{"id":1982,"date":"2017-07-31T19:53:39","date_gmt":"2017-07-31T19:53:39","guid":{"rendered":"http:\/\/cytologystuff1.wpengine.com\/non-gyn-atlas\/effusions-metastatic-breast-cancer\/"},"modified":"2017-11-17T05:52:25","modified_gmt":"2017-11-17T05:52:25","slug":"effusions-metastatic-breast-cancer","status":"publish","type":"page","link":"https:\/\/dev.cytologystuff.com\/es\/non-gyn-atlas\/effusions-metastatic-breast-cancer\/","title":{"rendered":"Citolog\u00eda de los Derrames de las Cavides Pleural, Peric\u00e1rdica y Peritoneal"},"content":{"rendered":"<p>[vc_row 0=&#8221;&#8221;][vc_column 0=&#8221;&#8221; offset=&#8221;vc_hidden-lg vc_hidden-md&#8221;][vc_raw_html 0=&#8221;&#8221;]PGNlbnRlcj48YSBjbGFzcz0ic2hpZnRuYXYtdG9nZ2xlIHNoaWZ0bmF2LXRvZ2dsZS1idXR0b24iIGRhdGEtc2hpZnRuYXYtdGFyZ2V0PSJzaGlmdG5hdi1tYWluIj48aSBjbGFzcz0iZmEgZmEtYmFycyI+PC9pPiBUYWJsZSBvZiBDb250ZW50cyA8L2E+PC9jZW50ZXI+[\/vc_raw_html][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Citolog\u00eda de los Derrames de las Cavides Pleural, Peric\u00e1rdica y Peritoneal&#8221; font_container=&#8221;tag:h1|text_align:center&#8221; use_theme_fonts=&#8221;yes&#8221;][\/vc_column][\/vc_row][vc_row el_id=&#8221;acknowledgements&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text]<\/p>\n<div id=>\n<p class=\"subhead\">DERRAMES \u2013C\u00c1NCER METAST\u00c1SICO DE MAMA  <\/p>\n<p>Un c\u00e1ncer de mama avanzado metast\u00e1sico al h\u00edgado y la cavidad peritoneal puede inducir un derrame peritoneal. Las c\u00e9lulas cancer\u00edgenas son f\u00e1cilmente distinguibles de las c\u00e9lulas inflamatorias y de las c\u00e9lulas mesoteliales benignas. Como en un derrame pleural, estas c\u00e9lulas tienden a estar presentes tanto en grandes grupos redondeados como en c\u00e9lulas individuales. <\/p>\n<p style=\"padding-left:7px\"><a href=\"javascript:void(0)\"  style=\"width:300px;display:block\"><img loading=\"lazy\" decoding=\"async\" src=\"\/images\/button27h.gif\" id=\"selfAssessImg\" width=\"400\" height=\"40\"><\/a><\/p>\n<div class=\"highslide-gallery\">\n<strong>Nota: Puede clicar en cualquier imagen del<br \/>\nAtlas para ver la imagen aumentada.<\/strong><\/p>\n<div class=\"chartColumnCell\">\n<a href=\"\/gallery\/images_large\/slide0470.jpg\" class=\"highslide\" onclick=\"return hs.expand(this)\" name=\"pap\"><br \/>\n\t<img decoding=\"async\" src=\"\/gallery\/images\/slide0470.jpg\" alt=\"Image 2\" border=\"0\" title=\"Click to enlarge\"><\/a><\/p>\n<div class=\"highslide-caption\">\n<strong>Figura 70<\/strong><br \/>\n<br \/>Derrame peritoneal: Carcinoma metast\u00e1sico de mama. Hay muchos grupos peque\u00f1os y c\u00e9lulas malignas sueltas que contrastan con c\u00e9lulas mesoteliales benignas.  20X<\/div>\n<\/div>\n<div class=\"chartColumnLongCell\">\n        \t<strong>Figura 70<br \/>\n        \t<\/strong><br \/>\nDerrame peritoneal: Carcinoma metast\u00e1sico de mama. Hay muchos grupos peque\u00f1os y c\u00e9lulas malignas sueltas que contrastan con c\u00e9lulas mesoteliales benignas.<br \/>\n20X<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\">\n<a href=\"\/gallery\/images_large\/slide0471.jpg\" class=\"highslide\" onclick=\"return hs.expand(this)\"><br \/>\n\t<img decoding=\"async\" src=\"\/gallery\/images\/slide0471.jpg\" alt=\"Image 3\" border=\"0\" title=\"Click to enlarge\"><\/a><\/p>\n<div class=\"highslide-caption\">\n<strong>Figura 71<\/strong><br \/>\n<br \/>Derrame peritoneal: Carcinoma metast\u00e1sico de mama. Observar las c\u00e9lulas con vacuolas intracitoplasm\u00e1ticas que contienen gotitas de mucina.  