Bergqvist A, Ljungberg O, Myhre E
Int J Gynecol Pathol. 1984;3(2):135-45. doi: 10.1097/00004347-198402000-00003.
A comparative study on the histological appearance of endometrium and endometriotic tissue obtained simultaneously has been performed. In all, 47 endometriotic samples from 28 patients were examined. In 15 cases, samples from more than one endometriotic lesion were included. The endometriotic tissue had developed a distinctive menstrual phase pattern in 23 patients (82%). In 16 of these patients (70%), the phase pattern was found to be synchronous (+/- 3 days) in the two tissue types. In seven cases (30%), it varied inconsistently as compared with the endometrial phase. In the remaining five cases (18%), no menstrual phase pattern was found in the endometriotic specimens in spite of a well-defined phase in the endometrium. When biopsy specimens from different endometriotic lesions in the same patient showed a menstrual phase pattern, the phase did not differ significantly among the specimens. Although a menstrual phase pattern could be recognized in the endometriotic tissue samples in most cases, a considerable variability in glandular and epithelial cell morphology was frequently found.
对同时获取的子宫内膜和子宫内膜异位组织的组织学外观进行了一项比较研究。总共检查了来自28名患者的47个子宫内膜异位样本。在15例中，纳入了来自一个以上子宫内膜异位病灶的样本。23名患者（82%）的子宫内膜异位组织呈现出独特的月经周期模式。在这些患者中的16例（70%），发现两种组织类型的周期模式同步（±3天）。在7例（30%）中，与子宫内膜周期相比，其变化不一致。在其余5例（18%）中，尽管子宫内膜有明确的周期，但子宫内膜异位标本中未发现月经周期模式。当同一患者不同子宫内膜异位病灶的活检标本显示月经周期模式时，各标本之间的周期无显著差异。尽管在大多数情况下子宫内膜异位组织样本中可识别出月经周期模式，但经常发现腺上皮细胞形态存在相当大的变异性。
