Trichrome Mallory's stain may indicate differential rates of RNA synthesis in eutopic and ectopic endometrium.
Mallory's trichrome staining differentiates eutopic and ectopic endometrium by revealing distinct nuclear affinities to aniline blue or orange G, likely reflecting differential RNA synthesis rates.
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The study used Mallory’s triple histochemical staining to compare nuclear staining patterns between eutopic endometrium, ectopic endometrium (endometriosis cases), endometrial hyperplasia, and endometrial adenocarcinoma, supported by ultrastructural analysis. In normal and hyperplastic endometrium, stromal cell nuclei showed increased affinity to aniline blue that disappeared after RNase digestion, which the authors interpret as reflecting increased RNA synthesis; in endometriosis, nuclei instead showed affinity to orange G regardless of cell type. Ultrastructurally, normal endometrium contained euchromatic, low electron density stromal nuclei, whereas endometriosis showed heterochromatic nuclei in both stroma and glands. This paper is centrally about endometriosis — it uses Mallory’s stain to distinguish eutopic versus ectopic endometrium and links the staining differences to RNA synthesis and ultrastructural nuclear changes.
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