2021
DOI: 10.3390/medicines8030014
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Adrenal Cortical Rests in the Fallopian Tube: Report of a Case and Review of the Literature

Abstract: We report an extremely unusual finding discovered incidentally during a routine pathologic evaluation of a fallopian tube, surgically removed on the grounds of ectopic pregnancy. We came across a minute yellowish nodule situated within the wall of the salpinx, which corresponded to ectopic adrenal cortex, as verified by microscopical examination, and coexisted with salpingitis isthmica nodosa. A research of the available English literature on this subject confirmed the rareness of the entity we encountered. Th… Show more

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Cited by 4 publications
(4 citation statements)
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“…They found this nodule to be positive by immunohistochemistry for MART1, synaptophysin, calretinin, and inhibin-A. As in our case, the EAT showed immunoreactivity for the calretinin and inhibin-A [ 8 ].…”
Section: Discussionsupporting
confidence: 69%
See 1 more Smart Citation
“…They found this nodule to be positive by immunohistochemistry for MART1, synaptophysin, calretinin, and inhibin-A. As in our case, the EAT showed immunoreactivity for the calretinin and inhibin-A [ 8 ].…”
Section: Discussionsupporting
confidence: 69%
“…The adrenal cortex is typically immunoreactive for Melan-A (MART1), inhibin, synaptophysin, and calretinin and has a high nuclear positivity (86%) to antisteroidogenic factor-1 (anti-SF-1). While metastatic clear renal cell carcinoma is negative for these markers and positive for CD10, AE1/AE3, and carbonic anhydrase, the ovarian hilus cell heterotopia of the fallopian tube shows similar immunopositivity to adrenal cortical cells with the difference of the additional positivity for chromogranin, which is negative in adrenal cortical cells [ 8 ]. In our case, we noted immunoreactivity to inhibin and calretinin that was compatible with the published data.…”
Section: Discussionmentioning
confidence: 99%
“…Most of the ectopic adrenal tissue becomes atrophic in adolescence, but some rests can be persistent and rarely can even develop similar pathological changes as the normal adrenal glands, such as hyperplasia or neoplasia. 15 Our patients all had adrenal rests in inguinal hernia sacs. The second most common benign lesion seen in our study is endometriosis, which is more commonly present in umbilical than inguinal hernia sacs.…”
Section: Discussionmentioning
confidence: 61%
“…The lack of clarity concerning the cellular origin appeared to be true for the paraganglioma of the fallopian tube described in the current report; i.e., paraganglioma of the fallopian tube can develop from extra-adrenal paraganglia that exist near the fallopian tube. Another possibility is that adrenomedullary cells in the adrenal rest of the fallopian tube[ 13 ], which have been rarely discovered and clarified without clinical significance, could be the origin.…”
Section: Discussion/conclusionmentioning
confidence: 99%