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Published byTodd Powell Modified over 9 years ago
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Body of the Uterus Endometritis Adenomyosis Endometriosis Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyps Leiomyomas and leiomyosarcomas Endometrial carcinomas
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Endometritis Clinical settings: Chronic gonorrheal pelvic disease(PID) Tuberculosis Retained Product of conception IUD Spontaneously
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Chronic Endometritis Histologically, it is characterized by presence of chronic inflammatory cells primarily plasma cells.
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Adenomyosis The presence of endometrial tissue (endometrial gland and/or stroma) within the substance of uterine myometrium The cause is unknown; it occurs in approximately 15% to 20% of uteri..
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Adenomyosis Gross: Adenomyosis causes expansion (enlargement) of the uterine wall and may be visible on gross examination as numerous small cysts.
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Adenomyosis Microscopic examination: irregular nests of endometrial stroma, with or without glands, are arranged within the myometrium, separated from the basalis by at least 2 to 3 mm.
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Endometriosis the presence of endometrial glands or stroma in abnormal locations outside the uterus. It occurs in the following sites, in descending order of frequency: (1) ovaries; (2) uterine ligaments; (3) rectovaginal septum; (4) pelvic peritoneum; (5) laparotomy scars; and (6) rarely in the umbilicus, vagina, vulva, or appendix.
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Endometriosis Gross Endometriosis of the ovary The ovaries may become markedly distorted by large cystic spaces (3 to 5 cm in diameter) filled with brown blood debris to form so- called chocolate cysts
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Dysfunctional Uterine Bleeding (DUB) DUB is defined as abnormal bleeding in the presence of a functional disturbance rather than an organic lesion of the endometrium or uterus. Abnormal uterine bleeding could result of a well-defined organic lesion, such as submucosal leiomyoma, endometrial polyp, or endometrial adenocarcinoma
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Dysfunctional Uterine Bleeding Three functional groups Anovulatory cycles Inadequate luteal phase Contraceptive induced bleeding
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