Eosinophilic Endomyometritis Associated with Diagnostic Curettage

SUMMARYHistological study of hysterectomy specimens removed for noninflammatory and nonneoplastic disease revealed 15 severe cases and many more slight cases of eosinophil leukocytic endomyometritis, the degree of which appeared to correlate with injury from preoperative diagnostic curettage. In eac...

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Veröffentlicht in:International journal of gynecological pathology 1988-05, Vol.7 (2), p.162-172
Hauptverfasser: Mikó, Tivadar L, Lampé, László G, Thomázy, Vilmos A, Molnár, Péter, Endes, Pongrác
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container_end_page 172
container_issue 2
container_start_page 162
container_title International journal of gynecological pathology
container_volume 7
creator Mikó, Tivadar L
Lampé, László G
Thomázy, Vilmos A
Molnár, Péter
Endes, Pongrác
description SUMMARYHistological study of hysterectomy specimens removed for noninflammatory and nonneoplastic disease revealed 15 severe cases and many more slight cases of eosinophil leukocytic endomyometritis, the degree of which appeared to correlate with injury from preoperative diagnostic curettage. In each case of severe eosinophitic endomyometritis, circumferential mucosal and extensive myometrial damage together with an occluding blood clot at the level of the inner orifice was confirmed. The massive eosinophilia appeared any time between 18 h and 21 days after curettage, and it is proposed that the probable causative agents are eosinophil chemotactic substances liberated from the myometrial mast cells and from the degrading blood clot filling the uterine cavity. There were no clinical signs or symptoms that appeared to correlate with the histological changes observed in this study. This phenomenon may serve as a model for studying the dynamics and functions of eosinophilic leukocytes in humans.
doi_str_mv 10.1097/00004347-198805000-00007
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In each case of severe eosinophitic endomyometritis, circumferential mucosal and extensive myometrial damage together with an occluding blood clot at the level of the inner orifice was confirmed. The massive eosinophilia appeared any time between 18 h and 21 days after curettage, and it is proposed that the probable causative agents are eosinophil chemotactic substances liberated from the myometrial mast cells and from the degrading blood clot filling the uterine cavity. There were no clinical signs or symptoms that appeared to correlate with the histological changes observed in this study. 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Obstetrics</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Mast Cells - ultrastructure</topic><topic>Medical sciences</topic><topic>Microscopy, Electron</topic><topic>Middle Aged</topic><topic>Myometrium - injuries</topic><topic>Non tumoral diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mikó, Tivadar L</creatorcontrib><creatorcontrib>Lampé, László G</creatorcontrib><creatorcontrib>Thomázy, Vilmos A</creatorcontrib><creatorcontrib>Molnár, Péter</creatorcontrib><creatorcontrib>Endes, Pongrác</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecological pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mikó, Tivadar L</au><au>Lampé, László G</au><au>Thomázy, Vilmos A</au><au>Molnár, Péter</au><au>Endes, Pongrác</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eosinophilic Endomyometritis Associated with Diagnostic Curettage</atitle><jtitle>International journal of gynecological pathology</jtitle><addtitle>Int J Gynecol Pathol</addtitle><date>1988-05</date><risdate>1988</risdate><volume>7</volume><issue>2</issue><spage>162</spage><epage>172</epage><pages>162-172</pages><issn>0277-1691</issn><eissn>1538-7151</eissn><coden>IJGPDR</coden><abstract>SUMMARYHistological study of hysterectomy specimens removed for noninflammatory and nonneoplastic disease revealed 15 severe cases and many more slight cases of eosinophil leukocytic endomyometritis, the degree of which appeared to correlate with injury from preoperative diagnostic curettage. In each case of severe eosinophitic endomyometritis, circumferential mucosal and extensive myometrial damage together with an occluding blood clot at the level of the inner orifice was confirmed. The massive eosinophilia appeared any time between 18 h and 21 days after curettage, and it is proposed that the probable causative agents are eosinophil chemotactic substances liberated from the myometrial mast cells and from the degrading blood clot filling the uterine cavity. There were no clinical signs or symptoms that appeared to correlate with the histological changes observed in this study. This phenomenon may serve as a model for studying the dynamics and functions of eosinophilic leukocytes in humans.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>International Society of Gynecological Pathologists</pub><pmid>3397210</pmid><doi>10.1097/00004347-198805000-00007</doi><tpages>11</tpages></addata></record>
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ispartof International journal of gynecological pathology, 1988-05, Vol.7 (2), p.162-172
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source MEDLINE; Journals@Ovid Complete
subjects Aged
Biological and medical sciences
Dilatation and Curettage - adverse effects
Endometritis - etiology
Endometritis - pathology
Eosinophilia - etiology
Eosinophilia - pathology
Eosinophils - ultrastructure
Female
Female genital diseases
Gynecology. Andrology. Obstetrics
Humans
Hysterectomy
Mast Cells - ultrastructure
Medical sciences
Microscopy, Electron
Middle Aged
Myometrium - injuries
Non tumoral diseases
title Eosinophilic Endomyometritis Associated with Diagnostic Curettage
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