{"id":1993,"date":"2017-07-31T20:04:59","date_gmt":"2017-07-31T20:04:59","guid":{"rendered":"http:\/\/cytologystuff1.wpengine.com\/non-gyn-atlas\/effusions-metastatic-lung-cancer\/"},"modified":"2017-11-17T06:06:07","modified_gmt":"2017-11-17T06:06:07","slug":"effusions-metastatic-lung-cancer","status":"publish","type":"page","link":"https:\/\/cytologystuff.com\/fr\/non-gyn-atlas\/effusions-metastatic-lung-cancer\/","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

\u00c9PANCHEMENTS \u2013 CANCER M\u00c9TASTATIQUE DU POUMON <\/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 80<\/strong>
\n
\u00c9panchement pleural:
\nAd\u00e9nocarcinome, origine pulmonaire.
\n20x <\/div>\n<\/div>\n
\n \tFigure 80
\n \t<\/strong>
\n\u00c9panchement pleural:
\nAd\u00e9nocarcinome, origine pulmonaire.
\n20x <\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 81<\/strong>
\n
\u00c9panchement pleural:
\nAd\u00e9nocarcinome, origine pulmonaire.
\n20x <\/div>\n<\/div>\n
\n \t\tFigure 81
\n \t\t<\/strong> \t\t\u00c9panchement pleural:
\nAd\u00e9nocarcinome, origine pulmonaire.
\n20x\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 82<\/strong>
\n\u00c9panchement pleural:
\nAd\u00e9nocarcinome, origine pulmonaire.
\n60x<\/div>\n<\/div>\n
\nFigure 82
\n<\/strong>
\n\u00c9panchement pleural:
\nAd\u00e9nocarcinome, origine pulmonaire.
\n60x\n<\/div>\n
<\/div>\n

Figures 80 \u00e0 82: \u00c9panchement pleural: Ad\u00e9nocarcinome, origine pulmonaire. <\/strong>
\nMicrophotographies illustrant un ad\u00e9nocarcinome (souvent facile \u00e0 distinguer du m\u00e9soth\u00e9liome). Le recours \u00e0 une technologie sophistiqu\u00e9e (microscope \u00e9lectronique, immunohistochimie, etc.) peut parfois faciliter la d\u00e9finition du site primitif. Les ant\u00e9c\u00e9dents de tumeur maligne du patient sont essentiels pour identifier les m\u00e9tastases.<\/p>\n

\n
\n\t\"Image<\/a><\/p>\n
\nFigure 83<\/strong>
\n
\u00c9panchement pleural:
\nAd\u00e9nocarcinome mod\u00e9r\u00e9ment indiff\u00e9renci\u00e9, origine pulmonaire.
\n20x <\/div>\n<\/div>\n
\n \tFigure 83
\n \t<\/strong>
\n\u00c9panchement pleural:
\nAd\u00e9nocarcinome mod\u00e9r\u00e9ment indiff\u00e9renci\u00e9, origine pulmonaire.
\n20x <\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 84<\/strong>
\n
\u00c9panchement pleural:
\nAd\u00e9nocarcinome mod\u00e9r\u00e9ment indiff\u00e9renci\u00e9, origine pulmonaire.
\n60x <\/div>\n<\/div>\n
\n \t\tFigure 84
\n \t\t<\/strong>
\n\u00c9panchement pleural:
\nAd\u00e9nocarcinome mod\u00e9r\u00e9ment indiff\u00e9renci\u00e9, origine pulmonaire.
\n60x\n<\/div>\n
<\/div>\n

Figures 83 et 84: \u00c9panchement pleural, ad\u00e9nocarcinome mod\u00e9r\u00e9ment indiff\u00e9renci\u00e9, origine pulmonaire.<\/strong><\/p>\n

Noter la disposition glandulaire papillaire des cellules tumorales, les nucl\u00e9oles pro\u00e9minents, la vacuolisation et les figures de mitose. Dans certains cas, il est impossible de les distinguer d’autres sources d’ad\u00e9nocarcinome.<\/p>\n

\n
\n\t\"Image<\/a><\/p>\n
\nFigure 85<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al:
\nAd\u00e9nocarcinome, origine pulmonaire.
\n20x<\/div>\n<\/div>\n
\n \t\tFigure 85
\n \t\t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nAd\u00e9nocarcinome, origine pulmonaire.
\n20x\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 86<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al:
\nAd\u00e9nocarcinome, origine pulmonaire.
\n60x<\/div>\n<\/div>\n
\n \t\tFigure 86
\n \t\t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nAd\u00e9nocarcinome, origine pulmonaire.
\n60x\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 87<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al:
\nAd\u00e9nocarcinome, origine pulmonaire.
\n60x <\/div>\n<\/div>\n
\n \t\tFigure 87
\n \t\t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nAd\u00e9nocarcinome, origine pulmonaire.
\n60x\n<\/div>\n
<\/div>\n

