Morphological Study of Endometrial Blood Vessels

Firdaus Ali, Hemalatha Ganapathy
In: Journal of Research in Medical and Dental Science · 2021 · vol. 9(6) , pp. 150–158 · W3183158674
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This study evaluated the density of endometrial blood vessels across different hormonal phases and pathological states by analyzing specimens from hysterectomies and D&C procedures. Researchers compared hormonally normal controls against patients with dysfunctional uterine bleeding, leiomyoma, adenomyosis, and endometriosis to assess vascular changes. The results indicated that vessel counts were highest in the basalis layer during proliferation and functionalis layer during secretion, with significantly elevated vascularity observed in both endometriosis and leiomyoma cases relative to controls. This paper is centrally about endometriosis — specifically, it quantifies increased angiogenesis within endometrial tissue as a key feature of the disease alongside adenomyosis and leiomyoma.

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Abstract

Endometrial blood vessels are under the influence of hormones. Hence, a comparative study of average number of blood vessels per 10 HPF between hormonally normal endometrium and pathological conditions can yield meaningful results in understanding the vascularity of endometrium. The present study was designed to evaluate the number of blood vessels per 10 HPF in the endometrium of specimens of patients. In this regard, uterine endometrial specimens were obtained by hysterectomy and D&C and patients were divided in two groups - control and study (DUB, endometriosis, adenomyosis and leiomyoma). The average number of blood vessels per 10 HPF were concentrated more in the basalis layer during proliferative phase and more in the functionalism layer during secretory phase. The average number of blood vessels per 10 HPF in endometriosis was significantly higher (5.50 ± 0.70) and found in leiomyoma and endometriosis when compared with the control. In conclusion a positive correlation between endometrial angiogenesis and uterine pathologies is observed.
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Morphological Study of Endometrial Blood Vessels Author(s): Firdaus Ali and Hemalatha Ganapathy* Abstract Endometrial blood vessels are under the influence of hormones. Hence, a comparative study of average number of blood vessels per 10 HPF between hormonally normal endometrium and pathological conditions can yield meaningful results in understanding the vascularity of endometrium. The present study was designed to evaluate the number of blood vessels per 10 HPF in the endometrium of specimens of patients. In this regard, uterine endometrial specimens were obtained by hysterectomy and D&C and patients were divided in two groups - control and study (DUB, endometriosis, adenomyosis and leiomyoma). The average number of blood vessels per 10 HPF were concentrated more in the basalis layer during proliferative phase and more in the functionalism layer during secretory phase. The average number of blood vessels per 10 HPF in endometriosis was significantly higher (5.50 ± 0.70) and found in leiomyoma and endometriosis when compared with the control. In conclusion a positive correlation between endometrial angiogenesis and uterine pathologies is observed.

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endometriosisadenomyosis

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