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Normal Secretory Endometrium
Etiology

not applicable
Pathogenesis

not applicable,
Epidemiology

not applicable
General Gross Description

tan, soft, measuring up to 4 mm in thickness
•Examples:
General Microscopic Description

KEY feature is the presence of glandular secretions
glands become tortuous with progression of secretions from basal vacuoles (d 17-18), supranuclear vacuoles (d 19-20), active intraluminal secretion (d 21-22)
spiral arteries become prominent (d 21-22) and develop predecidual stromal cuffing (d23-24)
stromal edema develops (d21-22) with subcapsular (d 25) and full thickness predecidual change (d 26)
leukocytic infiltrate pronounced by d 27-8.
•Examples:
Normal Secretory Endometrium (Low Power) Normal Secretory Endometrium (Med Power) Normal Secretory Endometrium (Hi Power)
Clinical Correlation

normal in the luteal phase of the menstrual cycle
maturation of the epithelium previously treated with estrogen by the influence of progesterone
menstruation begins with the loss of progesterone and vasoconstriction of spiral arteries
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 1035-6

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Normal Secretory Endometrium
Synopsis by: Melinda Sanders M.D. (T84000M79320)[14]
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