D efinition — Degenerative changes of the surface epithelium associated with breakdown and ischemia. Clinical Features Epidemiology Most commonly occurs in the fifth decade. Associated with anovulatory bleeding or other unscheduled breakdown, including polyps and submucosal leiomyomas. You’re Reading a…
D efinition — Involvement of the endometrium by endocervical glandular neoplasia, either by direct extension or by contamination during sampling. Clinical Features Epidemiology True endometrial involvement (direct extension) by endocervical adenocarcinoma is rare. Not uncommonly, endometrial biopsies in patients with…
D efinition — A polypoid neoplasm composed of atypical glands and smooth muscle stroma. Clinical Features Epidemiology Atypical polypoid adenomyomas (APAs) are rare neoplasms. Typically seen in the fifth decade. You’re Reading a Preview Become a Clinical Tree membership for…
D efinition — A premalignant clonal expansion of altered endometrial glands. Clinical Features Epidemiology Endometrial intraepithelial neoplasia (EIN) is relatively common and carries an increased risk of development of type 1 endometrial adenocarcinoma. Women with excess estrogen (whether exogenous or…
D efinition — Morphologic changes secondary to medical therapy that destroys the endometrial lining. Clinical Features Epidemiology Seen in patients who undergo endometrial ablation for dysfunctional uterine bleeding. You’re Reading a Preview Become a Clinical Tree membership for Full access…
D efinition — Perforation of the uterus, usually during endometrial sampling. Clinical Features Epidemiology Perforation is a rare complication of endometrial sampling. You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership…
D efinition — A preservation artifact in the endometrial epithelium leading to epithelial discohesion and exfoliation. Clinical Features Epidemiology Exfoliation artifact has been noted in association with hysteroscopic biopsies secondary to fluid instillation during the procedure. You’re Reading a Preview…
D efinition — Attenuation of the functionalis due to compressing smooth muscle tumor. Clinical Features Epidemiology Similar to uterine leiomyomas. Frequently associated with uterine polyps. You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited…
D efinition — Infection of the uterus (endometrium) by Mycobacterium tuberculosis . Clinical Features Epidemiology Involvement of the uterus by tuberculosis (TB) is exceedingly rare, due to modern treatment. Patients with uterine involvement often have systemic (or miliary) disease. Uterine…
D efinition — Extensive necroinflammatory debris within the uterine cavity. Clinical Features Epidemiology Overall rare (0.1% to 0.5% of women) but more commonly occurs in postmenopausal women. Associated with a wide range of disorders, including cervical stenosis, leiomyomata, retained IUD,…