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Histology and Cell Biology: An Introduction to Pathology E-Book

Histology and Cell Biology: An Introduction to Pathology E-Book

Abraham L Kierszenbaum | Laura Tres

(2015)

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Book Details

Abstract

Fully integrating histology, cell biology, and pathology, the 4th Edition of the award-winning Histology and Cell Biology: An Introduction to Pathology presents key concepts in an understandable, easy-to-digest manner. Authors Abraham L. Kierszenbaum, MD, PhD and Laura L. Tres MD, PhD link basic science to clinical application throughout, focusing on what you need to know for your coursework now – and how to apply that information in a clinical setting . Full-color illustrations, as well as unique, student-friendly features, help you quickly grasp the complexities of pathologic abnormalities.

  • Consult this title on your favorite e-reader.
  • Get a contemporary, integrated approach to basic science and clinical knowledge, as well as histology, cell biology, and pathology with Dr. Kierszenbaum’s ground-breaking text.
  • Clearly visualize challenging concepts with the aid of vivid, full-color illustrations, diagrams, photomicrographs, and pathology photos – all fully integrated on every page of the text.
  • Grasp key information quickly thanks to highlighted key clinical terms, clinical conditions boxes, and Essential Concepts boxes at the end of every chapter.
  • Find clinically relevant material fast with a detailed table of contents that highlights all clinical examples in red.

Understand the links between chapter concepts with new concept mapping animations – an outstanding supplement to in-class instruction.


Table of Contents

Section Title Page Action Price
Front Cover Cover
Histology and Cell Biology: An Introduction to Pathology iii
Copyright Page iv
Table of Contents ix
Dedication v
PREFACE vii
PART I: BASIC TISSUES INTEGRATED CELL BIOLOGY AND GENERAL PATHOLOGY 1
Chapter 1. Epithelium 1
General classification of epithelia 1
Epithelial cell polarity 2
Apical differentiations 2
Cilia 2
Multiple motile cilia 4
Single or primary non-motile cilium 6
Microvilli 6
Stereocilia (stereovilli) 6
Cell adhesion molecules 6
Cadherins 6
Selectins 9
Ig superfamily 9
Integrins 10
ADAM proteins 11
Cell junctions 11
Tight junctions 12
Anchoring junctions 13
Zonula adherens or belt desmosome 13
Macula adherens or spot desmosome 13
Hemidesmosomes 14
Gap junctions or communicating junctions 14
Clinical significance: Connexin mutations 16
Basement membrane 16
Epithelium: Highlights to remember 18
Cytoskeleton 19
Microfilaments 20
Microtubules 23
Centrosome 24
The axoneme of cilia and flagella 26
Clinical significance: Microtubule-targeted drugs. Sterility 26
Microtubules: Cargo transport and motor proteins 27
Microtubules: Axonal transport 29
Myosin family of proteins 29
Myosin light-chain kinase 30
Intermediate filaments 30
Hemidesmosomes and intermediate filaments 34
Clinical significance: Skin blistering diseases 35
Cell nucleus 36
Nuclear envelope and nuclear pore complex 36
Nucleocytoplasmic transport: Ran-GTPase 37
Chromatin 37
Dosage compensation: X chromosome inactivation 38
Nucleolus 41
Localization of nucleic acids 43
Cell cycle 43
Autoradiography and FACS 44
Breakdown and reassembly of the nuclear envelope 46
Tumor-suppressor genes: The retinoblastoma model 46
Clinical significance: Retinoblastoma tumors 49
Telomerase: Aging, senescence, and cancer 49
Clinical significance: The p53 signaling pathway 50
Mitosis 50
Basic Concepts of Medical Genetics 50
Chromosomal disorders 51
Mendelian inheritance: Single gene disorders 52
