<prompt> .The following statements are related to tubercular salpingitis except:The abdominal ostium may be patent with eversion of fimbriaeThe early lesion may be confused with adenocarcinoma on histologyGenital tuberculosis is always secondary and the tubes are invariably the primary sitesSalpingitis isthmica nodosa is the exclusive pathology to tuberculosis  <response>: In genital TB abdominal ostium may be patent with eversion of fimbrial called as tobacco pouch appearance. Thus option a is correct The early lesion may be confused with adenocarcinomacorrect Genital TB is always secondary and tubes are invariably the primary sites i.e. option b is correct i.e. c is correct Salpingitis isthmica nodosa is the exclusive pathology of the tubes incorrect as it may be seen in endometriosis alsoIn some cases of genital TB, nodules are present in the tuber first size in the isthmic part near the uterine cornu, it is called as salpingitis isthmic nodosaSalpingitis isthmica nodosa is the nodular thickening of the tube due to proliferation of tubal epithelium within the hypertrophied myosalpinx muscle layer. Exact aetiology is unknown. It is diagnosed radiologically as a small diverticulum. It is however not specific to tubercular infection only. It is also observed in pelvic endometriosis. 