Difference between revisions of "Ablated endometrium"
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{{ Infobox diagnosis | {{ Infobox diagnosis | ||
| Name = {{PAGENAME}} | | Name = {{PAGENAME}} | ||
| Image = | | Image = ablated_endometrium_--_intermed_mag.jpg | ||
| Width = | | Width = | ||
| Caption = | | Caption = Ablated_endometrium. [[H&E stain]]. | ||
| Synonyms = | | Synonyms = | ||
| Micro = endometrium completely or partially replaced by hyaline material and fibrosis | | Micro = endometrium completely or partially replaced by hyaline material and fibrosis | ||
| Subtypes = | | Subtypes = | ||
| LMDDx = | | LMDDx = [[implantation site]] | ||
| Stains = | | Stains = | ||
| IHC = | | IHC = | ||
| Line 16: | Line 16: | ||
| Grossing = | | Grossing = | ||
| Site = [[endometrium]] | | Site = [[endometrium]] | ||
| Assdx = [[ | | Assdx = [[endometriosis]] (in hysterectomy specimens) | ||
| Syndromes = | | Syndromes = | ||
| Clinicalhx = history of ablation | | Clinicalhx = history of ablation, [[dysfunctional uterine bleeding]] | ||
| Signs = | | Signs = | ||
| Symptoms = none | | Symptoms = none | ||
| Line 72: | Line 72: | ||
==See also== | ==See also== | ||
*[[Endometrium]]. | *[[Endometrium]]. | ||
*[[Uterus]]. | |||
*[[Dysfunctional uterine bleeding]]. | *[[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.