Non-mendelian Inheritance 54
Karyotyping (chromosome analysis) 55
Chapter 2. Epithelial Glands 59
Development of epithelial glands 59
Classification of epithelial glands 59
Secretory portion: Unicellular and multicellular 59
Shape of the secretory portion 61
Types of secretion 61
Mechanisms of secretion 62
Plasma membrane and cytomembranes 63
Plasma membrane 63
Phospholipid bilayer 63
Membrane proteins 64
Freeze-fracture: Differences between a surface and a face 65
Transporter and channel proteins 66
Endoplasmic reticulum 67
Smooth endoplasmic reticulum 67
Rough endoplasmic reticulum 67
Protein synthesis and sorting 68
Golgi apparatus 68
Functions of the Golgi apparatus 68
Vesicle transport 70
Sorting of clathrin-coated vesicles and COP-coated vesicles 70
Vesicle fusion to a target membrane: NSF and SNARE proteins 72
Lysosomal sorting pathway: M6P and its receptor 72
Receptor-mediated endocytosis: Cholesterol uptake 72
Clinical significance: Familial hypercholesterolemia 74
Lysosomes 74
Phagocytosis, endocytosis, and macroautophagy 76
Clinical significance: Lysosomal storage disorders 79
Mitochondria 79
Mitochondria participate in apoptosis, steroidogenesis, and thermogenesis 82
Clinical significance: Mitochondrial maternal inheritance 82
Peroxisomes 83
Clinical significance: Peroxisomal disorders 84
Chapter 3. Cell Signaling 89
Types of cell signaling and feedback action 89
Hormones and ligands 89
Steroid hormones 89
Peptide hormones and growth factors 91
Nitric oxide 91
Neurotransmitters 92
Eicosanoids 92
Cell surface receptors 92
G protein–coupled receptors 92
Receptor and nonreceptor tyrosine kinases 92
Cytokine receptors 94
Receptors linked to tyrosine phosphatases and serine-threonine kinases 94
Major signal transduction pathways 95
The cAMP pathway 95
The cGMP pathway 96
The phospholipid–calcium pathway 96
The calcium–calmodulin pathway 96
The Ras, Raf, and MAP kinase pathway 97
The JAK-STAT pathway 98
NF-κB transcription factor pathway 98
The integrin-actin pathway 98
General Pathology: Specific signaling pathways 98
General Pathology: Stem cell niches and stemness 99
Regenerative medicine by cell reprogramming 100
Cell culture 101
General Pathology: Cellular senescence and cancer 102
General Pathology: Cell and tissue injury 103
General Pathology: Necrosis 105
General Pathology: Apoptosis 105
What a nematode worm told us about apoptosis 107
Caspases: Initiators and executioners of cell death 108
Intrinsic pathway: Mitochondrial cytochrome c 108
General Pathology: Apoptosis in the immune system 108
General Pathology: Apoptosis in neurodegenerative diseases 108
General Pathology: Necroptosis 110
General Pathology: Mitochondrial permeability transition 111
General Pathology: Intracellular degradation 111
Autophagy pathway 111
Ubiquitin–proteasome pathway 112
Mitophagy signaling pathway 114
General Pathology: Neoplasia 114
General Pathology: Proto-oncogenes, oncogenes, and tumor suppressor genes 116
Identification of oncogenes in retroviruses 118
Chapter 4. Connective Tissue 123
Classification 123
Components of connective tissue 125
Fibroblast 125
Collagen: Synthesis, secretion, and assembly 126
Pathology: Ehlers-Danlos syndrome 128
Elastic fibers 128
Pathology: Marfan syndrome 129
Macrophages 130
Mast cells 131
General Pathology: Mast cells and allergic hypersensitivity reactions 132
Plasma cells 132
Extracellular matrix 132
General Pathology: Molecular biology of tumor invasion 136
Adipose tissue or fat 136
Adipogenesis 136
Lipid storage and breakdown 138
Clinical significance: Obesity 140
Cartilage 140
Growth of cartilage (chondrogenesis) 140
Types of cartilage 141
Bone 145
Macroscopic structure of mature bone 145
Microscopic structure of mature bone 146
