Anovulatory endometrium - Revision history

Michael at 13:05, 18 June 2014

2014-06-18T13:05:25Z

← Older revision		Revision as of 13:05, 18 June 2014
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	'''Anovulatory endometrium''', abbreviated '''AV''', is common perimenopausal finding. It is a diagnosis that is inferred from the clinical context.		'''Anovulatory endometrium''', abbreviated '''AE''', is common perimenopausal finding. It is a diagnosis that is inferred from the clinical context.

	==General==		==General==
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	Some consider ''[[disordered proliferative endometrium]]'' (DPE) a synonym for ''anovulatory endometrium''.<ref>URL: [http://www.surgpath4u.com/caseviewer.php?case_no=382 http://www.surgpath4u.com/caseviewer.php?case_no=382]. Accessed on: 9 May 2013.</ref>		Some consider ''[[disordered proliferative endometrium]]'' (DPE) a synonym for ''anovulatory endometrium''.<ref>URL: [http://www.surgpath4u.com/caseviewer.php?case_no=382 http://www.surgpath4u.com/caseviewer.php?case_no=382]. Accessed on: 9 May 2013.</ref>

	''[[Libre Pathology]]'' separates the two. DPE has prominent gland dilation (reminiscent of [[simple endometrial hyperplasia]]) and may ''not'' have shedding. AV has shedding without gland dilation.		''[[Libre Pathology]]'' separates the two. DPE has prominent gland dilation (reminiscent of [[simple endometrial hyperplasia]]) and may ''not'' have shedding. AE has shedding without gland dilation.

	==Microscopic==		==Microscopic==

Michael at 12:18, 18 June 2014

2014-06-18T12:18:45Z

← Older revision		Revision as of 12:18, 18 June 2014
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	'''Anovulatory endometrium''' is common perimenopausal finding. It is a diagnosis that is inferred from the clinical context.		'''Anovulatory endometrium''', abbreviated '''AV''', is common perimenopausal finding. It is a diagnosis that is inferred from the clinical context.

	~~It may be used as a synonym for ''[[disordered proliferative endometrium]]'' (DPE)~~.		==General==
			*Individuals usually perimenopausal.

	[[~~Libre Pathology~~]] ~~separates the two~~. ~~DPE has prominent gland dilation (reminiscent of~~ [~~[simple endometrial hyperplasia~~]~~]) and may not have shedding~~. ~~AV has shedding without gland dilation~~.		===Relation to disordered proliferative endometrium===
			Some consider ''[[disordered proliferative endometrium]]'' (DPE) a synonym for ''anovulatory endometrium''.<ref>URL: [http://www.surgpath4u.com/caseviewer.php?case_no=382 http://www.surgpath4u.com/caseviewer.php?case_no=382]. Accessed on: 9 May 2013.</ref>

	~~==General==~~		''[[Libre Pathology]]'' separates the two. DPE has prominent gland dilation (reminiscent of [[simple endometrial hyperplasia]]) and may ''not'' have shedding. AV has shedding without gland dilation.
	*Individuals usually perimenopausal.
	*May be used as a synonym for ''[[~~disordered proliferative phase~~]]''.~~<ref>URL:~~ [~~http://www.surgpath4u.com/caseviewer.php?case_no=382 http://www.surgpath4u.com/caseviewer.php?case_no=382~~]. ~~Accessed on: 9 May 2013~~.~~</ref>~~

	==Microscopic==		==Microscopic==

Michael: split out

2014-06-18T12:13:31Z

split out

← Older revision		Revision as of 12:13, 18 June 2014
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	~~#redirect~~ [[Endometrium~~#Anovulatory~~ endometrium]]		'''Anovulatory endometrium''' is common perimenopausal finding. It is a diagnosis that is inferred from the clinical context.

			It may be used as a synonym for ''[[disordered proliferative endometrium]]'' (DPE).

			[[Libre Pathology]] separates the two. DPE has prominent gland dilation (reminiscent of [[simple endometrial hyperplasia]]) and may not have shedding. AV has shedding without gland dilation.

			==General==
			*Individuals usually perimenopausal.
			*May be used as a synonym for ''[[disordered proliferative phase]]''.<ref>URL: [http://www.surgpath4u.com/caseviewer.php?case_no=382 http://www.surgpath4u.com/caseviewer.php?case_no=382]. Accessed on: 9 May 2013.</ref>

			==Microscopic==
			Features:
			*Shedding:
			**Stromal condensation.
			**Apoptotic endometrial epithelium.
			*Weakly proliferative glands or non-proliferative glands.

			DDx:
			*[[Disordered proliferative phase]] - gland dilation.
			*[[Simple endometrial hyperplasia]].
			*[[Menstrual endometrium]] - should have mitoses,<ref name=Ref_DCHH237>{{Ref DCHH\|237}}</ref> abundant [[PMN]]s.

			==Sign out==
			<pre>
			ENDOMETRIUM, CURETTAGE:
			- FRAGMENTED PROLIFERATIVE ENDOMETRIUM WITH EVIDENCE OF SHEDDING, WITHOUT ABUNDANT
			NEUTROPHILS, SEE COMMENT.
			- NO EVIDENCE OF HYPERPLASIA.
			- NEGATIVE FOR MALIGNANCY.

			COMMENT:
			The changes are compatible with anovulatory bleeding.
			</pre>

			<pre>
			ENDOMETRIUM, CURETTAGE:
			- PROLIFERATIVE ENDOMETRIUM WITH SMALL ROUND GLANDS AND SHEDDING, SEE COMMENT.
			- BENIGN ENDOCERVICAL MUCOSA.
			- NEGATIVE FOR HYPERPLASIA.
			- NEGATIVE FOR MALIGNANCY.

			COMMENT:
			The changes are suggestive of anovulatory bleeding.
			</pre>

			<pre>
			ENDOMETRIUM, BIOPSY:
			- BENIGN ENDOCERVICAL POLYP WITH ACUTE AND CHRONIC INFLAMMATION, AND EVIDENCE
			SUGGESTIVE OF EROSIONS (SIDEROPHAGES, INCREASED BLOOD VESSEL DENSITY).
			- SMALL NONPROLIFERATIVE ENDOMETRIAL GLANDS WITH RARE NEUTROPHILS AND RARE
			APOPTOTIC CELLS, WITH BALLS OF CONDENSED ENDOMETRIAL STROMA, SEE COMMENT.
			- NEGATIVE FOR ENDOMETRIAL HYPERPLASIA AND NEGATIVE FOR DYSPLASIA.

			COMMENT:
			The changes are suggestive of anovulatory bleeding.
			</pre>

			<pre>
			ENDOMETRIUM, ASPIRATION:
			- PSEUDOSTRATIFIED ENDOMETRIAL EPITHELIUM WITHOUT APPARENT PROLIFERATION, WITH
			APOPTOTIC CELLS AND LIMITED STROMA WITH RARE (STROMAL) CONDENSATION -- COMPATIBLE
			WITH SHEDDING.
			- MINUTE FRAGMENTS OF BENIGN ENDOCERVICAL EPITHELIUM.
			- NO EVIDENCE OF HYPERPLASIA.
			</pre>

			==See also==
			*[[Endometrium]].
			*[[Disordered proliferative endometrium]].

			==References==
			{{Reflist\|2}}

			[[Category:Endometrium]]

Michael: redirect

2013-05-09T20:18:34Z

redirect

New page

#redirect [[Endometrium#Anovulatory endometrium]]