{"id":1998,"date":"2017-07-31T19:51:09","date_gmt":"2017-07-31T19:51:09","guid":{"rendered":"http:\/\/cytologystuff1.wpengine.com\/non-gyn-atlas\/effusions-and-washes-other-gynecologic-metastases\/"},"modified":"2018-04-04T12:26:16","modified_gmt":"2018-04-04T12:26:16","slug":"effusions-and-washes-other-gynecologic-metastases","status":"publish","type":"page","link":"https:\/\/stage.cytologystuff.com\/zh-hans\/non-gyn-atlas\/effusions-and-washes-other-gynecologic-metastases\/","title":{"rendered":"Effusions and Washes – Other Gynecologic Metastases"},"content":{"rendered":"

[vc_row 0=””][vc_column 0=”” offset=”vc_hidden-lg vc_hidden-md”][vc_raw_html 0=””]JTNDY2VudGVyJTNFJTNDYSUyMGNsYXNzJTNEJTIyc2hpZnRuYXYtdG9nZ2xlJTIwc2hpZnRuYXYtdG9nZ2xlLWJ1dHRvbiUyMiUyMGRhdGEtc2hpZnRuYXYtdGFyZ2V0JTNEJTIyc2hpZnRuYXYtbWFpbiUyMiUzRSUzQ2klMjBjbGFzcyUzRCUyMmZhJTIwZmEtYmFycyUyMiUzRSUzQyUyRmklM0UlMjBUYWJsZSUyMG9mJTIwQ29udGVudHMlMjAlM0MlMkZhJTNFJTNDJTJGY2VudGVyJTNF[\/vc_raw_html][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=”Cytology of Pleural, Pericardial and Peritoneal Cavity Effusions – Effusions and Washes Other Gynecologic Metastases” 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]<\/a><\/p>\n

EFFUSIONS AND WASHES – OTHER GYNECOLOGIC METASTASES<\/p>\n

<\/a><\/p>\n

\n

Reminder: You may click on any slide image
\nfor an enlarged view.<\/strong><\/p>\n


\n\"Image<\/a><\/p>\n
Figure 55<\/strong>
\nPeritoneal effusion: Papillary serous carcinoma of the endometrium. 20X<\/div>\n<\/div>\n
Figure 55<\/strong>
\nPeritoneal effusion:
\nPapillary serous carcinoma of the endometrium.
\n20X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 56<\/strong>
\nPeritoneal effusion: Papillary serous carcinoma of the endometrium. 40X<\/div>\n<\/div>\n
Figure 56<\/strong>
\nPeritoneal effusion:
\nPapillary serous carcinoma of the endometrium.
\n40X<\/div>\n
<\/div>\n

Figures 55-56:<\/strong>
\nPeritoneal effusion, papillary serous carcinoma of the endometrium. Malignant cells clustered around psammoma bodies.<\/p>\n


\n\"Image<\/a><\/p>\n
Figure 57<\/strong>
\nPeritoneal effusion:
\nEndometrial adenocarcinoma. Low power photomicrograph shows two separate cell populations. Note the flat sheet at the lower left of uniform, benign cells, many dyshesive tumor cells at lower right, with a large cohesive fragment of tumor cells at upper left.
\n20X<\/div>\n<\/div>\n
Figure 57<\/strong>
\nPeritoneal effusion:
\nEndometrial adenocarcinoma. Low power photomicrograph shows two separate cell populations. Note the flat sheet at the lower left of uniform, benign cells, many dyshesive tumor cells at lower right, with a large cohesive fragment of tumor cells at upper left.
\n20X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 58<\/strong>
\nPeritoneal effusion: Endometrial adenocarcinoma. Malignant cells with features of adenocarcinoma including a mitotic figure, prominent nucleoli, vacuolated cytoplasm and eccentric nuclei. 60X<\/div>\n<\/div>\n
Figure 58<\/strong>
\nPeritoneal effusion:
\nEndometrial adenocarcinoma. Malignant cells with features of adenocarcinoma including a mitotic figure, prominent nucleoli, vacuolated cytoplasm and eccentric nuclei.
\n60X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 59<\/strong>
\nPleural effusion: Endometrial adenocarcinoma. 20X<\/div>\n<\/div>\n
Figure 59<\/strong>
\nPleural effusion:
\nEndometrial adenocarcinoma.
\n20X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 60<\/strong>
\nPleural effusion: Endometrial adenocarcinoma. 40X<\/div>\n<\/div>\n
Figure 60<\/strong>
\nPleural effusion:
\nEndometrial adenocarcinoma.
\n40X<\/div>\n
<\/div>\n

