Dysfunctional uterine bleeding other diagnostic studies: Difference between revisions
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|+Pathological Imaging | |+Pathological Imaging | ||
!Underlying Cause | !Underlying Cause | ||
!Histological/ Gross | !Histological/ Gross Pathology Images | ||
!Findings | !Findings | ||
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|'''[[Endometrial polyp|Endometrial Polyps]]''' <ref name="“Radiopaedia”">{{cite web|url=https://radiopaedia.org/articles/endometrial-polyp}}</ref> | |'''[[Endometrial polyp|Endometrial Polyps]]''' <ref name="“Radiopaedia”">{{cite web|url=https://radiopaedia.org/articles/endometrial-polyp}}</ref> | ||
|<br />[[File:Endometrial-polyp-with-complex-hyperplasia-and-atypia-pathology.jpg|center|thumb|335x335px|Case courtesy of Dr Mikkaela McCormack, Radiopaedia.org, rID: 44259]][[File:Endometrial-polyp-with-complex-hyperplasia-and-atypia-pathology-2.jpg|center|thumb|300x300px|Case courtesy of Dr Mikkaela McCormack, Radiopaedia.org, rID: 44259]] | |<br />[[File:Endometrial-polyp-with-complex-hyperplasia-and-atypia-pathology.jpg|center|thumb|335x335px|Case courtesy of Dr Mikkaela McCormack, Radiopaedia.org, rID: 44259|alt=]][[File:Endometrial-polyp-with-complex-hyperplasia-and-atypia-pathology-2.jpg|center|thumb|300x300px|Case courtesy of Dr Mikkaela McCormack, Radiopaedia.org, rID: 44259|alt=]] | ||
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*dense fibrous or smooth muscle tissue | *dense fibrous or smooth muscle tissue | ||
*up to 5% may be premalignant or malignant | *up to 5% may be premalignant or malignant | ||
*covered by epithelial tissue<ref name="pmid32491756">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume= | issue= | pages= | pmid=32491756 | doi= | pmc= | url= }}</ref> | |||
*contain a largely vascular core; vessels with thick walls | |||
<br /> | <br /> | ||
|- | |- | ||
|'''[[Adenomyosis]]''' <ref name="“Radiopaedia”2">{{cite web|url=https://radiopaedia.org/articles/adenomyosis}}</ref> | |'''[[Adenomyosis]]''' <ref name="“Radiopaedia”2">{{cite web|url=https://radiopaedia.org/articles/adenomyosis}}</ref> | ||
|<br />[[File:Adenomyosis-histology-1.jpeg|center|thumb|300x300px|Case courtesy of Assoc Prof Frank Gaillard, Radiopaedia.org, rID: 10173]][[File:Adenomyosis-of-the-uterus-gross-pathology-1.jpeg|center|thumb|300x300px|Case courtesy of Ed Uthman, Radiopaedia.org, rID: 10172 ]]<br /> | |<br />[[File:Adenomyosis-histology-1.jpeg|center|thumb|300x300px|Case courtesy of Assoc Prof Frank Gaillard, Radiopaedia.org, rID: 10173|alt=]][[File:Adenomyosis-of-the-uterus-gross-pathology-1.jpeg|center|thumb|300x300px|Case courtesy of Ed Uthman, Radiopaedia.org, rID: 10172 |alt=]]<br /> | ||
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*ectopic endometrial tissue present within the | *ectopic endometrial tissue present within the myometrial smooth muscle<ref name="pmid30969690">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume= | issue= | pages= | pmid=30969690 | doi= | pmc= | url= }}</ref> | ||
|- | |- | ||
|'''[[Leiomyoma]]''' <ref name="“Radiopaedia”3">{{cite web|url=https://radiopaedia.org/articles/uterine-leiomyoma}}</ref> | |'''[[Leiomyoma]]''' <ref name="“Radiopaedia”3">{{cite web|url=https://radiopaedia.org/articles/uterine-leiomyoma}}</ref> | ||
|<br />[[File:Extra-uterine-leiomyomata.jpg|center|thumb|300x300px|Case courtesy of Dr Hein Els, Radiopaedia.org, rID: 45202]]<br /> | |<br />[[File:Extra-uterine-leiomyomata.jpg|center|thumb|300x300px|Case courtesy of Dr Hein Els, Radiopaedia.org, rID: 45202|alt=]]<br /> | ||
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*benign tumours made up of smooth muscle cells with fibrous connective tissue | *benign tumours made up of smooth muscle cells with fibrous connective tissue | ||
