Ovary and Fallopian Tube

William H. Westra, Timothy H. Phelps, Ralph H. Hruban, Christina Isacson
In: Surgical Pathology Dissection · 2003 · pp. 160–165 · doi:10.1007/0-387-21747-9_28 · W1578661574
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This paper describes pathological evaluation guidelines for ovary and fallopian tube biopsies and wedge resections, focusing on measurements, descriptions, and specific findings.

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This chapter describes surgical pathology examination recommendations for ovarian biopsies and wedge resections, procedures used mainly to evaluate infertility, focusing on how to measure, describe, and submit specimens for histologic assessment. It specifies that biopsies should be submitted in their entirety and briefly described by color and texture, while wedge resections should be weighed and evaluated for features including capsule thickening, “powder burns” of endometriosis, subcortical cysts, and yellow stromal nodularity consistent with hyperthecosis. A major limitation is that the content is a specimen-handling and gross/pathology protocol rather than an original study with outcomes or diagnostic performance data, and it does not provide comparative evidence. This paper is centrally about endometriosis-related ovarian findings — it explicitly includes evaluation for “powder bums” of endometriosis in wedge resections of the ovary.

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Abstract

Biopsies and wedge resections of the ovary are infrequently performed procedures that are used primarily for the evaluation of infertility. Biopsies should be measured, briefly described as to color and texture, and submitted in their entirety. Wedge resections should also be weighed and evaluated for capsule thickening, “powder bums” of endometriosis, subcortical cysts, and yellow stromal nodularity indicating hyperthecosis. Sections should be taken perpendicular to the ovarian surface to demonstrate the relationship of the capsule, cortex, and medulla. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

Hendrickson MR, ed. State of the Art Reviews: Surface Epithelial Neoplasms of the Ovary. Philadelphia, PA: Hanley & Belfus; 1993. Scully RE, Young RH, Clement PB. Atlas of Tumor Pathology: Tumors of the Ovary, Maldeveloped Gonads, Fallopian Tube, and Broad Ligament. 3rd series, fascicle 23. Washington, DC: Armed Forces Institute of Pathology; 1998. Scully RE, Antman KH. Protocol for the examination of specimens from patients with tumors of the peritoneum: a basis for checklists; Cancer Committee of the American College of Pathologists. Arch Pathol Lab Med. 2001;125:1174–1176. Scully RE, Henson DE, Nielsen ML, Ruby SG. Practice protocol for the examination of specimens removed from patients with ovarian tumors: a basis for checklists; Cancer Committee of the American College of Pathologists. Arch Pathol Lab Med. 1995;119: 1012–1022. Scully RE, Henson DE, Nielsen ML, Ruby SG. Protocol for the examination of specimens removed from patients with carcinoma of the fallopian tube: a basis for checklists; Cancer Committee of the American College of Pathologists. Arch Pathol Lab Med. 1999; 123:33–38. Author information Authors and Affiliations Rights and permissions Copyright information © 2003 Springer Science+Business Media New York About this chapter Cite this chapter Westra, W.H., Phelps, T.H., Hruban, R.H., Isacson, C. (2003). Ovary and Fallopian Tube. In: Surgical Pathology Dissection. Springer, New York, NY. https://doi.org/10.1007/0-387-21747-9_28 Download citation DOI: https://doi.org/10.1007/0-387-21747-9_28 Publisher Name: Springer, New York, NY Print ISBN: 978-0-387-95559-9 Online ISBN: 978-0-387-21747-5 eBook Packages: Springer Book Archive

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