Chronic salpingitis can cause changes in the fallopian tube that may be mistaken for a carcinoma. This can result in unnecessary surgery and other problems for the patient.


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.


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