Ectopic pregnancy pathological cognitive

1. Tubal pregnancy and the changes in the outcome of tubal lumen small, thin wall and the absence of mucosal tissue, far less muscular uterine muscle wall thickness and tenacity, not a good pregnancy when the decidua, are unable to meet the growth and development of embryos, When tubal pregnancy develops to a certain period, will result in the following:

(1) tubal pregnancy abortion: ampulla was particularly prevalent in the fallopian tube pregnancy, the incidence of pregnancy in more than 8-12 weeks. Fertilized eggs planted in the Ovductal fold as a result of tubal pregnancy wall decidual incomplete formation, development to the blastocyst often lumen prominent, and finally broke through capsule hemorrhage, with the wall of separation blastocyst, if the entire capsule embryo dissection into the fallopian tube lumen and reverse peristalsis-the umbrella from the abdominal cavity, a tubal complete abortion, hemorrhage generally small. If the blastocyst stripping incomplete pregnancy from the abdominal cavity of the product, some still attached to the fallopian tube wall, a tubal incomplete abortion, tubal trophoblast cells continue to erode the wall, leading to repeated bleeding, hematoma or tubal fallopian tube formed around hematoma. Because tubal muscle wall thin, poor contractile force, it is not easy to stop bleeding, the blood outflow, the accumulation of uterine lacunae in the formation of rectal pelvic hematoma, or even in large quantities into the abdominal cavity.

(2) ruptured tubal pregnancy: Gap was particularly prevalent in the tubal pregnancy, the incidence of pregnancy and more in about six weeks. Ovductal fertilized egg implantation in the plica, when blastocyst growth villosity direction to the erosion of muscle wall and serosa, finally pierced serosa, a ruptured tubal pregnancy. Tubal muscle vascular rich ruptured tubal pregnancy-induced hemorrhage intense than tubal pregnancy abortion, in the short term can be so massive intraperitoneal hemorrhage patients in a shock, and also repeated bleeding, pelvic and abdominal hematoma formation. Of interstitial pregnancy Although rare, but serious consequences, the outcome of almost all of tubal pregnancy ruptured.

Department of interstitial-uterine horn into the muscle wall of the cavity surrounding myometrium thick, it can be maintained to four months of pregnancy would only occur about rupture. The rich blood supply here, like rupture of uterine rupture, very serious symptoms often occur in a short period of time a large number of intra-abdominal hemorrhage. Ruptured tubal pregnancy or abortion, and sometimes stop internal bleeding in a stable condition, long time, embryonic death or absorption. But long-term repeated bleeding hematoma formed by the pelvic not dissipated, and stiffen hematoma of the machine and surrounding tissue adhesion, clinically known as Old ectopic pregnancy.

(3) secondary abdominal pregnancy: whether abortion or ruptured tubal pregnancy, the general blastocysts from the fallopian tube or abdominal cavity from the broad ligament, the majority of deaths, not growth, but occasionally there are those who survived, if the survival of embryos villi organization remains in situ or exclusivity attached to the abdominal cavity after replanting to receive nutrition, can be formed to continue the growth and development of secondary abdominal pregnancy. If the broad ligament rupture in the mouth, can be developed for the broad ligament pregnancy.

2. Tubal pregnancy in the uterus and normal pregnancy, trophoblast cells of the HCG luteal growth, the increase in steroid hormone secretion. Therefore, the cessation of menstrual cramps, increased soft uterine endometrium in decidual response. If embryonic death, trophoblastic vitality disappeared since decidual Palace wall dissection in vaginal bleeding. Sometimes decidual integrity can be separated, with vaginal bleeding from the decidua of the triangle; sometimes showed debris from. Villi seen from the organization, histological examination with trophoblast cells. Morphological changes of endometrial was diversity, with the exception of a decidual endometrial changes, if the embryo has been long dead, endometrial hyperplasia can be a period of change, and sometimes that Arias-Stella (AS) reaction examination see endometrial glands Epithelial cell proliferation, increased endometrial glandular cells, cell borders unclear, glandular cells arranged Mission suddenly people gland cavity, cell polarity disappeared, mast cells, deeply stained, cytoplasmic vacuolation. This endometrial hyperplasia and secretion response to steroid hormones may be caused by excessive stimulation, although the diagnosis of a certain value, but not unique tubal pregnancy. In addition, after the death of embryos, some of the villi in-depth muscle still alive, luteal slow degradation, secretion was still endometrial response.

varian tumor-like lesions

Is a non-repeat endogenous tumor, for women of childbearing age often causes ovarian enlargement.

