hormonal cytology Flashcards
1
Q
cytology of menstrual phase
A
- exfoliation of endometrial cells
- blood
- PMN
- predominantly Intermediate cells
2
Q
cytology of menstrual phase
A
- exfoliation of endometrial cells
- blood
- PMN
- predominantly Intermediate cells
3
Q
describe the proliferative phase
A
- oestrogen => proliferation of cells, glands, BV in endometrium
- day 7 to 14 (ovulation)
- peak oestrogen => LH to surge = ovulation
4
Q
Cytology of proliferative phase
A
- disappearance of blood
- endometrial cells w/ histiocytes
- superficial > intermediate sq cells
5
Q
describe the proliferative phase
A
- oestrogen => proliferation of cells, glands, BV in endometrium
- day 7 to 14 (ovulation)
- peak oestrogen => LH to surge = ovulation
6
Q
Cytology of proliferative phase
A
- disappearance of blood
- endometrial cells w/ histiocytes
- superficial > intermediate sq cells
7
Q
uncommon pregnancy findings
A
- synctiotrophoblast: lots of nuclei in one cell
- cytotrophoblast
- decidual cells: lrg mononucleated cells
- arias stella phenomenon
8
Q
Describe the secretory/ postgestational phase
A
- Corpus luteum secretes large [ ] of progesterone & eostrogen
- highly vascular endometrium, filled w/ glycogen
9
Q
Cytology of secretory phase
A
- intermediate sq. cells
- Cytolysis occurs w/ lactobacilii, moth eaten cytoplasm, & naked nuclei
- Background of cytoplasmic debris
- inc. PMN
10
Q
Cytology of post partum
A
- atrophic smear: predominantly parabasal (lack estrogen)
- PMN
- may find endometrial cells
11
Q
sampling technique steps
A
- upper 1/3 of lateral vaginal wall
- Smear & fixed immediately
- stained in papiniculao stain
- count 300 cells
5.
12
Q
2 estrogen markers
A
- eosinophilic index
- karyopyknotic index
13
Q
2 progesterone markers
A
- folded cell index
- crowded cell index
14
Q
Measuring parabasal indices w/ (2)
A
- maturation index: % of each 3 cell type
- maturation value: 1= superficial -> 0= parabasal
