{"id":1985,"date":"2017-07-31T20:06:49","date_gmt":"2017-07-31T20:06:49","guid":{"rendered":"http:\/\/cytologystuff1.wpengine.com\/non-gyn-atlas\/effusions-metastatic-gastrointestinal-malignancy\/"},"modified":"2017-11-17T06:34:49","modified_gmt":"2017-11-17T06:34:49","slug":"effusions-metastatic-gastrointestinal-malignancy","status":"publish","type":"page","link":"https:\/\/dev.cytologystuff.com\/fr\/non-gyn-atlas\/effusions-metastatic-gastrointestinal-malignancy\/","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 TUMEUR MALIGNE GASTRO-INTESTINALE M\u00c9TASTATIQUE <\/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 93<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al :
\n Ad\u00e9nocarcinome gastrique. Population distincte de cellules pr\u00e9sentant des caract\u00e9ristiques malignes. D\u00e9placement nucl\u00e9aire d\u00fb \u00e0 une grande vacuole s\u00e9cr\u00e9toire, cellule “en bague \u00e0 chatons”. Une partie provient du tube digestif, l’autre n’est pas facilement identifiable.
\n60x <\/div>\n<\/div>\n
\n \tFigure 93
\n \t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al :
\n Ad\u00e9nocarcinome gastrique. Population distincte de cellules pr\u00e9sentant des caract\u00e9ristiques malignes. D\u00e9placement nucl\u00e9aire d\u00fb \u00e0 une grande vacuole s\u00e9cr\u00e9toire, cellule “en bague \u00e0 chatons”. Une partie provient du tube digestif, l’autre n’est pas facilement identifiable.
\n60x <\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 94<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al:
\nCytobloc, ad\u00e9nocarcinome gastrique. Cytobloc contenant des cellules qui pr\u00e9sentent des caract\u00e9ristiques malignes similaires \u00e0 celles observ\u00e9es sur la lame ThinPrep de l’\u00e9panchement.
\n40x<\/div>\n<\/div>\n
\n \t\tFigure 94
\n \t\t<\/strong> \t\t\u00c9panchement p\u00e9riton\u00e9al:
\nCytobloc, ad\u00e9nocarcinome gastrique. Cytobloc contenant des cellules qui pr\u00e9sentent des caract\u00e9ristiques malignes similaires \u00e0 celles observ\u00e9es sur la lame ThinPrep de l’\u00e9panchement.
\n40x\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 95<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nCarcinome gastrique mal diff\u00e9renci\u00e9. Cellules malignes faciles \u00e0 distinguer des cellules b\u00e9nignes du fond.
\n20x<\/div>\n<\/div>\n
\nFigure 95
\n<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nCarcinome gastrique mal diff\u00e9renci\u00e9. Cellules malignes faciles \u00e0 distinguer des cellules b\u00e9nignes du fond.
\n20x\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 96<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al:
\nCarcinome gastrique mal diff\u00e9renci\u00e9. Noyaux agrandis et excentr\u00e9s, membranes nucl\u00e9aires irr\u00e9guli\u00e8res et nucl\u00e9oles pro\u00e9minents.
\n 60x<\/div>\n<\/div>\n
\n \tFigure 96
\n \t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nCarcinome gastrique mal diff\u00e9renci\u00e9. Noyaux agrandis et excentr\u00e9s, membranes nucl\u00e9aires irr\u00e9guli\u00e8res et nucl\u00e9oles pro\u00e9minents.
\n60x<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 97<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al:
\nCarcinome gastrique. \u00c9panchement p\u00e9riton\u00e9al malin dans un cas de carcinome gastrique m\u00e9tastatique. Groupe l\u00e2che de cellules malignes avec noyaux pl\u00e9omorphes et multiples figures de mitose.
\n60x <\/div>\n<\/div>\n
\n \t\tFigure 97
\n \t\t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nCarcinome gastrique. \u00c9panchement p\u00e9riton\u00e9al malin dans un cas de carcinome gastrique m\u00e9tastatique. Groupe l\u00e2che de cellules malignes avec noyaux pl\u00e9omorphes et multiples figures de mitose.
\n60x\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 98<\/strong>
\n
\u00c9panchement pleural:
\nCarcinome gastrique.
\n40x<\/div>\n<\/div>\n
\n \t\tFigure 98
\n \t\t<\/strong>
\n\u00c9panchement pleural:
\nCarcinome gastrique.
\n40x\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 99<\/strong>
\n
\u00c9panchement pleural:
\nCarcinome gastrique.
\n60x <\/div>\n<\/div>\n
\n \t\tFigure 99
\n \t\t<\/strong>
\n\u00c9panchement pleural:
\nCarcinome gastrique.
\n60x\n<\/div>\n
<\/div>\n

