Difference between revisions of "Uterine cervix"

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m (→‎Squamous metaplasia: rework, rename)
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See: [http://www.nature.com/modpathol/journal/v15/n3/pdf/3880520a.pdf http://www.nature.com/modpathol/journal/v15/n3/pdf/3880520a.pdf]
See: [http://www.nature.com/modpathol/journal/v15/n3/pdf/3880520a.pdf http://www.nature.com/modpathol/journal/v15/n3/pdf/3880520a.pdf]


===Squamous metaplasia===
===Squamous metaplasia of the uterine cervix===
Squamous metaplasia is a response to inflammation...
====General====
*Benign process: columnar cells -> squamoid cells.
**Biologic response to irritation and/or inflammation.
 
====Microscopic====
Features:
* Nuclei are uniform size and round.
* Nuclei are uniform size and round.
* Intercellular bridges are often seen/edema is often seen.
** Nucleoli present.
* Uniform cell spacing, i.e. NO crowding.  
* +/-Intercellular bridges (due to edema) - common.
* NEGATIVES:
* Uniform cell spacing, i.e. no crowding.  
** No mitoses (think cancer/CIN if you see 'em).
 
** Usually no hyperchromatism (think cancer/CIN if you see it).
Negatives:
* No mitoses (think cancer/CIN if you see 'em).
* Usually no hyperchromatism (think cancer/CIN if you see it).


Notes:
Notes:
*It is possible to confuse CIN III with squamous metaplasia.
*NC ratio high - possible to confuse CIN III.
 
DDx:
*[[CIN III]].
*[[Squamous cell carcinoma of the uterine cervix]].


===IHC===
===IHC===