Figures 85 \u00e0 87: \u00c9panchement p\u00e9riton\u00e9al: Ad\u00e9nocarcinome, origine pulmonaire. <\/strong>
\nGroupes de cellules pr\u00e9sentant les caract\u00e9ristiques classiques d’un ad\u00e9nocarcinome. On a finalement d\u00e9termin\u00e9 que ces cellules provenaient d’un cancer broncho-pulmonaire.<\/p>\n

Dans de rares cas, le carcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules est une cause d’\u00e9panchement pleural malin. Les cellules tumorales petites et noires doivent \u00eatre diff\u00e9renci\u00e9es des cellules lympho\u00efdes. Parmi les caract\u00e9ristiques de ce carcinome, on trouve le moulage nucl\u00e9aire et la n\u00e9crose de cellules individuelles. La coloration immunohistochimique des cytoblocs peut s’av\u00e9rer n\u00e9cessaire pour confirmer le diagnostic.<\/p>\n

\n
\n\t\"Image<\/a><\/p>\n
\nFigure 88<\/strong>
\n
\u00c9panchement pleural:
\nCarcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules, origine pulmonaire. Noter les petits groupes de cellules m\u00e9soth\u00e9liales b\u00e9nignes et les trois cellules plus grandes du carcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules sur le bord d’un des groupes.
\n60x <\/div>\n<\/div>\n
\n \tFigure 88
\n \t<\/strong>
\n\u00c9panchement pleural:
\nCarcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules, origine pulmonaire. Noter les petits groupes de cellules m\u00e9soth\u00e9liales b\u00e9nignes et les trois cellules plus grandes du carcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules sur le bord d’un des groupes.
\n60x <\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 89<\/strong>
\n
\u00c9panchement pleural:
\nCarcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules, origine pulmonaire. Noyaux avec petits nucl\u00e9oles, chromatine souvent “poivre et sel”, cytoplasme peu abondant.
\n60x <\/div>\n<\/div>\n
\n \t\tFigure 89
\n \t\t<\/strong>
\n\u00c9panchement pleural:
\nCarcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules, origine pulmonaire. Noyaux avec petits nucl\u00e9oles, chromatine souvent “poivre et sel”, cytoplasme peu abondant.
\n60x\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 90<\/strong>
\n
\u00c9panchement pleural:
\nCarcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules, origine pulmonaire. Les cellules du carcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules manquent de coh\u00e9rence et peuvent \u00eatre isol\u00e9es. Noter le fond n\u00e9crotique.
\n60x <\/div>\n<\/div>\n
\n \tFigure 90
\n \t<\/strong>
\n\u00c9panchement pleural:
\nCarcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules, origine pulmonaire. Les cellules du carcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules manquent de coh\u00e9rence et peuvent \u00eatre isol\u00e9es. Noter le fond n\u00e9crotique.
\n60x <\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 91<\/strong>
\n
\u00c9panchement pleural:
\nCarcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules, origine pulmonaire.
\n20x <\/div>\n<\/div>\n
\n \t\tFigure 91
\n \t\t<\/strong>
\n\u00c9panchement pleural:
\nCarcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules, origine pulmonaire.
\n20x\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 92<\/strong>
\n
\u00c9panchement pleural:
\nCarcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules, origine pulmonaire.
\n40x<\/div>\n<\/div>\n
\n \t\tFigure 92
\n \t\t<\/strong>
\n\u00c9panchement pleural:
\nCarcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules, origine pulmonaire.
\n40x\n<\/div>\n<\/div>\n
<\/div>\n

Figures 91 et 92: \u00c9panchement pleural:Carcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules, origine pulmonaire.<\/strong>
\nPetites cellules fonc\u00e9es du carcinome indiff\u00e9renci\u00e9 \u00e0 petites cellules sous forme isol\u00e9e et dans de petits groupes. Noter le moulage nucl\u00e9aire. <\/p>\n

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

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

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[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 \u2013 CANCER M\u00c9TASTATIQUE DU POUMON Rappel : Vous pouvez cliquer sur une image de l’Atlas pour la voir dans un format plus grand. Figure 80 \u00c9panchement pleural: Ad\u00e9nocarcinome, origine pulmonaire. 20x Figure 80 \u00c9panchement<\/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-1993","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cytologystuff.com\/fr\/wp-json\/wp\/v2\/pages\/1993","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=1993"}],"version-history":[{"count":0,"href":"https:\/\/cytologystuff.com\/fr\/wp-json\/wp\/v2\/pages\/1993\/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=1993"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}