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Cervical Ectopy
Last reviewed: 23.04.2024
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Ectopia (synovial pseudo-erosion, glandular erosion, endocervicosis) is a part of the vaginal part of the cervix, covered with a single-layered cylindrical epithelium.
Macroscopically, the ectopia has a bright red color, a granular surface; the form and magnitude of ectopy varies depending on the severity of the pathological process.
Causes of the cervical ectopy
Ectopia of the cervix can have a different etiology and manifest itself in several morphological forms. In most cases this is a normal physiological process.
Post-traumatic ectopy occurs after complications of labor or abortion; congenital, or physiological ectopy is associated with the physiological features of the localization of the joint (boundary) between the flat and cylindrical epithelium in newborns, girls and young girls - outside of the outer throat. In the older age, ectopia is a consequence of hormonal disorders.
Symptoms of the cervical ectopy
This pathology is accompanied by abnormal and / or abundant discharges from the vagina, minor bleeding.
[12]
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Forms
| By etiological signs | On the morphological structure |
| Congenital | Simple |
| Dyshormonal | Proliferating |
| Post-traumatic | Epidermisable |
A simple form of ectopy is characterized by the absence of signs of increased proliferation in the cells of the cylindrical epithelium; for the proliferating forms of endocervicoses, the neoplasm of the glandular structures is typical, which indicates the progression of the pathological process; Epidermis (healing) ectopia is distinguished by the appearance in the zone of location of the cylindrical epithelium of the islands of multilayered planar epithelium.
Epidemia of ectopy is carried out:
- squamous cell metaplasia of reserve cells;
- directly growing from the edges of multilayered planar epithelium.
As a rule, the replacement of single-layered cylindrical epithelium by a flat multilayered one has a benign character. However, with prolonged epidermal processes under the influence of adverse factors, atypical changes of metaplastic flat epithelium can be formed up to the development of cervical cancer.
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Treatment of the cervical ectopy
Ectopia of the cervix is treated with various methods:
- Electrocoagulation.
- Cryodestruction.
- Microwave coagulation.
- Laser cauterization.