Diagnosis of Endometrial Biopsies and Curettings: A by Michael Mazur, Robert J. Kurman
By Michael Mazur, Robert J. Kurman
Derived from the authors' long-running path offered on the overseas Academy of Pathology, this moment version, now with colour illustrations, maintains the culture of its predecessor as being the concise and entire diagnostic consultant to the endometrial biopsy. The textual content is based which will current a logical method of formulating a pathologic prognosis from the various array of tissue acquired within the surgical pathology laboratory. colour illustrations exhibit regular artifacts and distortion, and clarify their impression on diagnostic interpretation. each one bankruptcy features a part summarizing the good points that has to be mentioned within the ultimate pathology document.
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Additional info for Diagnosis of Endometrial Biopsies and Curettings: A Practical Approach
Clinical Queries and Reporting . . . . 35 35 37 39 41 43 44 46 48 53 54 57 58 59 61 62 62 63 Recognition of the features of gestational endometrium, trophoblast, and villi, as well as the pathologic changes in chorionic tissues, is an important part of endometrial biopsy interpretation. The presence of intrauterine products of conception generally excludes the diagnosis of ectopic pregnancy and can help explain other 34 pathologic states such as abnormal bleeding or chronic endometritis. An abortion before the 16th week of pregnancy is the usual source of endometrial tissue specimens that show apparent gestational changes.
They do not reﬂect an infectious or septic process and do not indicate a signiﬁcant abnormality. The decidua continues to contain a sprinkling of granular lymphocytes that remain throughout gestation. The hypersecretory pattern of the glands begins to regress early in pregnancy, and with increasing decidualization the glands become atrophic (Fig. 2). 3. Decidualized stroma. Decidual cells have prominent cell borders and uniform, round to oval nuclei. Their cytoplasm has small vacuoles. A portion of an atrophic gland is present in the left upper corner.
Early Gestational Endometrium (1 to 3 Weeks Postfertilization) . . . . . . . Endometrium in Later Pregnancy (4 or More Weeks Postfertilization) . . . . Arias-Stella Reaction . . . . . . . . Other Glandular Changes in Pregnancy . . . . . . . . . . . . Trophoblast and Villi . . . . . . . . . Trophoblastic Cells . . . . . . . . Immunohistochemistry of Trophoblastic Cells . . . . . . . . . . . . . . Placental Implantation Site .