Fallopian tube in ectopic pregnancy: Difference between revisions

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Look for products of conception:
Look for products of conception:
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<gallery mode=packed>
File:Histopathology of tubal pregnancy.jpg|Products of conception in a tubal pregnancy.
File:Tubal Pregnancy with Yolk Sac Inside Chorionic Cavity (14961233838).jpg|Tubal pregnancy with yolk sac inside a chorionic cavity.
File:Tubal Pregnancy with Yolk Sac Inside Chorionic Cavity (14961233838).jpg|Tubal pregnancy with yolk sac inside a chorionic cavity.
</gallery>
</gallery>

Revision as of 05:42, 23 January 2020

Author: Mikael Häggström [note 1]

Fixation

Generally 10% neutral buffered formalin.

  See also: General notes on fixation


Gross processing[1]

  • Measure length and largest diameter
  • Inspect the serosa, mainly for fibrin formations, hemorrahage and/or rupture
  • Make a transverse cut through any dilated segment and note:
  • Wall thickness
  • Any lumen obstruction
  • Any parovarial cysts
  • In case of rupture, sample blood clots and any suspected pregnancy products (which usually arise from the rupture). Sample a transverse section from the rupture site.
  • If there is no rupture, sample from any hemorrhaging spots, and from any intraluminal blood clots.

Try to identify and sample any egg sac. Sometimes a minimal embryo can be identified herein, which should be submitted separately.

  See also: General notes on gross processing


Microscopic evaluation

Look for products of conception:


If no embryonic tissue or villi can be histologically identified, submit any residual blood clots, as well as any additional pieces from macroscopically suspended portions of the tubal wall.[1]

Microscopy/Histopathology report

  See also: General notes on reporting


Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.

Main page

References

  1. 1.0 1.1 Monica Dahlgren, Janne Malina, Anna Måsbäck, Otto Ljungberg. Stora utskärningen. KVAST (Swedish Society of Pathology). Retrieved on 2019-09-26.

Image sources