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Screening pentru prevenirea_cancerului de col uterin citologie

Screening pentru prevenirea_cancerului de col uterin citologie

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HSIL – histopatologic / citopatologic<br />

Inlocuirea epiteliului scuamos normal cu cel.<br />

imature, anormale peste 1/3: CIN 2 – CIS<br />

Celule <strong>de</strong> tip PB cu: pier<strong>de</strong>rea polaritatii,<br />

pleomorfism marcat,<br />

Nuclei cu: cromatina dispusa neregulat,<br />

hipercromazie, mitoze anormale frecvente<br />

Asocierea cu infectia HPV<br />

HSIL – histopatologic / citopatologic<br />

Celule izolate, in plaje sau agregate sincitiallike,<br />

<strong>de</strong> tip PB, metaplaziate < <strong>de</strong>cat cel. din LSIL<br />

Nucleul ▲, poate fi chiar mai mic <strong>de</strong>cit in<br />

LGSIL / aria citoplasm. este mai mica ( rap. N /<br />

C ▲).<br />

Hipercromazie evi<strong>de</strong>nta – cromatina fin sau<br />

grosolan granulara<br />

Nucleoli in general absenti<br />

Limita nucleara neregulata<br />

Citoplasma – imatura, <strong>de</strong>licata sau <strong>de</strong>ns<br />

metaplazica<br />

Ocazional – “ matura” si <strong>de</strong>ns keratinizata.

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