BENH VIEN UNG BU

KHOA GIAI PHAU BENH

PHNG PHAP
CAT LOC BENH PHAM
GIAI PHAU BENH

- 2008 -

PHNG PHAP
CAT LOC BENH PHAM
GIAI PHAU BENH

TAI LIEU LU HANH NOI BO

LI M AU

Nham ap ng nhu cau nang cao kien thc, trnh o cat benh
pham trong thc tien hang ngay tai benh vien, tap the khoa

Giai phau benh chung toi a co gang cung nhau bien dch va
in an tap tai lieu Phng phap cat loc benh pham giai phau
benh nay.
Tai lieu nay, chung toi bien dch chnh yeu da vao Surgical
pathology cua Ackerman, nam 2004.
Tai lieu nay, chung toi mong c la mon qua knh tang GS.
Nguyen Chan Hung, ngi Thay, ngi lanh ao ang knh cua
chung toi, nhan dp Thay c phong tang danh hieu Anh hung
lao ong do Chu tch nc phong tang, nam 2006.
Tai lieu nay la mot tai lieu bien dch, se khong the tranh
khoi nhng sai sot. Rat knh mong c on nhan nhng gop y
t qu ban ong nghiep.
Sau cung, chung toi xin chan thanh cam n Ong Richard L. Thorp
(Chu tch, Giam oc ieu hanh ILS, My) a tang chung toi tap
sach Surgical pathology va xin cam n s quan tam, tham khao
cua qu ong nghiep.
Khoa Giai phau benh
Benh vien Ung bu

MUC LUC

Phan 1: LAY MAU E KHAO SAT THEO TNG MUC

CH.......................................................1
1. Lay mau cho viec xac nh nhng dau an be mat te
bao............................................................................................2
2. Lay mau cho viec phan tch nhiem sac the...................2
3. Cay vi trung, nam va virut tren mo.................................2
4. Lay mau dung cho DNA va phan tch s tang sinh te
bao ...........................................................................................3
bang phng phap o dong te bao...................................3
5. Knh hien vi ien t lay mau...........................................4
6. Lay mau phan tch thu the hormon..................................4
7. Ap mo (phet ap mo)..........................................................4
8. Tiem vao mau mo hng dan chung.............................5
9. Sinh thiet loi kim.....................................................................5
10...................................nh hng benh pham vi Agar
....................................................................................................6
Phan 2: LAY MAU THEO C QUAN....................................7
1. Da................................................................................................8
Da ton thng lanh tnh...................................................8
Da bu ac tnh................................................................9
Da sinh thiet bang kem bam........................................9
Da sinh thiet bang dao...................................................10
2. au co..................................................................................11
................................................... Moi benh pham hnh ch V
.............................................................................................11
....................................................................................... Mat ket mac
.............................................................................................11
.................................................................................... Mat muc mat
.............................................................................................12
....................................................................... Mat muc nhan cau
.............................................................................................13
................................................................Tai cat xng thai dng
.............................................................................................14
.................................................................................... Xng ham di
.............................................................................................15
.................................................................................... Xng ham tren
.............................................................................................15
3................................................................He ho hap
16
............................................................................................... Thanh quan
.............................................................................................16
........................................................ Phoi benh pham sinh thiet
.............................................................................................16

.......................................................Phoi benh pham mo bu

.............................................................................................17
4...................................................................Tuyen c
19
5.................................................................Tuyen giap
20
6........................Tuyen can giap cat tuyen can giap
21
7........................................Tuyen nc bot cat bu
22

