Overview of blastocyst implantation in uterine wall during the third week of development.
Carnegie Stage 6-7, human conceptus approximately 16-18 days. (about the time of the first missed menstrual period).
Identify chorionic sac, yolk sac and amniotic sac, all containing different fluids. Identify secondary chorionic villi, maternal blood "spaces" (empty) and uterine tissue (maternal decidua). The embryo lies between the yolk sac fluid and the amniotic sac fluid. Note that the ends ("bases") of some long secondary chorionic villi are attached to the maternal (decidual) tissue by dense clusters of trophoblast cells (the cytotrophoblastic column) - these are anchoring secondary villi. Other shorter, secondary villi are "free-floating" in the maternal intervillous spaces, from which the blood has drained into the large endometrial veins. (Image: Nishimura etal., 1977)
Higher power view of conceptus. Identify the three fluid-filled sacs, the embryo, and the body (connecting) stalk indicating the caudal end of the embryo. Note the thin amnion and the thicker wall of the yolk sac and conversely, the thick ectoderm and thin entoderm. Vascular channels in connecting stalk. The broad elevation in the ectoderm is the expansion dome (primitive single brain bulge) and the cluster of cells at the caudal end of the embryonic disc is the primitive node region. Note the precipitated protein in the extra-embryonic coelom and in the yolk sac, and the start of the formation of the intra-embryonic coelom between ectoderm and entoderm, at the cranial (rostral) end of the expansion dome.
Approximate cross-section of a different, 18 day human conceptus. Identify the 3 cavities: yolk sac, amniotic sac and chorionic sac. Identify the 3 layers of the trilaminar embryo: ectoderm (columnar cells), intraembryonic mesoderm (mesenchymal cells, endodermal cells (cuboidal single layer). Identify the extraembryonic mesoderm which surrounds the yolk and amniotic sacs, and continues to form the connecting stalk, where it then continues to line the chorionic sac. Extra- and intra-embryonic mesoderm merge along the perimeter of the embryonic disc. Identify primitive groove with dense cluster of primitive streak cells below it. At the top right of the micrograph is a secondary chorionic villus, lying in an empty maternal intervillus space. The villous has an outer layer of syncytiotrophoblast (smaller, darker nuclei), an intermediate layer of cytotrophoblast and a core of mesoblast (extra-embryonic mesoderm). (Image: Nishimura etal., 1977)