Figures 59-60:<\/strong>
\nPleural effusion: Endometrial adenocarcinoma.
\nThis pleural effusion contains large clusters of malignant cells. Note increased cell size relative to lymphocytes and mesothelial cells in the background. A discontinuous population is one characteristic of malignancy in body effusions<\/p>\n


\n\"Image<\/a><\/p>\n
Figure 61<\/strong>
\nPleural effusion: Papillary adenocarcinoma of peritoneal surface. The origin of this tumor is extra-ovarian carcinoma or carcinoma of M\u00fcellerian origin. Note distinction from benign cells. 10X<\/div>\n<\/div>\n
Figure 61<\/strong>
\nPleural effusion:
\nPapillary adenocarcinoma of peritoneal surface. The origin of this tumor is extra-ovarian carcinoma or carcinoma of M\u00fcellerian origin. Note distinction from benign cells.
\n10X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 62<\/strong>
\nPleural effusion: Adenocarcinoma. Papillary clusters of malignant cells. 20X<\/div>\n<\/div>\n
Figure 62<\/strong>
\nPleural effusion:
\nAdenocarcinoma. Papillary clusters of malignant cells.
\n20X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 63<\/strong>
\nPleural effusion cell block: Adenocarcinoma. A cell block further highlights the distinct malignant cell population and allows for immunohistochemical analysis of cell markers for differentiation and prognosis. 10X<\/div>\n<\/div>\n
Figure 63<\/strong>
\nPleural effusion cell block:
\nAdenocarcinoma. A cell block further highlights the distinct malignant cell population and allows for immunohistochemical analysis of cell markers for differentiation and prognosis.
\n10X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 64<\/strong>
\nPelvic wash: Undifferentiated large cell carcinoma of the cervix. Cytology shows rounded clusters of malignant cells. 60X<\/div>\n<\/div>\n
Figure 64<\/strong>
\nPelvic wash:
\nUndifferentiated large cell carcinoma of the cervix. Cytology shows rounded clusters of malignant cells.
\n60X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 65<\/strong>
\nPelvic wash: Carcinoma of the cervix. Magnified view shows vacuolated cytoplasm, prominent nucleoli, and powdery chromatin pattern suggesting an adenocarcinoma. 60X<\/div>\n<\/div>\n
Figure 65<\/strong>
\nPelvic wash:
\nCarcinoma of the cervix. Magnified view shows vacuolated cytoplasm, prominent nucleoli, and powdery chromatin pattern suggesting an adenocarcinoma.
\n60X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 66<\/strong>
\nPelvic wash: Carcinosarcoma. 20X<\/div>\n<\/div>\n
Figure 66<\/strong>
\nPelvic wash:
\nCarcinosarcoma.
\n20X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 67<\/strong>
\nPelvic wash: Carcinosarcoma. 60X<\/div>\n<\/div>\n
Figure 67<\/strong>
\nPelvic wash:
\nCarcinosarcoma.
\n60X<\/div>\n
<\/div>\n

Figures 66-67:<\/strong>
\nPelvic wash: Carcinosarcoma.
\nClusters of high-grade malignant cells. Look for both malignant epithelial and malignant stromal cell components.<\/p>\n


\n\"Image<\/a><\/p>\n
Figure 68<\/strong>
\nPeritoneal effusion: Fallopian tube adenocarcinoma. 20X<\/div>\n<\/div>\n
Figure 68<\/strong>
\nPeritoneal effusion:
\nFallopian tube adenocarcinoma.
\n20X<\/div>\n
<\/div>\n

\n\"Image<\/a><\/p>\n
Figure 69<\/strong>
\nPeritoneal effusion: Fallopian tube adenocarcinoma. 60X<\/div>\n<\/div>\n
Figure 69<\/strong>
\nPeritoneal effusion:
\nFallopian tube adenocarcinoma.
\n60X<\/div>\n<\/div>\n
<\/div>\n

Figures 68-69:<\/strong>
\nPeritoneal effusion: Fallopian tube adenocarcinoma.
\nA rare, highly malignant tumor. Consider this diagnosis when peritoneal effusion presents without evidence of ovarian or endometrial pathology. Note the prominent cytoplasmic vacuoles.[\/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":"

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