Fallopian Tube

Auto text: “Insert Fallopian Tube” or “Insert Ectopic Pregnancy”

Triage

  1. Weigh and measure length and diameter of tube.
  2. Describe serosal surface (intact, glistening, hemorrhagic) and note any lesions (paratubal cysts, tumor nodules).
  3. Generally these can be grossed same-day.

Gross

  1. If for sterilization, serially section and describe luminal diameter/wall thickness. Submit at least 2 sections in order to ensure full cross section. If bilateral tubes are submitted in the same container, DO NOT submit both in the same cassette; submit sections from each tube in 2 different cassettes.
  2. If for ectopic, serially section and pay attention to dilated segment / implantation site. Also, submit representative section of the the blood clot even if detached (it often contains villi).
  3. If for PID, tube may come with an ovary. Gross description is crucial. Measure and note dilation and tortuosity, type of connection to ovary (tube and ovary matted by inflammatory adhesions vs tubo-ovarian abscess with communicating channel between the two structures); content of tube (hematosalpinx vs pyosalpinx vs hydrosalpinx).
  4. In the above cases, if fimbriated end is present, submit representative radial section from fimbriated end.
  5. SEE-FIM protocol: If for prophylactic salpingooophorectomy, submit the ENTIRE specimen per SEE-FIM protocol as follows:
    • Ovary serially sectioned.
    • Body of tube transversely sectioned.
    • Fimbriated end of tube radially sectioned (Place NO MORE than 2-3 sections in a cassette to ensure proper orientation).
    • All of associated soft tissue.
    • If a prophylactic uterus was resected with adnexa, please refer to Uterus, BRCA or Uterus, Lynch guidelines.

Updated 4-25-19 NAC

Prophylactic Salpingo-Oophorectomy (Arch Pathol Lab Med—Vol 133, July 2009)

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