Pseudocarcinomatous hyperplasia of fallopian tube mimicking
The present case has been published in the Journal of Mid-life Health. A 27-year-old female presented with the chief complaints of sudden-onset pain abdomen, anxiety, and bleeding per vaginal (PV). On detailed history, the patient revealed that she had low-grade pain in the lower abdomen for the past 2 months.

PV examination revealed right-sided adnexal mass. Ultrasonography showed a well-defined, right-sided, adnexal mass with thickened wall and papillary projections, based on which possibility of a tubal neoplastic lesion was suggested. Serum sample was sent for CA125 levels, which were normal (29 U/ml).

An emergency laparotomy was performed due to excessive pain and blood loss. Peroperatively, right fallopian tube was dilated and congested, with thickened wall. Furthermore, there was the presence of pelvic adhesions. However, no growth or mass was appreciated. A right-sided salpingectomy was done.

Grossly, the fallopian tube segment was dilated measuring 3.5 cm in length and 1.5 cm in diameter, with congested external surface. On cut, wall was thickened and lumen was identified. Based on the clinical, radiological, and gross features, it was thought to be a neoplastic lesion. Microscopic sections revealed mucosal epithelial hyperplasia, with papillary growth and fusion of plicae. Focally cribriform pattern was seen. Epithelium showed nuclear crowding and epithelial stratification.

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