Difference between revisions of "Endometrium"

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Endometrium (view source)

Revision as of 20:03, 7 November 2013

1,575 bytes removed ,  20:03, 7 November 2013
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→‎Endometrial changes of oral contraception: split-out
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==Endometrial changes of oral contraception==
==Endometrial changes of oral contraception==
{{ Infobox external links
{{Main|Endometrium with hormonal changes}}
| Name          = Endometrial changes of oral contraception
| EHVSC          = 10170
| pathprotocols  =
| wikipedia      =
| pathoutlines  =
}}
{{Main|Oral contraceptive pill}}
:''Endometrium with hormonal changes'' and ''OCP endometrium'' redirect here.
*[[AKA]] ''oral contraceptive effect''.
===General===
*Very common.
*Most pills a mix of progesterone and estrogen.
**The progesterone is what generates the characteristic appearance -- that is similar to pregnancy.
 
===Microscopic===
Features:<ref name=Ref_PBoD1082>{{Ref PBoD|1082}}</ref>
*Inactive glands (round/ovoid glands, simple cuboidal epithelium, no mitoses).
*Stroma decidualized -- mnemonic ''NEW'':
**Nucleus central.
**Eosinophilic cytoplasm.
**Well-defined cell borders.
 
DDx:
*[[Endometrial hyperplasia with secretory changes]] - proliferative activity.
*[[Secretory phase endometrium]] - glandular changes of the secretory phase (cytoplasmic vacuolization), secretions in the glands.
 
====Image====
<gallery>
Image:Endometrium_ocp_use3.jpg | Endometrium of woman on an OCP. (WC/Nephron)
</gallery>
===Sign out===
<pre>
ENDOMETRIUM, BIOPSY:
- NON-PROLIFERATIVE ENDOMETRIAL GLANDS WITH STROMAL DECIDUALIZATION, CONSISTENT
  WITH EXOGENOUS HORMONES.
</pre>
 
====OCP effect and shedding endometrium====
<pre>
ENDOMETRIUM, ASPIRATION:
- ENDOMETRIUM WITH NONPROLIFERATIVE ENDOMETRIAL GLANDS AND
  STROMAL DECIDUALIZATION, COMPATIBLE WITH EXOGENOUS HORMONES.
- EVIDENCE OF ENDOMETRIAL SHEDDING (BALLS OF CONDENSED STROMA
  ASSOCIATED NEUTROPHILS, AND BLOOD).
- NEGATIVE FOR HYPERPLASIA AND NEGATIVE FOR MALIGNANCY.
</pre>


==Atrophic endometrium==
==Atrophic endometrium==
Michael
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