Atrophic endometrium: Difference between revisions
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It is also known as '''atrophy of the endometrium''' and '''endometrial atrophy'''. | It is also known as '''atrophy of the endometrium''' and '''endometrial atrophy'''. | ||
An introduction to the endometrium is found in the ''[[endometrium]]'' article. | |||
==General== | ==General== | ||
* | *The most common pattern seen in postmenopausal women.<ref name=pmid1872332>{{Cite journal | last1 = Archer | first1 = DF. | last2 = McIntyre-Seltman | first2 = K. | last3 = Wilborn | first3 = WW. | last4 = Dowling | first4 = EA. | last5 = Cone | first5 = F. | last6 = Creasy | first6 = GW. | last7 = Kafrissen | first7 = ME. | title = Endometrial morphology in asymptomatic postmenopausal women. | journal = Am J Obstet Gynecol | volume = 165 | issue = 2 | pages = 317-20; discussion 320-2 | month = Aug | year = 1991 | doi = | PMID = 1872332 }}</ref> | ||
*Menopause typically happens at around 50 years old. | |||
*Very common diagnosis. | *Very common diagnosis. | ||
**Atrophy may be associated with bleeding and therefore biopsied to rule-out hyperplasia and malignancy. | **Atrophy may be associated with bleeding and therefore biopsied to rule-out hyperplasia and malignancy. | ||
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===Images=== | ===Images=== | ||
<gallery> | <gallery> | ||
Image: Inactive endometrial epithelium -- intermed mag.jpg | Inactive endometrium - intermed. mag. | Image: Inactive endometrial epithelium -- intermed mag.jpg | Inactive endometrium - intermed. mag. (WC) | ||
Image: Inactive endometrial epithelium -- high mag.jpg | Inactive endometrium - high mag. | Image: Inactive endometrial epithelium -- high mag.jpg | Inactive endometrium - high mag. (WC) | ||
</gallery> | |||
<gallery> | |||
Image: Nonproliferative endometrial epithelium -- intermed mag.jpg | IE - intermed. mag. (WC) | |||
Image: Nonproliferative endometrial epithelium -- high mag.jpg | IE - high mag. (WC) | |||
Image: Nonproliferative endometrial epithelium - alt -- high mag.jpg | IE - high mag. (WC) | |||
Image: Nonproliferative endometrial epithelium - alt 2 -- high mag.jpg | IE - high mag. (WC) | |||
Image: Nonproliferative endometrial epithelium -- very high mag.jpg | IE - very high mag. (WC) | |||
</gallery> | </gallery> | ||
www: | www: | ||
*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1860448/figure/fig1/ Atrophic endometrium (nih.gov)].<ref name=pmid16873562>{{Cite journal | last1 = McCluggage | first1 = WG. | title = My approach to the interpretation of endometrial biopsies and curettings. | journal = J Clin Pathol | volume = 59 | issue = 8 | pages = 801-12 | month = Aug | year = 2006 | doi = 10.1136/jcp.2005.029702 | PMID = 16873562 }} | *[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1860448/figure/fig1/ Atrophic endometrium (nih.gov)].<ref name=pmid16873562>{{Cite journal | last1 = McCluggage | first1 = WG. | title = My approach to the interpretation of endometrial biopsies and curettings. | journal = J Clin Pathol | volume = 59 | issue = 8 | pages = 801-12 | month = Aug | year = 2006 | doi = 10.1136/jcp.2005.029702 | PMID = 16873562 | PMC = 1860448 }}</ref> | ||
</ref> | |||
==Sign out== | ==Sign out== | ||
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COMMENT: | COMMENT: | ||
The sample is scant given the history of 'thickened endometrium'. | The sample is scant given the history of 'thickened endometrium'. | ||
</pre> | |||
===Polypoid=== | |||
<pre> | |||
ENDOMETRIUM, CURETTAGE: | |||
- SMALL POLYPOID FRAGMENT OF ENDOMETRIUM WITH NONPROLIFERATIVE DILATED | |||
PSEUDOSTRATIFIED GLANDS WITH A MILDLY FIBROTIC STROMA AND SMALL BLOOD | |||
VESSELS, SEE COMMENT. | |||
- NO EVIDENCE OF HYPERPLASIA. | |||
- NO EVIDENCE OF MALIGNANCY. | |||
COMMENT: | |||
This is favored to represent endometrium with cystic atrophy. The differential | |||
diagnosis is a benign endometrial polyp. | |||
</pre> | </pre> | ||