves the tubes in the form of nodules located in the wall or serosa. 9 Microscopically, foci of endometriosis was found located within the wall of the tubes in maximum number of cases in this study.…”

Section: Resultsmentioning

confidence: 95%

Spectrum of histopathological lesions in the fallopian tubes

et al. 2013

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Background: Fallopian tubes are common surgical specimen in the pathology laboratory; still there is a lack of data to describe the frequency of various histological fi ndings. The aim and objectives of this study was to describe the various histopathological fi ndings of fallopian tubes. Materials and Methods:Two thousand fi ve hundred and seventy fi ve cases where fallopian tubes were removed either separately or along with other female genital tract organs were studied retrospectively and their histopathological fi ndings documented. Results:Ectopic pregnancy comprised maximum number of cases closely followed by salpingitis. Primary neoplastic lesions were rare as compared to secondary malignancies. Serial sections of fallopian tube and sections from representative areas are essential for a pathologist so that the diagnosis of these pathological entities is not missed. Conclusion:Though the fallopian tubes remain unremarkable in majority of the surgical pathological specimens, it must be subjected for histopathological examination to demonstrate the pathological lesions.

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“…Traditionally primary carcinoma of the fallopian tube has been regarded as very rare, accounting for approximately 1% of primary genital tract malignancies [40] . However, several recent studies following a standardized grossing protocol observed that it reaches approximately 15% of all adnexal tumors, [41] including a fair number of early stages. The interesting possibility is that a high percentage of ovarian and primary peritoneal serous carcinomas may originate in the tubal fimbriae.…”

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confidence: 99%

Histopathological study of surgically resected specimens of fallopian tube

Bhattacharya¹,

Perween²,

Gupta³

2020

Int. J. Clin. Diagn. Pathol.

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Background: Fallopian Tubes are very common surgical specimen received in the pathological laboratory. It is affected by wide spectrum of both non neoplastic and neoplastic lesions. But there is very few studies described the frequency of various histopathological spectrums of lesions of fallopian tube.Aims & Objectives: To study the various histopathological lesions seen in surgically resected specimens of fallopian tube and their age distributions. Material and Method: A total of 200 surgically resected specimen of fallopian tube of all age group of patients which are received for one and half year duration, are processed with routine histopathological techniques. Histopathological features were studied on Haematoxylin and Eosin stain. Results: In our studies majority of the cases are belongs to 40 to 60 years of age out of 200 specimens. In this study, most of the patients were undergone total abdominal hysterectomy with salpingooophorectomy (60%). In our study out of 200 cases 63 (31.50%) specimens show unremarkable histology. Only 1(0.50%) case shows neoplastic pathology. Most common histopathological findings observed are paratubal cyst, ectopic tubal gestation and Walthard Cell Nests. Conclusion:Present study shows broad spectrum of pathological lesions in fallopian tube. Majority of the lesions are non neoplastic in nature. Thorough histopathological examination of fallopian tube specimens is necessary to document many lesions including rare primary intraepithelial malignancy which can be missed clinically and found incidentally on histopathological examination.

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Serosal endometriosis of Fallopian tubes

Cited by 13 publications

References 1 publication

Reassessment of prevalence of tubal endometriosis, and its associated clinicopathologic features and risk factors in premenopausal women received salpingectomy

Reassessment of prevalence of tubal endometriosis, and its associated clinicopathologic features and risk factors in premenopausal women received salpingectomy

Spectrum of histopathological lesions in the fallopian tubes

Histopathological study of surgically resected specimens of fallopian tube

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