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Atlas of Histopathology of the Cervix Uteri - download pdf or read online

By Dr. Gisela Dallenbach-Hellweg, Dr. Hemming Poulsen (auth.)

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With mucin stains, a faint positive reaction may be detected in the superficial cell layer which may include the flattened atrophic remnants of columnar cells that originally covered the reserve cells (Figs. 27, 28). Fig. 26. Squamocolumnar junction with original squamous epithelium and adjacent reserve cell hyperplasia underneath the columnar epithelium. Immunohistochemical reaction with anticytokeratin KA 1 (from Franke et al. 27. Junction between squamous metaplasia and columnar epithelium. H & E Fig.

Such glands are devoid of surrounding endometrial-type stroma and Foci of ectocervical endometriosis may be lo- correspond to the foci of endosalpingiosis cated beneath the ectocervical epithelium occasionally found scattered about the small and bulge forth as nodules (Fig. 35), grossly pelvis (Wells and Brown 1986). Foci of intesrecognizable by the old and fresh hemor- tinal metaplasia may also be observed within rhages in and around them (Figs. 35, 36), or endocervical glands. 28 • Fig. 35. Focus of endometriosis underneath ectocervical epithelium.

Cystic hyperplasia of endocervix, extensive. H & E ' . :·/ .. t •( '- , .. 1:, .. ,. ~ 'f' I . , ' ~ • I Fig. 53. Cystic hyperplasia of endocervix, extensive. H & E, higher magnification 39 Effects of Endogenous Progesterone Under Hypersecretion (Figs. 54, 55) Glandular and Cystic Hyperplasia of the Endocervix The physiologic hyperstimulation of the endocervical mucosa during gestation induces a mild or moderate hypersecretion of the 40 glands and a proliferation of reserve cells (Fig. 55). The ectropionized mucosa usually is overgrown by an ascending regenerative epithelium (Fig.

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