{"id":1971,"date":"2017-07-31T19:32:51","date_gmt":"2017-07-31T19:32:51","guid":{"rendered":"http:\/\/cytologystuff1.wpengine.com\/non-gyn-atlas\/effusions-mesothelioma\/"},"modified":"2017-11-16T12:14:41","modified_gmt":"2017-11-16T12:14:41","slug":"effusions-mesothelioma","status":"publish","type":"page","link":"https:\/\/cytologystuff.com\/fr\/non-gyn-atlas\/effusions-mesothelioma\/","title":{"rendered":"Cytologie des effusions de la cavit\u00e9 pleurale, p\u00e9ricardique et p\u00e9riton\u00e9ale"},"content":{"rendered":"

[vc_row 0=””][vc_column 0=”” offset=”vc_hidden-lg vc_hidden-md”][vc_raw_html 0=””]PGNlbnRlcj48YSBjbGFzcz0ic2hpZnRuYXYtdG9nZ2xlIHNoaWZ0bmF2LXRvZ2dsZS1idXR0b24iIGRhdGEtc2hpZnRuYXYtdGFyZ2V0PSJzaGlmdG5hdi1tYWluIj48aSBjbGFzcz0iZmEgZmEtYmFycyI+PC9pPiBUYWJsZSBvZiBDb250ZW50cyA8L2E+PC9jZW50ZXI+[\/vc_raw_html][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=”Cytologie des effusions de la cavit\u00e9 pleurale, p\u00e9ricardique et p\u00e9riton\u00e9ale” font_container=”tag:h1|text_align:center” use_theme_fonts=”yes”][\/vc_column][\/vc_row][vc_row el_id=”acknowledgements”][vc_column width=”2\/3″][vc_column_text]<\/p>\n

\n

<\/a><\/p>\n

\u00c9PANCHEMENTS – M\u00c9SOTH\u00c9LIOME <\/p>\n

<\/a><\/p>\n

\nRappel : Vous pouvez cliquer sur une image
\nde l’Atlas pour la voir dans un format plus grand.<\/strong><\/p>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 22<\/strong>
\n
\n\u00c9panchement pleural
\nM\u00e9soth\u00e9liome.
\n10X <\/div>\n<\/div>\n
\n \tFigure 22
\n \t<\/strong>\u00c9panchement pleural
\nM\u00e9soth\u00e9liome.
\n10X <\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 23<\/strong>
\n
\n\u00c9panchement pleural
\nM\u00e9soth\u00e9liome.
\n20X <\/div>\n<\/div>\n
\n \t\tFigure 23
\n \t\t<\/strong>\u00c9panchement pleural
\nM\u00e9soth\u00e9liome.
\n20X <\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 24<\/strong>
\n\u00c9panchement pleural
\nM\u00e9soth\u00e9liome.
\n40X <\/div>\n<\/div>\n
\nFigure 24
\n<\/strong>
\n\u00c9panchement pleural
\nM\u00e9soth\u00e9liome.
\n40X <\/div>\n
<\/div>\n

Figures 22 \u00e0 24 :<\/strong>
\nMasses en “boulet de canon” de cellules tumorales observ\u00e9es \u00e0 divers grossissements. Le diagnostic de m\u00e9soth\u00e9liome ne repose pas sur l’identification d’une seconde population cellulaire maligne. La d\u00e9termination finale peut n\u00e9cessiter une immunocytochimie ou un cytobloc avec immunocytochimie, un microscope \u00e9lectronique ou d’autres techniques sp\u00e9cialis\u00e9es.<\/p>\n

\n
\n\t\"Image<\/a><\/p>\n
\nFigure 25<\/strong>
\n
\u00c9panchement pleural
\nM\u00e9soth\u00e9liome.
\n60X<\/div>\n<\/div>\n
\n \tFigure 25
\n \t<\/strong>
\n \u00c9panchement pleural
\nM\u00e9soth\u00e9liome.
\n60X <\/div>\n
<\/div>\n

Cellules m\u00e9soth\u00e9liales malignes individuelles avec cytoplasme ondul\u00e9 moins dense (ectoplasme) entourant le cytoplasme dense situ\u00e9 autour du noyau (endoplasme). <\/p>\n

\n
\n\t\"Image<\/a><\/p>\n
\nFigure 26<\/strong>
\n
\u00c9panchement pleural

\nM\u00e9soth\u00e9liome.
\n20X <\/div>\n<\/div>\n
\n \t\tFigure 26
\n \t\t<\/strong>\u00c9panchement pleural

