What is the cause of endometrial tuberculosis? Everyone must grasp this point. Only by grasping the cause of endometrial tuberculosis can we help everyone correctly understand this disease and then help everyone actively treat it. Next, we will make a detailed interpretation of the cause of endometrial tuberculosis. Female genital tuberculosis first infects the fallopian tubes and then gradually spreads to the endometrium, ovaries, cervix, etc. As the endometrium sheds periodically, the endometrial tuberculosis lesions are discharged with it. The lesions are mostly confined to the endometrium, with scattered millet-like nodules in the early stage. In very rare severe cases, the lesions invade the myometrium. The uterus is normal in size or slightly smaller, and there is no abnormality in appearance. Tuberculous nodules can be seen under the endometrium scraped under the microscope, and caseous necrosis may occur in severe cases. A typical tuberculous nodule has 1 to 2 giant cells in the center, which are arranged in a horseshoe shape, surrounded by epithelial cells, and infiltrated by a large number of lymphocytes and plasma cells on the outside. The characteristic of endometrial tuberculous nodules is that the glands around the tuberculous nodules are insensitive to ovarian hormones, showing persistent hyperplasia or insufficient secretion. Severe endometrial tuberculosis may cause caseous necrosis and superficial ulcers, resulting in the destruction of most or all of the endometrium, and scars may form later, and the endometrium loses all its functions, resulting in amenorrhea. Regarding the causes of endometrial tuberculosis, we must analyze the specific situation, because the causes of endometrial tuberculosis have both common characteristics and individual characteristics, so we must be realistic when analyzing the causes of endometrial tuberculosis. |
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