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2003-11-3 11
Pathology(2) :-macroscopicappearanceLess common sites:1.Cervix2.Round ligament3.Urinary system (bladder、ureter)4.Umbilicus5.Appendix6. Laparotomy scars122003-11-3
2003-11-3 12 Pathology – macroscopic appearance （2）： • Less common sites： 1. Cervix 2. Round ligament 3. Urinary system（bladder、ureter） 4. Umbilicus 5. Appendix 6. Laparotomy scars
Multiple appearances ofendometriosisimplants: Brownish, discolored peritoneum Superficial peritoneal ecchymosisRaised, reddish, superficial nodules Reddish-blue invasive nodules Fibrotic, whitish nodules Raised, glossy, translucent blobsPatchy, white opacified peritoneumReddish or bluish ovarian cysts132003-11-3
2003-11-3 13 Multiple appearances of endometriosis implants： • Brownish，discolored peritoneum • Superficial peritoneal ecchymosis • Raised，reddish，superficial nodules • Reddish–blue invasive nodules • Fibrotic，whitish nodules • Raised，glossy，translucent blobs • Patchy，white opacified peritoneum • Reddish or bluish ovarian cysts
Grossly, in areas of endometriosis the blood is darker and gives thesmall foci of endometriosis the gross appearance of"powder burns".Small foci are seen here just under the serosa of the posterior uterus inthe pouch of Douglas. Such areas of endometriosis can be seen andobliterated by cauterizationvia laparoscopy142003-11-3
2003-11-3 14 Grossly, in areas of endometriosis the blood is darker and gives the small foci of endometriosis the gross appearance of "powder burns". Small foci are seen here just under the serosa of the posterior uterus in the pouch of Douglas. Such areas of endometriosis can be seen and obliterated by cauterization via laparoscopy
Upon closer view, these five small areas ofendometriosis have a reddish-brown tobluish appearance.152003-11-3
2003-11-3 15 Upon closer view, these five small areas of endometriosis have a reddish-brown to bluish appearance