Adenomatoid Tumor
Definition
Adenomatoid tumor is the most frequent benign neoplasm of the fallopian tube. These tumors are mesothelial in origin (Sangoi et al. 2009).
Clinical Features
Incidence
These tumors are rare
Age
Adenomatoid tumors usually occur in women who are in middle age or elderly. (Wachter et al. 2011.
Site
Fallopian Tube
Clinical Presentation
This tumor is almost always an incidental finding (Sangoi et al. 2009; Wachter et al. 2011).
Treatment
Treatment is not needed (Terada 2012).
Outcome
Macroscopy
Tubal adenomatoid tumors are well-circumscribed, firm, masses. They typically appear as a gray, white, or yellow nodular swelling measuring 1–2 cm in diameter located beneath the tubal serosa (Karpathiou et al. 2020).
Microscopy
Tumors are characterized by anastomosing gland-like spaces that may show cribriforming and/or slit-like, ovoid to round spaces reminiscent of vascular structures. Cysts, signet-ring-like...
References and Further Reading
Alvarado-Cabrero, I., Navani, S. S., Young, R. H., & Scully, R. E. (1997). Tumors of the fimbriated end of the fallopian tube: A clinicopathologic analysis of 20 cases, including nine carcinomas. International Journal of Gynecological Pathology, 16, 189–196.
Bossuyt, V., Medeiros, F., Drapkin, R., et al. (2008). Adenofibroma of the fimbria: A common entity that is indistinguishable from ovarian adenofibroma. International Journal of Gynecological Pathology, 27, 390–397.
Goode, B., Joseph, N. M., Stevers, M., et al. (2018). Adenomatoid tumors of the male and female genital tract are defined by TRAF7 mutations that drive aberrant NF-kB pathway activation. Modern Pathology, 31, 660–673.
Karpathiou, G., Hiroshima, K., & Peoc’h, M. (2020). Adenomatoid tumor: A review of pathology with focus on unusual presentations and sites, histogenesis, differential diagnosis, and molecular and clinical aspects with a historic overview of its description. Advances in Anatomic Pathology, 27, 394–407.
Khatib, Y., Patel, R. D., Kashikar, A. S., & Chavan, K. (2015). Serous papillary cystadenofibroma of the fallopian tube: A case report and short review of the literature. Indian Journal of Pathology & Microbiology, 58, 524–527.
Sangoi, A. R., McKenney, J. K., Schwartz, E. J., et al. (2009). Adenomatoid tumors of the female and male genital tracts: A clinicopathological and immunohistochemical study of 44 cases. Modern Pathology, 22, 1228–1235.
Schwartz, E. J., & Longacre, T. A. (2004). Adenomatoid tumors of the female and male genital tracts express WT1. International Journal of Gynecological Pathology, 23, 123–128.
Seidman, J. D., Krishnan, J., Yemelyanova, A., et al. (2016). Incidental serous tubal intraepithelial carcinoma and non-neoplastic conditions of the fallopian tubes in grossly normal adnexa: A clinicopathologic study of 388 completely embedded cases. International Journal of Gynecological Pathology, 35, 423–429.
Tavares, M. A., Silva, R. C., Lourenço, M., & Ambrósio, A. (2020). Giant serous adenofibroma of the fallopian tube. BML Case Reports, 13, e234267.
Terada, T. (2012). An immunohistochemical study of adenomatoid tumors of the uterus and fallopian tube. Applied Immunohistochemistry & Molecular Morphology, 20, 173–176.
Wachter, D. L., Wünsch, P. H., Hartmann, A., et al. (2011). Adenomatoid tumors of the female and male genital tract. A comparative clinicopathologic and immunohistochemical analysis of 47 cases emphasizing their site-specific morphologic diversity. Virchows Archiv, 458, 593–602.
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Alvarado-Cabrero, I. (2022). Benign Tumors, Pathology of the Fallopian Tube. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_5633-1
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DOI: https://doi.org/10.1007/978-3-319-28845-1_5633-1
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