Clinical features:
(1) The patient is typically young.
(2) There is evidence of salpingitis with severe chronic inflammation. The patient may have hydrosalpinx, pyosalpinx or a tubo-ovarian abscess.
(3) There is no evidence of a gross tumor.
The histologic exam shows a florid epithelial hyperplasia together with a florid mesothelial hyperplasia.
Reasons that carcinoma may be suspected:
(1) The presence of a cribriform pattern.
(2) The presence of glands within the tubal wall.
(3) The presence of epithelial papillae in lymphatics.
Reasons why cancer should not be diagnosed:
(1) There is an absence of solid epithelial proliferation.
(2) There is no more than mild nuclear atypia.
(3) There is a paucity of mitotic figures.
