30.

12

Gynecologic pathology
: " " -
llennilee enil . , (
) , ( ) .
, .
. .
-
.1
.2 :

- Inflammation ,
. .

- Infection . .

.3 :
.
. - Primary . .
-Vagina : .
,Phornix .
,Squamous epithelium .
.Staging -
: Squamous epithelium Non keratinizing
( Columnar epithelium .)Endocervical - ,
. ,
. -Pap -Screening . -
ranmuloC.sumouamS -

:
Condyloma acuminatum . .
. rallynauo VPH .
, .
, nmoatlfniotal - .
. .
, . .
, nlmS - . ,
. . .
- 8 .

- larO , , ( HPV -
) . , .

 30.12
* : , . .

anal tag ,HPV -

. :
Fibro vascular stock ,
. - .
().

-Vulvar intraepithelial neoplasm -VIN ,in situ ,

(=) .ioCitlauo innn sumouamS . Hmnuo - 3
. .

- HPV 90% . 11 :
Basaloid type .1
Warty carcinoma .2 . . .Cssr

HPV negative .Vulva -

70 -60 ,
-Lichen sclerosis


. ,
. ,
().

- Paget disease of Vulva

. ,
. , . .
- Rhbdomyosarcoma botriodes .
( .)=botriodes . ,
() , .
:Cervix Os - , , .
- Schiller test .Phornix - .
, .
. ,xEainCutE - .
,
. , ,
. .1 : .2 . .3 . .

 30.12

,11 .Superficial
, .

,
. - ,
.

HPV - .Superficial - 8-11 , :HPV -

-CIN1 ( 2)
.
-CIN2 .
-CIN3 . .
-Invasive carcinoma .

:
57 -Low grade squamous intra epithelial lesion )LG SIL) - CIN1 ,
.
High grade squamous intra epithelial lesion )HG SIL)- CIN2, 3 .
Pap smear - .
. - : , ,
. , .
:PnP
' .innn SumouamS laCuon - 36 , elonCutloon .sminCfniton
, .
' - 37 , .
'38 . ,
' .iColn VtiH - 39 ,
.
' - 40 .
' 42 ( tadpole cell) .
( ).

 30.12
- Coliflour lesion SCC . , , . ,
Sacrum - . .
16 : Pap smear
. 21 Pap smear
Pap 2-3 . - 2 -3.
:Survival
166% Carcinoma in situ - Stage 0 Conization
, . . .
A -Microinvasion -Stage 1 3" . .smCutuon 95%
B 3" .80%
- 2 sooin 75% .
- Stage 3 76 -.
-Stage 4 .100%
, , . " .
:Inflammatory disease
:Endometritis , .
- .
.Enteric bacteria ,
.
( ) ,
.
.
: B ,
. ().
.
:acute Splapingitis
.
-PID - .
. .
:Tuboovarian abcess Splapingitis - - -
, SU .
:Endometrium proliferation , .
.
. ( )
, .

 30.12
(' .)59
, , ( -' . Early secretory )16
- (' .)62
.1 - .
.
,
- . :
, .
.
.
.2 -Endometrial hyperplasia : .
. :
-Simple hyperplasia . ,
, (' .)72 , .
-Complex hyperplasia . .
(' -Endometrium carcinoma )75
: , , . -
- . .
.

:Grading
,Grading - .

Grade 1 ,B .

7-56% - Grade 2 .
. .C

- Grade 3 . .D

Stage Grade - Endometrium

,invasion
.
Stage -
. , /.
eColn - (' .)80 1 ,
, . . 2eColn - 3
, .
2 , ,3
.

 30.12
:Endometrial ectopic tissue . ,
. . -

Adenomyosis
.' .83

- Endometriosis ,,
, .

.
. , . .
, . -
,
. - . .
.
: :
-innn ninoHnnton smCfoin ,
, 65-70% 90% , .
20 - , . :

-omuaCS snCamS 70%. 30%.

30 %- 90% .

- smitlamS .

Endometroid tumor , .laua ln

(' :)99
,60% 80% . ,
.10% .

,Us 90% .
. 5%
. ( Us )
.

.52% , )09069=( 09% .

' - 102 , .
- .

' - 104 .
' - 106 . .

 30.12

Border line malignancy .

, 95%
. :border line malignant tumor , . 10% ,
. .
5 100% 90% , ( 5 ).
111 . .
' - 112 , "" .
, .
' 114 .
: - :
' - 116 . .
' -117 . , . . .
implants .
? .
.
120 .
121