Journal of Histopathology and Cytopathology
January 2024, Volume 8 issue 1
Original Contribution
Histomorphological Pattern of Fallopian Tube Lesions in a Tertiary Care Hospital
1.*Dr. Tamanna Jannat, MBBS, MD(Pathology), Assistant Professor, Department of Pathology, Prime Medical College, Rangpur. dr.tamanna2020@gmail.com
2. Professor Dr. Ruksana Jeba, MBBS, MD (Pathology), Professor & Head, Department of Pathology, Dhaka Medical College, Dhaka.
3. Dr. Md. Shahrior Nahid, MBBS, MD(Pathology), Resident Medical Officer, Department of Pathology, National Institute of Laboratory Medicine and Referral Centre (NILMRC), Sher-E-Bangla Nagar, Dhaka-1207.
4. Dr. Md. Moinul Ahsan, MBBS, MD (Biochemistry), Lecturer, Department of Biochemistry, Nilphamari Medical College, Nilphamari.
*For correspondence
Abstract
Background: Fallopian tubes are a very important organ of the female reproductive system. A wide range of diseases varying from salpingitis to malignancy can affect fallopian tubes. Fallopian tube lesions are associated with infertility. Moreover, Tubal epithelium (mainly fimbria) is a potential origin of ovarian and peritoneal carcinoma.
Objective: The present study was designed to evaluate the histomorphological patterns as well as the frequency of different fallopian tube lesions.
Method: A total of 300 cases of fallopian tubes were included in this study according to inclusion and exclusion criteria. After receiving gross examination was done and relevant data were collected in preformed proforma. Tissue processing, paraffin block preparation, and hematoxylin and eosin (H&E) stain were done according to standard protocol followed by the Pathology Department of DMC. Sections were examined by light microscopy.
Results: From this study, it was stated that pathological lesions of fallopian tubes were observed in 40% of cases which was a large number. Most of the lesions of fallopian tubes were non-neoplastic and very few neoplastic lesions were found. Most of the lesions occur at 31-40 years of age. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was the most common type of specimen and fibroid uterus was the most common surgical indication (60 cases 20%) followed by ovarian cyst (53 cases 17.66%). Salpingitis was the most common histopathological diagnosis, found in 47 (15.66%) cases followed by ectopic tubal pregnancy (13.33%). Primary malignancy was found in only a single patient.
Conclusion: It is necessary to do a thorough examination of fallopian tubes and give at least one block from each site. It is not only for the detection of tubal pathology but also to detect precursor lesions of the tubal epithelium (mainly fimbria) as it is the origin of ovarian or peritoneal carcinoma.
[Journal of Histopathology and Cytopathology, 2024 Jan; 8 (1):3-9]
https://www.doi.org/10.69950/jhc.2024.v8.i1.02
Keywords: Fallopian tube lesions
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