40X<\/div>\n<\/div>\n<div class=\"chartColumnLongCell\">\n \t\t<strong>Figura 71<br \/>\n \t\t<\/strong> Derrame peritoneal: Carcinoma metast\u00e1sico de mama. Observar las c\u00e9lulas con vacuolas intracitoplasm\u00e1ticas que contienen gotitas de mucina.<br \/>\n40X\n<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\">\n<a href=\"\/gallery\/images_large\/slide0472.jpg\" class=\"highslide\" onclick=\"return hs.expand(this)\"><br \/>\n\t<img decoding=\"async\" src=\"\/gallery\/images\/slide0472.jpg\" alt=\"Image 3\" border=\"0\" title=\"Click to enlarge\"><\/a><\/p>\n<div class=\"highslide-caption\">\n<strong>Figura 72<\/strong><br \/>\nDerrame peritoneal: Carcinoma metast\u00e1sico de mama. Observar las c\u00e9lulas malignas contrastando con los histiocitos benignos. Observar las grandes vacuolas intracitoplasm\u00e1ticas con las gotas de mucina.60X <\/div>\n<\/div>\n<div class=\"chartColumnLongCell\">\n<strong>Figura 72<br \/>\n<\/strong><br \/>\nDerrame peritoneal:<br \/>\nCarcinoma metast\u00e1sico de mama. Observar las c\u00e9lulas malignas contrastando con los histiocitos benignos. Observar las grandes vacuolas intracitoplasm\u00e1ticas con las gotas de mucina.<br \/>\n60X\n<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\">\n<a href=\"\/gallery\/images_large\/slide0473.jpg\" class=\"highslide\" onclick=\"return hs.expand(this)\" name=\"pap\"><br \/>\n\t<img decoding=\"async\" src=\"\/gallery\/images\/slide0473.jpg\" alt=\"Image 2\" border=\"0\" title=\"Click to enlarge\"><\/a><\/p>\n<div class=\"highslide-caption\">\n<strong>Figura 73<\/strong><br \/>\n<br \/>Derrame pleural: Carcinoma ductal metast\u00e1sico 40X <\/div>\n<\/div>\n<div class=\"chartColumnLongCell\">\n        \t<strong>Figura 73<br \/>\n        \t<\/strong><br \/>\nDerrame pleural:<br \/>\nCarcinoma ductal metast\u00e1sico<br \/>\n40X<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\">\n<a href=\"\/gallery\/images_large\/slide0474.jpg\" class=\"highslide\" onclick=\"return hs.expand(this)\"><br \/>\n\t<img decoding=\"async\" src=\"\/gallery\/images\/slide0474.jpg\" alt=\"Image 3\" border=\"0\" title=\"Click to enlarge\"><\/a><\/p>\n<div class=\"highslide-caption\">\n<strong>Figura 74<\/strong><br \/>\n<br \/>Derrame pleural: Carcinoma ductal metast\u00e1sico 60X <\/div>\n<\/div>\n<div class=\"chartColumnLongCell\">\n \t\t<strong>Figura 74<br \/>\n \t\t<\/strong><br \/>\nDerrame pleural:<br \/>\nCarcinoma ductal metast\u00e1sico<br \/>\n60X\n<\/div>\n<div class=\"newRow\"><\/div>\n<p><strong>Figuras 73-74: Derrame pleural: Carcinoma ductal metast\u00e1sico.<\/strong><br \/>\nUn grupo de c\u00e9lulas de carcinoma ductal metast\u00e1sico muestra grandes n\u00facleos irregulares y nucleolos con un fondo de linfocitos.  <\/p>\n<div class=\"chartColumnCell\">\n<a href=\"\/gallery\/images_large\/slide0475.jpg\" class=\"highslide\" onclick=\"return hs.expand(this)\"><br \/>\n\t<img decoding=\"async\" src=\"\/gallery\/images\/slide0475.jpg\" alt=\"Image 3\" border=\"0\" title=\"Click to enlarge\"><\/a><\/p>\n<div class=\"highslide-caption\">\n<strong>Figura 75<\/strong><br \/>\n<br \/>Derrame pleural: Carcinoma ductal metast\u00e1sico. Observar esta c\u00e9lula suelta expresando gigantismo nuclear.60X <\/div>\n<\/div>\n<div class=\"chartColumnShortCell\">\n \t\t<strong>Figura 75<br \/>\n \t\t<\/strong><br \/>\nDerrame pleural:<br \/>\nCarcinoma ductal metast\u00e1sico. Observar esta c\u00e9lula suelta expresando gigantismo nuclear.