Fig 98 et 99: \u00c9panchement pleural:
\nCarcinome gastrique. <\/strong>
\nCellules glandulaires malignes si\u00e9geant dans un groupe arrondi et dense. Noter la polarit\u00e9 cellulaire maintenue des cellules de surface et le cytoplasme atypique. Noyaux irr\u00e9guliers avec nucl\u00e9oles pro\u00e9minents.<\/p>\n

\n
\n\t\"Image<\/a><\/p>\n
\nFigure 100<\/strong>
\n
Lavage abdominal:
\nAd\u00e9nocarcinome du c\u00f4lon.
\n20x <\/div>\n<\/div>\n
\n \t\tFigure 100
\n \t\t<\/strong>
\nLavage abdominal:
\nAd\u00e9nocarcinome du c\u00f4lon.
\n20x\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 101<\/strong>
\n
Lavage abdominal:
\nAd\u00e9nocarcinome du c\u00f4lon.
\n40x <\/div>\n<\/div>\n
\n \tFigure 101
\n \t<\/strong>
\nLavage abdominal:
\nAd\u00e9nocarcinome du c\u00f4lon.
\n40x <\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 102<\/strong>
\n
Lavage abdominal:
\nAd\u00e9nocarcinome du c\u00f4lon.
\n60x <\/div>\n<\/div>\n
\n \t\tFigure 102
\n \t\t<\/strong>
\nLavage abdominal:
\nAd\u00e9nocarcinome du c\u00f4lon.
\n60x\n<\/div>\n
<\/div>\n

Fig 101 et 102: Lavage abdominal:Ad\u00e9nocarcinome du c\u00f4lon.
\n<\/strong>
\nLavages abdominaux avec cellules glandulaires malignes. \u00c9chantillon provenant d’un patient souffrant d’un ad\u00e9nocarcinome du c\u00f4lon. Groupes papillaires de cellules avec caract\u00e9ristiques \u00e9videntes d’un ad\u00e9nocarcinome, mais aucun indice pr\u00e9cis quant \u00e0 l’origine de la tumeur.<\/p>\n

\n
\n\t\"Image<\/a><\/p>\n
\nFigure 103<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al:
\nCarcinome H\u00e9pato Cellulaire (CHC).
\n20x \t<\/div>\n<\/div>\n
\n \tFigure 103
\n \t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nCarcinome H\u00e9pato Cellulaire (CHC).
\n20x \t<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 104<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al:
\nCarcinome H\u00e9pato Cellulaire (CHC).
\n60x <\/div>\n<\/div>\n
\n \t\tFigure 104
\n \t\t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nCarcinome H\u00e9pato Cellulaire (CHC).
\n60x\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 105<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al:
\nCarcinome H\u00e9pato Cellulaire (CHC).
\n60x<\/div>\n<\/div>\n
\n \t\tFigure 105
\n \t\t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nCarcinome H\u00e9pato Cellulaire (CHC).
\n60x\n<\/div>\n
<\/div>\n

Fig 103 \u00e0 105: \u00c9panchement p\u00e9riton\u00e9al:Carcinome H\u00e9pato Cellulaire (CHC). <\/strong>
\nCarcinome H\u00e9pato Cellulaire (CHC) susceptible de r\u00e9pandre des cellules malignes dans l’\u00e9panchement p\u00e9riton\u00e9al. Cytoplasme granulaire et plac\u00e9 au centre, noyaux anormaux. Peut \u00eatre difficile \u00e0 distinguer d’un ad\u00e9nocarcinome.<\/p>\n

\n
\n\t\"Image<\/a><\/p>\n
\nFigure 106<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al:
\nCholangiocarcinome. 20x\t<\/div>\n<\/div>\n
\n \tFigure 106
\n \t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nCholangiocarcinome.
\n20x\t<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 107<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al: Cholangiocarcinome. 40x <\/div>\n<\/div>\n
\n \t\tFigure 107
\n \t\t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nCholangiocarcinome.
\n40x\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 108<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al: Cholangiocarcinome. 60x<\/div>\n<\/div>\n
\n \t\tFigure 108
\n \t\t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nCholangiocarcinome.
\n60x\n<\/div>\n
<\/div>\n

