Gynecology . The endometrium in these cases is found to show necrosis, hyaline degeneration, infiltration withmultinuclear leukocytes, dilatation of the vessels, cystic dilatation of the glands, proliferationof the epithelium, and deficient glycogen. He also finds signs of incomplete regeneration of theuterine mucosa, such as is seen in endometritis following abortion. Driessen explains this condition on the ground that on account of some irregularity in ovula-tion and menstruation the mucosa is not cast off as it should be normally, and that the portionsof the mucous membrane remaining and di
Gynecology . The endometrium in these cases is found to show necrosis, hyaline degeneration, infiltration withmultinuclear leukocytes, dilatation of the vessels, cystic dilatation of the glands, proliferationof the epithelium, and deficient glycogen. He also finds signs of incomplete regeneration of theuterine mucosa, such as is seen in endometritis following abortion. Driessen explains this condition on the ground that on account of some irregularity in ovula-tion and menstruation the mucosa is not cast off as it should be normally, and that the portionsof the mucous membrane remaining and disintegrating in the canal prevent a normal regenera-tion of the endometrium with consequent bleeding, as do the remnants of an abortion or thedecidua. Cureting may cure or only temporarily relieve the condition. GENERAL INFLAMMATORY PROCESSES 207. Fig. 61.—Chronic Interstitial power. The stroma cells and nuclei are swollen, there is some edema, and the tissue isinfiltrated with small round cells. On the left, gland epithelium is seen, the cells are somewhat ofthe goblet shape, and are secreting mucus. GLAND HYPERTROPHY Various forms of hypertrophy of the endometrium, formerly thought to be theresult of inflammation and called endometritis, are now known to be the resultof circulatory changes. Until recent years all hypertrophied endometrium wasgenerally supposed to be a pathologic process. Scientific study has shown thatthe endometrium undergoes a definite physiologic cycle of hypertrophy eachmonth corresponding to the menstrual congestion. This change is characterizedby a general thickening of the membrane. The stroma is swollen by a congestionof the blood-vessels and by an edematous exudate in the spaces between thecells, while the glandular acini are longer and arranged in spiral forms. Thisprocess begins
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