\nM\u00e9soth\u00e9liome.
\n20X <\/div>\n
<\/div>\n

Cellules tumorales dans un fond de sang et de d\u00e9bris prot\u00e9iques. Les groupes de plus de 12 cellules peuvent indiquer une tumeur maligne.<\/p>\n

\n
\n\t\"Image<\/a><\/p>\n
\nFigure 27<\/strong>
\n
\u00c9panchement pleural

\nM\u00e9soth\u00e9liome.
\n60X <\/div>\n<\/div>\n
\n \tFigure 27
\n \t<\/strong>\u00c9panchement pleural

\nM\u00e9soth\u00e9liome.
\n60X <\/div>\n
<\/div>\n

\u00c0 plus fort grossissement, le rapport N\/C \u00e9lev\u00e9, la taille nucl\u00e9aire variable et la multinucl\u00e9ation occasionnelle confirment la nature de ces cellules. Parmi les diagnostics diff\u00e9rentiels, on trouve l’ad\u00e9nocarcinome et le m\u00e9soth\u00e9liome. La pr\u00e9sence de caract\u00e9ristiques microscopiques fines (membranes cellulaires p\u00e9riph\u00e9riques et fen\u00eatres intercellulaires) peut sugg\u00e9rer un m\u00e9soth\u00e9liome. <\/p>\n

\n
\n\t\"Image<\/a><\/p>\n
\nFigure 28<\/strong>
\n
\u00c9panchement pleural
\nM\u00e9soth\u00e9liome.
\n60X <\/div>\n<\/div>\n
\n \t\tFigure 28
\n \t\t<\/strong>
\n\u00c9panchement pleural
\nM\u00e9soth\u00e9liome.
\n60X <\/div>\n<\/div>\n
<\/div>\n

Des figures anormales de mitose peuvent \u00eatre observ\u00e9es avec le m\u00e9soth\u00e9liome, d’autres tumeurs malignes, ainsi que des cellules m\u00e9soth\u00e9liales r\u00e9actionnelles occasionnelles dans les \u00e9panchements. <\/p>\n

Retour au d\u00e9but<\/a><\/p>\n

Retour \u00e0 la table des mati\u00e8res<\/a><\/p>\n<\/div>\n

[\/vc_column_text][vc_column_text el_class=”back-to-top”]Back to Top<\/a><\/strong>[\/vc_column_text][\/vc_column][vc_column width=”1\/3″ offset=”vc_hidden-sm vc_hidden-xs”][vc_widget_sidebar sidebar_id=”consulting-right-sidebar”][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"

[vc_row 0=””][vc_column 0=”” offset=”vc_hidden-lg vc_hidden-md”][vc_raw_html 0=””]PGNlbnRlcj48YSBjbGFzcz0ic2hpZnRuYXYtdG9nZ2xlIHNoaWZ0bmF2LXRvZ2dsZS1idXR0b24iIGRhdGEtc2hpZnRuYXYtdGFyZ2V0PSJzaGlmdG5hdi1tYWluIj48aSBjbGFzcz0iZmEgZmEtYmFycyI+PC9pPiBUYWJsZSBvZiBDb250ZW50cyA8L2E+PC9jZW50ZXI+[\/vc_raw_html][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=”Cytologie des effusions de la cavit\u00e9 pleurale, p\u00e9ricardique et p\u00e9riton\u00e9ale” font_container=”tag:h1|text_align:center” use_theme_fonts=”yes”][\/vc_column][\/vc_row][vc_row el_id=”acknowledgements”][vc_column width=”2\/3″][vc_column_text] \u00c9PANCHEMENTS – M\u00c9SOTH\u00c9LIOME Rappel : Vous pouvez cliquer sur une image de l’Atlas pour la voir dans un format plus grand. Figure 22 \u00c9panchement pleural M\u00e9soth\u00e9liome. 10X Figure 22 \u00c9panchement pleural M\u00e9soth\u00e9liome. 10X Figure 23<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":1949,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-1971","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cytologystuff.com\/fr\/wp-json\/wp\/v2\/pages\/1971","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cytologystuff.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cytologystuff.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cytologystuff.com\/fr\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/cytologystuff.com\/fr\/wp-json\/wp\/v2\/comments?post=1971"}],"version-history":[{"count":0,"href":"https:\/\/cytologystuff.com\/fr\/wp-json\/wp\/v2\/pages\/1971\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/cytologystuff.com\/fr\/wp-json\/wp\/v2\/pages\/1949"}],"wp:attachment":[{"href":"https:\/\/cytologystuff.com\/fr\/wp-json\/wp\/v2\/media?parent=1971"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}