<br \/>\n60X\n<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\">\n<a href=\"\/gallery\/images_large\/slide0476.jpg\" class=\"highslide\" onclick=\"return hs.expand(this)\"><br \/>\n\t<img decoding=\"async\" src=\"\/gallery\/images\/slide0476.jpg\" alt=\"Image 3\" border=\"0\" title=\"Click to enlarge\"><\/a><\/p>\n<div class=\"highslide-caption\">\n<strong>Figura 76<\/strong><br \/>\n<br \/>Derrame pleural: Carcinoma metast\u00e1sico de mama. 10X<\/div>\n<\/div>\n<div class=\"chartColumnLongCell\">\n \t\t<strong>Figura 76<br \/>\n \t\t<\/strong><br \/>\nDerrame pleural:<br \/>\nCarcinoma metast\u00e1sico de mama.<br \/>\n10X\n<\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\">\n<a href=\"\/gallery\/images_large\/slide0477.jpg\" class=\"highslide\" onclick=\"return hs.expand(this)\"><br \/>\n\t<img decoding=\"async\" src=\"\/gallery\/images\/slide0477.jpg\" alt=\"Image 3\" border=\"0\" title=\"Click to enlarge\"><\/a><\/p>\n<div class=\"highslide-caption\">\n<strong>Figura 77<\/strong><br \/>\n<br \/>Derrame pleural: Carcinoma metast\u00e1sico de mama.  20X<\/div>\n<\/div>\n<div class=\"chartColumnShortCell\">\n \t\t<strong>Figura 77<br \/>\n \t\t<\/strong><br \/>\nDerrame pleural:<br \/>\nCarcinoma metast\u00e1sico de mama.<br \/>\n20X\n<\/div>\n<div class=\"newRow\"><\/div>\n<p><strong>Figuras 76-77: Derrame pleural: Carcinoma metast\u00e1sico de mama.<\/strong><br \/>\nLa descripci\u00f3n del carcinoma metast\u00e1sico de mama en los derrames pleurales emplea el t\u00e9rmino \u201cbolas de ca\u00f1\u00f3n\u201d para enfatizar el agrupamiento redondeado de las c\u00e9lulas tumorales. Observar el tama\u00f1o nuclear relativamente peque\u00f1o. Los n\u00facleos son vesiculares con nucleolos prominentes. Las vacuolas citoplasm\u00e1ticas no son comunes. Un bloque celular de estas c\u00e9lulas permite un an\u00e1lisis de receptores hormonales u otros marcadores epiteliales como el her-2-neu. <\/p>\n<div class=\"chartColumnCell\">\n<a href=\"\/gallery\/images_large\/slide0478.jpg\" class=\"highslide\" onclick=\"return hs.expand(this)\" name=\"pap\"><br \/>\n\t<img decoding=\"async\" src=\"\/gallery\/images\/slide0478.jpg\" alt=\"Image 2\" border=\"0\" title=\"Click to enlarge\"><\/a><\/p>\n<div class=\"highslide-caption\">\n<strong>Figura 78<\/strong><br \/>\n<br \/>Derrame peritoneal: Carcinoma metast\u00e1sico de mama. Un derrame peritoneal mostrando grupos de grandes c\u00e9lulas tumorales. La naturaleza glandular del tumor es obvia, pero el origen mamario no se determina f\u00e1cilmente. 40X<\/div>\n<\/div>\n<div class=\"chartColumnLongCell\">\n        \t<strong>Figura 78<br \/>\n        \t<\/strong><br \/>\nDerrame peritoneal:<br \/>\nCarcinoma metast\u00e1sico de mama. Un derrame peritoneal mostrando grupos de grandes c\u00e9lulas tumorales. La naturaleza glandular del tumor es obvia, pero el origen mamario no se determina f\u00e1cilmente.