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Цервікальна карцинома

Endometritis

Endometrial

polyp

Acut

e

Chroni

c

Bacterial infection after delivery or miscarriage

Intrauterine contraceptive devices Tuberculosis (from tuberculous salpingitis) Retained gestation tissue

Chronic pelvic inflammatory disease

Endometrium

- Elongated shape -Vascular pedicle (arrowhead)

-Cystic glands -Covered by glandular epithelium

Endometrial

hyperplasia

Associated with prolonged estrogenic stimulation

Endometrium

-

of the endometrium

 

Obesity

 

-

Menopause

 

-

Polycystic ovarian syndrome

 

- Functioning granulosa cell tumors of the ovary

- Excessive ovarian cortical function (cortical stromal hyperplasia) - Estrogen replacement therapy

Карцинома тіла матки

PATHOGENESIS

FACTORS OF RISK

PREMENOPAUSE

--AGE

 

ANOVULATIVE

- DISBALANCE OF ESTROGENS

CIRCLES

-

 

--HEREDITARY;;

ABSENT OF

--EARLY MENARCHE

YELLOW BODY

AND LATE MENOPAUSE;;

 

 

- OBESITY,

 

-

,

 

 

--DIABETES MELLITUS,,

HYPO-

 

-- HYPERTENSION..

PROGESTE-

 

 

HYPER- RONEMIA

ESTROGENEMIA

Карцинома тіла матки

Endometriosi s/ adenomyosis

Endometrial glands and stroma outside of the Endometrium endometrium/uterus

Most common site:

Theories:

Results in:

Abdominal cavity

Regurgitation,

dysmenorrhea,

 

metaplasia, Mts,

pelvic pain,

 

stem cell origin

infertility

“Chocolate” cyst Of the ovarium

within myometrium irregular nests of endometrial stroma with/without glands, separated from the basalis by at least 2-3 mm

Leiomyoma

Leiomyosarc

oma

Myometrium

The tumors cells are regular in size/shape, elongated with

eosinophilic cytoplasm and form whorled (fascicular) pattern of smooth muscle bundles separated by well vascularized connective tissue/hyalinosis

The tumors cells are irregular in size and have hyperchromatic nuclei, multiple mitotic figures (arrows)

Myometrium

Subserous leiomyomata

Intramural leiomyomata

Submucous leiomyomata

(abnormal bleeding)

Commonly women with type 1 diabetes, autoimmune thyroid disease.

Патологія грудної залози

Mastitis

Acut

-Infection (Staphylococcus aureus most common organism ) or inflammation

e

of breast tissue, usually bacterial, often seen in association with lactation

 

-Microscopically: mixed dense inflammatory infiltrate (predominantly

neutrophils)

Lymphocytic mastopathy (Sclerosing lymphocytic lobulitis)

Granulomatou s mastitis

-Manifestation of systemic granulomatous diseases (sarcoidosis, tuberculosis) /

-Causative agent is Corynebacteria (rare).

Nonproliferative breast

Cysts

Fibrosi

Adenosi

changes

s

s

(Fibrocystic changes)

 

 

 

 

Epithelial hyperplasia /

 

atypical ductal/lobular

Proliferative breast disease

 

hyperplasia*

without/with* atypia

 

Sclerosing

Papilloma adenosis

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