| Normal Secretory Endometrium
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Etiology
•not
applicable
|
Pathogenesis
•not applicable,
|
Epidemiology
•not applicable
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General Gross Description
•tan, soft, measuring up to 4 mm in
thickness
|
General Microscopic Description
•KEY feature is the presence of glandular secretions
•glands become tortuous with progression of secretions from
basal vacuoles (d 17-18), supranuclear vacuoles (d 19-20),
active intraluminal secretion (d 21-22)
•spiral arteries become prominent (d 21-22) and develop
predecidual stromal cuffing (d23-24)
•stromal edema develops (d21-22) with subcapsular (d 25) and
full thickness predecidual change (d 26)
•leukocytic infiltrate pronounced by d 27-8.
|
Clinical Correlation
•normal in the luteal
phase of the menstrual cycle
•maturation of the epithelium previously treated with
estrogen by the influence of progesterone
•menstruation begins with the loss of progesterone and
vasoconstriction of spiral arteries
|
References
• Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 1035-6
|
| Normal Secretory Endometrium
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| Synopsis by: Melinda Sanders M.D. (T84000M79320)[14]
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