Cervical erosion of several types

Cervical erosion is chronic cervicitis one of the local characteristics, Clinical doctors for a long time to chronic cervicitis and cervical erosion as synonyms, but according to their disease process, Cervical erosion will be divided into several types. (1) False Erosion : Erosion pathology concept refers to "the surface of epithelial shedding" and clinical work on common cervical erosion, and many of cervical mouth around outside the red region. Colposcopy, in the red zone surface to 3% acetic acid, can be seen regional local Red was "GRAPE BUNCH" change, This is columnar epithelium caused edema. If the office OK biopsy examination, it can be seen under the microscope surface of columnar epithelial lining. So, if the erosion in strict accordance with the pathological definition here is not erosion, it was called the false erosion. Clinical work are seeing cervical erosion, most such. (2) True Erosion : As the regular cervical surface mucus or more coverage of purulent secretions, These secretions stimulate long-term growth, dipping around the mouth outside cervical squamous epithelium, coupled with the deep cervical inflammatory infiltration, overlying the surface of the cervical squamous lose its vitality and peeling and ulcer formation, and this is true erosion. But the erosion surface was quickly surrounded the columnar epithelium covered, granular surface were formed, have shiny red region, pseudo erosion. Our day-to-day work found cervical erosion, erosion is mostly false. and the only true erosive lesions in the course of a short stage, its fate will be the surface of columnar epithelial coverage as false erosion. According to the extent of the lesions, the appearance of cervical erosion characteristics are quite different. Constant clinical cervical surface of columnar epithelial slow growth, only a more normal columnar epithelial monolayer coverage, flat appearance, flushes the surface, the smoothness of this type as simple erosion. If columnar epithelium of fast growing, and interstitial growth, formed gland hyperplasia, expansion, eyes concept was fine particle surface. known as erosive particles, or follicular erosion. If stromal hyperplasia, cervical surface of the many small protuberances or groove back, and the uneven surface of the naked eye view, This type of erosion known as papillary erosion. The above classification is based on the erosion of the concept of the pathology. Addressed before, cervical erosion are many reasons for that, in addition to trauma and cervical mucosa caused tearing, secondary bacterial infection resulting exfoliated epithelial formation of the erosion, but also the body of the endocrine changes, So some people will this type of erosion is divided into congenital and acquired erosion erosion. (3) Congenital erosion : the fetus period, in addition to vaginal epithelium, other reproductive tract epithelia originate in the body cavity epithelium. When embryonic development to 3 or 4 months, the cervical canal cylindrical epithelium of the vagina and cervix surface of the epithelium had become apparent region, At this time two types of epithelial junctions Palace is not the mouth, but at the cervical canal. When embryonic development to 6 -- 7 months, cervical columnar epithelium has a secretory function. In late pregnancy, these columnar epithelium and maternal estrogen, cervical mucosa columnar epithelial hyperplasia, I started to cervical foreign growth, and beyond the outer cervix. So the newborn baby girl about 1 / 3 of cervical appearance similar to the adult cervical erosion. Because this time there is no injury, infection etc. cervical erosion factors, Therefore, such as congenital erosion erosion from the mother after the birth of the estrogen effect gradually faded, This newborn baby to erosion also dissipated. (4) acquired Erosion : Erosion is acquired and congenital erosion relative terms, occur in ovarian function exuberant women of childbearing age. Endocervical columnar epithelial ovarian subject to the influence of estrogen over-proliferation and over cervical outside mouth, so that I was outside cervical erosion-like. The appearance of such erosion and inflammation caused by the erosion the same, only led to the erosion causes different. This erosion was particularly prevalent in pregnancy, postpartum dissipated most of them on their own. Due to different causes, its clinical manifestations are some differences in the number. Leucorrhea such patients will increase, but the nature of the Leucorrhea mucus-like crystal, firmly attached to the cervical surface, not erased. Pathological examination columnar epithelial cells under no infiltration of inflammatory cells, which are glands and stromal hyperplasia. Note this erosion and endocrine changes may have a certain connection, and inflammatory and did not seem directly related. Of course the erosion on the basis of easily secondary inflammatory infection, but this inflammation is the result, not the cause erosion.