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Difference between revisions of "Endometrium"
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→A simple approach
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</pre> | </pre> | ||
=A simple approach= | =Overview= | ||
==Low power== | ==A simple approach== | ||
===Low power=== | |||
#Decide whether you are looking at endometrium. | #Decide whether you are looking at endometrium. | ||
#Is the gland-to-stroma ratio normal? | #Is the gland-to-stroma ratio normal? | ||
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#*Pink - consider [[uterine leiomyoma|leiomyoma]], squamous morules (associated with [[endometrial hyperplasia]], [[endometrioid endometrial carcinoma]], may be benign). | #*Pink - consider [[uterine leiomyoma|leiomyoma]], squamous morules (associated with [[endometrial hyperplasia]], [[endometrioid endometrial carcinoma]], may be benign). | ||
==High power== | ===High power=== | ||
#Mitoses present in the glands? | #Mitoses present in the glands? | ||
#*Present in the proliferative phase, hyperplasias, malignancies. | #*Present in the proliferative phase, hyperplasias, malignancies. | ||
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#Inflammatory cells present? | #Inflammatory cells present? | ||
#*Some are normal during menses. | #*Some are normal during menses. | ||
==Tabular summary== | |||
{| class="wikitable sortable" | |||
! Diagnosis | |||
! Key feature (low power) | |||
! Additional features | |||
! DDx | |||
! Other | |||
! Image | |||
|- | |||
| [[Proliferative phase endometrium]] | |||
| round spaced pseudostratified glands | |||
| mitoses in glands and stroma | |||
| [[disordered proliferative phase]], [[simple endometrial hyperplasia]], [[complex endometrial hyperplasia]] | |||
| normal | |||
| Image | |||
|- | |||
| [[Secretory phase endometrium]] | |||
| irregular glands with secretions ''or'' simple glands with vacuoles | |||
| decidual changes (nucleus central, eosinophilic cytoplasm, well-defined cell borders) | |||
| | |||
| normal | |||
| Image <!-- | |||
|- | |||
| Diagnosis | |||
| Key feature | |||
| Additional features | |||
| DDx | |||
| Other | |||
| Image --> | |||
|} | |||
=Normal endometrium= | =Normal endometrium= | ||