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Difference between revisions of "Uterine tubes"
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[[Image:Normal Fallopian Tube, Human (2760475010).jpg|thumb|Cross section of a Fallopian tube with decidualization. [[H&E stain]]. (WC/euthman)]] | |||
'''Uterine tubes''', also known as the '''Fallopian tubes''', serve as a connection between the [[ovary|ovaries]] and the [[uterus]]. It is where fertilization usually takes place. | '''Uterine tubes''', also known as the '''Fallopian tubes''', serve as a connection between the [[ovary|ovaries]] and the [[uterus]]. It is where fertilization usually takes place. | ||
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#*Basal cells, fried egg-like. | #*Basal cells, fried egg-like. | ||
Images: | See also: | ||
*[[Walthard cell rest]]. | |||
===Images=== | |||
www: | |||
*[http://faculty.une.edu/com/abell/histo/ampovidw.jpg Fallopian tube (une.edu)].<ref>URL: [http://faculty.une.edu/com/abell/histo/histolab3f.htm http://faculty.une.edu/com/abell/histo/histolab3f.htm]. Accessed on: 18 October 2011.</ref> | *[http://faculty.une.edu/com/abell/histo/ampovidw.jpg Fallopian tube (une.edu)].<ref>URL: [http://faculty.une.edu/com/abell/histo/histolab3f.htm http://faculty.une.edu/com/abell/histo/histolab3f.htm]. Accessed on: 18 October 2011.</ref> | ||
*[http://medpics.ucsd.edu/index.cfm?curpage=image&course=hist&mode=browse&lesson=37&img=669 Fallopian tube (medpics.ucsd.edu)]. | *[http://medpics.ucsd.edu/index.cfm?curpage=image&course=hist&mode=browse&lesson=37&img=669 Fallopian tube (medpics.ucsd.edu)]. | ||
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{{Main|Ditzels}} | {{Main|Ditzels}} | ||
==Paratubal cyst== | ==Paratubal cyst== | ||
*Also known as ''Hydatid cyst of Morgagni'' and ''Hydatid of Morgagni''. | |||
===General=== | ===General=== | ||
*Very common. | *Very common. | ||
*May lead to ovarian torsion if very large.<ref name=pmid22840942>{{Cite journal | last1 = Thakore | first1 = SS. | last2 = Chun | first2 = MJ. | last3 = Fitzpatrick | first3 = K. | title = Recurrent ovarian torsion due to paratubal cysts in an adolescent female. | journal = J Pediatr Adolesc Gynecol | volume = 25 | issue = 4 | pages = e85-7 | month = Aug | year = 2012 | doi = 10.1016/j.jpag.2011.10.012 | PMID = 22840942 }} | *May lead to ovarian torsion if very large.<ref name=pmid22840942>{{Cite journal | last1 = Thakore | first1 = SS. | last2 = Chun | first2 = MJ. | last3 = Fitzpatrick | first3 = K. | title = Recurrent ovarian torsion due to paratubal cysts in an adolescent female. | journal = J Pediatr Adolesc Gynecol | volume = 25 | issue = 4 | pages = e85-7 | month = Aug | year = 2012 | doi = 10.1016/j.jpag.2011.10.012 | PMID = 22840942 }} | ||
</ref> | </ref> | ||
*Associated with [[obesity]].<ref>{{Cite journal | last1 = Muolokwu | first1 = E. | last2 = Sanchez | first2 = J. | last3 = Bercaw | first3 = JL. | last4 = Sangi-Haghpeykar | first4 = H. | last5 = Banszek | first5 = T. | last6 = Brandt | first6 = ML. | last7 = Dietrich | first7 = JE. | title = Paratubal cysts, obesity, and hyperandrogenism. | journal = J Pediatr Surg | volume = 46 | issue = 11 | pages = 2164-7 | month = Nov | year = 2011 | doi = 10.1016/j.jpedsurg.2011.07.011 | PMID = 22075351 }}</ref> | |||
===Gross=== | ===Gross=== | ||
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===Sign out=== | ===Sign out=== | ||
====Left then right==== | ====Left then right==== | ||
<pre> | |||
A. Fallopian Tube, Left, Tubal Ligation: | |||
- Fallopian tube within normal limits, consistent with complete cross sections. | |||
B. Fallopian Tube, Right, Tubal Ligation: | |||
- Fallopian tube within normal limits, consistent with complete cross sections. | |||
