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By D. Hart, J. Norman

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Extra resources for Gynacology Illustrated

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7 A, page 228). After delivery of the placenta, some decidua basalis is left in utero and some remains as part of the basal plate. The plate is composed of a heterogeneous population of trophoblastic and decidual elements embedded in extracellular debris, fibrinoid, and blood clot. 7), which correspond to the septae seen histologically. On cut section, the villous tissue is red to red-brown, and spongy on cut section. 6). If the fetal hemoglobin is high, the villous 32 Chapter 3 Macroscopic Evaluation of the Second and Third Trimester Placenta tissue is dark and congested; if the hemoglobin is low, the villous tissue is pale.

Special Procedures . . . . . . . . . . . . . . . . . . . . . Tables of Macroscopic Features . . . . . . . . . . . . . . . . Selected References . . . . . . . . . . . . . . . . . . . . . 23 23 24 24 24 25 25 25 27 30 32 32 33 34 44 Selection of Placentas for Pathologic Examination In general, tissue removed or spontaneous passed from the body is required to be sent to surgical pathology. Placentas are the notable exception in that they are the only specimens that are not routinely required to be examined pathologically.

Selection Based on Consensus Indications . . . . . . . . . . . Initial Selection with Storage of Remaining Placentas . . . . . . Gross Examination of All Placentas with Microscopic Examination on Selected Placentas . . . . . . . . . . . . . . Storage . . . . . . . . . . . . . . . . . . . . . . . . . Examination . . . . . . . . . . . . . . . . . . . . . . . Instruments . . . . . . . . .

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