Download - Vias Urinarias Bajas, Pene, Prosta
![Page 1: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/1.jpg)
![Page 2: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/2.jpg)
ANOMALIAS CONGENITAS
La extrofia de la vejiga es debida a un defecto de la pared abdominal anterior; se comunica directamente a través de un gran defecto con la superficie corporal, o queda como un saco abierto.
![Page 3: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/3.jpg)
![Page 4: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/4.jpg)
![Page 5: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/5.jpg)
CISTITIS AGUDA Y CRONICA
Polaquiuria, dolor abdominal inferior, disuria. E.coli, Klebsiella y Enterobacter. Cistitis tuberculosa: TBC renal. Candida y Criptococcus. Esquistosomiasis. Quimioterapicos producen cistitis
hemorragica. Cistitis polipoide.
![Page 6: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/6.jpg)
CISTITIS AGUDA HEMORRAGICA
![Page 7: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/7.jpg)
CISTITIS AGUDA HEMORRAGICA
![Page 8: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/8.jpg)
CISTITIS CRONICA
![Page 9: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/9.jpg)
Formas especiales de Cistitis
Cistitis Intersticial. Malacoplaquia: Cuerpos de Michaelis-
Gutmann.
![Page 10: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/10.jpg)
CISTITIS INTERSTICIAL
![Page 11: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/11.jpg)
MALACOPLAQUIA
![Page 12: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/12.jpg)
![Page 13: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/13.jpg)
MALACOPLAQUIA
![Page 14: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/14.jpg)
LESIONES METAPLASICAS
Los nidos de epitelio transicional (nidos de Brunn) crecer en el interior de la lámina propia y sufren una transformación hacia epitelio columnar o cuboide (cistitis glandular), o espacios quísticos, cistitis quística
Metaplasia intestinal
Cistitis Glandular y cistitis Quística
![Page 15: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/15.jpg)
HIPERPLASIA
![Page 16: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/16.jpg)
NIDOS DE BRUNN (Flecha recta) CISTITIS QUISTICA(Flecha curva)
![Page 17: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/17.jpg)
METAPLASIA ESCAMOSA
![Page 18: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/18.jpg)
CISTITIS GLANDULAR
![Page 19: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/19.jpg)
El urotelio suprayacente se haya sustituido por estructuras papilares de epitelio cubico focalmente
Metaplasia Nefrogenica (Adenoma Nefrogenico)
![Page 20: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/20.jpg)
METAPLASIA NEFROGENICA
![Page 21: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/21.jpg)
NEOPLASIAS
![Page 22: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/22.jpg)
Urothelial (transitional) tumors
Exophytic papilloma
Inverted papilloma
Papillary urothelial neoplasms of low malignant potential
Low grade and high grade papillary urothelial cancers
Carcinoma in situ (CIS, or flat non-invasive urothelial carcinoma)
Mixed carcinomaAdenocarcinomaSmall-cell carcinomaSarcomas
![Page 23: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/23.jpg)
WHO/ISUP Grades
Urothelial papiloma
Urothelial neoplasm of low malignant potential
Papillary urothelial carcinoma, low grade
Papillary urothelial carcinoma, high grade
WHO Grades
Urothelial papilloma
Urothelial neoplasm of low malignant potential
Papillary urothelial carcinoma, grade 1
Papillary urothelial carcinoma, grade 2
Papillary urothelial carcinoma, grade 3
![Page 24: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/24.jpg)
Representan cerca del 95% de todos los tumores vesicales, van desde lesiones benignas hasta tumores de potencial maligno.
El carcinoma urotelial invasivo tiene dos lesiones precursoras: lesiones papilares no invasivas, carcinoma in situ
TUMORES UROTELIALES (DE CELULAS TRANSICIONALES)
![Page 25: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/25.jpg)
El carcinoma de vejiga es mayor en los hombres que en las mujeres.
Consumo de cigarrillos. Exposición a 2-naftilamina. Infecciones por Schistosoma haematobium. Exposición crónica a la ciclo fosfamida. Exposición previa de la vejiga a la irradiación
![Page 26: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/26.jpg)
Hematuria indolora, a veces junto con polaquiuria y urgencia miccional. Tienden a la recurrencia.
