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.
(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.
To read more or access our algorithms and calculators, please log in or register.
Specialty: Obstetrics & Gynecology