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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
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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
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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' . ,
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.'40-.
'42 celltadpole) ( .
(.)
7/25/2019 2013.12.30 1 Gynecologic Pathology Dr. Liboff Lital
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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
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' (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
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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- . .
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malignancyineorder .
, %95
.tumor malignantlineborder :,.%10,
. .5%100 ,%90 (5.)
111 .. '112-,." " , .'114 .
: - :'116- . . '117-., . ..
mplants .? .
. 120 .121