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Results for “Fallopian Tube Neoplasms”

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Nodular salpingitis and tubal endometriosis. I. Comparative clinical study.

Nodular salpingitis and tubal endometriosis have been referred to in succession as salpingiosis, diverticulosis, adenomyosis of the oviduct, endometrioid conditions, etc. This varied terminology underscores their etiopathogenetic and morphological substratum which is different from that of non specific tubal inflammation, but at the same time this variety of terms has always created confusion in interpretation and diagnosis. We have considered it necessary to carry out a comparative study of nodular salpingitis and tubal endometriosis in 42 cases of sterility operated during the last two years for tubal obstruction and in which histological examination has yielded evidence for the lesions of nodular salpingitis (NS) or endometriosis (EM) in at least one of the oviducts. As for the etiology of the two diseases, we have discussed the role plaid by inflammatory conditions, uterine trauma (curettage) and dystrophic disorders, as well as the importance of hyperandrogenism in NS. Taking into account the diffuse sclerogenic tendency of the tubal wall in NS and the concomitant inflammatory and dystrophic lesions in the peritubal tissues in EM, the postoperative outlook depends on early surgery, to be performed before tubal anatomy has been completely altered.

Adult↗

Nodular salpingitis and tubal endometriosis. II. Diagnosis and differential diagnosis.

Nodular salpingitis and tubal endometriosis are dystrophic disorders (salpingioses) the clinical importance of which is mainly due to their interference with female fertility. We have studied 42 cases of women operated for tubal sterility, viz. 23 cases of nodular salpingitis (NS), 17 of endometriosis (EM) and two cases in which both lesions were present. Pre-operative x-ray and celioscopic exploration was performed in order to assess the severity of the lesions and the outlook after tubal plastic surgery. X-ray examination reveals the diverticular nature of these lesions. Both diseases may be localized in any of the tubal segments. The postoperative prognosis depends on early surgery, site of the lesion and its nature.

Adult↗

[Microsurgery of the fallopian tube].

9 per cent of all patients with female sterility are indicated to be operated on. After discussing the conditions for microsurgery the indications like salpingolysis, ovariolysis, fimbrioplasty, salpingoneostomia, anastomosis, conservative operations of ectopic pregnancy and endometriosis are argued in detail. Microsurgery improves pregnancy rates about 20 per cent. The principles of microsurgery should have a wider entrance in gynecologic operations.

Endometriosis↗

Tubal occlusion.

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Embryo Implantation↗

[Oviductal physiological alterations and endosalpingiosis (author's transl)].

A study was made of the oviducts from 110 patients salpingectomized between 1943 and 1976, after endosalpingiosis had been diagnosed. All of the patients were infertile women in whom histopathology performed after surgery revealed diverticula located mainly in the isthmic and interstitial portions of the oviductal wall. By either continuity or invasion, these configurations spread the endosalpingeal epithelium into the peritoneum and/or the ovary. Endosalpingiosis affects the muscular layer of the oviduct, which becomes thickened and rigid, thus accounting for the severe alterations of tubal physiology. The clinical aspects and microscopy of endosalpingiosis are described, and their differences from those of adnexo-peritoneal endometriosis are discussed.

Adult↗

[Determination of the functional state of the uterine tube by hysteroscopy].

The authors present their observations on the uterine os and signs of patency of the Fallopian tubes based on 240 cases of infertility examined by hysteroscopy. The shape of the cornual region, the adjacent pathological structures, ie., adhesions, polyps, fibroids etc., the outflow of the distending medium towards the Fallopian tubes and the movement of the tubal os were visualised. Intrauterine pressure and flow data were recorded in order to judge tubal patency. The funnel-shaped (in contrast with the flat type) cornual region, rhythmic contraction of the tubal os, the outflow of distending medium, intrauterine pressure under 100-120 Hgmm and standard 25-50 ml/min medium flow were evaluated as characteristic diagnostic signs of tubal patency.

Fallopian Tube Diseases↗

Tubal pregnancy associated with ampullary tubal leiomyoma.

BACKGROUND: Fewer than 100 cases of leiomyoma of the fallopian tube have been described in the literature; most of them are asymptomatic. CASE: A woman presented with a tubal pregnancy which, at laparotomy, proved to be distal to a leiomyoma of the tube. CONCLUSION: Tubal myomas may predispose to tubal implantation of a conceptus. To our knowledge, this is the first time a tubal leiomyoma and a tubal pregnancy have been reported in the English literature.

Adult↗