Periosteum and endosteum 146
Bone matrix 147
Cellular components of bone 148
The osteoblast 149
Pathology: Differentiation of the preosteoblast to osteoblast to osteocyte 151
The osteoclast 152
Osteoclastogenesis (osteoclast differentiation) 153
Pathology: Osteoporosis, osteopetrosis, and osteomalacia 155
Chapter 5. Osteogenesis 161
Intramembranous ossification 161
Endochondral ossification 163
Secondary centers of ossification 163
Zones of endochondral ossification 164
Growth in length of the diaphysis 169
Hedgehog signaling: The epiphyseal growth plate and dwarfism 169
Conversion of a bone trabecula into an osteon 170
Bone remodeling 171
General Pathology: Bone fracture and healing 172
General Pathology: Metabolic and hereditary bone disorders 174
Joints 176
Pathology: Rheumatoid arthritis 177
Chapter 6. Blood and Hematopoiesis 181
Blood 181
Plasma 181
Red blood cells (erythrocytes) 181
Pathology: RBC cytoskeletal and hemoglobin abnormalities 181
Clinical significance: Hemoglobin A1c (glycated hemoglobin) and diabetes mellitus 183
Clinical significance: Erythroblastosis fetalis 183
Leukocytes 184
Granulocytes 184
Agranulocytes 187
Pathology: Leukemias 188
General Pathology: Leukocyte recruitment and inflammation 189
Pathology: Leukocyte adhesion deficiency (LAD) 189
Pathology: Mast cell–eosinophil interaction in asthma 191
Pathology: Eosinophilic esophagitis 191
Platelets 191
Pathology: Platelets and coagulation disorders 192
Pathology: Hemostasis and blood clotting 194
Hematopoiesis 194
Hematopoietic niches 194
The vascular niche 197
The endosteal niche 199
Hematopoietic cell populations 199
Clinical significance: Hematopoietic growth factors 201
Erythroid lineage 201
Leukopoiesis 204
Granulocytes 205
Agranulocytes: Lymphocytes 208
Monocytes 208
Pathology: Colony-stimulating factors and interleukins 208
Megakaryocytes and platelets 209
Clinical significance: Thrombopoietin 210
Pathology: Stem cell factor (also known as c-kit ligand) 210
Pathology: Iron-overload disorders 210
Pathology: Vitamin B12, megaloblastic anemia, and microcytic anemia 213
Chapter 7. Muscle Tissue 217
Skeletal muscle 217
Characteristics of the skeletal muscle cell or fiber 217
The myofibril: A repeat of sarcomere units 219
Components of the thin and thick filaments of the sarcomere 219
Mechanism of muscle contraction 221
Creatine phosphate: A back up energy source 222
A depolarization signal travels along T tubules 222
Neuromuscular junction: Motor end plate 223
Clinical significance: Disorders of neuromuscular transmission 224
Calcium controls muscle contraction 225
Pathology: Muscular dystrophies 225
Pathology: Satellite cells and muscle regeneration 229
Neuromuscular spindle and Golgi tendon organ 229
Cardiac muscle 231
Clinical significance: Transport proteins on the sarcolemma of cardiocytes 231
General Pathology: Myocardial infarction 232
Smooth muscle 234
Mechanism of smooth muscle contraction 235
Chapter 8. Nervous Tissue 239
Development of the nervous system 239
Cell types: Neurons 241
Types of neurons 241
Designation of groups of neurons and axons 242
Synaptic terminals and synapses 242
Clinical significance: Axonal transport of rabies virus 243
Glia: The “connective tissue” of the CNS 246
Astrocytes 247
Oligodendrocytes and Schwann cells: Myelinization 247
Myelin: Protein and lipid components 249
Pathology: Demyelinating diseases 252
Pathology: Neurodegenerative diseases 254
Microglial cells 260
Ependyma 262
Choroid plexus 262
Cerebrospinal fluid 262
Clinical significance: Brain permeability barriers 262
Peripheral nervous system 265
Structure of a peripheral nerve 265
Pathology: Schwannomas 267
Pathology: Segmental demyelination and axonal degeneration 267
