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PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical training 3 rd year General Medicine
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PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Jul 03, 2018

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Page 1: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

PATHOLOGY OF THE

FEMALE GENITAL TRACT II,

PATHOLOGY OF BREAST

X. practical training

3rd year General Medicine

Page 2: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Cervical polyp

Page 3: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Condyloma accuminatum of the vulva

Page 4: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Transformation zone

Page 5: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Cervical squamous neoplasia

Page 6: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical
Page 7: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Cervical

carcinoma

Page 8: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Poorly differentiated (nonkeratinizing)

squamous cell carcinoma of the cervix

Page 9: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Poorly differentiated (nonkeratinizing)

squamous cell carcinoma of the cervix

Page 10: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Endometrium, cyclus

1 2 3 4 1 early

proliferation

2 late

proliferation

3 early secretion

4 late secretion

Page 11: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Hyperplastic endometrium

1 Hyperplastic endometrium

2 Polypous endometrial hyperplasia

1 1

2

Page 12: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Dysfunctional hyperplastic proliferative

endometrium

Page 13: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Leiomyoma of the uterus

2

1

3

2

1 Subserous myoma

2 Intramural myoma

3 Submucous myoma

4 „born“ submucous myoma

4

Page 14: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Leiomyoma of the uterus copy

Page 15: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Leiomyoma of the uterus

Page 16: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Leiomyoma Leiomyosarcoma

1 1

1

Mitosis copy

Page 17: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Uterine corpus

carcinoma

Page 18: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Uterine corpus

carcinoma

Page 19: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Adenokarcinom (endometroidní) těla děložního

Page 20: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Residua post abortum

Page 21: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Hydatidiform mole

Page 22: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Hydatidiform mole

1

2

1 Edematózní bezcévné klky

2 Povrchová část klků

Page 23: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Hydatidiform mole

Page 24: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Chorionepithelioma (choriocarcinoma)

Page 25: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Ectopic (tubal) pregnancy

1

2

3

4

5

6

7

1 Serosis of tube

2 Wall of tube -

muscularis propria

3 Mucosal villi

4 Columnar epithelium

of tube

5 Coagulated haematoma

6 Hydropic degenera

tion of chorionic villi

7 Cytotrofoblastic cells

Page 26: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Abnormalities in

breast

development

Page 27: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Fibrocystic

disease

Page 28: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Fibrocystic disease

Page 29: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Fibrocystic disease

Page 30: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Histologic grading of mammary carcinomas

Body

1 Duct formation > 75% of the tumour 1

10 – 75% of the tumour 2

< 10% of the tumour 3

2 Nuclear atypia uniforme nuclei 1

small variability 2

large nuclei, marked atypia 3

3 Mitotic activity 0 - 8 MF 1

(2,5 mm2, 5 HPF) 9 – 17 MF 2

18 and more MF 3

score 3-5 = grade 1, score 6-7 = grade 2, score 8-9 = grade 3

Page 31: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Breast fibroadenoma

Page 32: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Breast

carcinoma

Page 33: PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY …ustavpatologie.upol.cz/_data/section-1/177.pdf · PATHOLOGY OF THE FEMALE GENITAL TRACT II, PATHOLOGY OF BREAST X. practical

Commedocarcinoma (IDC)