Benign Diseases of the Endometrium

In: Blaustein's Pathology of the Female Genital Tract · 2018 · pp. 1–63 · doi:10.1007/978-1-4614-3165-7_7-2 · W128348105
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The endometrium develops from müllerian ducts and begins as a simple epithelium, later forming glands invaginated into the stroma by the 20th gestational week.

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This paper is a narrative biomedical overview describing the embryologic development, anatomy, and histologic maturation of the human uterus—especially the endometrium and its transition to gland formation after the 20th gestational week. It explains that fetal endometrium initially has a single-layer epithelium over fibroblastic stroma and later invaginates to form glands extending toward the myometrium, with newborn epithelium described as low columnar to cuboidal and inactive. A key caveat is that the article is descriptive and does not present new experimental results, with much of the content grounded in referenced developmental and clinical-pathology observations rather than new cohort data. This paper is centrally about endometriosis and/or adenomyosis-related pathology only tangentially; it includes adenomyosis-related context via discussion of uterine lesions and related diagnostic considerations (including a referenced study linking endometrial ablation pathology with adenomyosis).

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Abstract

The endometrium and the myometrium are of mesodermal origin and are formed secondary to fusion of the müllerian (paramesonephric) ducts between the 8th and 9th postovulatory weeks. Likewise, the cervix is of müllerian origin. The squamous epithelial lining of the ectocervix and upper two-thirds of the vagina (müllerian vagina) are of vaginal müllerian origin, while the squamous epithelial lining of the lower third of the vagina (sinus vagina) develops from the urogenital sinus; the endocervical glandular epithelium has recently been shown to be of uterine müllerian origin (Fluhmann 1960; Fritsch et al. 2013). Until the 20th week of gestation, the endometrium consists of a single layer of columnar epithelium supported by a thick layer of fibroblastic stroma. After the 20th gestational week, the surface epithelium invaginates into the underlying stroma, forming glandular structures that extend toward the underlying myometrium. The uterus, which is made up of the uterine corpus and uterine cervix, measures approximately 4 cm in length at birth, and in newborns, the cervix makes up the majority of the uterus. At this stage, the endometrium measures less than 0.5 mm in thickness, and the surface and glands are lined by a low columnar to cuboidal epithelium devoid of either proliferative or secretory activity, which resembles the inactive endometrium of postmenopausal women. Similar content being viewed by others

References

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J Pediatr 72:88–93 Yokoyama S, Kashima K, Inoue S et al (1993) Biotin-containing intranuclear inclusions in endometrial glands during gestation and puerperium. Am J Clin Pathol 99:13–17 Young RH, Harris NL, Scully RE (1985) Lymphoma-like lesions of the lower female genital tract: a report of 16 cases. Int J Gynecol Pathol 4:289–299 Young RH, Treger T, Scully RE (1986) Atypical polypoid adenomyoma of the uterus. A report of 27 cases. Am J Clin Pathol 86:139–145 Zaloudek CJ, Norris HJ (1981) Adenofibroma and adenosarcoma of the uterus: a clinicopathologic study of 35 cases. Cancer 48:354–366 Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2018 Springer Science+Business Media, LLC, part of Springer Nature About this entry Cite this entry Lastra, R.R., McCluggage, W.G., Hedrick Ellenson, L. (2018). Benign Diseases of the Endometrium. In: Kurman, R., Hedrick Ellenson, L., Ronnett, B. (eds) Blaustein's Pathology of the Female Genital Tract. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3165-7_7-2 Download citation DOI: https://doi.org/10.1007/978-1-4614-3165-7_7-2 Received: Accepted: Published: Publisher Name: Springer, New York, NY Print ISBN: 978-1-4614-3165-7 Online ISBN: 978-1-4614-3165-7 eBook Packages: Living Reference MedicineReference Module Medicine

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- Atypical Polypoid Adenomyoma - Papillary Syncytial Metaplasia - Endometrial Polyps - Endometrial Biopsy Specimens - Arias-Stella Reaction These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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