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Normal Cervix (High Power)
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Normal Cervix (High Power)

The black arrow points to the squamocolumnar junction.
The red arrow points to the layer of tall columnar endocervical cells overlying several layers of poorly maturing squamous cells.
The squamous cells represent a metaplastic process in which only a few layers of cells have been produced so far and cellular maturation is not advanced.
A few lymphocytes can be seen in the stroma.
(Description By:Melinda Sanders, M.D. )
(Image Contrib. by:Melinda Sanders, M.D. UCHC )
Normal Cervix
Etiology

Not applicable.
Pathogenesis

Not applicable. ,
Epidemiology

Not applicable.
General Gross Description

Endocervical canal measures approximately 3.0 cms in length
Endocervical canal lined by deep longitudinal folds and abundant mucus
Internal cervical os is not clear cut as the endometrial-endocervical junction is not sharp
Somewhere near the end of the endocervical canal is the squamocolumnar junction
Squamocolumnar junction is visualized by pink endocervical epithelium meeting grey squamous mucosa
Supplied by uterine arteries; drain to pelvic lymph nodes
General Microscopic Description

Endocervix is lined by a single layer of mucin-secreting cells with small often basilar nuclei and mucin filled cytoplasm.
Also may see ciliated cells and subcolumnar reserve cells.
Neuroendocrine cells can be detected with immunohistochemical staining.
Despite the appearance of glands and the use of the term endocervical glands the epithelium is simply deeply clefted.
Exocervix covered by stratified squamous non-keratinizing epithelium. (See Pap smear normals and squamous metaplasia for more details).
Clinical Correlation

Not applicable.
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 1024-1035.
Normal Cervix
Synopsis by: Melinda Sanders M.D. (T83000M00100)[259]
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