Sensory (spinal) ganglia 267
Autonomic nervous system: Ganglia and plexuses 268
Neurohistochemistry 269
Chapter 9. Sensory Organs: Vision and Hearing 273
Eye 273
Development of the eye 273
Outer tunic: Sclera and cornea 274
Cornea 274
Middle tunic: Uvea 275
Three chambers of the eye 278
Lens 278
Clinical significance: Cataracts 282
Accommodation 283
Inner layer: Retina 285
Clinical significance: Detachment of the retina 285
Cell layers of the retina 285
Photoreceptor neurons: Rods and cones 285
Association neurons: Horizontal and amacrine cells 292
Supporting glial cells: Müller cells 292
Fovea centralis and optic disk 293
The eyelids, conjunctiva, and the lacrimal glands 294
Clinical significance: Red eye 296
Ear 296
External ear 297
Middle ear 297
Inner ear: Development of the inner ear 298
General structure of the inner ear 299
Vestibular system 299
Semicircular canals 299
Otolithic organs: Utricle and saccule 302
Clinical significance: Ménière’s disease 303
Cochlea 303
Organ of Corti 305
Molecular and mechanical aspects of the hearing process 305
Clinical significance: Deafness and balance 308
PART II: ORGAN SYSTEMS PROTECTION OF THE BODY 313
Chapter 10. Immune-Lymphatic System 313
Components of the lymphatic system 313
Types of immunity 314
Properties of adaptive or acquired immunity 315
Development and maturation of B cells in bone marrow 315
Major histocompatibility complex (MHC) and human leukocyte antigens (HLA) 316
T cell receptor 317
CD4 and CD8 coreceptors 317
T cell maturation in the thymus: Positive and nega tive selection 317
How do CD4+ helper T cells help? 319
T cell subsets: TH1 and TH2 cells and cytolytic or cytotoxic T cells 319
How do CD8+ cytolytic T cells kill? 320
Natural killer cells 321
Clinical significance: Acquired immunodeficiency syndrome 321
General Pathology: Hypersensitivity reactions 322
General Pathology: Complement system 325
General Pathology: Inflammation 327
Acute inflammation 327
Resolution of acute inflammation: fibrous repair 329
Types of acute inflammation 329
Chronic inflammation 330
Lymphoid organs 332
Lymph nodes 332
Pathology: Lymphadenitis and lymphomas 335
Thymus 336
Development of the thymus 336
Clinical significance: DiGeorge syndrome 337
Structure of the thymus 337
Spleen 341
Vascularization of the spleen 342
White pulp 344
Red pulp 345
Clinical significance: Sickle cell anemia 346
Clinical significance: Asplenia 347
Clinical significance: Adoptive cell transfer 347
Chapter 11. Integumentary System 353
General organization and types of skin 353
Epidermis 353
General Pathology: Wound healing 355
Pathology: Psoriasis 358
Differentiation of a keratinocyte 361
Melanocytes 363
Langerhans cells (dendritic cells) 365
Merkel cells 366
Pathology: Tumors of the epidermis 366
Dermis 367
Pathology: Epithelial antimicrobial proteins 367
Blood and lymphatic supply 368
Pathology: Vascular disorders of the skin 369
Sensory receptors of the skin 369
Pathology: Leprosy 371
Hypodermis (superficial fascia) 371
Epidermal derivatives: Hair (pilosebaceous unit) 371
Bulge stem cell pathways 373
Epidermal derivatives: Sebaceous glands 374
Epidermal derivatives: Sweat glands 374
Clinical significance: Sweat glands and cystic fibrosis 377
Epidermal derivatives: Fingernails 378
PART III: ORGAN SYSTEMS BLOOD CIRCULATORY SYSTEMS 383
Chapter 12. Cardiovascular System 383
General characteristics of blood circulation 383
Heart 383
Conductive system of the heart 383
Purkinje fibers 384
Arteries 384
Large elastic arteries are conducting vessels 385
Pathology: Aortic aneurysms 385
Medium-sized muscular arteries are distributing vessels 387
Arterioles are resistance vessels 387
