PLACENTAL, DECIDUAL, UTERUS, CERVIX

AND FALLOPIAN TUBES TISSUES:

Numerous or Few medium sized Chorionic
Villi

(+) Sheets of Polygonal Cells

(+) Aggregates of RBC
DIAGNOSIS: PRESENCE OF DECIDUAL
TISSUE
UMBILICAL CORD
(+) 3 Blood Vessels (2 Artery 1 Vein)
(+) Whartons Jelly
If (+) with Lymphocyte/Neutrophils =
Funicitis secondary from:
a. Meconium Stains
Gross: Check for Prolapse, Twist, True
Knot, Detachment and Entangle.
ENDOMETRIUM DIFFERENTIALS

(+)Syncitiotropoblast
(+) Cytotropoblast
Chorionic Villi
DIAGNOSIS: PRESENCE OF PLACENTAL
TISSUE

(+) Arias Stella Reaction = Associated with

Pregnancy (Intrauterine/Ectopic)
DIAGNOSIS: GESTATIONAL
ENDOMETRIUM

3rd to 10th Day of the Cycle:

(+) Widely spaced tubular glands
(+) Mitotic Figures may be seen
(+) Pseudostratified cuboidal or Low
columnar (Glandular Epithelium)

(+) Basophilic Cytoplasm

(+) Nuclei are round or ovoid with nucleoi.
(+) STROMA:
1. densely cellular
2. Hyperchromatic nuclei and oval
3. Indistinct Cytoplasm
(+) Ciliated Focal Cells of Surface Epithelial
Cells and due to Estrogenic Effects.
DIAGNOSIS: PROLIFERATIVE
ENDOMENTRIUM

day )
--------------------------------------EARLY SECRETORY:
(+) Endometrial Glands = Tubular
Appearance
(+)
SUBNUCLEAR VACOULES = 1st SIGN OF
OVULATION (2nd DAY POSTOVULATORY) =
LOCATED AT the MID ZONE of the
FUNCTIONALIS.
DIAGNOSIS: SECRETORY ENDOMETRIUM

(+) Subnuclear Vacuolation on the

TUBULAR GLANDS. (The vacuolation is
below and is attached to the basement
membrane while nucleus is above)
DIAGNOSIS: EARLY SECRETORY

(+) Supranuclear Vacuolation on the

TUBULAR GLANDS. (The vacuolation is
above and is not attached to the basement
membrane while nucleus is below)
DIAGNOSIS: MID SECRETORY
Due to Progesterone
(+) Glandular Secretion
(+) Stromal Maturation
(+) Vascular Differentiation
--------------------------------------STAGES OF SECRETORY PHASES:
1. EARLY = day 2nd to 4th
POSTOVULATORY or day 16-18th day
2. MID = day 5th 9th POSTOVULATORY or
day 19- 23rd or 28th day
3. LATE 10-14th POSTOVULATORY (24-28th

(-) Few endometrial glands

(+) Low cuboidal Epithelium on the glands
(+) Stroma is Abundant and Necrotic
DIAGNOSIS: ATROPHIC ENDOMETRIUM