decidua, chorion, placenta, umbilical cord. doc. mudr. marie jirkovská, csc. institute of histology...

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Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

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Page 1: Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

Decidua, chorion, placenta, umbilical cord.

Doc. MUDr. Marie Jirkovská, CSc.

Institute of Histology and Embryology

Page 2: Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

1

Deciduaendometrium in pregnancy- decidua basalis - pars materna placentae

(endometrium)

schema

secretory phase

decidual cells

Page 3: Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

Chorion

B.M.Carlson: Human Embryology and Developmental Biology, 1999

Decidua basalis

Page 4: Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

Chorionic villi primary (P) secondary (S) tertiary (T)

P

PS

syncytiotrophoblast

cytotrophoblast

capillary

Hofbauer‘s cells

Page 5: Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

ChorionS - syncytiotrophoblast, C - cytotrophoblast, M - mesenchyme,

H - Hofbauer cells

H

M

C

S

Page 6: Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

Chorionic villi *proliferation and migration of cytotrophoblast, C – cytotrophoblast shell, V – chorionic villus, D - decidua

*

*

V

V

CC

D

Page 7: Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

Relationship of decidua and chorion

Page 8: Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

Human placenta at termDiscoid (diameter 15 – 20 cm, thickness 2 – 3 cm) – according shapeHemochorial villous – according structure Placenta consists of: fetal part (villous chorion) and maternal part (decidua basalis)

cotyledons

Page 9: Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

Human placenta at term – a scheme

Fetal part: chorionic plate and cotyledons consisting of one or more main stem villi and their branches.Maternal part: decidual plate is covered by syncytiotrophoblast, contains decidual cells and remnants of the cytotrophoblastic shell.

Page 10: Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

Placenta at low magnification

Page 11: Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

Stem and intermediate villi

Fibrinoid – eosinophilic mass on the surface of villi, decidua basalis and chorionic plate (material composed of fibrin from maternal blood and degenerated cells).

Page 12: Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

Placenta

Terminal villi Placental septum

syncytiotrophoblast

vasculosyncytial membrane

cytotrophoblast decidual cell

capillary

Page 13: Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

3-D reconstruction of the villous capillary bed

Page 14: Decidua, chorion, placenta, umbilical cord. Doc. MUDr. Marie Jirkovská, CSc. Institute of Histology and Embryology

1

Umbilical cordlength cca 50 cm

A – a. umbilicalis, V – v. umbilicalis, E – ectoderm of the amnion, W – Wharton‘s jelly

VA

W

E

E

W

A

V