1. Single of follicular cysts

Is the most common ovarian cysts, of the mature follicles Wang ovulation or persistence of atretic follicles, follicular fluid retention caused, unilateral, general diameter <4 cm, thin wall, the single section containing yellow liquid Qingliang. The vast majority may disappear on their own within two months, without special treatment.

2. Corpus luteum cyst

In the menstrual luteal luteal or on the basis of pregnancy, due to the persistence of the corpus luteum formation of corpus luteum cyst. Relatively rare. Single, direct up to 4 ~ 6 cm. Generally asymptomatic, not pregnant women usually disappear within two months, pregnant women are gradually narrowing to late pregnancy. Occasionally cyst rupture, and acute abdominal pain symptoms similar to ectopic pregnancy.

3. Multiple cysts luteinized eggs

4. Polycystic ovary

5. Ovarian endometriosis

Ovarian teratoma

Summary cause disease clinical pathology laboratory diagnosis and differential treatment to prevent complications prognosis

In all types of ovarian tumors, there is a tumor contains hair, teeth, bones and grease, which we call ovarian teratoma.

Ovarian teratoma ovarian germ cell tumor is in a common, it is not a monster after the Wye women evolved from, but from germ cell dysplasia in those belonging to a growth in ovarian tissue from the abnormal reproductive cells hyperplasia, a gathering of the tumor. Because of the presence of germ cells from human embryonic leaves, mesodermal and organizations within the embryo of the three components, so there will be yard of hair, grease, skin, teeth, bone such as the embryo leaf tissue, which may contain or mesodermal endodermal leaf tissue such as muscle, gastrointestinal tract, thyroid, and so on.

Ovarian cancer teratogenic there are different types, including mature and immature cancer abnormal served slightly shares aneurysm. 97 per cent of mature cystic teratoma, called dermoid cyst. Dermoid cyst is the most common type of ovarian tumors of all of the 10% -20% of germ cell tumors of 85% -97%. Because it has nothing to do with pregnancy, ovarian teratoma can occur at any age, newborns, young people, middle-aged or elderly breast cancer can be, but 80% -90% for 20 to 40-year-old female reproductive period, in patients with ovarian tumors about 1 / 4-1/3.

Mature ovarian cystic teratoma is generally medium-sized side for more than 12 per cent of bilateral, the appearance of a circular or oval-shaped, coated in a layer of smooth contained, the wall of tough, mostly single-room, Cavities are the most common in the Mission and the hair grease, often teeth and bone. Differentiation and maturation of these organizations, most of benign tumor, about 2% of malignant transformation.

A very small number of immature teratoma, are malignant, they malignant germ cell tumors, with the potential of recurrence and metastasis. For the solid tumor, which may have cystic region. Unlike the Organization of the normal tissue, cell differentiation bad, transfer, erosion, planting characteristics. The disease occurs in young people and children.

Generally speaking the prognosis immature teratoma less effective, surgery can not guarantee completely, and efficiently eliminate, the risk of recurrence. The teratoma better the prognosis, the possibility of malignant transformation of benign only 2% to 3%, does not affect ovarian function, normal menstrual after surgery, the pregnancy rate of normal, and there is no compound the problem.

Serous tumors

Serous cystadenoma, accounting for 25% of benign ovarian more unilateral, sizes, surface smooth, clear yellow capsule filled with grout. Simple and papillary divided into two types, the former more than a single room, smooth wall, the latter more often, the visible nipple, even outside the capsule growth after surgical resection no longer continue to grow. Serous plastic bag malignant tumor rate was 35 per cent, up to 50 per cent of nipple. At the junction of bilateral more serous cystadenoma, papillary of rich, sustained growth outside the capsule, confirmed by pathological examination. Different prognosis with cancer, the five-year survival rate was 90%.

Serous cystadenocarcinoma of the most common malignant ovarian tumors, approximately 40 ~ 50%, mostly bilateral, smaller, semi-substantive, smooth surface, or nipple growth, section room, filled cavity of Brittle nipple, allantoic fluid turbidity, and sometimes bloody. Early peritoneal metastasis can occur even retroperitoneal lymph node metastasis and poor prognosis, the five-year survival rate of only 20 to 30.

