Body of the UterusEndometritisAdenomyosisEndometriosisDysfunctional uterine bleedingEndometrial hyperplasiaEndometrial polypsLeiomyomas and leiomyosarcomasEndometrial carcinomas
EndometritisClinical settings:
Chronic gonorrheal pelvic disease(PID)TuberculosisRetained Product of conceptionIUDSpontaneously
Chronic EndometritisHistologically, it is characterized by presence of chronic inflammatory cells primarily plasma cells.
Adenomyosis
The presence of endometrial tissue (endometrial gland and/or stroma) within the substance of uterine myometrium
The cause is unknown; it occurs in approximately 15% to 20% of uteri.
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AdenomyosisGross:
Adenomyosis causes expansion (enlargement) of the uterine wall and may be visible on gross examination as numerous small cysts .
AdenomyosisMicroscopic examination:
irregular nests of endometrial stroma, with or without glands, are arranged within the myometrium, separated from the basalis by at least 2 to 3 mm .
Endometriosis the presence of endometrial glands or stroma in abnormal locations outside the uterus.
It occurs in the following sites, in descending order of frequency :
(1 )ovaries; (2) uterine ligaments; (3) rectovaginal septum; (4) pelvic peritoneum; (5) laparotomy scars; and (6) rarely in the umbilicus, vagina, vulva, or appendix .
EndometriosisGross
Endometriosis of the ovary
The ovaries may become markedly distorted by large cystic spaces (3 to 5 cm in diameter) filled with brown blood debris to form so-called chocolate cysts
Dysfunctional Uterine Bleeding (DUB)
DUB is defined as abnormal bleeding in the presence of a functional disturbance rather than an organic lesion of the endometrium or uterus .
Abnormal uterine bleeding could result of a well-defined organic lesion, such as submucosal leiomyoma, endometrial polyp, or endometrial adenocarcinoma