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Ectopic Pregnancy: Diagnosis and Complications

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Pathology of the Ovary, Fallopian Tube and Peritoneum

Part of the book series: Essentials of Diagnostic Gynecological Pathology ((EDGP))

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Abstract

The fallopian tube extends from the ovary to the corners of the uterus and plays a crucial role in reproduction. Many reactive and benign conditions may lead to the occlusion or narrowing of the fallopian tube, predisposing to ectopic pregnancy. Although tubal pregnancy accounts for over 95% of cases of ectopic pregnancy, primary (tubal) gestational trophoblastic disease is rare and is usually secondary to the lesion in the corpus.

The principal intent of this chapter is to discuss the pathology of ectopic pregnancy and describe trophoblastic tubal lesions as they can present clinically as ectopic pregnancy. The correct diagnosis and classification of the rare trophoblastic tubal disease are important. The morphological appearances and immunocytochemistry aiding the diagnosis and the changes in the current WHO classification of Gestational trophoblastic diseases (WHO Classification of Tumours Editorial Board. Female genital tumours. WHO Classification of tumour series. International Agency for Research on Cancer, Lyon, 309–322, 2020) will be highlighted.

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  1. Gestational Trophoblast Pathology (GTD) and Malignant Ovarian Germ Cell (MOGCT) Service, North West London Pathology (NWLP), North West London Pathology. Hosted by Imperial College Healthcare NHS Trust, London, UK

    Baljeet Kaur

  2. Department of Metabolism, Digestion and Reproduction, Imperial College London, London, UK

    Baljeet Kaur

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  1. Department of Cellular Pathology, University College London Hospitals NHS Foundation Trust, London, UK

    Nafisa Wilkinson

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Kaur, B. (2023). Ectopic Pregnancy: Diagnosis and Complications. In: Wilkinson, N. (eds) Pathology of the Ovary, Fallopian Tube and Peritoneum. Essentials of Diagnostic Gynecological Pathology. Springer, Cham. https://doi.org/10.1007/978-3-031-39659-5_3

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