Capillaries are exchange vessels 387
Types of capillaries 388
Veins are capacitance, or reservoir, vessels 390
Pathology: Vasculitis 391
Lymphatic vessels 394
Clinical significance: Edema 395
Clinical significance: Hemorrhage 396
Specific capillary arrangements: Glomerulus and portal systems 396
Endothelial cell–mediated regulation of blood flow 396
Pathology: Atherosclerosis 399
Pathology: Vasculogenesis and angiogenesis 399
Pathology: Neovascularization and vascular co-option 402
Clinical significance: Hypertension 402
Pathology: Thrombosis, embolism, and infarction 403
Chapter 13. Respiratory System 409
Nasal cavities and paranasal sinuses 409
Nasopharynx 410
Olfactory epithelium 410
Larynx 411
Trachea 413
Segmentation of the bronchial tree 414
Pulmonary lobule and pulmonary acinus 414
Pathology: Chronic obstructive pulmonary disease 418
Pathology: Asthma 421
Club cells (Clara cells) 421
Clinical significance: Cystic fibrosis 424
Respiratory portion of the lung 427
The alveolus 428
Type II alveolar cells 429
Pathology: Acute respiratory distress syndrome 430
Pathology: Lung cancer 432
Pleura 434
Pathology: Disorders of the pleura 434
Chapter 14. Urinary System 439
The kidneys 439
Organization of the renal vascular system 439
Vasa recta 441
Renal medullary pyramid, renal lobe, and renal lobule 441
The uriniferous tubule: Nephron and collecting duct 442
The renal corpuscle 443
Glomerular filtration barrier 443
Pathology: Defects of the GBM 447
Clinical significance: Slit filtration diaphragm 448
Mesangium 448
Pathology: Podocyte injury 449
Juxtaglomerular apparatus 452
Proximal convoluted tubule 452
Pathology: Acute kidney injury 452
Loop of Henle 455
Distal convoluted tubule 455
Collecting tubule/duct 457
Renal interstitium 458
Excretory passages of urine 459
Regulation of water and NaCl absorption 459
Renin-angiotensin system (RAS) 461
Countercurrent multiplier and exchanger 462
Clinical significance: Mechanism of action of diuretics 464
PART IV: ORGAN SYSTEMS THE ALIMENTARY SYSTEM 469
Chapter 15. Upper Digestive Segment 469
Mouth, or oral cavity 469
Lips 470
Gingiva, hard, and soft palate 471
Tongue 471
Tooth 473
Tooth development 473
Odontoblasts 473
Dental pulp 474
Periodontium 476
Ameloblasts 477
Pathology: Non-neoplastic and neoplastic lesions of the oral mucosa 478
General organization of the digestive tube 478
Microvasculature of the digestive tube 479
Pathology: Gastric microcirculation and gastric ulcers 480
Nerve supply of the digestive tube 481
Esophagus 482
Clinical significance: Barrett’s metaplasia 482
Stomach 484
Cardia region 485
The gastric gland 485
Secretion of hydrochloric acid 489
Pathology: Helicobacter pylori infection 490
Gastroenteroendocrine cells 492
Clinical significance: Zollinger-Ellison syndrome 493
Pyloric glands 493
Mucosa, submucosa, muscularis, and serosa of the stomach 494
Chapter 16. Lower Digestive Segment 499
Small intestine 499
The peritoneum 499
Intestinal wall 499
Microcirculation of the small intestine 501
Innervation and motility of the small intestine 502
Histologic differences between the duodenum, jejunum, and ileum 502
Villi and crypts of Lieberkühn 504
Enterocytes: Absorptive cells 504
Trafficking of sugars and peptides in enterocytes 504
Trafficking of lipids and cholesterol in enterocytes 504
Goblet cells 507
Enteroendocrine cells 508
Intestinal stem cells 508
Protection of the small intestine 508
Intestinal tight junction barrier 509
Peyer’s patches 510
Polymeric IgA 513
Paneth cells 516
Pathology: Inflammatory bowel diseases 517
Clinical significance: Malabsorption syndromes 517
Large intestine 519
The appendix 519
The rectum 521
Pathology: Hirschsprung’s disease 521
Pathology: Colorectal tumorigenesis 523
