lab 21 –female reproductive i female reproductive system i · lab 21 –female reproductive...
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FemaleReproductiveSystemILab21– FemaleReproductiveSystemI
A560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
eggemergingfromovary
witnessedunintentionallybygynecologistJacquesDonnezwhilecarryingoutapartialhysterectomy
theeggemergedfromtheovaryover15minutes;challengingthepreviously‐heldbeliefthattheprocesswasasuddenevent
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Learning Objectives
1. Understand the overall organization of the ovary.
2. Identify follicles at all stages of development from primordial to Graafianand understand their physiological significance.
3. Describe the process of corpus luteum formation.
4. Distinguish corpus luteum from corpus albicans and from atretic follicles,with respect to structure and function.
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Keywords
atretic folliclecorona radiatacorpus albicanscorpus luteumcumulus oophorusfolliclefollicular antrumfollicular cellsgerminal epitheliumGraafian folliclegranulosa cellsgranulosa lutein cellsmature follicle
ovaryprimary follicleprimary oocyteprimordial folliclesecondary folliclesecondary oocytetheca externatheca folliculitheca internatheca lutein cellszona granulosazona pellucida
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Slide13:Ovary,MassonTrichrome
medulla
cortexlookhereforovarianfollicles
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Slide13:Ovary,MassonTrichrome
tunicaalbugineaCTlayerbeneathepithelium
cortex
surface(germinal)epitheliumsimplecuboidalorcolumnarepitheliumcontinuouswithperitoneum
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Slide13:Ovary,MassonTrichrome
exampleofprimordialfollicle
exampleofprimaryfollicle
exampleofsecondaryfollicle
lookhereformaturefollicle
corpusluteum
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Slide13:Ovary,MassonTrichrome
Primordialfollicle
500,000inovaryatbirth
severalmillionpresentbeforebirth;manyundergoatresia(degeneration)
Primaryfollicle
20developeachmonth
allbutonewilleventuallyundergoatresia
Secondaryfollicle
onlyafewofthe20folliclesreachthisstage
Maturefollicle
the“Highlander”follicle–therecanbeonlyone
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Slide13:Ovary,MassonTrichrome
primaryoocytelargenucleuswithdispersedfinelygranularchromatinandprominentnucleolus
follicularcellssinglelayerofflattenedcells
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Slide13:Ovary,MassonTrichrome
primaryoocyte
greatlyenlarged
zonagranulosaseverallayersofgranulosacellsasprimaryfolliclecontinuestogrow
zonapellucida (Lt.“translucent)thicklayerofglycoproteinsand
proteoglycans
thecafolliculi (Lt.“follicularsheath”)fromsurroundingstromalcells;separatedfromgranulosacellsbybasementmembrane
follicularcells granulosacellsfollicularcellsenlargeandbecomecuboidalinshape;astheybecomestratified,theyare
referredtoasgranulosacells
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Slide13:Ovary,MassonTrichrome
primaryoocyte
zonapellucida
zonagranulosaw/cumulusoophorus(Lt.“egg‐bearingmound”)thickenedlayerofgranulosacells
follicularantrum
fromfusionofsmallfluid‐filledspacesbetweengranulosacells;
filledwithfollicularfluid
thecaexterna&interna
interna developsseverallayersof
hormone‐producing,
roundedcells;externahas
spindle‐shapedcellsandblendsintosurrounding
stroma
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Slide13:Ovary,MassonTrichrome
secondaryoocyte
thecainterna &externa
zonapellucida
coronaradiataremnantcellsofcumulusoophorus;severallayerssurroundoocyte
zonagranulosa
follicularantrum
smallbridgesofcellsconnectcoronaradiata togranulosacells;bridgeswillbreakbeforeovulationandoocyte/coronaradiata willfloatfreeinsidefollicle
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Slide13:Ovary,MassonTrichrome
atretic follicles(degenerative)mayoccuratanystageofdevelopmentoftheovum
variousappearancesdependinguponthestageofdevelopmentreachedandtheprogressofatresia
featurestolookfor:1.degenerationofoocyte2.disaggregationofgranulosacells3.thickeningofbasementmembranebetweengranulosacellsandthecacells;knownas“glassymembrane”4.cellsanddebrisinantrum5.atretic follicleseventuallyreplacedbycorporafibrosa,mostofwhicheventuallydisappear
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Slide13:Ovary,MassonTrichrome
after ovulation, follicle collapses and fills with blood clot to form corpus luteum (Lt. “yellow”); granulosa cellsincrease in size (called granulosa lutein cells) and begin secreting progesterone and estrogens; theca interna cellsalso increase in size (called theca lutein cells) and secrete progesterone (lack aromatase to form estrogens);basement membrane between granulosa cells and theca interna breaks down, vasculature invades, and structuretakes on general appearance of an endocrine gland; structure will last 12‐14 days unless pregnancy has occurred(and HCG from placenta maintains corpus luteum which continues to enlarge)
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Slide58:OvaryandCorpusLuteum,H&E
Lookincrevicesandperipheryforthecaluteincells
lookincenterforgranulosaluteincells
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Slide58:OvaryandCorpusLuteum,H&E
thecaluteincells
granulosaluteincells
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Slide61:Ovary,H&E
corpusalbicans
corpora albicantes (Lt. “white”) are inactive fibrous tissue masses formed from involution ofcorpus luteum; secretory cells of corpus luteum undergo autolysis and are phagocytosed bymacrophages; corpora albicantes increase in number with age – however most regress completely
lookforfibroblastsandmacrophages(maycontainpigment)
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Slide13:Ovary,MassonTrichrome
medullalacksfollicles;containsCT,largevessels(helicine arteries)andlymphatics
smallbundlesofsmoothmusclemaybepresent
hilus cells,similartoLeydig cells,arealsopresentinmedulla;tumorscanleadtovirilization
ovarianligament
w/vessels
mesovarium hilum
Lab21– FemaleReproductiveSystemIA560– Fall2015
I. IntroductionII. LearningObjectivesIII. SlidesandMicrographs
A. Ovary1. Generalstructure2. Cortexa. Pre‐ovulationFolliclesi. Primordialfollicleii. Primaryfollicleiii. Secondaryfollicleiv. Mature(Graafian)folliclev. Atretic follicle
b. Post‐ovulationFolliclesi. Corpusluteumii. Corpusalbicans
3. MedullaIV. Summary
Tobecontinued…