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54

l{istr.lpatologic

praclicd

----.--_._

trlacro'scople-

l'lbroadcnomtil

rnarrar

alral'c

ea

rroclul

unic

(in

1 5

din

cazwi

multiplu),

de

dilncnsiuni

dc la

cAliva

rlilirneLri

piind

la

cA{iva

7/21/2019 Lp Completare Carte

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ca

I-it

.fi.

de

'si

c1c

55

y$s#,#i#ffi

T;niveirrf

rnToffi

i-m[rasTir'rGlF

fibrc

rnusculare

netetl6.

5i

rJc

iesut

coniunctiv'

orientate

in

vtdeiuri'

permitc

Jiag:irostictLl

de

lcitlrniotn

ulcrin'

:

Teratomul

T.er.atoarnclc(toratos.=monstfu)suntlunrodconstituitedirrdoudsautrraitrrultc

lcsuturt

tlerivate

clin

celc

ttei

foi{e crnbrionat'c.

1br6

lcgdirttd

cu locul

dczvr-rh^5rii'

St:

acJrnitc

ci

dcrjvi

clin

cclulclc

gcrminatc

multipotente

rcslantc

in

gonadc

sau

rniEatc

cxtragonadai

in

tirnpul

dczvoltirii

intrauietinc"cu

scchestrare

in

difs'ite

teritorii'

('

lus

t

fi

c'u

rcu

I a ru

k

unte

lt

tr

:

1.

dupd

aspeetul

lnacroscopic:

tcratoamc

solide"

teratoatnc

chistice

9i

tcraloalnc

conttrinate

u:

arii

soliclc

li

chisticc

2.

dup6

structura

histrllogicl:

teratoame

cu

{esuturi

mature

gi

lcratoatlc

cu

lesuturi

imature

Din

categoria

teratoamelcr

r,u

lesLrturi

mature

f"ae

partc

chistul

dcnnoid'

tcralq-xnul

solid'

guSa

ovarian['

'['erttttttnul

solid

triderntic

.

1

.1y

Esle

o

fu,n.',r'A

benignd

cu

aspecl

solid

cu

localizarc

variabil['

rnai

ttecvcnt

[a

nivclul

gonaclelor",

?n special

la

nivel

lcsticular.

Mercroscapic."Turnorl

solitl[

tle

dirncnsiuni

'ariabilc.

cu

aspect

polimorf

pe secliune:

zone

albicioase,

g6tbui,

hernoragicc

ctc.

tie

consistetrfl

f'crnrl'

Mi*oscopie:i,',

prcparxul

histologic

*

rff*.r*-

elei'cntc

prol'enilc

di'

celc

trci

firilc

crnblionarc:

"

e

ctotJcrnt

(cpitcliu

pavime

nteis

plulistratificat"

e.l'cntual

cu

rone

de

keratinizarc.

lblirjuli

piiosi.

glande

scbaccc

5i

sudoriparc)

.

mczodeln

(lcsul.

cgnjuttctir,,

cartilaj,

Os,

Z,fle

rnixoitle, vasc lotluoasc ctl

pcfctl

groqi

ctc.)

"

enchrtjerrn

(structuri

glanclulare

tapctate

clc

cpiteliu

cilindric

unistratificat

sait

,Jc epitcliu

ciliat

de

tip

rcspirator)

ljneori,

intr'-un

temlotn

solid

sc

pot

gflsi

insulc

de

cax;initln

cmbrir:nat"

Nevut

nevocelular

Tcrtncnul

tje

nev

defirrcste

oricc

lcziune

cr-xgcnital[

a

piclii

(de

excrntrrlu:

ncvus

t-larlnisus).

Ncvul

ncvr;celuiaf

se

referd,

in

itlocl

specific'

ia

un

anuffrit

f

ip

dc

lulrrorA

bcnignii.

ccflgcnitaid

;au

rjobAnclith'

cu

punct

dc

i:ilocilre

ilt

cclule

rca

atc

nta

alc

ru[

clc

n1.a

livd

Ccl

ade

gen

ax.

pri n

/.are

iuni

iuni

ilarc

ede

litatc

fi

cu

Lrlclc

Lte

in

;oriti,

oada

Ltc

dc

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56

Giivate-Tincretd6lcura-iriG[ilF];*lilir-_--__n##H

modificate

dc

fi.lrnrc variate (celule

nevicc).

e roF

(_.....-..

