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AFECIUNILE CRONICE

NESPECIFICE ALE PLMNILOR.


CARCINOMUL PULMONAR.



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CHRONIC PULMONARY
PATHOLOGY. LUNG CANCER
Tema: AFECIUNILE CRONICE NESPECIFICE ALE PLMNILOR. CARCINOMUL
PULMONAR.
M I C R O P R E P A R A T E:
211. Bronita cronic (coloraie H-E)
Indicaii:
1.Infiltrat inflamator n peretele bronic .
2.Vase dilatate, hiperemiate.
75. Emfizem pulmonar (coloraie H-E)
Indicaii:
1. Caviti aerifere mari.
2. Septuri interalveolare subiate.
3. Rupturi ale septurilor interalveolare.
4. Scleroza i reducia capilarelor sanguine.
50. Carcinom pulmonar pavimentos necornificat (coloraie H-E)
Indicaii:
1. Metaplazia pavimentoas a epiteliului bronic.
2.Cmpuri de celule tumorale atipice poliforme.
51. Metastaze de carcinom pulmonar nedifereniat n miocard (coloraie H-E)
Indicaii:
1. Nodul tumoral metastatic.
2. Celule canceroase nedifereniate.
3. Miocardul adiacent cu distrofie granular.
M A C R O P R E P A R A T E:
35. Broniectazii cu pneumoscleroz.
36. Emfizem pulmonar cronic difuz.
5. Hipertrofia ventriculului drept al inimii (cord pulmonar).
39. Carcinom pulmonar central (perihilar).
40. Carcinom pulmonar periferic.
: .
.
I. :
211. ( -) :
1. .
2. .

75. ( -)
:
1. .
2. .
3. .
4. .

50. ( -) :
1. .
2. .

51. M ( -)
:
1. .
2. .
3. .
II. :
35. .
36. .
5. ( ).
39. () .
40. .
Chronic pulmonary pathology. Lung cancer.
I. Microspecimens:
211. Chronic bronchitis. (H-E). Indications:
1. Inflammatory infiltrate into the bronchial wall.
2. Hyperemic, dilated vessels.

75. Lung emphysema. (H-E). Indications:


1. Large air cavities.
2. Thinned interalveolar septa
3. Ruptures of interalveolar septa.
4. Sclerosis and reduction of blood capillaries.

50. Squamos cell carcinoma with keratin perls. (H-E). Indications:


1. Squamous metaplasia of the bronchial epithelium.
2. Nests of atypical polymorphic tumoral cells.

51. Metastases of undifferentiated lung carcinoma into the heart. (H-E). Indications:
1. Metastatic tumoral nodule.
2. Undifferentiated cancer cells.
3. Adjacent myocardium with proteic degeneration.

II. Macrospecimens:
35. Bronchiectasias with pulmonary fibrosis.
36. Lung emphysema.
39. Bronchogenic carcinoma.
40. Peripheral pulmonary carcinoma.
5. Right ventricular hypertrophy (cor pulmonale ).
a

Bronit cronic:
a)- infiltraia inflamatorie,
hiperplazia glandelor submucoasei,
hipertrofia miocitelor;
b b)- hiperplazia celulelor
mucosecretante (H-E).
211. Bronita cronic (coloraie H-E)
Bronit cronic i broniectazii
Broniectazii cilindrice i saculare.
Broniectazii cu pneumoscleroz.
a

a - Broniectazii
b - Bronhioloectazii (H-E).

b
Abces pulmonar subpleural.
Emfizem pulmonar.
Emfizem pulmonar bulos.
Emfizem acut n astmul bronic.
1

3 2

75. Emfizem pulmonar (H-E)


a

Astm bronic
a hipersecreie de mucus n lumenul
bronhiilor;

b - dopuri de mucus din bronhii n


astm bronic (n status asthmaticus).
b
a

Astm bronic.
a hipertrofia miocitelor,
hiperplazia glandelor
submucoasei, infiltraie inflamatorie, mucus
n lumen (H-E).

b infiltraie eozinofil n limfoganglion


b hilar n astm bronic (H-E).
b

Alveolit fibrozant.

a aspect macroscopic;
b infiltraie inflamatorie a septurilor
interalveolare i membrane hialine (H-E).
a
Fibroz pulmonar
interstiial difuz.
(H-E i picrofuxin).
Plmn n fagure
Plmn n fagure (H-E)
Hipertrofia ventriculului drept al inimii (cord pulmonar).
Carcinom pulmonar central i periferic
Carcinom pulmonar
epidermoid.

a fr keratinizare;
b cu keratinizare (H-E)
50. Carcinom pulmonar pavimentos necornificat. (H-E).
a. Adenocarcinom
pulmonar. (H-E).
a
b. Carcinom
bronhioloalveolar.

b
Embolie
canceroas a
vaselor limfatice.

Metastaze de carcinom
pulmonar n limfoganglionii
mediastinali.
Metastaze n creier, vertebre, suprarenal i ficat
1

51. Metastaze de carcinom pulmonar nedifereniat n miocard. (H-E).