8..............................................................He tieu hoa

23
...........................................................Thc quan cat thc quan
.............................................................................................23
.................................................................................Da day do bu
.............................................................................................24
................................................................................... Da day do loet
.............................................................................................25
..................................................................................................... Ruot non
.............................................................................................26
........................................................................ ai trang cat bu
.............................................................................................27
.........................................................................ai trang cat Polyp
.............................................................................................28
........................................................... Ruot tha cat ruot tha
.............................................................................................28
9.........................................................Gan Mat - Tuy
29
.......................................................................................Gan cat bu
.............................................................................................29
................................................................... Tui mat cat tui mat
.............................................................................................29
........................................................................................... Tuy cat tuy
.............................................................................................31
10. Tuyen thng than cat tuyen thng than................33
11. He tiet nieu........................................................................34
.................................................................. Than sinh thiet loi kim
.............................................................................................34
.................................................................................. Than cat bu
.............................................................................................34
...................................................... Bang quang cat bang quang
.............................................................................................36
.........................................................................Bang quang lay soi
.............................................................................................38
12. He sinh duc nam...................................................................39
............................................................. Dng vat cat dng vat
.............................................................................................39

................................................................................................... Tinh hoan

.............................................................................................39
..............Tien liet tuyen cat tien liet tuyen tan goc
.............................................................................................40
......Tien liet tuyen cat tien liet tuyen bang ng
mo tren xng ve
(tang san dang not).............................40
......................... Tien liet tuyen cat qua ng nieu ao
.............................................................................................41
13. He sinh duc n....................................................................42
........................................................................................................Am ho
.............................................................................................42
.......................................... Co t cung sinh thiet co t cung
.............................................................................................42
....................................Co t cung khoet chop co t cung
.............................................................................................43
................................. T cung nao hoac sinh thiet noi mac
.............................................................................................44
..................... T cung cat t cung (ch dan tong quat)
.............................................................................................44
T cung do carcinom co t cung tai cho hoac xam
lan......................................................................................45
......T cung do tang san hoac carcinom noi mac t
cung.....................................................................................47
.............................................................................. T cung mo bong
.............................................................................................48
............................................................................ Banh nhau n thai
.............................................................................................48
......................................................................... Banh nhau song thai
.............................................................................................50
................................................................................................... Thai say
.............................................................................................51
................................................Buong trng cat buong trng
.............................................................................................52
......................................................................Ong dan trng that
.............................................................................................53
...................................Ong dan trng cat ong dan trng
.............................................................................................53
14. Cat vung chau....................................................................55
15. Tuyen vu..............................................................................56
...Vu sinh thiet va cat rong oi vi khoi bu s
c.....................................................................................56
.................Vu sinh thiet theo hng dan cua nhu anh
.............................................................................................56
...................................................................................................oan nhu
.............................................................................................57
16. Hach Lach...........................................................................60
........................................................Hach benh pham sinh thiet
.............................................................................................60

............Hach benh pham nao hach (hng dan chung)

.............................................................................................60
....................................................................................... Nao hach nach
.............................................................................................61
...........................................................................................Nao hach ben
.............................................................................................61
....................................................................... Nao hach co tan goc
.............................................................................................61
....................................................................Nao hach sau phuc mac
.............................................................................................62
..............................................................................................................Lach
.............................................................................................63
..................Phau thuat m bung xep giai oan lymphom
.............................................................................................63
17. Xng ......................................................................................64
................................................................................... Xng sinh thiet
.............................................................................................64
.......................................................................Xng au xng ui
.............................................................................................64
............................................................................................... Bu xng
.............................................................................................65
..................................................Tuy xng manh t choc hut
.............................................................................................66
....................................................... Tuy xng sinh thiet loi kim
.............................................................................................66
.................................................. Tuy xng t cat xng sn
.............................................................................................67
................................ Chi do benh ly tac nghen mach mau
.............................................................................................67
18. Phan mem............................................................................70
................................................................................. Bu phan mem
.............................................................................................70
...............................................................C xng (van) sinh thiet
.............................................................................................71
....................................................... Than kinh ngoai vi sinh thiet
.............................................................................................71
19. Tim thay van.........................................................................72

TAI LIEU THAM KHAO

Rosai and Ackermans: Surgical pathology, Mosby, 2004,

P.2911 - 2977