By Edward J. Wilkinson, Nicole A. Massoll (auth.), Robert J. Kurman, Lora Hedrick Ellenson, Brigitte M. Ronnett (eds.)
Since the book of the 1/e in 1977, Blaustein's Pathology of the feminine Genital Tract has consolidated its place because the major textbook of gynecological pathology. an important reference for all pathologists and citizens, this completely up to date 6th version comprises greater than 1400 illustrations in colour, informative tables and 22 revised chapters written through the world over famous experts.
Discussion of every particular entity is prepared to incorporate normal details, etiology, and epidemiology through medical gains, pathologic findings, differential prognosis, medical habit, and remedy. This transparent association is utilized through the booklet and permits the reader to speedy entry key info in each chapter.
Blaustein's Pathology of the feminine Genital Tract is still the gold-standard reference for practising pathologists and trainees, in addition to for obstetric/gynecology practitioners and residents.
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Additional info for Blaustein’s Pathology of the Female Genital Tract
Fig. 18 Lichen sclerosus (LS). White epithelium with focal subcutaneous ecchymosis is seen. The labia minora are somewhat atrophic . Fig. 19 Lichen sclerosus. Hyperkeratosis is present along with loss of rete pegs and homogenization of the dermis Benign Diseases of the Vulva Ultrastructural Findings Ultrastructural studies have shown that collagen metabolism is abnormally active and the number of capillaries is reduced. The basal lamina is thickened and discontinuous. Degenerate dermal and collagenous material and formation of a hybrid of elastocollagenous bundles can be found between the cells of the epidermis, and melanocytes are rare .
Tuberculosis Fungal Infection and Miscellaneous Infectious Diseases Tuberculosis of the vulva is rare. It usually is associated with tuberculosis of other genital sites, primarily the fallopian tube, and endometrium. Genital involvement usually is associated with pulmonary tuberculosis. Autoinoculation by hematogenous or direct spread therefore is the most common method of transmission to the vulva. Primary inoculation or sexual transmission of tuberculosis is very uncommon. Immunosuppression may play a role in susceptibility, as a case of vulvar tuberculosis has been described in a renal transplant patient .
The clinical differential diagnosis includes . Fig. 16 Lymphogranuloma venereum (LGV). An intense superficial and deep chronic inflammatory infiltrate is present, composed predominantly of lymphocytes and plasma cells herpesvirus infection and primary syphilis [113, 228]. Chancroid is caused by the organism Haemophilus ducreyi, a gram-negative, nonmotile bacillus, which in culture grows in pairs and parallel chains. Skin tests and biopsies may not be diagnostic. Identification of the organism by culture is necessary for accurate diagnosis .