Ljubojevic-KOLPOSKOPSKE SLIKE TECAJ 2005kolposkopija.hlz.hr/wp-content/uploads/2016/03/...Microsoft...
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KOLPOSKOPSKE SLIKEKOLPOSKOPSKE SLIKE
Doc. Dr.sc. N. Ljubojević
Dr. S. Babić
Prof.dr.sc. D. Babić
0rginalni pločasti epitel
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EKTOPIJ
Ektopij koji se ne boji jodom
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Ektropij koji se ne boji jodom
Everzija endocervikalne mukoze - ektropij
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Klasičan naborani izgled ektropija nakon aplikacije octene kis., periferno uska TZ
Ektopij, tanka TZ na prednjoj usni
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Parcijalna transformacija, na dijelu prednje usne TZ, čitava stražnja usna zauzeta ektropijem,
uvećanje i spajanje papila
Uznapredovala TZ se širi od periferije prema centru, brojne žlijezde otvorenih lumena
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Uznapredovala TZ, novi pločasti epitel se jasno razlikuje od orginalnog
Stara TZ s brojnim O Nabothy, tipične dugačke krvne žile koje se pravilno granaju preko stanjenog
epitela
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Različit izgled TZ na prednjoj i stražnjoj usni, na prednjoj stanjeni epitel preko retencionih cista, naglašene vaskularizacije. Stražnja usna s acidobijeli epitel.
Nakon aplikacije joda, epitel na prednjoj usni potpuno zreo, boji se tamno smeđe. Na stražnjoj usnijod negativno polje (PHD:CIN3)
Acidobijeli epitel na prednjoj usni koji se spušta u c. kanal, jasno ograničen, PHD: CIN 2.
Na stražnjoj usni TZ, žlijezde otvorenih lumena.
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Acidobijeli epitel, PHD: CIN1
Acidobijeli epitel, PHD: CIN 2
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Acidobijeli epitel s punktacijama, PHD: CIN 3
Punktacije, PHD: CIN 3
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Acidobijeli epitel s punktacijama i atipičnom vaskularizacijom,
PHD: MIC
Izražene papilarne punktacije, PHD: CIS i rana stromalna invazija
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Miješana slika acidobijelog epiela s punkacijama i mozaikom te atipičnom vaskularizacijom,
PHD: MIC
Srednje do grubi mozaik, PHD: CIN 3
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Miješana lezija, grubi mozaik i punktacije, PHD: CIN 3
Mozaik
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Mozaik, PHD: CIN 2
Mozaik, PHD: CIN 3
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Leukoplakia, PHD: CIN 3
Leukoplakija, PHD: CIN 2
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Leukoplakia, PHD: CIN 3
Pravilno grananje krvnih žila, PHD: akantotički epitel
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Nepravilno razbacane krvne žile u obliku zareza, PHD: CIN 2, CIN 3, MIC
Egzofitična tm. tvorba, brojne atipične krvne žile, PHD: MIC
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Egzofitični, papilarni, verukozni karcinm
Nježni papilarni kondilom, PHD: Condyloma bez atipija
Kondilomatozni kolpitis
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Kondilom s jakim orožnjenjem
Kondilom oko vanjskog ušća, glatke i zrnate površine, kondilomi i na rodnici,
HPV 16 poz., HIV poz.
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Šiljati kondilomi na rodnici
VAIN u mlađe bolesnice
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VAIN nakon histerektomije
VAIN u stražnjem forniksu, grube punktacije
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Atrofični poločasti epitel u postmenopauzi,
nježne krvne žile se vide kroz stanjeni epitel
Subepitelne hemoragije atrofičnogaepitela u kasnoj postmenopauzi
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Atrofični epitel kod žene u postmenopauzi
koji zbog manjka glikogena slabo prima
jod
Nalaz nakon lokalne primjene estrogenesubstitucije