By Osamu Sugimoto M.D., Ph.D. (auth.)
In the United States and Europe, carbon dioxide has been well-known because the distention medium in hysteroscopy, unlike the common use of liquid hysteroscopy in Japan. There are advantages and demerits for either media, however the writer prefers liquid hysteroscopy as a result of decreased leakage into the belly hollow space, diminished glare, and enhanced particles removing. even supposing television photographs captured with a versatile endoscope are hired for regimen paintings, the writer insists on utilizing a single-lens reflex digital camera with a inflexible endoscope for generating splendidly transparent photos. Having performed among four hundred and 550 examinations a yr for the final two decades, the writer has outfitted up a powerful library of integral diagnostic photographs. Over two hundred of those pictures are reproduced in colour during this atlas to supply a visible advisor to uterine abnormalities of remarkable breadth and clarity.
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34. Intracervical carcinoma (UC Ib). Age 50. Colposcopically, the squamocolumnar junction (SCJ) was invisible. Squamous cell carcinoma near the internal os shows uneven eminences on which surface bizarre branching vessels irregularly creep Fig. 35. Intracervical carcinoma (UC Ib). Age 58. : Contact bleeding. Despite a class 5 Pap smear, the patient showed an unsatisfactory colposcopic (UC) finding. A hemispheric prominence with bizarre vascularity can be seen at 2 to 7 o'clock on this side of the internal os.
Age 44. Hollowed glandular openings are regularly distributed. Subepithelial vessels are indistinct except for those of the fundal portion Fig. 55. Midproliferative endometrium (day 9 of the cycle). Age 27. The endometrium is thin, the glands are small and straight, and the stroma is compact. 4 Midcycle As the cycle progresses, the surface undulation becomes increasingly remarkable. Occasionally the endometrium may protrude in a moundlike state into the uterine cavity, with multiple punctuated indentations of the glandular openings.
Crater-like dilatation of the glandular opening is marked in a part saved from the pressure of the capsular decidua. The dilated openings gather and form a cribriform pattern of the decidua Fig. 66. Decidua in early pregnancy (week 7 of gestation). Age 31. In the thickened parietal decidua, dilated glands are sparse and filled with a lot of secretion. 3 Postmenopause Characteristics of a postmenopausal uterus are involution of the uterine body and thinning of the endometrium with no cyclic change.
A Color Atlas of Hysteroscopy by Osamu Sugimoto M.D., Ph.D. (auth.)