Difference between revisions of "Ablated endometrium"
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{{ Infobox diagnosis | |||
| Name = {{PAGENAME}} | |||
| Image = ablated_endometrium_--_intermed_mag.jpg | |||
| Width = | |||
| Caption = Ablated_endometrium. [[H&E stain]]. | |||
| Synonyms = | |||
| Micro = endometrium completely or partially replaced by hyaline material and fibrosis | |||
| Subtypes = | |||
| LMDDx = [[implantation site]] | |||
| Stains = | |||
| IHC = | |||
| EM = | |||
| Molecular = | |||
| IF = | |||
| Gross = | |||
| Grossing = | |||
| Site = [[endometrium]] | |||
| Assdx = [[endometriosis]] (in hysterectomy specimens) | |||
| Syndromes = | |||
| Clinicalhx = history of ablation, [[dysfunctional uterine bleeding]] | |||
| Signs = | |||
| Symptoms = none | |||
| Prevalence = common | |||
| Bloodwork = | |||
| Rads = | |||
| Endoscopy = | |||
| Prognosis = benign | |||
| Other = | |||
| ClinDDx = | |||
| Tx = none | |||
}} | |||
'''Ablated endometrium''', also '''endometrium post-ablation procedure''', is [[endometrium]] that has been destroyed to render it nonfunctional. | '''Ablated endometrium''', also '''endometrium post-ablation procedure''', is [[endometrium]] that has been destroyed to render it nonfunctional. | ||
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*Alternative to hysterectomy. | *Alternative to hysterectomy. | ||
*Thermal injury - delivered via balloon. | *Thermal injury - delivered via balloon. | ||
*High prevalence of [[endometriosis]] in individuals with hysterectomy post-ablation procedure.<ref name=pmid24398189>{{Cite journal | last1 = Riley | first1 = KA. | last2 = Davies | first2 = MF. | last3 = Harkins | first3 = GJ. | title = Characteristics of patients undergoing hysterectomy for failed endometrial ablation. | journal = JSLS | volume = 17 | issue = 4 | pages = 503-7 | month = | year = | doi = 10.4293/108680813X13693422520602 | PMID = 24398189 }}</ref> | |||
Notes: | Notes: | ||
*''NovaSure'' is commonly used ablation system.<ref>{{Cite journal | last1 = Gimpelson | first1 = RJ. | title = Ten-year literature review of global endometrial ablation with the NovaSure® device. | journal = Int J Womens Health | volume = 6 | issue = | pages = 269-280 | month = | year = 2014 | doi = 10.2147/IJWH.S56364 | PMID = 24648771 }} | *''NovaSure'' is a commonly used ablation system.<ref name=pmid24648771>{{Cite journal | last1 = Gimpelson | first1 = RJ. | title = Ten-year literature review of global endometrial ablation with the NovaSure® device. | journal = Int J Womens Health | volume = 6 | issue = | pages = 269-280 | month = | year = 2014 | doi = 10.2147/IJWH.S56364 | PMID = 24648771 }}</ref> | ||
</ref> | |||
==Microscopic== | ==Microscopic== | ||
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*Endometrium completely or partially replaced by: | *Endometrium completely or partially replaced by: | ||
**Hyaline material, fibrosis. | **Hyaline material, fibrosis. | ||
DDx: | |||
*[[Implantation site]]. | |||
===Images=== | ===Images=== | ||
<gallery | <gallery> | ||
Image: Ablated endometrium -- very low mag.jpg | AE - very low mag. | |||
Image: Ablated endometrium -- low mag.jpg | AE - low mag. | |||
Image: Ablated endometrium - alt -- low mag.jpg | AE - low mag. | |||
Image: Ablated endometrium -- intermed mag.jpg | AE - intermed. mag. | |||
Image: Ablated endometrium - alt -- intermed mag.jpg | AE - intermed. mag. | |||
Image: Ablated endometrium -- high mag.jpg | AE - high mag. | |||
Image: Ablated endometrium -- very high mag.jpg | AE - very high mag. | |||
</gallery> | </gallery> | ||
| Line 32: | Line 72: | ||
==See also== | ==See also== | ||
*[[Endometrium]]. | *[[Endometrium]]. | ||
*[[Uterus]]. | |||
*[[Dysfunctional uterine bleeding]]. | |||
*[[Cryotherapy changes]]. | |||
==References== | ==References== | ||
Latest revision as of 02:11, 11 April 2015
| Ablated endometrium | |
|---|---|
| Diagnosis in short | |
 Ablated_endometrium. H&E stain. | |
|
| |
| LM | endometrium completely or partially replaced by hyaline material and fibrosis |
| LM DDx | implantation site |
| Site | endometrium |
|
| |
| Associated Dx | endometriosis (in hysterectomy specimens) |
| Clinical history | history of ablation, dysfunctional uterine bleeding |
| Symptoms | none |
| Prevalence | common |
| Prognosis | benign |
| Treatment | none |
Ablated endometrium, also endometrium post-ablation procedure, is endometrium that has been destroyed to render it nonfunctional.
Endometrial ablation is done to treat menorrhagia and metromenorrhagia in women that are done with their childbearing.
General
- Alternative to hysterectomy.
- Thermal injury - delivered via balloon.
- High prevalence of endometriosis in individuals with hysterectomy post-ablation procedure.[1]
Notes:
- NovaSure is a commonly used ablation system.[2]
Microscopic
Features:
- Endometrium completely or partially replaced by:
- Hyaline material, fibrosis.
DDx:
Images
AE - very low mag.
AE - low mag.
AE - low mag.
AE - intermed. mag.
AE - intermed. mag.
AE - high mag.
AE - very high mag.
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UTERUS, UTERINE CERVIX, TOTAL HYSTERECTOMY: - SUPERFICIAL FIBROSIS AND HYALINE CHANGE OF THE UTERINE LINING -- COMPATIBLE WITH PRIOR ABLATION. - UTERUS WITH LEIOMYOMAS. - UTERINE CERVIX WITHIN NORMAL LIMITS.
See also
References
- ↑ Riley, KA.; Davies, MF.; Harkins, GJ.. "Characteristics of patients undergoing hysterectomy for failed endometrial ablation.". JSLS 17 (4): 503-7. doi:10.4293/108680813X13693422520602. PMID 24398189.
- ↑ Gimpelson, RJ. (2014). "Ten-year literature review of global endometrial ablation with the NovaSure® device.". Int J Womens Health 6: 269-280. doi:10.2147/IJWH.S56364. PMID 24648771.