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Ackerman Atlas(chaptr34)

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Fallopian Tube

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 Figure 34.1 Gross appearance of chronic salpingitis with superimposed acute changes

 

Figure 34.2 Chronic Salpingitis. A, Blunting of villi due to heavy inflam- matory infiltrate. B, Marked secondary reactive hyperplasia of the mucosa, which may simulate a malignant process

 

Figure 34.3 A and B, Outer aspect and cut surface of pyosalpinx. (A, Courtesy of Dr RA Cooke, Brisbane, Australia; from Cooke RA, Stewart B. Colour Atlas of Anatomical Pathology. Edinburgh: Churchill Livingstone; 2004; B, Courtesy of Dr Pedro J Grases Galofrè; from Grases Galofrè PJ. Patologia ginecològica. Bases para el diagnòstico morfològico. Barcelona: Masson; 2002)

 

Figure 34.4 Fusion of fallopian tube and ovary into a tubo-ovarian abscess

 

Figure 34.5 Gross appearance of hydrosalpinx showing the typical retort-type appearance. (Courtesy of Dr Pedro J Grases Galofré; from Grases Galofré PJ. Patología ginecológica. Bases para el diagnóstico morfológico. Barcelona: Masson; 2002)

 

Figure 34.6 Large caseating nodules in tuberculous salpingitis. (Courtesy of Dr Pedro J Grases Galofré; from Grases Galofré PJ. Patología gine- cológica. Bases para el diagnóstico morfológico. Barcelona: Masson; 2002)

 

 Figure 34.7 Granulomatous reaction to contrast material injected into the fallopian tube

 

Figure 34.8 Xanthogranulomatous salpingitis

 Figure 34.9 Ruptured tubal pregnancy with marked hemorrhage (hematosalpinx). The tiny embryo is identifiable in the center of the clot

 

Figure 34.10 Ectopic decidual reaction in the fallopian tube. This is a very common finding during pregnancy

 Figure 34.11 Low-power view of salpingitis isthmica nodosa

 Figure 34.12 A and B, So-called metaplastic papillary tumor of fallopian tube. This lesion is characterized by a papillary proliferation of acidophilic epithelium. This process is probably the same as "papillary tubal hyperplasia

 

Figure 34.13 Hyperplasia of the tubal epithelium; this is a common incidental finding of no clinical significance and must be distinguished from STIC

 

Figure 34.14 Serous Tubal Intraepithelial Carcinoma. Note the abrupt transition from benign tubal epithelium to cells with pleomorphic nuclei. Abnormal p53 immunostaining and a high (>10%) Ki-67 labeling index can help confirm the diagnosis

 

 Figure 34.15 High-power view showing the complex papillary architecture that is characteristic of high-grade serous carcinoma

Figure 34.16 Fallopian tube filled by high-grade serous carcinoma. This uncommon finding is seen in association with obstruction of the fimbrial end of the tube

 Figure 34.17 Adenomatoid tumor of fallopian tube accompanied by smooth muscle hyperplasia

Figure 34.18 Carcinosarcoma (malignant mixed müllerian tumor) of fallopian tube, showing the typical biphasic pattern

Figure 34.19 Metastatic lobular carcinoma of breast growing beneath tubal epithelium

Figure 34.20 Wolffian tumor of the broad ligament. The sieve-like low- power appearance is characteristic