_friagraxtic

m*crosc.oytic"'Ncvii

ncvo

7/21/2019 Lp Completare Carte

4/4

5l

]

j:11p4_

i

tl

sl

g_

p,"

g_ltqa

flingnosticul

difbrewlarol"'

Sc

l'aci

cri lirdLiiionilij-mailgn;

-tccsta-ffin

urtni nu at'c

{")

piglttr:niaLc

urii{onrrh.

iar

hisl.r-rltrgii;. plc:rint5.

toerl.e

aspccl.clc

t.i{.ologice

alc

r:ialigniirif ii

{;iltt}ii

ccluia.rc

ai

nr"lclc;rrc,

hi;rcrci'crna;ric

niiclcarf,"

ra.por{

nuclct;-citoplasmaiic

inversat

etc.)

(cnctuzif:

Nr:vul nrJv\)L'*lij-Xar

ei;tc

o

la;rn,;rir

herii,gni

ile

aspccl

lraprulat

cilnrpusd

dir.'. ccLule

melanice

modificale(celule

irer,'icr;),

dispusc in

cuiburi.

,4denormul

hepafie

Adcnotnul hcpaLir:

f,slc

ltLtnoia

bcnignl ;r licpair,rcilelor

i.:;ri's aparc

clt

prccddcre

la

f'ernei

tincrc" in spccial

'in

contextul

utrui

de;:*chilibru

hormonal

pr:

linie

estrogenicE

(lb1,-rsirr:

,,lc

anl.ir:r-incrpf

icnale rtralel.

slirnulare

esi,rogcnicd

t-lin

sarcin[

e1.c").

Anabolizantelc

r;tct'oidiene

sunl

dc

legrriir

asociatq:

cu

adenoamele

hepaticc

intfllnitc

la

hhrlra{i.

Mrtcroscop,lr"'

nr.rc{uli gaiben-palizi

cr-r

rJiarnctr:u

val"iaLril

rlc

la

r:rdinul

a

cfftiva rnnr pdn6

lazct:t

rlc

cm:

la

perif.cric

poalc

cr,isla

o catpsui[

p*rifumtlral5

dar

uncoti l mita

ilc rczec{.ie inllc

atJcnoiri

u';i

rcritul

iesuluiui

pi:al.c

fi

irnpr'rcis

tiasnlii.

'\'licroscoptfc^

sc

conslal.it

trtttt,cttLa

unei

proii{'crari

hepatocilar:e

in care

nir

sr

recunt)sc

l.l'iarJc

port.alc nonuai{,j

(ar"ti:i[

herraiica"

vcn;i

grorta,

cfuct.

biliar').

(lordoanelc

celularc:;unt

alcituitc

r{in

l-2

rdndr"iri

iic

hepatocitc

mai

mari

iiccdl

hepal,r:citelc

normale.

cu nu*leu

n:ic,

di-r uuclq:lll

inrlis{inr:ii;

cclulele

pol

corrfine

glicogcn.

lipidc

si

r:hiar gloirulc

clc

nraici:iai

PAS

pazitiv (grani.rlc

de

alfat-

antitripsini).

[tarcoi:i,

ia

pacicnlelc

ciu'e

j'oi,;scsc

anticttnccp{ionale

perir1adc

iringi

de

timp

(zcce

ilni

san

mai rnuit).

prriale

.fi

ltlczent

plcomorfirur

celuial

rji

nucleaq

nucleoli mari"

ugoi'

"ir.iltili"

Mltiific[ri

strriilare

se

in[$lnosc

,si

in

arJcnoatnclc

hepalicc

de la

b;irha{ii

carc

f'',rloscsc

atrabolizanti

steroidieni;

in

a0esi

car.

pc

lingl

at-ipii

t;ciuiarc

I]{)t

il

int.;iinilc

iiLl'ucturi psr:ud*glanrlularc.

aspcr;t

carc

pL\;lle

crxrlucc

la r:tutLl,,

ii

cri

e:at"i:irlonrul

hepaloceiular"

Se

ptrl

i

rlentifl

ca

ti,.ini

{: i

b

i

l ia ii intrac;rna

l i t;u

1ai-j. ./r)n

c dc

pc

l

ir-rz*

Stn:ma

tuinoriliii

esl.e t'eiiush

canliiativ:

irrclude

vase sangvine

dc

tip

ar.tcriai

;ri

vertos" La

interfbta dirttru:

r;lt'otn;i

gi

irnrli{erarr:a

hcpai,or.:il.uril

nu

sc

itientifit;d

neocana

licule

bi

l iat'c

(

caraetcri slicb

pcnlru

h

i1:erp

aria

ni.riJrii

al d foca

l

S

).