Difference between revisions of "Uterine tubes"
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==Adenofibroma== | ==Adenofibroma== | ||
===General=== | ===General=== | ||
*Rare<ref name=pmid18580316>{{Cite journal | last1 = Bossuyt | first1 = V. | last2 = Medeiros | first2 = F. | last3 = Drapkin | first3 = R. | last4 = Folkins | first4 = AK. | last5 = Crum | first5 = CP. | last6 = Nucci | first6 = MR. | title = Adenofibroma of the fimbria: a common entity that is indistinguishable from ovarian adenofibroma. | journal = Int J Gynecol Pathol | volume = 27 | issue = 3 | pages = 390-7 | month = Jul | year = 2008 | doi = 10.1097/PGP.0b013e3181639a82 | PMID = 18580316 }}</ref> | *Rare.<ref name=pmid18580316>{{Cite journal | last1 = Bossuyt | first1 = V. | last2 = Medeiros | first2 = F. | last3 = Drapkin | first3 = R. | last4 = Folkins | first4 = AK. | last5 = Crum | first5 = CP. | last6 = Nucci | first6 = MR. | title = Adenofibroma of the fimbria: a common entity that is indistinguishable from ovarian adenofibroma. | journal = Int J Gynecol Pathol | volume = 27 | issue = 3 | pages = 390-7 | month = Jul | year = 2008 | doi = 10.1097/PGP.0b013e3181639a82 | PMID = 18580316 }}</ref> | ||
**More frequently seen than in the past -- presumably as pathologists are looking more closely at the Fallopian tube. | |||
*Cannot be disguished from ovarian adenofibroma.<ref name=pmid18580316/> | *Cannot be disguished from ovarian adenofibroma.<ref name=pmid18580316/> | ||
| Line 17: | Line 18: | ||
===Microscopic=== | ===Microscopic=== | ||
Features:<ref name=pmid18580316/> | |||
*Stroma + glandular elements. | *Stroma + glandular elements. | ||
**Glandular elements: secretory cells and ciliated cells. | **Glandular elements: secretory cells and ciliated cells. | ||
===IHC=== | ===IHC=== | ||
Stroma<ref name=pmid18580316/> | Features: | ||
*CD10. | *Stroma:<ref name=pmid18580316/> | ||
*Inhibin | **CD10 +ve. | ||
**Inhibin +ve. | |||
==Salpingitis isthmica nodosa== | |||
===General=== | |||
*[[AKA]] ''adenosalpingitis'',<ref>Stedman's Medical Dictionary. 27th Ed. Lippincott Williams & Wilkins.</ref> and ''diverticulosis of the Fallopian tubes''.<ref>URL: [http://www.medcyclopaedia.com/library/topics/volume_iv_2/s/salpingitis_isthmica_nodosa.aspx http://www.medcyclopaedia.com/library/topics/volume_iv_2/s/salpingitis_isthmica_nodosa.aspx]. Accessed on: 28 July 2010.</ref> | |||
*Abbreviated ''SIN''. | |||
*Associated with infertility and ectopic pregnancy.<ref name=pmid8405510>{{Cite journal | last1 = Jenkins | first1 = CS. | last2 = Williams | first2 = SR. | last3 = Schmidt | first3 = GE. | title = Salpingitis isthmica nodosa: a review of the literature, discussion of clinical significance, and consideration of patient management. | journal = Fertil Steril | volume = 60 | issue = 4 | pages = 599-607 | month = Oct | year = 1993 | doi = | PMID = 8405510 }} | |||
</ref> | |||
Diagnosis (clinical): | |||
*hysterosalpingography.<ref>URL: [http://radiology.rsna.org/content/154/3/597.abstract http://radiology.rsna.org/content/154/3/597.abstract]. Accessed on: 28 July 2010.</ref> | |||
===Microscopic=== | |||
Features:<ref name=pmid19679986>{{Cite journal | last1 = Chawla | first1 = N. | last2 = Kudesia | first2 = S. | last3 = Azad | first3 = S. | last4 = Singhal | first4 = M. | last5 = Rai | first5 = SM. | title = Salpingitis isthmica nodosa. | journal = Indian J Pathol Microbiol | volume = 52 | issue = 3 | pages = 434-5 | month = | year = | doi = 10.4103/0377-4929.55019 | PMID = 19679986 }}</ref> | |||
*Nodular thickening of the tunica muscularis of the isthmic portion. | |||
*Cystically dilated glands. | |||
*+/-Complete obliteration of tubal lumen. | |||
==See also== | ==See also== | ||
Revision as of 03:23, 29 July 2010
Uterine tubes, aka Fallopian tubes, serve as a connection the ovary and uterus. It is where fertilization usually takes place.
This was ignored in the past... current thinking is that it may be the real culprit in what is often labeled as "ovarian cancer".[1]
Normal
- Finger-like projections into the lumen.
- Cilia.
- Have peg cells...
Adenofibroma
General
- Rare.[2]
- More frequently seen than in the past -- presumably as pathologists are looking more closely at the Fallopian tube.
- Cannot be disguished from ovarian adenofibroma.[2]
Gross
- Solid, nodular.
Microscopic
Features:[2]
- Stroma + glandular elements.
- Glandular elements: secretory cells and ciliated cells.
IHC
Features:
- Stroma:[2]
- CD10 +ve.
- Inhibin +ve.
Salpingitis isthmica nodosa
General
- AKA adenosalpingitis,[3] and diverticulosis of the Fallopian tubes.[4]
- Abbreviated SIN.
- Associated with infertility and ectopic pregnancy.[5]
Diagnosis (clinical):
- hysterosalpingography.[6]
Microscopic
Features:[7]
- Nodular thickening of the tunica muscularis of the isthmic portion.
- Cystically dilated glands.
- +/-Complete obliteration of tubal lumen.
See also
References
- ↑ Hirst, JE.; Gard, GB.; McIllroy, K.; Nevell, D.; Field, M. (Jul 2009). "High rates of occult fallopian tube cancer diagnosed at prophylactic bilateral salpingo-oophorectomy.". Int J Gynecol Cancer 19 (5): 826-9. doi:10.1111/IGC.0b013e3181a1b5dc. PMID 19574767.
- ↑ 2.0 2.1 2.2 2.3 Bossuyt, V.; Medeiros, F.; Drapkin, R.; Folkins, AK.; Crum, CP.; Nucci, MR. (Jul 2008). "Adenofibroma of the fimbria: a common entity that is indistinguishable from ovarian adenofibroma.". Int J Gynecol Pathol 27 (3): 390-7. doi:10.1097/PGP.0b013e3181639a82. PMID 18580316.
- ↑ Stedman's Medical Dictionary. 27th Ed. Lippincott Williams & Wilkins.
- ↑ URL: http://www.medcyclopaedia.com/library/topics/volume_iv_2/s/salpingitis_isthmica_nodosa.aspx. Accessed on: 28 July 2010.
- ↑ Jenkins, CS.; Williams, SR.; Schmidt, GE. (Oct 1993). "Salpingitis isthmica nodosa: a review of the literature, discussion of clinical significance, and consideration of patient management.". Fertil Steril 60 (4): 599-607. PMID 8405510.
- ↑ URL: http://radiology.rsna.org/content/154/3/597.abstract. Accessed on: 28 July 2010.
- ↑ Chawla, N.; Kudesia, S.; Azad, S.; Singhal, M.; Rai, SM.. "Salpingitis isthmica nodosa.". Indian J Pathol Microbiol 52 (3): 434-5. doi:10.4103/0377-4929.55019. PMID 19679986.