Normal
Normal

•  This shows a typical endocervical cleft lined by tall columnar cells.

•  The cells contain mucin.

•  This structure is not a true gland but is in continuity with the surface epithelium.


(Image Contrib. by:UCHC)(Description by: Melinda Sanders, M.D.)
T83000M00100
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Normal Cervix
Etiology

• Not applicable.


Pathogenesis

• Not applicable.


Epidemiology

• Not applicable.


Clinical

• Not applicable.


General Gross Description

• Endocervical canal measures approximately 3.0 cms in length

• Endocervical canal lined by deep longitudinal folds and abundant mucus

• Internal cervical os is not clear cut as the endometrial-endocervical junction is not sharp

• Somewhere near the end of the endocervical canal is the squamocolumnar junction

• Squamocolumnar junction is visualized by pink endocervical epithelium meeting grey squamous mucosa

• Supplied by uterine arteries; drain to pelvic lymph nodes


General Micro Description

• Endocervix is lined by a single layer of mucin-secreting cells with small often basilar nuclei and mucin filled cytoplasm.

• Also may see ciliated cells and subcolumnar reserve cells.

• Neuroendocrine cells can be detected with immunohistochemical staining.

• Despite the appearance of glands and the use of the term endocervical glands the epithelium is simply deeply clefted.

• Exocervix covered by stratified squamous non-keratinizing epithelium. (See Pap smear normals and squamous metaplasia for more details).


Reference

• Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 1024-1035.


• Current literature from PubMed at National Library of Medicine


Synopsis by: Melinda Sanders M.D., UCHC
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