Difference between revisions of "Endometrium with changes due to exogenous hormones"

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{{ Infobox diagnosis
| Name      = {{PAGENAME}}
| Image      = Endometrium with hormone effect -- high mag.jpg
| Width      =
| Caption    = Endometrium with changes due to exogenous hormones. [[H&E stain]].
| Micro      = inactive glands (round/ovoid glands, simple cuboidal epithelium, no mitoses), decidualized stroma (nucleus central, eosinophilic cytoplasm, well-defined cell borders)
| Subtypes  =
| LMDDx      = [[endometrial hyperplasia with secretory changes]], [[secretory phase endometrium]]
| Stains    =
| IHC        =
| EM        =
| Molecular  =
| IF        =
| Gross      =
| Grossing  =
| Site      = [[endometrium]]
| Assdx      =
| Syndromes  =
| Clinicalhx = exogenous hormones ([[oral contraceptive pill]] or hormone releasing intrauterine device)
| Signs      =
| Symptoms  =
| Prevalence =
| Bloodwork  =
| Rads      =
| Endoscopy  =
| Prognosis  = benign
| Other      =
| ClinDDx    =
}}
{{ Infobox external links
{{ Infobox external links
| Name          = Endometrial changes of oral contraception
| Name          = {{PAGENAME}}
| EHVSC          = 10170
| EHVSC          = 10170
| pathprotocols  =  
| pathprotocols  =  
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| pathoutlines  =
| pathoutlines  =
}}
}}
'''Endometrium with hormonal changes''' is relatively common in [[endometrium|endometrial]] samples.
'''Endometrium with changes due to exogenous hormones''' is relatively common in [[endometrium|endometrial]] samples.


'''Endometrial changes of oral contraception''', '''oral contraceptive effect''' and '''OCP endometrium''' redirect here.
'''Endometrial changes of oral contraception''', '''oral contraceptive effect''', '''OCP endometrium''', and '''endometrium with hormonal changes''' redirect here.


The oral contraceptive pill is dealt with in the article ''[[oral contraceptive pill]]''.
The oral contraceptive pill is dealt with in the article ''[[oral contraceptive pill]]''.
==General==
==General==
*Very common.
*Very common.
*Most pills a mix of progesterone and estrogen.
*Most pills are a mix of progesterone and estrogen.
**The progesterone is what generates the characteristic appearance -- that is similar to pregnancy.
**The progesterone is what generates the characteristic appearance -- that is similar to [[pregnancy]].
*Same appearance is seen with a levonorgestrel-releasing intrauterine device, e.g. ''Mirena''.


==Microscopic==
==Microscopic==
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===Image===  
===Image===  
<gallery>
<gallery>
Image:Endometrium_ocp_use1.jpg | Endometrium of woman on an OCP. (WC/Nephron)
Image:Endometrium_ocp_use2.jpg | Endometrium of woman on an OCP. (WC/Nephron)
Image:Endometrium_ocp_use3.jpg | Endometrium of woman on an OCP. (WC/Nephron)
Image:Endometrium_ocp_use3.jpg | Endometrium of woman on an OCP. (WC/Nephron)
</gallery>
<gallery>
Image: Endometrium with hormone effect -- intermed mag.jpg | Hormone effect - intermed. mag. (WC)
Image: Endometrium with hormone effect -- high mag.jpg | Hormone effect - high mag. (WC)
Image: Endometrium with hormone effect -- very high mag.jpg | Hormone effect - very high mag. (WC)
</gallery>
</gallery>
==Sign out==
==Sign out==
<pre>
Endometrium, Curettage:
- Endometrium with nonproliferative endometrial glands and stromal decidualization,
  consistent with exogenous hormones.
</pre>
====Block letters====
<pre>
<pre>
ENDOMETRIUM, BIOPSY:
ENDOMETRIUM, BIOPSY:
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- NEGATIVE FOR HYPERPLASIA AND NEGATIVE FOR MALIGNANCY.
- NEGATIVE FOR HYPERPLASIA AND NEGATIVE FOR MALIGNANCY.
</pre>
</pre>
===Micro===
The sections show endometrium with nonproliferative endometrial glands and stromal
decidualization. The gland-to-stroma ratio is within normal limits.


==See also==
==See also==
*[[Endometrium]].
*[[Endometrium]].
*[[Endometrial hyperplasia with secretory changes]].
*[[Endometrial hyperplasia with secretory changes]].
*[[Decidualized endometrium]].


==References==
==References==
48,702

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