Chapter 17. Digestive Glands 529
General structure of a salivary gland 529
Saliva 529
Parotid gland 530
Pathology: Mumps, rabies, and tumors 532
Submandibular (submaxillary) gland 532
Sublingual gland 532
Exocrine pancreas 534
Pathology: Carcinoma of the pancreas 535
Functions of the pancreatic acinus 538
Pathology: Pancreatitis and cystic fibrosis 538
Liver 540
General organization of the hepatic lobule 540
Functional views of the hepatic lobule 541
Hepatocyte 542
Peroxisomes 548
Pathology: Liver iron-overload disorders 548
Pathology: Alcoholism and fatty liver (alcoholic steatohepatitis) 548
Pathology: Perisinusoidal cells 548
Pathology: Chronic hepatitis and cirrhosis 550
Bile: Mechanism of secretion 551
Metabolism of bilirubin 552
Composition of the bile 553
Pathology: Conditions affecting bile secretion 553
Clinical significance: Hyperbilirubinemia 554
Gallbladder 555
PART V: ORGAN SYSTEMS: THE ENDOCRINE SYSTEM 559
Chapter 18. Neuroendocrine System 559
Hypophysis 559
Embryologic origin of the hypophysis 560
Hypothalamohypophyseal portal circulation 560
Histology of the pars distalis (anterior lobe) 563
Hormones secreted by acidophils: Growth hormone and prolactin 564
Growth hormone 564
Clinical significance: Gigantism (in children) and acromegaly (in adults) 564
Prolactin 565
Clinical significance: Hyperprolactinemia 566
Hormones secreted by basophils: Gonadotropins, TSH, and ACTH 566
Gonadotropins: Follicle-stimulating hormone and luteinizing hormone 566
Clinical significance: Infertility 567
Thyroid-stimulating hormone (thyrotropin) 568
Clinical significance: Hypothyroidism 568
Adrenocorticotropic hormone 568
Clinical significance: Cushing’s disease 569
Neurohypophysis 571
Clinical significance: Diabetes insipidus 572
Pineal gland 575
Development of the pineal gland 575
Histology of the pineal gland 576
Pinealocytes secrete melatonin 576
Light is a regulator of circadian rhythms 576
Pathology: Pineocytomas 577
Chapter 19. Endocrine System 581
Thyroid gland 581
Development of the thyroid gland 581
Histologic organization of the thyroid gland 581
Function of the thyroid gland 581
Clinical significance: Graves’ disease and hypothyroidism 585
Calcium regulation 588
Parathyroid glands 589
Development of the parathyroid glands 589
Histologic organization of the parathyroid glands 589
Signal transduction mediated by CaSR 589
Functions of the parathyroid hormone 589
Clinical significance: Hyperparathyroidism and hypoparathyroidism 589
Clinical significance: CaSR mutations 591
C cells (thyroid follicle) 591
Vitamin D 591
Clinical significance: Rickets and osteomalacia 592
Adrenal (suprarenal) glands 593
Development of the adrenal gland 593
Functions of the fetal adrenal cortex 593
Histologic organization of the adrenal cortex 593
Zona glomerulosa 593
Zona fasciculata 595
Zona reticularis 595
Adrenal medulla 595
Adrenergic receptors α and β 598
Blood supply to the adrenal gland 598
Pathology: The adrenal cortex 601
Pathology: Pheochromocytoma 602
Clinical significance: Congenital adrenal hyperplasia 602
Endocrine pancreas 602
Development of the pancreas 602
Islets of Langerhans 602
Clinical significance: ATP-sensitive K+ channel and insulin secretion 603
Clinical significance: Insulin and diabetes 607
PART VI: ORGAN SYSTEMS THE REPRODUCTIVE SYSTEM 611
Chapter 20. Spermatogenesis 611
The testes 611
Seminiferous epithelium 613
The basal and adluminal compartments of the seminiferous epithelium 614
The spermatogenic cell sequence 617
Sertoli cells 617
Clinical significance: Sertoli cell–only syndrome 619
Spermatogonia 619
Spermatocytes 620
Meiosis 621
Spermatids 623
Completion of spermiogenesis and spermiation 627
Structure of the sperm 629
