8/3/2023 0 Comments Stromal fragments meaningThe sample is scant given the history of 'thickened endometrium'. MINUTE BENIGN FRAGMENT OF SQUAMOUS EPITHELIUM. SMALL FRAGMENTS OF NONPROLIFERATIVE ENDOMETRIAL EPITHELIUM ATTACHED TO VERY SMALL FRAGMENT OF ENDOMETRIAL STROMA. SCANT STRIPPED NON-PROLIFERATIVE ENDOMETRIAL EPITHELIUM. MINUTE FRAGMENTS OF SQUAMOUS EPITHELIUM WITHOUT APPARENT PATHOLOGY. SCANT ENDOCERVICAL EPITHELIUM WITHIN NORMAL LIMITS. STRIPPED NONPROLIFERATIVE ENDOMETRIAL EPITHELIUM NO APPRECIABLE STROMA PRESENT. Scant benign endocervical tissue (stripped epithelium and mucosa) is present. Mitotic figures are not identified within the glands or stroma. The glands are small and round, and have a pseudostratified epithelium. The sections show small fragments of endometrium. NEGATIVE FOR HYPERPLASIA AND NEGATIVE FOR MALIGNANCY. BENIGN STRIPPED ENDOCERVICAL EPITHELIUM. SCANT ENDOCERVICAL MUCOSA WITH REACTIVE CHANGES. BENIGN SQUAMOUS EPITHELIUM WITH METAPLASTIC CHANGE. Proliferative phase endometrium - esp.the person has had several biopsy attempts and was seeded with pathogens). The exceptions are benign endometrial polyp, uterine prolapse, and possibly inflammation (e.g.If a woman is truly postmenopausal, mitoses in the glandular epithelium is pathologic until demonstrated otherwise.Ovoid (palisaded) nuclei +/- nuclear pseudostratification.Moderate quantity of eosinophilic cytoplasm.Atrophy may be associated with bleeding and therefore biopsied to rule-out hyperplasia and malignancy.Menopause typically happens at around 50 years old.The most common pattern seen in postmenopausal women.The specimen is serially sectioned radially clockwise from 12:00 and entirely submitted in _ cassettes. The endocervical margin is inked blue and the ectocervical and stromal margins are inked black. The ectocervical mucosa is white / tan-pink and smooth with focal granularity. Received in formalin, labeled with patient name, medical record number and “cervix”, is a 0.5-cm thick LEEP specimen with a central _ x _ cm slit-like os surrounded by a complete _ cm rim of cervix with a suture marking the 12 o ’ clock position. #_ & #_ = _ to _ o'clock, _ fragments each. A total of _ radial serial sections are entirely submitted in clockwise order in 6 cassettes as follows. _ to _ cm in diameter mucin-filled cysts / polyps are present. The endocervical mucosal is pink tan/focally erroded. The transition zone is well-defined/irregular with hemorrhage/ulceration. There ectocervical surface is white/pink with superficial errosions at _ o'clock position. Received in formalin, labeled with patient name, medical record number and “cervix”, is a _ cm long cervical cone, with a _ to _ cm diameter, marked at _ o'clock position by a suture. Fragmented specimens should be sectioned perpendicularly to the mucosal surface, in a manner similar to that described above for cones.It is critical to submit all of the mucosa in this manner however, in very large specimens, excess stroma may be trimmed and submitted separately. Each section should resemble a wedge of pie. a lesion or sharp angle in the tissue), if possible, and mention this in your dictation. If there is no orientation, start at an anatomic landmark (e.g. Section the cone in a radial, clockwise fashion, beginning at the 12 o ’ clock position.If you cannot determine the margins on a fragmented specimen, ask a staff pathologist for help. tip of the endocervical canal) should be inked with a different color than the rest of the margin. Describe the overall tissue (color, shape, fragmentation) and os (diameter, shape), as well as any lesions (ulcer, mass, hemorrhage, defect, cyst, laceration include measurements of lesions). Measure (3 dimensions) each individual piece of a fragmented specimen.
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