Fig 106 \u00e0 108: \u00c9panchement p\u00e9riton\u00e9al: Cholangiocarcinome.<\/strong>
\nCholangiocarcinome, provenant d’une source intra-h\u00e9patique ou d’un arbre biliaire extra-h\u00e9patique, peut ressembler \u00e0 un ad\u00e9nocarcinome ailleurs dans les voies GI. Le site peut \u00eatre d\u00e9termin\u00e9 en excluant les autres sources \u00e0 l’aide d’une endoscopie, ultrasonographie et\/ou tomographie.<\/p>\n

\n
\n\t\"Image<\/a><\/p>\n
\nFigure 109<\/strong>
\n
Lavage p\u00e9riton\u00e9al:
\nSuspicion de cancer du pancr\u00e9as.
\n60x\t<\/div>\n<\/div>\n
\n \tFigure 109
\n \t<\/strong>
\nLavage p\u00e9riton\u00e9al:
\nSuspicion de cancer du pancr\u00e9as.
\n60x\t<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 110<\/strong>
\n
Lavage p\u00e9riton\u00e9al:
\nSuspicion de cancer du pancr\u00e9as.
\n60x <\/div>\n<\/div>\n
\n \t\tFigure 110
\n \t\t<\/strong>
\nLavage p\u00e9riton\u00e9al:
\nSuspicion de cancer du pancr\u00e9as.
\n60x\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 111<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al:
\nCancer du pancr\u00e9as.
\n20x<\/div>\n<\/div>\n
\n \t\tFigure 111
\n \t\t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nCancer du pancr\u00e9as.
\n20x\n<\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 112<\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al:
\nCancer du pancr\u00e9as.
\n40x <\/div>\n<\/div>\n
\n \tFigure 112
\n \t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nCancer du pancr\u00e9as.
\n40x <\/div>\n
<\/div>\n
\n
\n\t\"Image<\/a><\/p>\n
\nFigure 113 <\/strong>
\n
\u00c9panchement p\u00e9riton\u00e9al:
\nCancer du pancr\u00e9as.
\n60x <\/div>\n<\/div>\n
\n \t\tFigure 113
\n \t\t<\/strong>
\n\u00c9panchement p\u00e9riton\u00e9al:
\nCancer du pancr\u00e9as.
\n60x\n<\/div>\n<\/div>\n
<\/div>\n

Fig 111 \u00e0 113: \u00c9panchement p\u00e9riton\u00e9al: Cancer du pancr\u00e9as.<\/strong>
\nTumeurs pancr\u00e9atobiliaires provoquant une obstruction et une r\u00e9ponse fibreuse de l\u2019h\u00f4te. Dans de rares cas, lib\u00e9ration de cellules dans la cavit\u00e9 p\u00e9riton\u00e9ale, le plus souvent apr\u00e8s invasion omentale. <\/p>\n

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

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

[\/vc_column_text][vc_column_text css=”.vc_custom_1500390293825{margin-top: 30px !important;}” el_class=”back-to-top”]Back to Top<\/a><\/strong>[\/vc_column_text][\/vc_column][vc_column width=”1\/3″ offset=”vc_hidden-sm vc_hidden-xs”][vc_widget_sidebar sidebar_id=”consulting-right-sidebar”][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"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] \u00c9PANCHEMENTS \u2013 TUMEUR MALIGNE GASTRO-INTESTINALE M\u00c9TASTATIQUE Rappel : Vous pouvez cliquer sur une image de l’Atlas pour la voir dans un format plus grand. Figure 93 \u00c9panchement p\u00e9riton\u00e9al : Ad\u00e9nocarcinome gastrique. Population distincte de cellules<\/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-1985","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/dev.cytologystuff.com\/fr\/wp-json\/wp\/v2\/pages\/1985","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dev.cytologystuff.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dev.cytologystuff.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dev.cytologystuff.com\/fr\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/dev.cytologystuff.com\/fr\/wp-json\/wp\/v2\/comments?post=1985"}],"version-history":[{"count":0,"href":"https:\/\/dev.cytologystuff.com\/fr\/wp-json\/wp\/v2\/pages\/1985\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/dev.cytologystuff.com\/fr\/wp-json\/wp\/v2\/pages\/1949"}],"wp:attachment":[{"href":"https:\/\/dev.cytologystuff.com\/fr\/wp-json\/wp\/v2\/media?parent=1985"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}