Difference between revisions of "Uterus"

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Uterus (view source)

Revision as of 15:07, 16 May 2016

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→‎Uterine prolapse
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==Uterine prolapse==
==Uterine prolapse==
:''Urogenital prolapse'' redirects here.
:''Urogenital prolapse'' redirects here.
===General===
{{main|Uterine prolapse}}
*'''[[Clinical diagnosis]]'''.
*A common indication for a total hysterectomy. 
*Hysterectomy specimen usually comes with some [[vagina]]l mucosa.
*Parous women, usually menopausal.<ref name=pmid20607975>{{Cite journal  | last1 = Mladenović-Segedi | first1 = L. | last2 = Segedi | first2 = D. | title = [Most important etiologic factors in the development of genital prolapse]. | journal = Srp Arh Celok Lek | volume = 138 | issue = 5-6 | pages = 315-8 | month =  | year =  | doi =  | PMID = 20607975 }}</ref>
*Possibly [[obesity]] - studies vary.<ref name=pmid22732579 >{{Cite journal  | last1 = Thubert | first1 = T. | last2 = Deffieux | first2 = X. | last3 = Letouzey | first3 = V. | last4 = Hermieu | first4 = JF. | title = [Obesity and urogynecology: a systematic review]. | journal = Prog Urol | volume = 22 | issue = 8 | pages = 445-53 | month = Jul | year = 2012 | doi = 10.1016/j.purol.2012.03.009 | PMID = 22732579 }}</ref>
 
===Gross===
*Long cervix.
 
===Microscopic===
Features:
*Uterus: non-specific.
*Vaginal mucosa: (focal) keratinization due to rubbing - '''common finding'''.
 
Note:
*Benign stromal atypia may be seen.<ref name=pmid10680891>{{Cite journal  | last1 = Nucci | first1 = MR. | last2 = Young | first2 = RH. | last3 = Fletcher | first3 = CD. | title = Cellular pseudosarcomatous fibroepithelial stromal polyps of the lower female genital tract: an underrecognized lesion often misdiagnosed as sarcoma. | journal = Am J Surg Pathol | volume = 24 | issue = 2 | pages = 231-40 | month = Feb | year = 2000 | doi =  | PMID = 10680891 }}</ref><ref>{{Cite journal | last1 =  Rodrigues | first1 = MI ''et al.'' | last2 =  | first2 = | title = Atypical stromal cells as a diagnostic pitfall in lesions of the lower
female genital tract and uterus: a review and presentation of some unusual cases | journal = Patología | volume = 47 | issue = 2 | pages = 103-7 | month = April-June | year = 2009 | doi = | PMID = | PMC = | url = http://www.medigraphic.com/pdfs/patrevlat/rlp-2009/rlp092e.pdf }}</ref>
 
====Images====
<gallery>
Image: Keratinized cervix -- intermed mag.jpg | Keratinized cervix - intermed. mag. (WC)
Image: Keratinized cervix -- high mag.jpg | Keratinized cervix - high mag. (WC)
Image: Keratinized cervix -- very high mag.jpg | Keratinized cervix - very high mag. (WC)
</gallery>
 
===Sign out===
<pre>
UTERUS AND CERVIX, TOTAL HYSTERECTOMY:
- UTERINE CERVIX WITH FOCAL KERATINIZATION OTHERWISE WITHIN NORMAL LIMITS.
- NONPROLIFERATIVE ENDOMETRIUM.
</pre>
 
<pre>
UTERUS AND CERVIX, TOTAL HYSTERECTOMY:
- UTERINE CERVIX WITH KERATINIZATION, OTHERWISE WITHIN NORMAL LIMITS.
- CYSTIC NONPROLIFERATIVE ENDOMETRIUM.
- UTERINE SMOOTH MUSCLE AND SEROSA WITHIN NORMAL LIMITS.
- NEGATIVE FOR MALIGNANCY.
</pre>
 
====Denudated exocervix====
<pre>
UTERUS AND CERVIX, TOTAL HYSTERECTOMY:
- UTERINE CERVIX WITH MILD CHRONIC INFLAMMATION AND EXOCERVICAL DENUDATION,
  NO EVIDENCE OF DYSPLASIA.
- CYSTIC NONPROLIFERATIVE ENDOMETRIUM.
- UTERINE CORPUS WITH BENIGN HYALINIZED NODULE.
- NEGATIVE FOR MALIGNANCY.
 
COMMENT:
Levels were cut on the uterine cervix sections (A1 and A2).
</pre>
 
====Focal ulceration====
<pre>
- UTERINE CERVIX WITH PARAKERATOSIS, ACANTHOSIS, CHRONIC INFLAMMATION, AND FOCAL
  ULCERATION ASSOCIATED WITH GRANULATION TISSUE FORMATION.
- PARTIALLY CYSTIC NONPROLIFERATIVE ENDOMETRIUM.
- UTERINE CORPUS WITH LEIOMYOMA.
- NO EVIDENCE OF DYSPLASIA.
- NEGATIVE FOR HYPERPLASIA AND NEGATIVE FOR MALIGNANCY.
</pre>
 
====With endometrial polyp====
<pre>
UTERUS AND CERVIX, TOTAL HYSTERECTOMY:
- BENIGN ENDOMETRIAL POLYP WITH NONPROLIFERATIVE ENDOMETRIAL GLANDS.
- UTERINE CERVIX WITH MILD CHRONIC INFLAMMATION AND FOCAL EXOCERVICAL DENUDATION,
  NO EVIDENCE OF DYSPLASIA.
- VERY WEAKLY PROLIFERATIVE ENDOMETRIUM, MOSTLY ATROPHIC APPEARING, NEGATIVE FOR
  ENDOMETRIAL HYPERPLASIA.
- UTERINE CORPUS WITHIN NORMAL LIMITS.
- NEGATIVE FOR MALIGNANCY.
</pre>


==Dysfunctional uterine bleeding==
==Dysfunctional uterine bleeding==
Michael
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