<br \/>\n40X <\/div>\n<div class=\"newRow\"><\/div>\n<div class=\"chartColumnCell\">\n<a href=\"\/gallery\/images_large\/slide0479.jpg\" class=\"highslide\" onclick=\"return hs.expand(this)\"><br \/>\n\t<img decoding=\"async\" src=\"\/gallery\/images\/slide0479.jpg\" alt=\"Image 3\" border=\"0\" title=\"Click to enlarge\"><\/a><\/p>\n<div class=\"highslide-caption\">\n<strong>Figura 79<\/strong><br \/>\n<br \/>Derrame pleural: Carcinoma metast\u00e1sico de mama. Observar las 2 poblaciones celulares diferentes: una poblaci\u00f3n benigna m\u00e1s peque\u00f1a de c\u00e9lulas mesoteliales y grandes c\u00e9lulas tumorales. 20X   <\/div>\n<\/div>\n<div class=\"chartColumnLongCell\">\n \t\t<strong>Figura 79<br \/>\n \t\t<\/strong><br \/>\nDerrame pleural:<br \/>\nCarcinoma metast\u00e1sico de mama. Observar las 2 poblaciones celulares diferentes: una poblaci\u00f3n benigna m\u00e1s peque\u00f1a de c\u00e9lulas mesoteliales y grandes c\u00e9lulas tumorales..<br \/>\n20X\n<\/div>\n<\/div>\n<div class=\"newRow\"><\/div>\n<p><a class=\"back\" href=\"#\">Volver arriba<\/a><\/p>\n<p><a href=\"nongyn_atlas.htm\">Volver a la Tabla de Contenidos<\/a><\/p>\n<\/div>\n<p>[\/vc_column_text][vc_column_text css=&#8221;.vc_custom_1500390293825{margin-top: 30px !important;}&#8221; el_class=&#8221;back-to-top&#8221;]<strong><a href=\"#main\">Back to Top<\/a><\/strong>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243; offset=&#8221;vc_hidden-sm vc_hidden-xs&#8221;][vc_widget_sidebar sidebar_id=&#8221;consulting-right-sidebar&#8221;][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row 0=&#8221;&#8221;][vc_column 0=&#8221;&#8221; offset=&#8221;vc_hidden-lg vc_hidden-md&#8221;][vc_raw_html 0=&#8221;&#8221;]PGNlbnRlcj48YSBjbGFzcz0ic2hpZnRuYXYtdG9nZ2xlIHNoaWZ0bmF2LXRvZ2dsZS1idXR0b24iIGRhdGEtc2hpZnRuYXYtdGFyZ2V0PSJzaGlmdG5hdi1tYWluIj48aSBjbGFzcz0iZmEgZmEtYmFycyI+PC9pPiBUYWJsZSBvZiBDb250ZW50cyA8L2E+PC9jZW50ZXI+[\/vc_raw_html][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Citolog\u00eda de los Derrames de las Cavides Pleural, Peric\u00e1rdica y Peritoneal&#8221; font_container=&#8221;tag:h1|text_align:center&#8221; use_theme_fonts=&#8221;yes&#8221;][\/vc_column][\/vc_row][vc_row el_id=&#8221;acknowledgements&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text] DERRAMES \u2013C\u00c1NCER METAST\u00c1SICO DE MAMA Un c\u00e1ncer de mama avanzado metast\u00e1sico al h\u00edgado y la cavidad peritoneal puede inducir un derrame peritoneal. Las c\u00e9lulas cancer\u00edgenas son f\u00e1cilmente distinguibles de las c\u00e9lulas inflamatorias y de<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":1953,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-1982","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dev.cytologystuff.com\/es\/wp-json\/wp\/v2\/pages\/1982","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dev.cytologystuff.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dev.cytologystuff.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dev.cytologystuff.com\/es\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/dev.cytologystuff.com\/es\/wp-json\/wp\/v2\/comments?post=1982"}],"version-history":[{"count":0,"href":"https:\/\/dev.cytologystuff.com\/es\/wp-json\/wp\/v2\/pages\/1982\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/dev.cytologystuff.com\/es\/wp-json\/wp\/v2\/pages\/1953"}],"wp:attachment":[{"href":"https:\/\/dev.cytologystuff.com\/es\/wp-json\/wp\/v2\/media?parent=1982"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}