El pronóstico esta relacionado con la extensión y grado histológico de la neoplasia.
![Page 27: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/27.jpg)
![Page 28: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/28.jpg)
NEOPLASIAS PAPILARES
![Page 29: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/29.jpg)
PAPILOMA
![Page 30: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/30.jpg)
CARCINOMA PAPILAR UROTELIAL DE BAJO GRADO
![Page 31: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/31.jpg)
CARCINOMA UROTELIAL PAPILAR DE ALTO GRADO
![Page 32: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/32.jpg)
A. UROTELIO NORMAL
B. CIS
![Page 33: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/33.jpg)
CARCINOMA DE CELULAS TRANSICIONALES INVASIVO ALTO GRADO
![Page 34: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/34.jpg)
NEOPLASIAS UROTELIALES
![Page 35: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/35.jpg)
CIS UROTELIAL
![Page 36: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/36.jpg)
CARCINOMA UROTELIAL
![Page 37: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/37.jpg)
ESTADIAJE DE CARCINOMA UROTELIAL
![Page 38: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/38.jpg)
CARCINOMA UROTELIAL PAPILAR DE BAJO GRADO
![Page 39: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/39.jpg)
CARCINOMA UROTELIAL PAPILAR DE
BAJO GRADO
![Page 40: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/40.jpg)
CARCINOMA UROTELIAL PAPILAR DE ALTO GRADO
![Page 41: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/41.jpg)
CARCINOMA UROTELIAL PAPILAR DE ALTO GRADO
![Page 42: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/42.jpg)
APARATO GENITAL MASCULINO:PENE
![Page 43: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/43.jpg)
PENE
Fimosis: designa un orificio del prepucio anormalmente pequeño.
Predispone a las infecciones secundarias y al carcinoma.
Inflamaciones: inespecíficas y de transmisión sexual.
Balanopostitis inflamación del glande y el prepucio
![Page 44: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/44.jpg)
TUMORES BENIGNOS
Causado por HPV tipo 6 y 11. contacto sexual.
Coilocitosis que es la vacuolización de las célul.as epiteliales superficiales
Condiloma acuminado
![Page 45: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/45.jpg)
CONDILOMA ACUMINADO
![Page 46: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/46.jpg)
CONDILOMA ACUMINADO
![Page 47: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/47.jpg)
TUMORES MALIGNOS
Enfermedad de Bowen. Papulosis bowenoide.
Carcinoma in situ:
Carcinoma células escamosas Carcinogenos como el esmegma, HPV tipo
16 y 18. Carcinoma verrucoso de potencial maligno
bajo
![Page 48: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/48.jpg)
ENFERMEDAD DE BOWEN (CIS DE PENE)
![Page 49: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/49.jpg)
CARCINOMA DE PENE
![Page 50: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/50.jpg)
TESTICULOS Y EPIDIDIMO
Ausencia de descenso de los testiculos
Anomalias Congenitas : Criptorquidea
![Page 51: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/51.jpg)
A. TESTICULO NORMAL
B. ATROFIA TESTICULAR,
CRIPTOQUIDIA
![Page 52: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/52.jpg)
Inflamaciones :
• Orquitis y epididimitis inespecifica• Orquitis granulomatosa (autoinmune)• Inflamaciones especificas: gonorrea,
parotiditis, tuberculosis, sifilis
![Page 53: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/53.jpg)
EPIDIDIMITIS AGUDA GONOCOCICA
![Page 54: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/54.jpg)
EPIDIDIMITIS BACTERIANA
![Page 55: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/55.jpg)
ORQUITIS VIRAL
![Page 56: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/56.jpg)
• TUMORES DE CÉLULAS GERMINALES-90%• Seminoma 40%
• Tumores no seminomatosos: • Carcinoma embrionario 5%• Teratocarcinoma 35%• Coriocarcinoma <1%
• Tumor de celulas germinales mixtos 15%• Teratoma 1%• Seminoma Espermatocitico 1%• Tumor de saco vitelino 2%
TUMORES TESTICULARES
![Page 57: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/57.jpg)
• TUMORES DE CORDONES SEXUALES Y DEL ESTROMA – 5%• Tumores de células de Leydig – 60%• Tumores de células de Sertoli
• METASTASIS– 5%
![Page 58: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/58.jpg)
TUMORES DE LOS TESTICULOS, EPIDIDIMO Y ESTRUCTURAS RELACIONADAS
![Page 59: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/59.jpg)
SEMINOMA
![Page 60: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/60.jpg)
SEMINOMA
![Page 61: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/61.jpg)
SEMINOMA
![Page 62: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/62.jpg)
SEMINOMA
![Page 63: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/63.jpg)
CARCINOMA EMBRIONARIO
![Page 64: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/64.jpg)
CARCINOMA EMBRIONARIO
![Page 65: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/65.jpg)
![Page 66: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/66.jpg)
TUMOR DE SACO VITERINO
![Page 67: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/67.jpg)
CORIOCARCINOMA
![Page 68: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/68.jpg)
CORIOCARCINOMA: Citotrofoblasto – punta de flecha. Sin citio trofoblasto – flecha.
