Difference between revisions of "Endometrium"

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Endometrium (view source)

Revision as of 12:16, 18 June 2014

1,923 bytes removed ,  12:16, 18 June 2014
→‎Anovulatory endometrium
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==Anovulatory endometrium==
==Anovulatory endometrium==
===General===
{{Main|Anovulatory endometrium}}
*Individuals usually perimenopausal.
*May be used as a synonym for ''[[disordered proliferative phase]]''.<ref>URL: [http://www.surgpath4u.com/caseviewer.php?case_no=382 http://www.surgpath4u.com/caseviewer.php?case_no=382]. Accessed on: 9 May 2013.</ref>
 
===Microscopic===
Features:
*Shedding:
**Stromal condensation.
**Apoptotic endometrial epithelium.
*Weakly proliferative glands or non-proliferative glands.
 
DDx:
*[[Disordered proliferative phase]] - gland dilation.
*[[Simple endometrial hyperplasia]].
*[[Menstrual endometrium]] - should have mitoses,<ref name=Ref_DCHH237>{{Ref DCHH|237}}</ref> abundant [[PMN]]s.
 
===Sign out===
<pre>
ENDOMETRIUM, CURETTAGE:
- FRAGMENTED PROLIFERATIVE ENDOMETRIUM WITH EVIDENCE OF SHEDDING, WITHOUT ABUNDANT
  NEUTROPHILS, SEE COMMENT.
- NO EVIDENCE OF HYPERPLASIA.
- NEGATIVE FOR MALIGNANCY.
 
COMMENT:
The changes are compatible with anovulatory bleeding.
</pre>
 
<pre>
ENDOMETRIUM, CURETTAGE:
- PROLIFERATIVE ENDOMETRIUM WITH SMALL ROUND GLANDS AND SHEDDING, SEE COMMENT.
- BENIGN ENDOCERVICAL MUCOSA.
- NEGATIVE FOR HYPERPLASIA.
- NEGATIVE FOR MALIGNANCY.
 
COMMENT:
The changes are suggestive of anovulatory bleeding.
</pre>
 
<pre>
ENDOMETRIUM, BIOPSY:
- BENIGN ENDOCERVICAL POLYP WITH ACUTE AND CHRONIC INFLAMMATION, AND EVIDENCE
  SUGGESTIVE OF EROSIONS (SIDEROPHAGES, INCREASED BLOOD VESSEL DENSITY).
- SMALL NONPROLIFERATIVE ENDOMETRIAL GLANDS WITH RARE NEUTROPHILS AND RARE
  APOPTOTIC CELLS, WITH BALLS OF CONDENSED ENDOMETRIAL STROMA, SEE COMMENT.
- NEGATIVE FOR ENDOMETRIAL HYPERPLASIA AND NEGATIVE FOR DYSPLASIA.
 
COMMENT:
The changes are suggestive of anovulatory bleeding.
</pre>
 
<pre>
ENDOMETRIUM, ASPIRATION:
- PSEUDOSTRATIFIED ENDOMETRIAL EPITHELIUM WITHOUT APPARENT PROLIFERATION, WITH
  APOPTOTIC CELLS AND LIMITED STROMA WITH RARE (STROMAL) CONDENSATION -- COMPATIBLE
  WITH SHEDDING.
- MINUTE FRAGMENTS OF BENIGN ENDOCERVICAL EPITHELIUM.
- NO EVIDENCE OF HYPERPLASIA.
</pre>


==Disordered proliferative endometrium==
==Disordered proliferative endometrium==
Michael
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