Gynecological diagnosis and pathology . th the single layer ofcolumnar epithelium, the cervical glands in section in the stroma ; the thickmucus secreted by these glands is seen clinging to the surface of the projections. CERVICAL CATAKIUI 61 The term erosion, however, suggests an eroded surface, while this iscovered with epithelium. Catarrhal patch in more appropriate, a the red arras are patches of vaginal mucosa which have taken on the characters of the catarrhal mucosa lining the cervical canal (fig. 19). In cervical catarrh there is thus an extension of the cervical canalmucosa beyond the
Gynecological diagnosis and pathology . th the single layer ofcolumnar epithelium, the cervical glands in section in the stroma ; the thickmucus secreted by these glands is seen clinging to the surface of the projections. CERVICAL CATAKIUI 61 The term erosion, however, suggests an eroded surface, while this iscovered with epithelium. Catarrhal patch in more appropriate, a the red arras are patches of vaginal mucosa which have taken on the characters of the catarrhal mucosa lining the cervical canal (fig. 19). In cervical catarrh there is thus an extension of the cervical canalmucosa beyond the external os on to the vaginal portion of the cervix. *-r4£ r? >*i 9k, ?.-? ( €J> %- • 1 -1 Tt w -? « Fig. 50.—Erosion of the Cervix undergoing Cuke. The vaginal aspect has again become almost completely covered with squamousepithelium. Some of the cervical glands still remain underneath the thickepithelial covering. If the mouths of those glands become blocked, Nabothianfollicles form (tig. 51). Compare with tig. Fig. 51.—Vaginal Aspect of Cervix—Nabothian Follicles. Note the covering of squamous epithelium and the large cystic spaces are obstructed cervical glands left behind after healing of a cervical erosion. In this situation the tissue is subjected to friction against the vaginalwalls and to the irritation of the acid vaginal secretion. The result isthat the epithelium on the surface and lining the glands becomescatarrhal and the stroma hyperaemic. In the process of natural cure the squamous epithelium again growsover the catarrhal patch, replacing the columnar epithelium (fig. 50). 62 GYNECOLOGICAL PATHOLOGY In this process the mouths of any cervical glands present in the areaof the erosion become obstructed by the squamous epithelium. Theglands belonging to these ducts continue to secrete, with the result thatsmall retention cysts are produced (fig. 51). These protrude on thesurface of the vaginal portion of the cervix as small r
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
