cytologie - pathan
TRANSCRIPT
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Cytologie
Karine van den Broek
Karen Hamoen
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De afdeling cytologie
- Cervix uitstrijken
- Urine
- Longspoelingen
- Sereuze vochten
- Mammapuncties
- Orgaanpuncties
- Beenmergen
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Waar uitstrijken?
De portio met de overgangszone
plaveiselepitheel en cylinderepitheel.
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Dunne laag / conventioneel
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Van potje tot strijk
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Microscopisch
Plaveiselepitheel
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Cylinderepitheel
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Endometrium
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KOPAC
Kwaliteit ontsteking Plaveiselepitheel afwijking/endometrium cylinderepitheel
0 onv. Kwaliteit nvt nvt nvt nvt
1 Endocervix Virus infectie geen afwijking geen afwijkingen Geen afwijking
2
Sq.
Metaplasie
Trichomonas
vaginalis abnormaal plav. epitheelatrofie
Geen
cylinderepitheel
3 Endometrium
Bacteriële
infectie
atypische sq.
Metaplasie Atyp. regeneratie
atipische
endocervix
4
Endoc/metap
lasie
Candida
albicans geringe dysplasie
Geringe atypie
endometrium
geringe atypie
endoc
5
Endoc/endo
m
Gardnerella
vaginalis matige dysplasie
Matige atypie
endometrium
matige atypie
endoc
6
Metaplasie/e
ndom
geen
ontsteking ernstige dysplasie
Ernstige atypie
endometrium
ernstige atypie
endoc
7 Ec/meta/em Actinomyces CIS Endometriumcarcinoom AIS
8
Uitsluitend
plav.ep. Chlamydia microinvasie carc. metastase tumor nvt
9 nvt
Aspecifieke
ontst. Invasief carcinoom andere mal. tumor
Adenocarc.
endocervix
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KOPAC
Pap 0 herhaling direct; 6 weken
Pap1 herhaling volgen BVO
Pap2 herhaling 6 mnd.
Pap3a
l. dysplasie 1e herh 6 mnd, 2e hist. onderzoek
m. dysplasie hist. onderzoek
Pap4 hist. onderzoek
Pap5 hist. onderzoek
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Specifieke ontsteking
Candida albicans
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Bacteriele infectie
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Trichomonas infectie
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Actinomyces infectie
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HPV
Koilocyten Pap2
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Geringe/matige dysplasie Pap3a
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Sterke dysplasie Pap3b
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Plaveiselcarcinoom Pap5
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Endocervixcarcinoom
Normaal endocervix
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Endometriumcarcinoom
Normaal endometrium
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Procesgang
Weefsel Tekst
Pathologie
Bewerking
- fixeren
- snijden
- kleuren
Beoordeling
- macroscopisch
- microscopisch
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CIN-1/ CIN-2
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CIN-3
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Plaveiselcarcinoom
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