</pre> | |||
<pre> | <pre> | ||
A. FALLOPIAN TUBE, LEFT, TUBAL LIGATION: | A. FALLOPIAN TUBE, LEFT, TUBAL LIGATION: | ||
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====Right then left==== | ====Right then left==== | ||
<pre> | |||
A. Fallopian Tube, Right, Tubal Ligation: | |||
- Fallopian tube within normal limits, consistent with complete cross sections. | |||
B. Fallopian Tube, Left, Tubal Ligation: | |||
- Fallopian tube within normal limits, consistent with complete cross sections. | |||
</pre> | |||
<pre> | <pre> | ||
A. FALLOPIAN TUBE, RIGHT, TUBAL LIGATION: | A. FALLOPIAN TUBE, RIGHT, TUBAL LIGATION: | ||
| Line 113: | Line 136: | ||
B. FALLOPIAN TUBE, LEFT, TUBAL LIGATION: | B. FALLOPIAN TUBE, LEFT, TUBAL LIGATION: | ||
- FALLOPIAN TUBE WITHIN NORMAL LIMITS. | - FALLOPIAN TUBE WITHIN NORMAL LIMITS. | ||
</pre> | |||
====Both in one container==== | |||
<pre> | |||
Submitted as "Fallopian Tubes Right and Left", Tubal Ligation: | |||
- Pieces of Fallopian tube within normal limits, consistent with | |||
complete cross sections. | |||
</pre> | |||
<pre> | |||
Submitted as "Fallopian Tubes Right and Left", Partial Excision: | |||
- Pieces of Fallopian tube within normal limits, consistent with | |||
complete cross sections and fibril ends. | |||
</pre> | |||
=====Incomplete cross sections at microscopy===== | |||
<pre> | |||
Submitted as "Right and Left Fallopian Tubes", Tubal Ligation: | |||
- Fallopian tubes within normal limits, incomplete cross sections | |||
seen at microscopy; clinical correlation is suggested. | |||
</pre> | |||
=====Mild inflammation===== | |||
<pre> | |||
Submitted as "Fallopian Tubes Right and Left", Tubal Ligation: | |||
- Pieces of Fallopian tube with mild inflammation otherwise within | |||
normal limits, consistent with complete cross sections. | |||
</pre> | </pre> | ||
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- FALLOPIAN TUBE WITH PARATUBAL CYSTS AND FOCAL FIBROSIS. | - FALLOPIAN TUBE WITH PARATUBAL CYSTS AND FOCAL FIBROSIS. | ||
- OVARY WITHIN NORMAL LIMITS. | - OVARY WITHIN NORMAL LIMITS. | ||
</pre> | |||
====Tubes with fimbria==== | |||
<pre> | |||
Submitted as "Right and Left Fallopian Tube Segments", Excision: | |||
- Fallopian tubes with fimbria within normal limits; complete cross sections seen. | |||
</pre> | </pre> | ||
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*+/-Clusters of neutrophils = abscess; known as ''suppurative salpingitis''. | *+/-Clusters of neutrophils = abscess; known as ''suppurative salpingitis''. | ||
Images | ====Images==== | ||
<gallery> | |||
File:Salpingitis_-_low_mag.jpg | Salpingitis - low mag. (WC) | |||
File:Salpingitis_-_high_mag.jpg | Salpingitis - high mag. (WC) | |||
File:Granulomatous_salpingitis_-_intermed_mag.jpg | Granulomatous salpingitis - intermed mag. (WC) | |||
File:Granulomatous_salpingitis_-_high_mag.jpg | Granulomatous salpingitis - high mag. (WC) | |||
</gallery> | |||
===Stains=== | ===Stains=== | ||
If organisms are seen on routine stains: | If organisms are seen on routine stains: | ||
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*[[GMS stain]] +ve/-ve. | *[[GMS stain]] +ve/-ve. | ||
*[[PASD stain]] +ve/-ve. | *[[PASD stain]] +ve/-ve. | ||
==Ectopic pregnancy== | |||
{{Main|Ectopic pregnancy}} | |||
==Adenofibroma== | ==Adenofibroma== | ||
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*[[AKA]] ''tubal intraepithelial carcinoma''. | *[[AKA]] ''tubal intraepithelial carcinoma''. | ||
{{Main|Serous tubal intraepithelial carcinoma}} | {{Main|Serous tubal intraepithelial carcinoma}} | ||
==Serous carcinoma of the fallopian tube== | |||
{{Main|Serous carcinoma of the fallopian tube}} | |||
=See also= | =See also= | ||