Fallopian tubes
Benign or nonneoplastic conditions
Endometriosis

Author: Nicole Riddle, M.D. (see Authors page)
Editor: Jamie Shutter, M.D.

Revised: 2 August 2017, last major update April 2013

Copyright: (c) 2002-2017, PathologyOutlines.com, Inc.

PubMed Search: fallopian tubes [title] AND "endometriosis"

Cite this page: Endometriosis. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/fallopiantubesendometriosis.html. Accessed December 14th, 2017.
Definition / general
  • Presence of endometrial tissue within fallopian tube; will cycle with normal endometrium
Epidemiology
Sites
  • Muscularis usually not involved
  • Usually also found elsewhere in pelvis
Pathophysiology
  • May represent extension of endometrium from uterine cornu (10% of women have extension to isthmus)
Clinical features
  • Symptoms depend on site and extent of disease
  • May be incidental finding or associated with abdominal / pelvic pain, infertility (due to anatomic disruption or adhesions, J Assist Reprod Genet 2010;27:441)
Treatment
  • Pain medication, hormone therapy (oral contraceptive pill), surgery
Clinical images

Images hosted on other servers

Pouch of Douglas and sacrouterine ligament

Peritoneum of pelvic wall

Gross description
  • May have red nodules in wall or serosa, may be actual polyp, may have normal gross appearance
Microscopic (histologic) description
  • Endometrial glands, endometrial stroma, hemosiderin - laden macrophages: need 2 to make diagnosis
Microscopic (histologic) images

Images hosted of PathOut server

Dilated lymphatics at
junction of endometrial
tissue and muscle layer



Images hosted on other servers

Small cluster of
endometrial glands and
stroma with hemorrhage

Fallopian tube lumen on left, endometriotic nodule on right

Higher power view of endometriotic nodule

Wall of endometrioma, note
endometrial glands, stroma, and
hemosiderin - laden macrophages