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Anatomie pathologique spéciale > 6.4 Gynéco > Flashcards

6.4 Gynéco Flashcards

1
Q

léiomyomes syn

A

fibrome, fibromyome

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2
Q

clinique léiomyome

A

3/4 femme de + de 40 ans, hormono-dépendant donc variation en fonction grossesse, ménopause

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3
Q

macroscopie léiomyome

A

ferme, bien délimité, non-encapsulé, taille variable, unique/multiple, blanc-gris, localisation sous-séreuse, sous-muqueuse, intra-murale

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4
Q

microscopie léiomyome

A

cellules fusiformes, nécrose, hémorragie, atypie

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5
Q

DD léiomyome

A

Leiomyosarcome (rare)

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6
Q

taille OVAIRE - HISTOLOGIE

A

3 à 5cm de grand axe

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7
Q

OVAIRE - HISTOLOGIE

Epithelium de surface

A

simple, pseudo-stratifié, cubique, cylindrique

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8
Q

OVAIRE - HISTOLOGIE

cortex

A

stroma fibreux, collagène

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9
Q

OVAIRE - HISTOLOGIE

médullaire

A

cellules lutéinisées (lipides) stéroïdes

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10
Q

OVAIRE - HISTOLOGIE

hile

A

cellules de Leydig (testostérone

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11
Q

voir dia 22

A

ok

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12
Q

folliculogenèse stade de maturation folliculaire

A

follicule primordial
follicule secondaire
follicule de Graaf

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13
Q

follicule primordial

A

(400.000)

1 ovocyte + granulosa

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14
Q

Post-ovulation folliculogenèse

A

corps jaune, +/- 2cm, kyste hémorragique =) résorption en corps blanc

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15
Q

Résorption folliculogenèse

A

corps blanc

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16
Q

follicule secondaire

A

Prolifération de la granulosa

Augmentation de la taille de l’ovocyte

17
Q

follicule de Graaf 400

A

cellule de la granulosa migrent, liquide+cavité

cellules stromales thèques int +ext

18
Q

dia 25

A

ok

19
Q

DD des kystes ovariens

A 
Kystes fonctionnels
Kystes inclusions
Kystes séreux/mucineux
Kystes endométrioïdes
Kystes folliculaires et du corps jaune
Kystes dermoïdes
20
Q

kystes fonctionnels

A

kystes folliculaires

21
Q

clinique kystes fonctionnels

A

asymptomatiques, pfs trouble du cycle

22
Q

macroscopie kystes fonctionnels

A

2 à 10 cm

liquide clair, paroi fine, unique/multiple

23
Q

microscopie kystes fonctionnels

A

granulosa + thèque interne + pfs synthèse d’ oestrogènes hyperplasie endomètre

24
Q

Kyste lutéaux, du corps jaune

A

complications : hémorragie hémopéritoine

Anatomie pathologique spéciale (33 decks)

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