Minh H N, Smadja A
Service Central d'Anatomie et de Cytologie Pathologiques, CHRU-Hôpital Nord, Amiens.
Arch Anat Cytol Pathol. 1992;40(4):169-75.
Nodular salpingitis of the isthmus is a clinicopathological entity related to what is classically referred to as interstitial adenomyosis. These two lesions are due to the same aetiopathogenic process and result from inflammatory proliferation of the tubal epithelium with formation of pseudoglandular ducts. The only difference between the two is that one is ensheathed by a fine network of mesonephric muscle fibres and the other is surrounded by a thick layer of myometrial muscle fibres. These two lesions should be grouped under the same heading: nodular salpingitis. The term adenomyosis is incorrect due to the absence of endometrial glandular ducts and stroma in these lesions. Nodular salpingitis of the isthmus should be distinguished from tubal endometriosis, which is part of the clinical expression of extrauterine endometriosis. In particular, this lesion must be distinguished from interstitial endometriosis which, for some authors, corresponds to colonisation of the tubal mucosa by endometrium and, for others, to metaplasia of the tubal mucosa.
峡部结节性输卵管炎是一种临床病理实体，与传统上所称的间质性子宫腺肌病相关。这两种病变源于相同的病因发病过程，是输卵管上皮炎症性增生并形成假腺管所致。两者的唯一区别在于，一个被细网状的中肾肌纤维包裹，另一个被厚层的子宫肌层肌纤维包围。这两种病变应归为同一类别：结节性输卵管炎。由于这些病变中不存在子宫内膜腺管和间质，因此子宫腺肌病这一术语并不准确。峡部结节性输卵管炎应与输卵管子宫内膜异位症相鉴别，后者是子宫外子宫内膜异位症临床表现的一部分。特别是，这种病变必须与间质性子宫内膜异位症相区分，对于一些作者来说，间质性子宫内膜异位症是指子宫内膜对输卵管黏膜的侵袭，而对于另一些作者来说，则是指输卵管黏膜的化生。
