Histopathological Spectrum of Lesions in Fallopian Tube

Abstract

Background: Fallopian tube is a common specimen in the laboratory. It is affected by a wide spectrum of diseases but there are only occasional studies, documenting histological changes in the fallopian tube removed for all reasons. Aims and objectives:To study the gross and microscopic features of the excised fallopian tubes and to study the common and unusual lesions in them. To find the incidences of tumour and the tumour like lesions of the fallopian tube. Materials and Methods: A sample size of 200 cases was included in this study which consisted of all the specimens of fallopian tubes of all age groups obtained by salpingectomy, tubal ligation, salpingooophorectomy or along with hysterectomy. All the specimens were processed by routine histopathological techniques. Histopathological features were studied on hematoxylin and eosin stained sections. Results: In our study, majority of the cases belonged to age group of less than or equal to 30 years. Total number of 372 fallopian tubes were received from 200 patients. Out of the 372 fallopian tube specimens, 248 (66.67%) were normal whereas 124 (33.33%) fallopian tubes were abnormal. Of the 124 abnormal fallopian tube specimens, majority were diagnosed to have non neoplastic lesions that is 119 (95.97%) fallopian tubes, and 5 (4.03%) were diagnosed to have neoplastic lesions. The most common histopathological finding observed were inflammatory conditions seen in 47 (12.63%) of the fallopian tubes seen most commonly in the age group of less than or equal to 30 years. Conclusion: The present study describes the broad spectrum of lesions in fallopian tube and their incidence with respect to age group. Majority of the lesions were non neoplastic comprising predominantly of inflammatory lesions, seen most commonly in younger age group. Neoplastic lesions of the fallopian tube were rare.

Histopathological study of surgically resected specimens of fallopian tube

“…The Incidence of endometriosis is slightly higher as compared to other studies. (Pratima kujur, et al 2016) [47] Other non neoplastic lesions are seen in this study are decidual reaction (4%), Walthard Nests (10%) and Walthard Nests with cystic change (5%) which are slightly higher than other studies done by Prachi Kukreja et al (2017) [43] . Incidence of paratubal cyst (Para mesonephric cyst 7% Mesonephric cyst 4% and Mesothelial cyst 5%) which is almost same as studies done by Prachi Kukreja et al (2017) [43] , Mehnaz Choudhury et al (2019) [49] and Pratima Kujur et al (2016) [47] .…”

“…Incidence of hydrosalpinx is 3% and hematosalpinx is 2% in this study. Prachi et al [43] and Bagwan IN et al [4] found tubal epithelial hyperplasia in 1.34% and 0.29% of cases respectively. In our study, tubal epithelial hyperplasia is seen in 3% cases.…”

“…According to Gon S et al (2013) [5] , total abdominal hysterectomy with bilateral salpingooophorectomy was done in 75.11% cases followed by salpingectomy in 14% cases, unilateral salpingooophorectomy in 5.86% cases and tubal ligation in 5% cases. Prachi k et al [43] showed tubal ligation was done in 51.5% cases followed by total abdominal hysterectomy with bilateral salpingo-oophorectomy in 33% cases, salpingectomy in 9% cases, unilateral salpingooophorectomy in 3% cases, total abdominal hysterectomy with unilateral salpingo-oophorectomy in 2% cases and bilateral salpingo-oophorectomy in 1.5% cases.…”

A Prospective Study of Histopathological Spectrum of Tubal Lesions at Tertiary Care Hospital, Mgmh, Hyderabad- One Year Study

“…Prachi et al 21 and IN Bagwan et al 11 had tubal epithelial hyperplasias of 1.34% and 0.29% respectively in concordance with our study, which had higher incidence of 2.1%.…”

“…Our study was in concordance with other studies. Prachi et al, 21 Deepthi et al, 22 Gon S et al, 16 Jha R et al, 20 IN Bagwan et al, 11 Jennifer L. and Hunt et al, 2 all the studies had normal histology cases outnumbered the cases with tubal pathology.…”