*composed of extracellular matrix<ref name="pmid30855861">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume= | issue= | pages= | pmid=30855861 | doi= | pmc= | url= }}</ref> | |||
*encapsulated with a pseudocapsule | |||
|- | |- | ||
|'''[[Uterine cancer|Malignancy]]''' <ref name="“Radiopaedia”42">{{cite web|url=https://radiopaedia.org/articles/endometrial-carcinoma}}</ref> | |'''[[Uterine cancer|Malignancy]]''' <ref name="“Radiopaedia”42">{{cite web|url=https://radiopaedia.org/articles/endometrial-carcinoma}}</ref> | ||
|<br />[[File:Endometrial carcinoma histo.png|center|thumb|306x306px|PMID: 25969637<ref name="pmid25969637">{{cite journal| author=Faria SC, Sagebiel T, Balachandran A, Devine C, Lal C, Bhosale PR| title=Imaging in endometrial carcinoma. | journal=Indian J Radiol Imaging | year= 2015 | volume= 25 | issue= 2 | pages= 137-47 | pmid=25969637 | doi=10.4103/0971-3026.155857 | pmc=4419423 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25969637 }}</ref>]] | |<br />[[File:Endometrial carcinoma histo.png|center|thumb|306x306px|PMID: 25969637<ref name="pmid25969637">{{cite journal| author=Faria SC, Sagebiel T, Balachandran A, Devine C, Lal C, Bhosale PR| title=Imaging in endometrial carcinoma. | journal=Indian J Radiol Imaging | year= 2015 | volume= 25 | issue= 2 | pages= 137-47 | pmid=25969637 | doi=10.4103/0971-3026.155857 | pmc=4419423 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25969637 }}</ref>|alt=]] | ||
Revision as of 07:28, 14 March 2022
Dysfunctional uterine bleeding Microchapters |
Differentiating Dysfunctional uterine bleeding from other Diseases |
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Diagnosis |
Treatment |
Case Studies |
Dysfunctional uterine bleeding other diagnostic studies On the Web |
American Roentgen Ray Society Images of Dysfunctional uterine bleeding other diagnostic studies |
FDA on Dysfunctional uterine bleeding other diagnostic studies |
CDC on Dysfunctional uterine bleeding other diagnostic studies |
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Risk calculators and risk factors for Dysfunctional uterine bleeding other diagnostic studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Arooj Naz, Vishnu Vardhan Serla M.B.B.S. [2]
Overview
Other diagnostic studies helpful in detecting the underlying cause include dilatation and curettage to obtain a biopsy. Biopsies can further be studied for their underlying histological findings. hysteroscopy may also be of use in diagnosis.
Other Diagnostic Findings
Other diagnostic findings that may be useful in diagnosis include:
- Diagnostic dilatation and curettage provides more information than biopsy, but is more invasive
- Biopsy of endometrial and progesterone challenge test reveal estrogen excess
- The uterine cavirty and endometrium may be evaluated by hysteroscopy.
Underlying Cause | Histological/ Gross Pathology Images | Findings |
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Endometrial Polyps [1] |
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Adenomyosis [3] |
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Leiomyoma [5] |
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Malignancy [7] |
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References
- ↑ https://radiopaedia.org/articles/endometrial-polyp. Missing or empty
|title=
(help) - ↑ "StatPearls". ( ). 2022: . PMID 32491756 Check
|pmid=
value (help). - ↑ https://radiopaedia.org/articles/adenomyosis. Missing or empty
|title=
(help) - ↑ "StatPearls". ( ). 2022: . PMID 30969690.
- ↑ https://radiopaedia.org/articles/uterine-leiomyoma. Missing or empty
|title=
(help) - ↑ "StatPearls". ( ). 2022: . PMID 30855861.
- ↑ https://radiopaedia.org/articles/endometrial-carcinoma. Missing or empty
|title=
(help) - ↑ Faria SC, Sagebiel T, Balachandran A, Devine C, Lal C, Bhosale PR (2015). "Imaging in endometrial carcinoma". Indian J Radiol Imaging. 25 (2): 137–47. doi:10.4103/0971-3026.155857. PMC 4419423. PMID 25969637.