Yener Nese, Ilter Erdin, Midi Ahmet
Department of Pathology, Maltepe University, Istanbul, Turkey.
Indian J Pathol Microbiol. 2011 Jan-Mar;54(1):141-3. doi: 10.4103/0377-4929.77373.
Xanthogranulomatous salpingitis (XGS) is a rare form of chronic inflammation of the fallopian tubes. A 41-year old woman with a history of secondary infertility for 2 years is presented. The patient underwent bilateral salpingooopherectomy with presumptive diagnosis of adnexal mass with cystic component. Intraoperative pathology consultation was done. The diagnosis of bilateral XGS associated with chronic active follicular salpingitis was made. XGS is reported to be caused by an unsuccesfully treated pelvic inflammatory disease. Its association with chronic active follicular salpingitis has not been previously reported. Chronic active follicular salpingitis with xanthogranulomatous inflammation might give the impression of a cystic adnexal mass with septations on preoperative pelvic computed tomography. Frozen sections are necessary to rule out malignancy as done in our case.
黄色肉芽肿性输卵管炎（XGS）是一种罕见的输卵管慢性炎症形式。本文介绍了一名41岁有2年继发性不孕病史的女性。患者接受了双侧输卵管卵巢切除术，初步诊断为附件肿块伴囊性成分。术中进行了病理会诊。诊断为双侧XGS合并慢性活动性滤泡性输卵管炎。据报道，XGS由未得到有效治疗的盆腔炎引起。其与慢性活动性滤泡性输卵管炎的关联此前未见报道。伴有黄色肉芽肿性炎症的慢性活动性滤泡性输卵管炎在术前盆腔计算机断层扫描上可能给人一种有分隔的囊性附件肿块的印象。如我们病例中所做的那样，冰冻切片对于排除恶性肿瘤是必要的。
