Gynaecology for students and practitioners . um. Plate VIII showsplasma-cells in the endometrial stroma stained by the Unna-Pappenheim method ; the chromatin of the nuclei stains green, thecytoplasm red. The details of the special method of staining for plasma-cells willbe found in text-books of Pathology. At present the diagnosis of subacute and chronic endometritisdepends therefore upon the finding of (1) round-celled exudation,and (2) an exudate consisting of plasma-cells distributed in patchesor diffused throughout the stroma, but, as in inflammation elsewhere,there are vascular changes to
Gynaecology for students and practitioners . um. Plate VIII showsplasma-cells in the endometrial stroma stained by the Unna-Pappenheim method ; the chromatin of the nuclei stains green, thecytoplasm red. The details of the special method of staining for plasma-cells willbe found in text-books of Pathology. At present the diagnosis of subacute and chronic endometritisdepends therefore upon the finding of (1) round-celled exudation,and (2) an exudate consisting of plasma-cells distributed in patchesor diffused throughout the stroma, but, as in inflammation elsewhere,there are vascular changes to be considered as well. These, in thesubacute stage, amount to (3) dilatation of the vessels, and in thechronic stage to (4) the formation of new vessels, and thickeningof the vessel-walls. Following on the above changes we get in thestroma (5) the inevitable fibrosis which characterizes all chronicinflammatory lesions. This introduces another difficulty in the caseof the endometrium, since in diagnosis we shall be called upon to PLATE VIII. Endometbitis shoAving Plasma-cells (red) and Ljaiiphocj^tes(pale blue) stained by the Unna-Pappenheim process. To face pw/v 394 CHRONIC CORPOREAL ENDOMETRITIS 395 distinguish between the physiological atrophy of the membrane,which occurs after the menopause, and pathological fibrosis. Thelatter must also be differentiated from the compressed and relativelydense stroma of the post-menstrual phase. (B) Changes in the Glands. The usual effect of chronic inflamma-tion occurring in the neighbourhood of epithelium is to produce pro-liferation of the epithelial cells. This appears not to take place inthe case of the uterine glands, at any rate it is not constant enoughto make it a characteristic feature of chronic endometritis. As arule, the size and shape of the glands will vary with the phase in themenstrual cycle ; but it would seem that in some cases the inflamma-tory state of the stroma is capable of inhibiting the involution ivhichnormally o
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
