{"id":2554,"date":"2009-04-22T16:22:48","date_gmt":"2009-04-22T19:22:48","guid":{"rendered":"http:\/\/antonini.med.br\/blog\/?p=2554"},"modified":"2022-08-25T23:17:17","modified_gmt":"2022-08-25T23:17:17","slug":"caso-6-nic-iii-com-secrecao-de-muco-cortesia-dr-c-m-stanbridge-e-dr-c-h-buckey","status":"publish","type":"post","link":"https:\/\/antonini.psc.br\/?p=2554","title":{"rendered":"Caso 6: NIC III com secre\u00e7\u00e3o de muco (cortesia: Dr. C. M. Stanbridge e Dr. C. H. Buckey)"},"content":{"rendered":"<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large\" src=\"\/img\/426_JPG.jpg?w=560\" height=\"366\" width=\"560\"\/><\/p>\n<p style=\"text-align: justify;\">426 <strong>C\u00e9lulas discari\u00f3ticas indiferenciadas. <\/strong>Este \u00e9 um outro exemplo de paciente que apresentou densos fragmentos constitu\u00eddos de c\u00e9lulas discari\u00f3ticas indiferenciadas com n\u00facleos hipercrom\u00e1ticos. (x 80)<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large\" src=\"\/img\/427_JPG.jpg?w=560\" height=\"366\" width=\"560\"\/><\/p>\n<p style=\"text-align: justify;\">427 <strong>Discariose severa. <\/strong>Em outro lugar no esfrega\u00e7o, as c\u00e9lulas s\u00e3o vistas em grupos frouxos permitindo fechar o estudo da morfologia. Os n\u00facleos s\u00e3o hipercrom\u00e1ticos com um padr\u00e3o de cromatina granular. Em algumas c\u00e9lulas, as bordas citoplasm\u00e1ticas est\u00e3o bem definidas, sugerindo diferencia\u00e7\u00e3o escamosa, enquanto em outras o citoplasma \u00e9 floculado e h\u00e1 uma sugest\u00e3o de forma\u00e7\u00e3o acinar. (x 160)<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large\" src=\"\/img\/428_JPG.jpg?w=560\" height=\"366\" width=\"560\"\/><\/p>\n<p style=\"text-align: justify;\">428 <strong>N\u00facleos desnudos. <\/strong>Este campo cont\u00e9m n\u00facleos desnudos, p\u00e1lidos e grandes. O padr\u00e3o de cromatina nuclear \u00e9 ainda granular, mas nucl\u00e9olos proeminentes est\u00e3o presentes. (x 160)<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large\" src=\"\/img\/429_JPG.jpg?w=560\" height=\"366\" width=\"560\"\/><\/p>\n<p style=\"text-align: justify;\">429 <strong>N\u00facleos desnudos. <\/strong>Em aumento maior, pode-se ver que os nucl\u00e9olos s\u00e3o vermelhos. As caracter\u00edsticas histol\u00f3gicas ilustradas sugerem um componente escamoso e um glandular da les\u00e3o e a possibilidade de um ou ambos destes serem invasivos, pode n\u00e3o estar exclu\u00edda, (x 400)<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large\" src=\"\/img\/430_JPG.jpg?w=560\" height=\"366\" width=\"560\"\/><\/p>\n<p style=\"text-align: justify;\">430 <strong>NIC III: cone bi\u00f3psia. <\/strong>O exame dos cortes convencionais do cone bi\u00f3psia mostrou NIC III com algum envolvimento glandular, mas o epit\u00e9lio colunar endocervical revestindo as criptas estava normal. (H &amp; E, x 16)<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large\" src=\"\/img\/431_JPG.jpg?w=560\" height=\"366\" width=\"560\"\/><\/p>\n<p style=\"text-align: justify;\">431 <strong>NIC III: cone bi\u00f3psia. <\/strong>Este campo mostra parte do corte em aumento maior. Notar as c\u00e9lulas celulares que ainda est\u00e3o presentes na superf\u00edcie da NIC III. (H &amp; E, x 80)<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large\" src=\"\/img\/432_JPG.jpg?w=560\" height=\"366\" width=\"560\"\/><\/p>\n<p style=\"text-align: justify;\">432 <strong>NIC III: cone bi\u00f3psia. <\/strong>Este corte mostra a transi\u00e7\u00e3o entre o epit\u00e9lio colunas normal e NIC III. Al\u00e9m disto, a colora\u00e7\u00e3o \u00e9 positiva para mucina nas c\u00e9lulas colunares; esta tamb\u00e9m \u00e9 vista na superf\u00edcie do NIC e c\u00e9lulas isoladas na profundidade do epit\u00e9lio, mostram colora\u00e7\u00e3o azul ou rosa, (PAS &#8211; Azul de Alcian, x 80)<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large\" src=\"\/img\/433_JPG.jpg?w=560\" height=\"366\" width=\"560\"\/><\/p>\n<p style=\"text-align: justify;\">433 <strong>NIC III (mucina positiva): cone bi\u00f3psia. <\/strong>As c\u00e9lulas isoladas coradas para mucina s\u00e3o vistas mais claramente em aumento maior. Notar a concentra\u00e7\u00e3o na superf\u00edcie laminal. (PAS &#8211; Azul de Alcian, x 160)<\/p>\n<p style=\"text-align: center;\">[<a href=\"javascript:history.go(-1)\">Voltar<\/a>]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>426 C\u00e9lulas discari\u00f3ticas indiferenciadas. Este \u00e9 um outro exemplo de paciente que apresentou densos fragmentos constitu\u00eddos de c\u00e9lulas discari\u00f3ticas indiferenciadas com n\u00facleos hipercrom\u00e1ticos. (x 80) 427 Discariose severa. Em outro lugar no esfrega\u00e7o, as c\u00e9lulas s\u00e3o vistas em grupos frouxos permitindo fechar o estudo da morfologia. Os n\u00facleos s\u00e3o hipercrom\u00e1ticos com um padr\u00e3o de cromatina [&hellip;]<\/p>\n","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-2554","post","type-post","status-publish","format-standard","hentry","category-citologia"],"_links":{"self":[{"href":"https:\/\/antonini.psc.br\/index.php?rest_route=\/wp\/v2\/posts\/2554","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=2554"}],"version-history":[{"count":2,"href":"https:\/\/antonini.psc.br\/index.php?rest_route=\/wp\/v2\/posts\/2554\/revisions"}],"predecessor-version":[{"id":31444,"href":"https:\/\/antonini.psc.br\/index.php?rest_route=\/wp\/v2\/posts\/2554\/revisions\/31444"}],"wp:attachment":[{"href":"https:\/\/antonini.psc.br\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2554"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/antonini.psc.br\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2554"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/antonini.psc.br\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2554"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}