2013.12.30 1 Gynecologic Pathology Dr. Liboff Lital

download 2013.12.30 1 Gynecologic Pathology Dr. Liboff Lital

of 7

Transcript of 2013.12.30 1 Gynecologic Pathology Dr. Liboff Lital

  • 7/25/2019 2013.12.30 1 Gynecologic Pathology Dr. Liboff Lital

    1/7

    30.12

    pathologyGynecologic

    ""-

    nill nile .,(

    ,)( ).,.

    ..

    -

    1.

    2.:

    Inflammation- ,..

    Infection-. .

    3. :

    . -Primary..

    Vagina .

    Phornix, .

    epitheliumSquamous, .

    -Staging.

    :epitheliumSquamous keratinizingNon

    epitheliumarColumn ( -Endocervical).

    . ,

    .Pap-Screening- . -

    ra mu o -mouamS.

    : acuminatumCondyloma . .

    .ra y auoVPH.

    , . ,- nm at f i ta .

    . .

    , . .

    ,- n mS. ,

    . . .8-.

    larO- , , -HPV( ). ,.

  • 7/25/2019 2013.12.30 1 Gynecologic Pathology Dr. Liboff Lital

    2/7

    30.12

    *:,..

    -HPV,taganal

    .:

    ,stockvascularFibro. -.

    ) (.

    VINneoplasmintraepithelialVulvar- ,situin,

    =( ).mouamSiio it auo.-Hm o3

    ..

    HPV-%901.: typeBasaloid

    carcinomaWarty . . C r.

    negativeHPV-Vulva.

    ,60-70

    sclerosisLichen-

    . ,.,

    ) (.

    VulvaofdiseasePaget-

    . ,

    .,. .

    botriodeshbdomyosarcomaR-.

    (botriodes=)..,

    (),.

    Cervix -Os, ,.

    -Phornix.testSchiller-. , .

    . -xEai tE,.

    ,

    . ,,

    .: . . .

  • 7/25/2019 2013.12.30 1 Gynecologic Pathology Dr. Liboff Lital

    3/7

    30.12

    Superficial.

    , .

    ,

    . - ,

    .

    -HPV -Superficial.11-8, -HPV:

    CIN1- (2) .

    CIN2- .

    CIN3- . .

    carcinomaInvasive- .

    :

    CIN1-)SILGL)lesionepithelialintrasquamousgradeLow-57 ,

    .

    3,CIN2-SIL)HG)lesionepithelialintrasquamousgradeHigh

    smearPap- .

    . - :, ,

    . , .

    nP:'36-la uoS mouamSi. , m f ito.ut o

    ,.'37- ,.

    38' . ,

    '39-Vto.,

    .'40-.

    '42 celltadpole) ( .

    (.)

  • 7/25/2019 2013.12.30 1 Gynecologic Pathology Dr. Liboff Lital

    4/7

    30.12

    lesionColiflour- .SCC ,,.,

    -Sacrum . .

    6 smearPap

    .21 smearPap

    .3-

    2Pap - 3-2.

    Survival

    0Stage-situinarcinomaC%166Conization , . ..

    1geaSt-Microinvasion- A3" .%95m t o.

    B 3" %80.

    o- %75.

    3Stage- -76.

    4Stage-%100.

    ,,. ".

    diseasenflammatoryI

    Endometritis,.

    - .

    bacteriaEnteric.,

    .(),

    .

    .

    : B ,

    . ) (.

    .

    Splapingitisacute .

    -PID- .

    ..

    abcessTuboovarian-Splapingitis- -

    , US.

    proliferationEndometrium , .

    . . ()

    , .

  • 7/25/2019 2013.12.30 1 Gynecologic Pathology Dr. Liboff Lital

    5/7

    30.12

    ' (59).

    ,, -' (6)secretoryEarly.

    -' (62).

    1- ..

    ,

    - .:

    , .

    .

    .

    2:hyperplasiaEndometrial- .

    .:

    hyperplasiaSimple- . ,

    , ' (72). ,.

    hyperplasialexpCom- . .

    ' (75)carcinomaEndometrium-

    :,,.-

    -. . .

    Grading:

    -Grading, .

    1Grade B,.

    2Grade-%56-7.

    .C.

    3Grade-.D.

    Stage-GradeEndometrium

    invasion, .

    -Stage

    .,. /

    -e o ('80).1 ,

    ,. -e o2.3 , .

    2, 3, .

  • 7/25/2019 2013.12.30 1 Gynecologic Pathology Dr. Liboff Lital

    6/7

    30.12

    tissueectopicEndometrial.,

    ..-

    Adenomyosis

    .'83.

    Endometriosis-,,

    ,.

    .

    .,..

    , .-

    ,

    .- . .

    .

    : :

    smCfoiH to- ,

    ,%70-65,%90 .-20 , . :

    amSmua S- .%70%30 .

    -%30 %90 .

    smit amS-.

    tumor Endometroid , a a.

    ' (99):

    %60,%80. , %10. .

    U, %90 .

    . %5

    . s( ).

    %52. ,%9(=0699) .

    '102-, .

    - .

    '104- .'106- . .

  • 7/25/2019 2013.12.30 1 Gynecologic Pathology Dr. Liboff Lital

    7/7

    30.12

    malignancyineorder .

    , %95

    .tumor malignantlineborder :,.%10,

    . .5%100 ,%90 (5.)

    111 .. '112-,." " , .'114 .

    : - :'116- . . '117-., . ..

    mplants .? .

    . 120 .121