{"id":10550,"date":"2009-08-02T15:25:43","date_gmt":"2009-08-02T15:25:43","guid":{"rendered":"http:\/\/antonini.med.br\/citologia\/?p=10550"},"modified":"2022-02-15T03:28:41","modified_gmt":"2022-02-15T03:28:41","slug":"reacoes-de-superficie-casos-ilustrativos","status":"publish","type":"post","link":"https:\/\/antonini.psc.br\/?p=10550","title":{"rendered":"Rea\u00e7\u00f5es de superf\u00edcie &#8211; casos ilustrativos"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong><!--more--><\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>Rea\u00e7\u00e3o por DIU<\/strong><\/p>\n<p style=\"text-align: justify;\">Algumas  mulheres que usam um DIU mostram altera\u00e7\u00f5es reativas acentuadas tanto,  degenerativas como regenerativas nas c\u00e9lulas metapl\u00e1sicas e colunares  endocervicais. Em alguns casos estas altera\u00e7\u00f5es podem ser t\u00e3o acentuadas  que a apar\u00eancia causa suspeita de discariose, mas elas regridem quando o  DIU \u00e9 removido. Rea\u00e7\u00f5es endometriais tamb\u00e9m ocorrem porque o DIU atua  como um corpo estranho, causando uma endometrite de grau leve. C\u00e9lulas  endometriais podem esfoliar durante todo o ciclo e quando altera\u00e7\u00f5es  reativas severas est\u00e3o presentes, e as apar\u00eancias podem causar suspeita  de hiperplasia endometrial ou mesmo neoplasia. A rea\u00e7\u00e3o pode ser t\u00e3o  acentuada que se formam corpos psamomatosos que esfoliam no esfrega\u00e7o  (Highman, 1971).<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2009\/08\/084_JPG.jpg\" alt=\"\" width=\"612\" height=\"368\" class=\"aligncenter size-full wp-image-29687\" \/<\/p srcset=\"https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/084_JPG.jpg 612w, https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/084_JPG-300x180.jpg 300w, https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/084_JPG-500x300.jpg 500w\" sizes=\"auto, (max-width: 612px) 100vw, 612px\" \/><\/p>\n<p style=\"text-align: justify;\">84. <strong>Rea\u00e7\u00e3o do DIU: c\u00e9lulas metapl\u00e1sicas. <\/strong>Este campo mostra uma hiperplasia acentuada de c\u00e9lulas metapl\u00e1sicas com alguma degenera\u00e7\u00e3o nuclear. (X 160)<\/p>\n<p style=\"text-align: center;\"><<img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2009\/08\/085_JPG.jpg\" alt=\"\" width=\"617\" height=\"368\" class=\"aligncenter size-full wp-image-29690\" srcset=\"https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/085_JPG.jpg 617w, https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/085_JPG-300x179.jpg 300w, https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/085_JPG-500x298.jpg 500w\" sizes=\"auto, (max-width: 617px) 100vw, 617px\" \/>\/><\/p>\n<p style=\"text-align: justify;\">85. <strong>Rea\u00e7\u00e3o ao DIU: c\u00e9lulas colunares endocervicais. <\/strong>Em  outro lugar no mesmo esfrega\u00e7o, c\u00e9lulas colunares endocervicais  reativas forma encontradas, junto com c\u00e9lulas multinucleadas. \u00c9 poss\u00edvel  que o trauma constante e leve ocasionado pelo DIU seja a causa destas  altera\u00e7\u00f5es. Neste caso o esfrega\u00e7o torna-se negativo tr\u00eas meses ap\u00f3s a  remo\u00e7\u00e3o do DIU.<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2009\/08\/086_JPG.jpg\" alt=\"\" width=\"613\" height=\"372\" class=\"aligncenter size-full wp-image-29692\" srcset=\"https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/086_JPG.jpg 613w, https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/086_JPG-300x182.jpg 300w, https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/086_JPG-494x300.jpg 494w\" sizes=\"auto, (max-width: 613px) 100vw, 613px\" \/><\/p>\n<p style=\"text-align: justify;\">86. <strong>Rea\u00e7\u00e3o ao DIU: c\u00e9lulas endometriais.