pe gineco ii
TRANSCRIPT
![Page 1: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/1.jpg)
Patologia Ginecológica
Laboratório Morfofuncional
Profª Márcia Maria Silva
![Page 2: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/2.jpg)
ATENÇÃO
• Este roteiro tem como objetivo orienta-lo
no seu estudo auto-dirigido sobre temas
discutidos em tutoria.
• Não exclui de forma alguma o estudo em
livros-texto,atlas e a pesquisa
• Não contém definições teóricas
![Page 3: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/3.jpg)
Útero e Anexos Normais, mulher em idade fértil
![Page 4: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/4.jpg)
Útero e Anexos normais em mulher menopausada
![Page 5: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/5.jpg)
ADENOMIOSE /
ENDOMETRIOSE
![Page 6: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/6.jpg)
![Page 7: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/7.jpg)
![Page 8: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/8.jpg)
![Page 9: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/9.jpg)
![Page 10: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/10.jpg)
![Page 11: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/11.jpg)
Adenomiose = Miométrio espessado , com faixas brancas ( fibrose ) e fendas ( setas )
Leiomioma = nódulo ( * ) bem delimitado
*
![Page 12: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/12.jpg)
Miométrio
Adenomiose = glândulas e estroma endometriais em meio a miométrio
![Page 13: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/13.jpg)
Idem ao anterior. Nota-se ainda infiltrado inflamatório circundando
as glândulas
![Page 14: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/14.jpg)
Focos de adenomiose na serosa ( pontos enegrecidos )
![Page 15: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/15.jpg)
Detalhe da imagem anterior
![Page 16: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/16.jpg)
LEIOMIOMAS
![Page 17: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/17.jpg)
![Page 18: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/18.jpg)
![Page 19: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/19.jpg)
Leiomiomas múltiplos : SS = subseroso; IM = intramural
SM = submucoso
SS
IM
SM
![Page 20: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/20.jpg)
Leiomioma = Proliferação de células com características
de tecido muscular liso ( miométrio )
![Page 21: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/21.jpg)
GESTAÇÃO ECTÓPICA
![Page 22: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/22.jpg)
![Page 23: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/23.jpg)
![Page 24: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/24.jpg)
Gestação tubária Rota : seta = embrião
Placenta
![Page 25: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/25.jpg)
Gestação Tubária no centro da peça presença de fragmento de cordão
![Page 26: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/26.jpg)
Corte histológico de trompa mostrando vilosidades placentárias
![Page 27: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/27.jpg)
INFECÇÕES TUBO-
OVARIANAS
![Page 28: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/28.jpg)
![Page 29: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/29.jpg)
![Page 30: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/30.jpg)
![Page 31: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/31.jpg)
![Page 32: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/32.jpg)
![Page 33: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/33.jpg)
Abscesso tubário = Trompa com luz dilatada preenchida por pús
![Page 34: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/34.jpg)
Corte histológico de trompa mostrando acentuada exsudação de neutrófilos
Seta mostra epitélio da mucosa da trompa com alterações reativas
![Page 35: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/35.jpg)
CISTOS OVARIANOS
![Page 36: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/36.jpg)
![Page 37: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/37.jpg)
Cisto Paratubário
![Page 38: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/38.jpg)
Corte de ovário mostrando dois corpos lúteos = seta
![Page 39: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/39.jpg)
Corte de ovário mostrando cisto lúteo hemorrágico
![Page 40: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/40.jpg)
Macroscopia :
Cisto folicular, paredes lisas, de cor clara, conteúdo líquido transparente
Cisto lúteo, parede espessas, de coloração amarelada, conteúdo hemorrágico
Microscopia :
Cisto Folicular = revestido internamente por células foliculares, da granulosa
Cisto lúteo = revestido internamente por células luteínicas
Cisto Folicular x Cisto Lúteo
![Page 41: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/41.jpg)
Cisto Lúteo
![Page 42: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/42.jpg)
Cisto Endometriótico
![Page 43: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/43.jpg)
Diagnóstico diferencial de Cisto
hemorrágico:
Microscopia :
Cisto lúteo revestido internamente
por células lúteas
Cisto endometriótico revestido
internamente por células
endometriais
![Page 44: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/44.jpg)
Torção de Ovário : Hemorragia e necrose
![Page 45: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/45.jpg)
Cistoadenoma
![Page 46: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/46.jpg)
Cistoadenoma
![Page 47: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/47.jpg)
Cistoadenoma seccionado :
Cistoadenoma seroso = conteúdo líquido transparente
Cistoadenoma mucoso = conteúdo gelatinoso
![Page 48: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/48.jpg)
Cistoadenoma seroso
![Page 49: PE Gineco II](https://reader034.vdocuments.mx/reader034/viewer/2022042508/557202fd4979599169a463a0/html5/thumbnails/49.jpg)