Abstract
Blastocyst is partially embedded in the endometrial stroma.
1 Formation of the Uteroplacental Circulation and Bilaminar Embryonic Disc
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Day 8:
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1. Blastocyst is partially embedded in the endometrial stroma.
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2. Trophoblast has differentiated into the inner cytotrophoblast and outer syncytiotrophoblast.
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3. Formation of the bilaminar embryonic disc: differentiation of the inner cell mass into the hypoblast layer adjacent to the blastocyst cavity and epiblast layers adjacent to the amniotic cavity.
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Day 9:
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1. Blastocyst is completely embedded in the endometrium and the surface defect is closed by fibrin coagulum.
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2. Exuberant growth of trophoblast occurs at the embryonic pole.
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3. Large lacunae form in the syncytiotrophoblast (lacunar stage).
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4. Primitive yolk sac is formed.
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Days 11 and 12
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1. Blastocyst is completely embedded in the endometrium and the defect is closed by surface epithelium.
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2. At the embryonic pole, the syncytiotrophoblast erodes the epithelial lining of the maternal capillaries (sinusoids).
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3. Maternal blood enters the lacunar system, leading to formation of the uteroplacental circulation.
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4. There is formation of extraembryonic somatic mesoderm in between the cytotrophoblast and the amnion.
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5. There is formation of extraembryonic splanchnic mesoderm in between the cytotrophoblast and the yolk sac.
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6. The extraembryonic mesoderm develops from yolk sac cells.
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Day 13:
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1. Primary villi are formed (cellular columns of cytotrophoblast surrounded by syncytiotrophoblast).
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2. Secondary or definitive yolk sac develops.
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3. There is formation of the chorionic plate from the extraembryonic mesoderm, which lines the inner aspect of the trophoblast.
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4. The connecting stalk develops, which is the future umbilical cord.
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2 Formation of the Trilaminar Embryonic Disc and Mesoderm
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Gastrulation is the process of formation of the trilaminar germ disc, giving rise to three layered embryonic discs (ectoderm, mesoderm and endoderm).
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Gastrulation begins with the formation of the primitive streak, which occurs at around the fifteenth to sixteenth day.
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The cephalic end of the primitive streak is known as the primitive node, which is a slightly elevated area surrounding the small primitive pit.
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Cells of epiblast (ectoderm) migrate towards the primitive streak and invaginate between the bilaminar embryonic disc (between the epiblast and hypoblast), giving rise to mesoderm.
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The epiblast develops into the ectoderm and the hypoblast develops into the endoderm.
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The mesoderm is absent in two locations where the original two germ layers stay together, which are as follows:
Germ layer derivatives
Endoderm
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epithelium of the gastrointestinal tract
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liver
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pancreas
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urachus
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urinary bladder
Epithelial portions of
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pharynx
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thyroid
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trachea, bronchi, lungs
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tympanic cavity
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pharyngotympanic tube
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tonsils
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parathyroids

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