Endometrium Flashcards
Asherman syndrome
aggressive D&C
scrapes away basal layer of endometrium
secondary amenorrhea
Anovulatory phase
hormonal causes
unopposed estrogen
no progesterone to start ovulation phase
Acute endometritis
etiology
retained products of conception
Chronic endometritis
etiologies
defining pathological feature
PID, IUD, TB
plasma cells are defining feature
*lymphocytes are always present in endometrium
Endometrial polyps are commonly due to
tamoxifen exposure
weak agonist in uterus
growth of polyps
Endometriosis is what
endometrial tissue (glands and stroma) found in non-endometrial locations
What is endometriosis of the myometrium called?
adenomyosis
Most common site of endometriosis
ovary
formation of chocolate cyst
Endometriosis of soft tissue
lesions
gun powder lesions
Endometriosis of fallopian tubes may cause
infertility 2˚ to endometrial scarring
Endometrial hyperplasia
etiology
hyperplasia of endometrial glands relative to stroma
2˚ to unopposed estrogen exposure
Endometrial hyperplasia
pre- or post-menopausal
post-menopausal
Classification of endometrial hyperplasia
simple or complex
± cellular atypia
Endometrial carcinoma
pathways
from endometrial carcinoma
-dependent on unopposed estrogen
sporadic
-due to de novo p53 mutations
Sporadic endometrial carcinoma
histology findings
psammoma body formation
