上皮增生Epithelium Hyperplasia · 阴道 · 雌性生殖系统 · NTP ntp-0558

Comment：
Hyperplasia of the rodent vaginal epithelium ( Figure 1 , Figure 2 , Figure 3 and Figure 4 ) is often associated with hyperkeratosis and is usually diffuse. Cells are well differentiated with no atypia or invasion of the underlying stroma. Hyperplastic cells may form downward projections into the underlying stroma (rete pegs) ( Figure 3 and Figure 4 ). Hyperplasia occurs in a variety of settings, including control rats in persistent estrus during reproductive senescence, and secondary to increases in endogenous estradiol production or administration of hormonally active xenobiotics. Focal hyperplasia of vaginal epithelium is uncommon but has been observed. Hyperplasia should be differentiated from normal variation in the appearance of the vagina during the estrus cycle (see Introduction for description of cyclical changes). Hyperplasia is increased thickness of the vaginal epithelium (compared with normal estrus in a normally cycling animal). The differential diagnoses for focal hyperplasia are papilloma and polyp. Hyperplastic cells are evident above the basement membrane of the epithelium and do not form a discrete proliferative mass of epithelial cells. Hyperplasia is restricted to the normal mucosal surface and does not protrude into the lumen. A polyp is composed predominantly of a fibromuscular core covered by normal or slightly hyperkeratinized epithelium.

Recommendation：
Vagina, Epithelium - Hyperplasia should be diagnosed and graded when it is treatment related. If the epithelial thickening is a normal change associated with the normal estrous cycle, it should not be diagnosed as hyperplasia. Hyperkeratosis associated with the hyperplasia should not be diagnosed separately unless warranted by severity but should be described in the pathology narrative.