<\/strong> C\u00e9lulas endometriais isoladas e at\u00edpicas s\u00e3o vistas neste campo. Notar a  irregularidade da membrana nuclear e nucl\u00e9olos proeminentes. Estas  altera\u00e7\u00f5es causaram suspeita de uma les\u00e3o endometrial e dilata\u00e7\u00e3o do  canal e a curetagem foi considerada necess\u00e1ria. (X 250)<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2009\/08\/087_JPG.jpg\" alt=\"\" width=\"618\" height=\"374\" class=\"aligncenter size-full wp-image-29693\" srcset=\"https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/087_JPG.jpg 618w, https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/087_JPG-300x182.jpg 300w, https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/087_JPG-496x300.jpg 496w\" sizes=\"auto, (max-width: 618px) 100vw, 618px\" \/><\/p>\n<p style=\"text-align: justify;\">87. <strong>Endom\u00e9trio curetado do mesmo caso (86)<\/strong>.  No mesmo aumento a superf\u00edcie do endom\u00e9trio mostra hiperplasia reativa  com c\u00e9lulas do tipo visto no esfrega\u00e7o. Esta era a \u00fanica anormalidade  encontrada e foi referida como causada pelo DIU. (H &amp; E, x 250)<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2009\/08\/088_JPG.jpg\" alt=\"\" width=\"615\" height=\"343\" class=\"aligncenter size-full wp-image-29694\" srcset=\"https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/088_JPG.jpg 615w, https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/088_JPG-300x167.jpg 300w, https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/088_JPG-500x279.jpg 500w\" sizes=\"auto, (max-width: 615px) 100vw, 615px\" \/><\/p>\n<p style=\"text-align: justify;\">88. <strong>Rea\u00e7\u00e3o ao DIU: corpos psamomatosos.<\/strong> Neste campo v\u00e1rios corpos psamomatosos formam um fragmento de tecido.  As c\u00e9lulas pertencentes ao fragmento s\u00e3o, por outro lado, regulares e  parecem benignas. (X 160)<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2009\/08\/089_JPG.jpg\" alt=\"\" width=\"616\" height=\"345\" class=\"aligncenter size-full wp-image-29695\" srcset=\"https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/089_JPG.jpg 616w, https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/089_JPG-300x168.jpg 300w, https:\/\/antonini.psc.br\/wp-content\/uploads\/2009\/08\/089_JPG-500x280.jpg 500w\" sizes=\"auto, (max-width: 616px) 100vw, 616px\" \/><\/p>\n<p style=\"text-align: justify;\">89. <strong>Rea\u00e7\u00e3o ao DIU: corpos psamomatosos.<\/strong> Em aumento maior, um \u00fanico corpo psamomatoso \u00e9 visto em outro campo do  mesmo esfrega\u00e7o. Investiga\u00e7\u00f5es adicionais mostraram que a paciente era  negativa para carcinoma endometrial ou ovariano. (X 400)<\/p>\n<p style=\"text-align: center;\">[<a href=\"javascript:history.go(-1)\">Voltar<\/a>]<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[81],"tags":[],"class_list":["post-10550","post","type-post","status-publish","format-standard","hentry","category-citologia"],"_links":{"self":[{"href":"https:\/\/antonini.psc.br\/index.php?rest_route=\/wp\/v2\/posts\/10550","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/antonini.psc.br\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/antonini.psc.br\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/antonini.psc.br\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/antonini.psc.br\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10550"}],"version-history":[{"count":5,"href":"https:\/\/antonini.psc.br\/index.php?rest_route=\/wp\/v2\/posts\/10550\/revisions"}],"predecessor-version":[{"id":29696,"href":"https:\/\/antonini.psc.br\/index.php?rest_route=\/wp\/v2\/posts\/10550\/revisions\/29696"}],"wp:attachment":[{"href":"https:\/\/antonini.psc.br\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10550"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/antonini.psc.br\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=10550"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/antonini.psc.br\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=10550"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}