Atlas of Endometrial Histopathology by Gisela Dallenbach-Hellweg M.D., F.I.A.C., Hemming Poulsen PDF

By Gisela Dallenbach-Hellweg M.D., F.I.A.C., Hemming Poulsen M.D. (auth.)

ISBN-10: 3662033089

ISBN-13: 9783662033081

ISBN-10: 3662033100

ISBN-13: 9783662033104

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H & E, Normal Endometrium X25 Fig. 42. Fourteenth day after ovulation. H & E, x 100 Normal Menstrual Cycle 31 weg 1964). The endometrial granulocytes, which have lost their granules, can be recognized at this late stage of dissolution only by their characteristic lobulated nuclei and their vacuolated cytoplasm. The surface epithelium is low and appears inactive. Relaxin has been located biochemically and immunohistochemically in the decidua and in pre decidual endometrium (Bigazzi et al. 1980; BryantGreenwood 1991; Lippert et al.

Clinical Possibilities. These cysts develop in the same manner as focal or diffuse stromal edema and occasionally together with it. When blood vessels are ligated during hysterectomy, lymphatic channels may be blocked and become cystically dilated before the operation is finished. Apoplexia Uteri Histologically, a diffuse extravasation of blood throughout the superficial endometrial stroma is usually seen in apoplexia uteri (Figs. 68, 69). The hemorrhage is confined to the upper layer of the endometrium and ends sharply at the internal uterine os.

H & E, x 250 28 Normal Endometrium On the 12th day after ovulation (Figs. 36, 37) there is the beginning of a decrease in the general height of the endometrium, with shrinkage and collapse of the glands, while the stroma loses its edema, becomes dense, and remains well differentiated. The 13th day after ovulation {Figs. 38-40) shows extensive shrinkage in the overall height of the endometrium. The collapsed glands present a sawtoothed appearance. The predecidual stroma is now very dense. The RNA content in the glandular epithelial cells has diminished, whereas the stromal cells still contain large amounts of RNA.

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Atlas of Endometrial Histopathology by Gisela Dallenbach-Hellweg M.D., F.I.A.C., Hemming Poulsen M.D. (auth.)

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