By Michael Mazur, Robert J. Kurman
Derived from the authors' long-running direction provided on the overseas Academy of Pathology, this moment variation, now with colour illustrations, keeps the culture of its predecessor as being the concise and whole diagnostic consultant to the endometrial biopsy. The textual content is based for you to current a logical method of formulating a pathologic analysis from the various array of tissue bought within the surgical pathology laboratory. colour illustrations exhibit standard artifacts and distortion, and clarify their influence on diagnostic interpretation. each one bankruptcy contains a part summarizing the good points that needs to be mentioned within the ultimate pathology document.
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Extra info for Diagnosis of Endometrial Biopsies and Curettings: A Practical Approach
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. 4. Gestational endometrium. Hypersecretory pattern of endometrial glands in early pregnancy with extensive cytoplasmic vacuolization. Decidualized stroma was present in other areas of the sections. 5. Gestational endometrium. Endometrium from spontaneous abortion shows diffuse decidual reaction of stroma.
18). 14. Placental implantation site. Fibrin and implantation site IT with irregular, hyperchromatic nuclei and cytoplasmic vacuoles are interspersed among decidual cells. In the right lower corner the IT cells are partially replacing the endothelial cells of a blood vessel. Chorionic villi are not seen, but the presence of intermediate trophoblast in decidua establishes the diagnosis of intrauterine pregnancy. 15. IT cells and decidua. Placental implantation site in an abortion specimen contains numerous implantation site IT that inﬁltrate the decidua.
17. IT cells and decidua. Implantation site IT with enlarged, hyperchromatic nuclei inﬁltrate decidua in an abortion specimen. Several dilated spiral arteries are inﬁltrated by the IT, replacing the endothelium. 18. IT cells and decidua. The implantation site IT (arrows) have irregular, hyperchromatic nuclei that contrast with the round to oval, uniform nuclei of the surrounding decidualized stromal cells. Trophoblast and Villi 51 cells, they are often difﬁcult to recognize. In fact, these IT cells have been misinterpreted as degenerating decidual cells because of their intimate association with the latter (Figs.
Diagnosis of Endometrial Biopsies and Curettings: A Practical Approach by Michael Mazur, Robert J. Kurman