![Page 69: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/69.jpg)
TERATOMA
![Page 70: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/70.jpg)
TERATOMA
![Page 71: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/71.jpg)
TERATOMA
![Page 72: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/72.jpg)
TUMOR DE SACO VITELINO: Estructuras glomeruloides (cuerpos de Schiller-Duval)
![Page 73: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/73.jpg)
TUMOR DE CELULAS DE LEYDIG: Cristales citoplasmaticos de Reinke - flecha
![Page 74: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/74.jpg)
TUMOR DE CELULA DE SERTOLI
![Page 75: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/75.jpg)
PROSTATA
Inflamaciones: Prostatitis bacteriana aguda Prostatitis bacteriana crónica Prostatitis abacteriana crónica Prostatitis granulomatosa
![Page 76: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/76.jpg)
HIPERPLASIA NODULAR
Se observa en el 90% de los hombres a los 70 años.
Los nódulos están formados por mezclas variables de estroma fibromuscular y de glándulas en proliferación. Las glándulas están revestidas por dos capas de celulas, basal cuboide y secretoras columnares.
![Page 77: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/77.jpg)
MANIFESTACIONES CLINICAS
Polaquiuria, nicturia, retención urinaria aguda, éxtasis urinaria crónica.
La obstrucción crónica produce: hipertrofia de la vejiga urinaria, divertículos vesicales e hidronefrosis.
![Page 78: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/78.jpg)
ADENOCARCINOMA DE PROSTATA
La etiología es desconocida. La mayor parte se origina en la zona
periférica de la próstata, especialmente en la región posterior, lo que facilita la palpación rectal.
La neoplasia intraepitelial prostatica (PIN) de alto grado de atipia celular es precursora de los carcinomas mas invasivos.
![Page 79: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/79.jpg)
El sistema de Gleason clasifica los canceres de próstata en cinco tipos según los patrones glandulares. Para el estadiaje se usa la clasificación de TNM.
El hallazgo de metastasis óseas ostegrasticas hace el diagnostico de cáncer de próstata. Para confirmar el diagnóstico debe hacerse una biopsia transrectal. El antígeno prostático específico se utiliza en el diagnostico y tratamiento del cáncer de próstata
![Page 80: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/80.jpg)
PROSTATA NORMAL
![Page 81: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/81.jpg)
HIPERPLASIA NODULAR DE PROSTATA
![Page 82: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/82.jpg)
ADENOCARCINOMA DE PROSTATA
![Page 83: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/83.jpg)
![Page 84: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/84.jpg)
![Page 85: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/85.jpg)
![Page 86: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/86.jpg)
![Page 87: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/87.jpg)
![Page 88: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/88.jpg)
HNBP
![Page 89: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/89.jpg)
HNBP
![Page 90: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/90.jpg)
PIN ALTO GRADO
![Page 91: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/91.jpg)
GLEASON GRADO 1
![Page 92: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/92.jpg)
GLEASON GRADO 3
![Page 93: Vias Urinarias Bajas, Pene, Prosta](https://reader034.vdocuments.pub/reader034/viewer/2022052206/559c8fd81a28ab575b8b4582/html5/thumbnails/93.jpg)
GLEASON GRADO 5