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**"Exodus" pattern is a term used to describe exfoliation of endometrial cells during the proliferative phase. | **"Exodus" pattern is a term used to describe exfoliation of endometrial cells during the proliferative phase. | ||
***On [[pap test]]s this is associated with the classic double contoured balls of endometrial epithelium and stroma. | ***On [[pap test]]s this is associated with the classic double contoured balls of endometrial epithelium and stroma. | ||
*Proliferative activity is relatively common in postmenopausal women ~25% and probably associated with a small increased risk of malignancy.<ref name=pmid15280405>{{Cite journal | last1 = Sivridis | first1 = E. | last2 = Giatromanolaki | first2 = A. | title = Proliferative activity in postmenopausal endometrium: the lurking potential for giving rise to an endometrial adenocarcinoma. | journal = J Clin Pathol | volume = 57 | issue = 8 | pages = 840-4 | month = Aug | year = 2004 | doi = 10.1136/jcp.2003.014399 | PMID = 15280405 }}</ref> | |||
**~17% of asymptomatic (unselected) postmenopausal women have proliferative endometrium.<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> | |||
Note: | Note: | ||
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===Images=== | ===Images=== | ||
====Case 1==== | |||
<gallery> | <gallery> | ||
Image: Proliferative phase endometrium -- very low mag.jpg | PPE - very low mag. (WC) | Image: Proliferative phase endometrium -- very low mag.jpg | PPE - very low mag. (WC) | ||
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Image: Proliferative phase endometrium -- high mag.jpg | PPE - high mag. (WC) | Image: Proliferative phase endometrium -- high mag.jpg | PPE - high mag. (WC) | ||
</gallery> | </gallery> | ||
====Case 2==== | |||
<gallery> | <gallery> | ||
Image:Endometrial epithelium with proliferation - intermed mag.jpg | Proliferative endometrial epithelium - intermed. mag. (WC) | Image:Endometrial epithelium with proliferation - intermed mag.jpg | Proliferative endometrial epithelium - intermed. mag. (WC) | ||
Image:Endometrial epithelium with proliferation - high mag.jpg | Proliferative endometrial epithelium - high mag. (WC) | Image:Endometrial epithelium with proliferation - high mag.jpg | Proliferative endometrial epithelium - high mag. (WC) | ||
</gallery> | </gallery> | ||
www | ====Case 3==== | ||
<gallery> | |||
Image: Coiled endometrium -- low mag.jpg | [[Coiled endometrium|Coiled proliferative endometrium]] - low mag. (WC) | |||
Image: Coiled endometrium -- intermed mag.jpg | Coiled proliferative endometrium - intermed. mag. (WC) | |||
Image: Coiled endometrium - alt -- intermed mag.jpg | Coiled proliferative endometrium - intermed. mag. (WC) | |||
Image: Coiled endometrium -- high mag.jpg | Coiled proliferative endometrium - intermed. mag. (WC) | |||
</gallery> | |||
====www==== | |||
*[http://library.med.utah.edu/WebPath/FEMHTML/FEM017.html Proliferative phase endometrium (utah.edu)]. | *[http://library.med.utah.edu/WebPath/FEMHTML/FEM017.html Proliferative phase endometrium (utah.edu)]. | ||
*[http://www.cytochemistry.net/microanatomy/medical_lectures/028%20-%2019_16f.jpg Proliferative phase endometrium (cytochemistry.net)].<ref>URL: [http://www.cytochemistry.net/microanatomy/medical_lectures/oviduct_and_uterus.htm http://www.cytochemistry.net/microanatomy/medical_lectures/oviduct_and_uterus.htm]. Accessed on: 23 October 2012.</ref> | *[http://www.cytochemistry.net/microanatomy/medical_lectures/028%20-%2019_16f.jpg Proliferative phase endometrium (cytochemistry.net)].<ref>URL: [http://www.cytochemistry.net/microanatomy/medical_lectures/oviduct_and_uterus.htm http://www.cytochemistry.net/microanatomy/medical_lectures/oviduct_and_uterus.htm]. Accessed on: 23 October 2012.</ref> | ||
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