Decidual vascular changes in early pregnancy as a marker for intrauterine pregnancy.

Abstract:

:Endometrial vascular changes similar to atherosclerosis of toxemia of pregnancy were described and graded in 217 consecutive endometrial biopsies of known early intrauterine pregnancy. Severe vascular changes were found in 23.5% of cases. Control material consisting of endometrial biopsies of patients with known cases of tubal ectopic pregnancy and various non-pregnancy menstrual disorders showed minimal or no changes except in one case. A parallel study of Aria-Stella phenomenon in 110 cases of uterine pregnancy showed significant changes in only 3.6% of patients. It is obvious that in these cases of positive Arias-Stella findings, the possibility of an extrauterine pregnancy could not be discarded on histologic grounds alone. The authors suggest the use of the vascular changes of the more severe histologic degree as described in this article as a positive or strongly suspicious marker for intrauterine pregnancy whenever this is needed.

journal_name

Am J Clin Pathol

authors

Lichtig C,Korat A,Deutch M,Brandes JM

doi

10.1093/ajcp/90.3.284

subject

Has Abstract

pub_date

1988-09-01 00:00:00

pages

284-8

issue

3

eissn

0002-9173

issn

1943-7722

journal_volume

90

pub_type

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