Histomorphological Pattern of Fallopian Tube Lesions in a Tertiary Care Hospital

wide range of diseases varying from salpingitis to malignancy can affect fallopian tubes. Fallopiantube lesions are associated with infertility. Moreover, Tubal epithelium (mainly fimbria) is apotential origin of ovarian and peritoneal carcinoma.Objective: The present study was designed to evaluate the histomorphological patterns as well asthe frequency of different fallopian tube lesions.Method: A total of 300 cases of fallopian tubes were included in this study according to inclusionand exclusion criteria. After receiving gross examination was done and relevant data were collectedin 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 ofDMC. Sections were examined by light microscopy.Results: From this study, it was stated that pathological lesions of fallopian tubes were observed in40% of cases which was a large number. Most of the lesions of fallopian tubes were non-neoplasticand very few neoplastic lesions were found. Most of the lesions occur at 31-40 years of age. Totalabdominal hysterectomy with bilateral salpingo-oophorectomy was the most common type ofspecimen and fibroid uterus was the most common surgical indication (60 cases 20%) followed byovarian 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 malignancywas found in only a single patient.Conclusion: It is necessary to do a thorough examination of fallopian tubes and give at least oneblock from each site. It is not only for the detection of tubal pathology but also to detect precursorlesions of the tubal epithelium (mainly fimbria) as it is the origin of ovarian or peritonealcarcinoma