Pathology of the Uterus Flashcards
what hormone of the menstrual cycle promotes secretion?
progesterone
the endometrial wall is lined by ___ epithelium
columnar
“tube like endometrium” describes the endometrium in the ___ phase
proliferative
what process is present in the proliferative phase that isnt present in other phases?
mitotic figures
how does secretory endometrium differ from proliferative endometrium?
presence of vacuoles
increasing tortuosity of glands and luminal secretions
what should be done before endometrial ablation?
a biopsy should be done first to exclude cancer
when should endometrial sampling be done?
abnormal uterne bleeding
Ix for infertility
spotaneous/therapeutic abortion
endometrial cancer screening
what is the difference between abnormal uterine bleeding and dysfunctional uterine bleeding?
AUB is any cause of uterine bleeding
DUB is a non-organic cause
post menopausal causes of abormal uterine bleeding?
atrophy endometrial polyp HRT endometritis bleeding disorders
endometrial thickness >_mm in postmenopausal women is an indication for biopsy
4mm
endometrial thickness >_mm in premenopausal women is an indication for biopsy
16
what can you use to sample an endometrium?
dilatation and curretage
“abnormal pattern of inflammatory cells in the endometrium”
endometritis
chronic plasmacytic endometritis is associated witH
PID
bacterial causes of chronic plasmacytic endometritis?
neisseria gonorrhoea
chlamydia
enteric organisms
what cancer can present as a polyp?
endometrial carcinoma
symptoms of endometrial polyps?
asymptomatic usually
bleeding or discharge
what is a molar pregnancy?
non-viable fertilised egg implants in the uterus
“swollen chorionic villi”
molar pregnancy
chorionic villi are a sign of pregnancy T or F
T
presence of nucleated RBCs indicates…
the presence of a foetus <12 weeks
only paternal DNA is present in a complete/partial mole
complete
what is adenomyosis?
endometrial glands and stroma within the myometrium
symptoms of adenomyosis
menorrhagia
dysmenorrhoea
what is a leiomyoma?
benign tumour of smooth muscle
symptoms of leiomyoma?
menorrhagia
infertility
mass effect
pain
“interlacing smooth muscle cells”
leiomyoma
