Female Genital System and Breast

Chapter 13 Female Genital System and Breast






Diseases of the Endometrium


Endometritis is now unusual.


Acute infection is nearly always associated with childbirth and abortion – often related to retention of products of conception. Historically, criminal abortion in non-sterile conditions led to severe infection. Gonococcal infection does not commonly extend beyond the cervix but can lead to acute endometritis. Chlamydia may cause acute or chronic endometritis.







Endometrial Carcinoma


This common gynaecological cancer particularly affects postmenopausal patients, who typically present with vaginal bleeding.



Carcinoma


This growth may form a localised plaque or polyp.



In some cases it appears as a diffuse change involving much of the endometrium. It grows initially within the endometrial layer, bulging into the uterine cavity.



Most growths are well-differentiated adenocarcinomas (endometrioid). These are graded from I – III



In some cases with a particularly poor prognosis malignant squamous epithelium is admixed with the adenocarcinoma – so-called adenosquamous carcinoma.


The endometrium possesses no lymphatics and invasion of the myometrium takes place slowly.


Local extension: this may take place in several directions.










Jul 23, 2016 | Posted by in PATHOLOGY & LABORATORY MEDICINE | Comments Off on Female Genital System and Breast

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