Difference between revisions of "Exaggerated placental site"

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*MIB1 ~0%.
*MIB1 ~0%.
**Used to differentiate from [[PSTT]].
**Used to differentiate from [[PSTT]].
*hPL +ve.<ref name=pmid7014653>{{cite journal |author=Heyderman E, Gibbons AR, Rosen SW |title=Immunoperoxidase localisation of human placental lactogen: a marker for the placental origin of the giant cells in 'syncytial endometritis' of pregnancy |journal=J. Clin. Pathol. |volume=34 |issue=3 |pages=303–7 |year=1981 |month=March |pmid=7014653 |pmc=1146481 |doi= |url=}}</ref>


==See also==
==See also==

Revision as of 16:58, 22 May 2014

Exaggerated placental site, abbreviated EPS, is an uncommon benign pathology that is a gestational trophoblastic disease.

It was previously known as syncytial endometritis.[1]

General

  • Benign.

Definition:

Note:

  • Used to go by a terrible old term: syncytial endometritis:[2]
    • Not syncytial -- mostly.
    • Not inflammatory.

Microscopic

Features:[2]

  • Intermediate trophoblast:
    • Abundant (eosinophilic) cytoplasm.
  • Usu. adjacent to:
    • Chorionic villi.
    • Decidua - endometrial stromal cells with a nucleus central, eosinphilic cytoplasm, well-defined cell borders.
  • No mitotic activity.
  • Ectatic blood vessels.

DDx:

Image

IHC

  • MIB1 ~0%.
    • Used to differentiate from PSTT.
  • hPL +ve.[3]

See also

References