Abstract
BACKGROUND: The word "fallopian tubes" comes from the 16th-century Italian surgeon and physician Gabriele Falloppio, who was also a specialist in anatomy, physiology, and pharmacology. The fallopian tubes are intricate organs that serve as more than just passageways connecting the ovary and the endometrial cavity. When the mature Graafian follicle bursts from the ovary, it suckers the ovum from the pelvic cavity. Additionally, fertilization occurs in the ampullary region of the fallopian tube. After fertilization, the ovum is sent to the uterus to continue developing. Starting from the uterine end, the fallopian tube is divided into four sections: the intramural, isthmus, ampulla, and fimbria. Every component has a unique characteristic and purpose of its own. Although surgical specimens from other gynecologic tract sites are more frequently removed than those specifically for lesions, the fallopian tube is still routinely examined by surgical pathologists because it often accompanies specimens removed for lesions of other gynecologic organs and because it is crucial to reproduction, including issues with infertility.
AIM: The aim was to evaluate the histological patterns of the fallopian tube in surgically resected specimens and to determine its relationship with uterine or ovarian pathology.
MATERIAL AND METHOD: The Department of Pathology carried out this retrospective investigation. Fallopian tube specimens that were received by the Department of Pathology were used in this investigation. Retrospective in nature, the study included one hundred consecutive cases of fallopian tube specimens obtained in the Department of Pathology's histopathology section as salpingectomies, pan-hysterectomies, or tubo-ovarian tumors. The requisition forms contained biographical and clinical data about the patient. In accordance with standard protocols for histopathological gross evaluation, the initial lesion that led to the surgery was grossly inspected and sampled. The SEE FIM protocol was followed for collecting the fallopian tube samples to guarantee the best possible histological assessment.
RESULTS: Patient specimens with Fallopian tubes totaling one hundred were taken from patients undergoing pan-hysterectomy with salpingectomy and salpingo-oophorectomy. 100 consecutive fallopian tube specimens, either received alone or in combination with other female genital tract organs, were carefully examined in the Department of Pathology's Histopathology unit. Of the surgical specimens, around 20% were salpingectomies and salpingo-oophorectomies, and the remaining 80% were pan-hysterectomies. With 52% of the cases, chronic salpingitis of the fallopian tube was the most common finding. In 21% of the instances, hydrosalpinx came next.
CONCLUSION: Many abnormal signs can appear in fallopian tubes. Although fallopian tube cancers are rare, a thorough examination is necessary to rule out a tubal pathology that may have preceded the cancer. Even though most surgical pathology specimens still have ordinary fallopian tubes, a histological investigation is necessary to reveal the pathological abnormalities. For this reason, a complete inspection of the fallopian tubes in every gynecologic specimen is necessary for the early diagnosis and management of these disorders.
KEYWORDS: Fallopian Tube, Salpingitis, Ectopic Tubal Pregnancy and Chronic Salpingitis