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The mucosa lining the cervical canal is known as the endocervix, [5] and the mucosa covering the ectocervix is known as the exocervix. [6] The cervix has an inner mucosal layer, a thick layer of smooth muscle, and posteriorly the supravaginal portion has a serosal covering consisting of connective tissue and overlying peritoneum. [4]
The cervical canal is generally lined by "endocervical mucosa" which consists of a single layer of mucinous columnar epithelium. However, after menopause, the functional squamocolumnar junction moves into the cervical canal, and hence the distal part of the cervical canal may be lined by stratified squamous epithelium (conforming to a "type 3 transformation zone").
Symptoms depend on whether the cervical canal is partially or completely obstructed and on the patient's menopausal status. Pre-menopausal patients may have a build up of blood inside the uterus which may cause infection, sporadic bleeding, or pelvic pain.
CIN most commonly occurs at the squamocolumnar junction of the cervix, a transitional area between the squamous epithelium of the vagina and the columnar epithelium of the endocervix. [2] It can also occur in vaginal walls and vulvar epithelium. CIN is graded on a 1–3 scale, with 3 being the most abnormal (see classification section below).
In this diagram, the canal of the cervix (or endocervix) is circled at the base of the womb. The vaginal portion of the cervix projects free into the vagina. The transformation zone, at the opening of the cervix into the vagina, is the area where most abnormal cell changes occur
The vaginal epithelium is the inner lining of the vagina consisting of multiple layers of cells. [1] [2] [3] The basal membrane provides the support for the first layer of the epithelium-the basal layer.
Cervical ectropion is a normal phenomenon, especially in the ovulatory phase in younger women, during pregnancy, and in women taking oral contraceptive, which increases the total estrogen level in the body. [2]
Nabothian cysts are also incidentally found during MRI imaging. During the healing process of chronic cervicitis, squamous epithelium of ectocervix proliferates and enter the cervical canal (endocervix), covering and obstructing the columnar epithelium of endocervical glands. Thus, retention of mucus in the endocervical glands causes cyst ...