Hysteroscopic and morphological assessment of intrauterine pathology in different age periods

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Abstract

The pathology of the endo- and myometrium takes the main place in the structure of gynecological diseases. The introduction of endoscopic technologies has expanded the diagnostic capabilities of the study of intrauterine pathology. The morphological method is the gold standard in diagnosing the uterine cavity pathology. A retrospective analysis of 100 video protocols of hysteroscopy and morphological data obtained in Vash Doctor Clinic Ltd., Simferopol over the year 2018 was performed. During a retrospective analysis of hysteroscopic pictures and pathomorphological findings, all patients were divided into three age groups: (I) 25–35 years old (35 women); (II) 36–45 years old (35 women); and (III) 46–55 years old (30 women). In the early reproductive period, endometrial hyperplasia without atypia prevailed, chronic endometritis prevailing in the late reproductive period, and polyps of the uterus in the period of the menopausal transition and postmenopause.

About the authors

Anna N. Sulima

Medical Academy named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University; Vash Doctor Clinic Ltd.

Author for correspondence.
Email: gsulima@yandex.ru
ORCID iD: 0000-0002-2671-6985
SPIN-code: 2232-0458
ResearcherId: P-3191-2015

MD, PhD, DSci (Medicine), Professor. The Department of Obstetrics, Gynecology, and Perinatology No. 1, the First Medical Faculty

Russian Federation, Simferopol

Inna O. Kolesnikova

Medical Academy named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University

Email: 010296@mail.ru
ORCID iD: 0000-0002-5226-9090

Resident. The Department of Obstetrics, Gynecology, and Perinatology No. 1, the First Medical Faculty

Russian Federation, Simferopol

Aleksandra A. Davydova

Medical Academy named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University

Email: akzag@mail.ru
ORCID iD: 0000-0003-0843-1465

MD, PhD, Associate Professor. The Department of Pathological Anatomy with Sectional Course, the First Medical Faculty

Russian Federation, Simferopol

Maxim A. Kriventsov

Medical Academy named after S.I. Georgievsky, V.I. Vernadsky Crimean Federal University

Email: maksimkgmu@mail.ru
ORCID iD: 0000-0001-5193-4311

MD, PhD, DSci (Medicine), Associate Professor, Head of the Department of Pathological Anatomy with Sectional Course, the First Medical Faculty

Russian Federation, Simferopol

References

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2. Fig. 1. Endometrial hyperplasia without atypia in women of reproductive age (hematoxylin and eosin staining at ×100 magnification)

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3. Fig. 2. “Vascular pedicle” of the glandular-fibrous endometrial polyp in a woman of reproductive age (hematoxylin and eosin staining at ×100 magnification)

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4. Fig. 3. Fibrous adhesions with severe lymphoplasmocytic infiltration, surrounded by the endometrium with signs of chronic active inflammation (hematoxylin and eosin staining at ×100 magnification)

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5. Fig. 4. Glandular fibrous endometrial polyp of the senile type with cystic expansion of the glands and severe circulatory disorder (hematoxylin and eosin staining at ×40 magnification)

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Copyright (c) 2020 Sulima A.N., Kolesnikova I.O., Davydova A.A., Kriventsov M.A.

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