Walthard cell rest
File:Histology of a Walthard cell rest with coffee bean nuclei.jpg
Image:Walthard cell rest - very low mag.jpg of a cystic Walthard cell rest (lower right of image) within the connective tissue of a fallopian tube (tubal epithelium – upper left of image). H&E stain.]]
Walthard cell rests, sometimes called Walthard cell nests, are a benign cluster of epithelial cells most commonly found in the connective tissue of the fallopian tubes, but also seen in the mesovarium, mesosalpinx and ovarian hilus.
Appearance
Image:Walthard cell rest - very high mag.jpg of a cystic Walthard cell rest showing the characteristic coffee bean-shaped nuclei. H&E stain.]]
They appear as white/yellow cysts or nodules that can reach a size of 2 millimeters. They typically have elliptical nuclei with a long groove (along the major axis) – so-called "coffee bean" nuclei.
Pathology
It has been suggested that these cell rests are the histogenetic origins of Brenner tumors, due to the histological similarity of the epithelium of Walthard cell rests and Brenner tumors to the urothelium of the lower urinary tract. Also, it has been proposed that Brenner tumors and Walthard cell rests signify urothelial differentiation within the female genital tract.
Eponym
They are named after Swiss gynecologist Max Walthard (1867–1933), who provided a comprehensive description of them in 1903.
Additional images
Image:Brenner tumour high mag.jpg|High magnification micrograph of a Brenner tumor showing the characteristic coffee bean nuclei which are also seen in Walthard cell rests. H&E stain.
References
- [http://www.pathologyoutlines.com/fallopiantubes.html#walthard Pathology Outline, Fallopian Tubes]
- {{cite journal |doi=10.1016/S0002-9440(10)65206-6 |vauthors=Ogawa K, Johansson SL, Cohen SM |title=Immunohistochemical analysis of uroplakins, urothelial specific proteins, in ovarian Brenner tumors, normal tissues, and benign and neoplastic lesions of the female genital tract |journal=Am. J. Pathol. |volume=155 |issue=4 |pages=1047–50 |date=October 1999 |pmid=10514386 |pmc=1867018 |url=http://ajp.amjpathol.org/cgi/pmidlookup?view=long&pmid=10514386}}
- [http://www.wrongdiagnosis.com/medical/brenner_tumor.htm Wrong Diagnosis.com, Brenner tumors]
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