Pathology: Conditions affecting male fertility Temperature 629
Cryptorchidism 630
Inguinal hernia, cysts and hydrocele 631
Cancer chemotherapy 631
Viral orchitis 631
Spermatic cord torsion 631
Varicocele 631
Leydig cells 631
Clinical significance: Steroidogenic acute regulatory protein (StAR) 633
Hormonal control of the male reproductive tract 633
The spermatogenic cell sequence 633
Clinical significance: Epigenetics reprogramming 637
Pathology: Testicular tumors 639
Chapter 21. Sperm Transport and Maturation 645
Development of the gonads 645
Testis-determining factor controls the development of the testes 645
Development of male and female internal genitalia 647
Testicular descent 648
Clinical significance: Klinefelter’s syndrome 648
Clinical significance: Androgen insensitivity syndrome (AIS) 648
Clinical significance: Steroid 5 649
Sperm maturation pathway 651
The epididymal ducts 652
Clinical significance: Causes of male infertility 654
Accessory genital glands 655
Seminal vesicles 655
Prostate gland 655
Pathology: Benign prostate hyperplasia 657
Pathology: Prostate cancer 658
Male and female urethra 659
Bulbourethral glands 659
Penis 659
Clinical significance: Erectile dysfunction 660
Chapter 22. Follicle Development and The Menstrual Cycle 665
Development of the female reproductive tract 665
Development of the ovary 665
Development of the female genital ducts 665
Development of the external genitalia 667
Clinical significance: Developmental anomalies of the müllerian duct 667
Clinical significance: Turner's syndrome 667
The ovaries 667
The ovarian cycle 667
Paracrine signaling and cell-cell communication during folliculogenesis 668
Granulosa cell–primary oocyte bidirectional signaling 671
Theca interna–granulosa cell synergistic communication 673
Follicular atresia or degeneration 673
Ovulatory phase 674
Luteal phase: Luteinization and luteolysis 674
Hormonal regulation of ovulation and the corpus luteum 680
Oviduct, fallopian or uterine tube 680
Uterus 682
Vascularization of the endometrium and menstruation 684
Clinical significance: Delayed puberty and hypothalamic amenorrhea 684
Clinical significance: Endometriosis 684
Cervix 686
Pathology: Cervical intraepithelial neoplasia and human papillomavirus infection 686
Vagina 686
Pathology: Diagnostic cytopathology 688
Mons pubis, labia majora, and labia minora 688
Urethral meatus and glands (paraurethral glands and Bartholin's glands) 688
Chapter 23. Fertilization, Placentation, and Lactation 693
Fertilization 693
Zona pellucida during fertilization 696
Preimplantation of the fertilized egg or zygote 697
Implantation of the blastocyst 698
Differentiation of the trophoblast 699
Immunoprotective decidua during implantation 699
Primary, secondary, and tertiary villi 701
Histology of the placenta 701
Placenta: Decidua basalis and villus corion 702
Placental blood circulation 703
Structure of the chorionic villus 703
Functions of the placenta 705
Exchange of gases 705
Transfer of maternal immunoglobulins 705
Rh (D antigen) isoimmunizati 705
The fetoplacental unit 706
The luteal-placental shift 706
Active transport of ions and glucose 706
Fetal alcohol syndrome 706
Infectious agents 706
Clinical significance: Ectopic pregnancy 706
Pathology: Placenta previa 706
Pathology: Abnormal separation and implantation of the placenta 707
Pathology: Gestational trophoblastic diseases 708
Lactation 708
The mammary glands 708
Morphogenesis of the mammary glands 709
Remodeling during mammary gland development 710
Mammary glands during puberty and pregnancy 711
Histology of the mammary glands 713
Suckling during lactation 714
Pathology: Benign breast diseases and breast cancer 714
INDEX 717