Chronic endometritis

Microscopic features:
Presence of infiltrated lymphocytes and plasma cells in the endometrium


Red arrows:
Lymphoid Follicles

Blue arrow:
Plasma cell

#MICROSCOPIC

#Diagnosis 👉🏻 Chronic endometritid

#The_black_arrow
Inflammatory cell infiltration (lymphocytes)

Gross endometrial polyps

Blue arrow:
High in the fundus and projecting into the endometrial cavity is a small benign endometrial polyp, and may cause uterine bleeding.

Endometrial polyp


Microscopic Features:

1)Polypoid mass
2)Yellow area ➱ Fibrovascular core
3)Green arrows ➱ Cystically dilated gland
4)Slightly Irregular proliferative glands

Endometrial polyp

Microscopic features:

Black arrow:
elongated shape, vascular pedicle ( fibro-vascular core)

Red arrows:
Accumulation of glandular tissue within the polyp

Endometrial Adenocarcinoma

Microscopic Features:
1)Glandular proliferation
2)Glands with irregular lumen
3)Hyperchromatic & pleomorphic cells
4)Cellular Atypia
5) ⇑ Mitotic figures
6) Intervening endometrial stroma

#GROSS

#Diagnosis 👉🏻 Leiomyoma

#The_red_arrow
submucosal

#The_black_arrow
intramural

#The_blue_arrow
subseroal

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#Diagnosis 👉🏻 Adenomyosis


Myometrium ( spindle shape )
Stroma ( dark )

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#Diagnosis 👉🏻 Adenomyosis

#The_black_arrows
Endometrial Gland

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Myometrium ( spindle shape )

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Endometrial Stroma

Endometriosis in colon

حسب النظريات (theory ) لكن ماقد اثبتت علميا
ان سبب الانتقال للقولون هو انه حصل metaplasia ، او مهاجره عبر ال vessels


العلامات موضحة في السلايد.

#MICROSCOPIC

#Diagnosis 👉🏻 tubal ectopic pregnancy

#The_black_arrows
Chorionic villi

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Hemorrhage

#The_red_area
Fallopian tube

Tubal ectopic pregnancy

#MICROSCOPIC

#Diagnosis 👉🏻  tubal ectopic pregnancy

#The_black_arrows
Chorionic villi

#The_blue_arrows
Hemorrhage

#The_red_area
Fallopian tube

#GROSS

#Diagnosis 👉🏻 endometriosis
(Chocolate cyst)
Due to migration from endometrium to ovary

Chocolate cyst is cyst filled with blood

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Chocolate cyst