High calcium diet to reduce the occurrence of ovarian cancer

The current study showed that daily intake of high calcium foods can reduce the incidence of ovarian cancer. This is the University of Hawaii women Gedeman doctoral research information daily intake of calcium found, and his research team studied 588 ovarian cancer and 607 healthy women, the situation of daily calcium intake. These studies average age is 54.8 years old, found that a daily intake of high-calcium foods with reduced ovarian cancer is related to the occurrence. If women daily intake of high calcium foods, inadequate calcium intake than those who reduce the 46% of the ovarian cancer incidence.

Eat carrots can prevent ovarian cancer

British nutritionists found that five times a week to eat carrot of women suffering from ovarian cancer than the possibility of ordinary women by 50 percent, the United States studies have also reached similar conclusions.

Since ovarian cancer is a malignant tumor of women, therefore, the two countries nutritionists recommend that women should eat carrots, young girls should cultivate the habit of eating carrots.

In addition to carrots, orange fruit and sweet potato, and Hami melons, pumpkins and other “colored” vegetables are also rich Zhuo - carotene food. In addition, the experts pointed out that regular eating tomatoes can also reduce the risk of suffering from ovarian cancer.

Red wine can be found the new anti-ovarian cancer

Australian scientists found that women drinking a glass of red wine every day can reduce the chance of ovarian cancer.

Australia a total population of 20 million people, each year about 800 people died of ovarian cancer, but the reasons for the disease remains unclear.

Australia Huibaboshi the Institute of Medicine said that according to their research found that more than a day to drink a glass of red wine for women suffering from the risk of ovarian cancer than those who do not drink or drank beer or spirits of women small seven times.

She said that this phenomenon is not caused by alcohol, beer or spirits did not prevent ovarian cancer what role, the next step is on red wine may prevent ovarian cancer factors.

Drink milk substantial increase incidence of ovarian cancer

Drink milk substantial increase incidence of ovarian cancer

Http://www.39.net Time: April 17, 2006

Science and Technology Daily Berlin December 12 (Xinhua Nieyonghua): Sweden’s Karolinska Institute study, a large number of women drinking milk will increase the incidence of ovarian cancer. This is more than 60,000 scientists on the daily milk drinking two or more cups of women come to the conclusion after investigation.

Of the 61,084 scientists in the age of 38-year-old and 76-year-old woman tracking 13 years, during which time, 266 women were diagnosed with the disease ovarian cancer, 125 had not yet confirmed. Those who drink four or more daily dairy women, the incidence rates of ovarian cancer than drink two cups of milk per day for women doubled. Why drink milk will increase probability of ovarian cancer incidence is currently unclear. One argument is that the lactose in milk would stimulate tumor growth. As for milk products and cancer have long had theories, mainly breast cancer and prostate cancer.

Scientists say, food and distribution of body fat can influence cancer lesions, yet so far is a mystery. A study that will not affect the women drank Tuizhinai ovarian cancer lesions. But scientists suggested, in the absence of clear-specific components in foods, it is best not to drink milk lot.

Why should there be tubal ovarian abscess

Tubal pyonephrosis from more developed from acute salpingitis. The umbrella-inflammatory tubal adhesions and the isthmus, not from the inflammatory exudates, and accumulated a tubal empyema. Simple ovarian empyema relatively rare. Ovarian empyema also caused more due to acute salpingitis. If acute when tubal Salpingitis umbrella-yet closed, the umbrella purulent secretions can be self-pelvic inflow, pelvic organ caused extensive adhesion, fallopian tube and ovary was surrounded them, and gradually developed into a tubal ovarian abscesses.

Metastatic ovarian tumor

Ovarian tumors of about 1 / 5. Common primary site is the gastrointestinal tract, breast and genital (uterus, fallopian tubes). Late because of the tumor, a poor prognosis.

Kenbo the tumor is a special type of Our metastatic adenocarcinoma, which can produce mucus typical of the signet ring cell, the original site for the gastrointestinal tract. Tumor bilateral, medium-sized, no adhesion with the surrounding organs, it is section, glia, and more with ascites, very bad prognosis, in the more than a year after the death.