{"id":1077,"date":"2018-10-05T14:33:28","date_gmt":"2018-10-05T12:33:28","guid":{"rendered":"https:\/\/histologie.univ-nantes.fr\/?p=1077"},"modified":"2019-09-19T16:45:05","modified_gmt":"2019-09-19T14:45:05","slug":"luterus","status":"publish","type":"post","link":"https:\/\/histologie.univ-nantes.fr\/?p=1077","title":{"rendered":"L&#8217;ut\u00e9rus"},"content":{"rendered":"<h2><\/h2>\n<h2><b><span style=\"color: #cc3300;\">Coupe d&#8217;ut\u00e9rus de femme<\/span><\/b><b><span style=\"color: #cc3300;\">, color\u00e9e par la m\u00e9thode de Van-Gieson\u00a0<\/span><\/b><\/h2>\n<p><strong>Observer \u00e0 l\u2019\u0153il nu\u00a0<\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #666699;\"><em>&gt;&gt; Faites d\u00e9filer l&#8217;image avec ou sans l\u00e9gendes avec le curseur de droite.\u00a0<\/em><\/span><span style=\"color: #666699;\"><em>Visuel interactif optimis\u00e9 pour Chrome, Safari ou Explorer &lt;&lt;<\/em><\/span><\/p>\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-21\" class=\"h5p-iframe\" data-content-id=\"21\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"App Gen Fem Uterus Pb6\"><\/iframe><\/div>\n<p>Une zone grise correspondant \u00e0 l\u2019endom\u00e8tre<\/p>\n<p>Une zone orang\u00e9e correspondant au myom\u00e8tre<\/p>\n<p>&nbsp;<\/p>\n<p><b>Observer au fort grossissement (Objectif x40)<\/b><\/p>\n<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<p><a href=\"https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus2.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-1117\" src=\"https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus2.jpg\" alt=\"\" width=\"1000\" height=\"605\" srcset=\"https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus2.jpg 1000w, https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus2-300x182.jpg 300w, https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus2-768x465.jpg 768w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/a><\/p>\n<\/div><\/div>\n<div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<ol>\n<li><u>L\u2019endom\u00e8tre constitu\u00e9<\/u>\u00a0:<\/li>\n<\/ol>\n<p>-&gt;\u00a0D\u2019un \u00e9pith\u00e9lium de surface simple prismatique, s\u2019invaginant pour donner des glandes tubuleuses<\/p>\n<p>-&gt; D\u2019un chorion en prolif\u00e9ration (mitoses) l\u00e9g\u00e8rement \u0153d\u00e9mati\u00e9 contenant :<\/p>\n<p>Des glandes tubuleuses l\u00e9g\u00e8rement sinueuses, constitu\u00e9es d\u2019un \u00e9pith\u00e9lium simple bordant une lumi\u00e8re, qui pr\u00e9sente de nombreuses figures de mitose.<\/p>\n<p>De nombreux vaisseaux.<\/p>\n<p><u>2. Le myom\u00e8tre<\/u>\u00a0tr\u00e8s \u00e9pais constitu\u00e9\u00a0de faisceaux plexiformes de l\u00e9iomyocytes s\u00e9par\u00e9s par du tissu conjonctif contenant de nombreuses art\u00e8res et veines de gros calibre<\/p>\n<p><u>3. Une adventice ou une s\u00e9reuse<\/u>\u00a0recouvrant le myom\u00e8tre<\/p>\n<\/div><\/div><\/div>\n<p><em>NB\u00a0: L\u2019ensemble des crit\u00e8res observ\u00e9s permet de dire que cette coupe d\u2019ut\u00e9rus correspond \u00e0 la phase prolif\u00e9rative du cycle menstruel (environ 10 \u00e8me jour du cycle).<\/em><\/p>\n<hr \/>\n<h2><b><span style=\"color: #cc3300;\">Coupe de biopsie\u00a0<span style=\"caret-color: #cc3300;\">d&#8217;endom\u00e8tre<\/span>\u00a0de femme<\/span><\/b><b><span style=\"color: #cc3300;\">, color\u00e9e par la m\u00e9thode de Van-Gieson (22\u00e8me jour du cycle)\u00a0<\/span><\/b><\/h2>\n<p><em><u>N.B<\/u><\/em><u>.<\/u>\u00a0:\u00a0<em>Une biopsie est toujours un pr\u00e9l\u00e8vement tissulaire per-op\u00e9ratoire de petite taille<\/em>.<\/p>\n<p><strong>Observer au faible grossissement\u00a0<\/strong>(Objectif X 10),<strong>\u00a0et au fort grossissement\u00a0<\/strong>(Objectif X 40)<strong>\u00a0<\/strong>3 \u00e0 4 sections de glandes endom\u00e9triales en remarquant que :<\/p>\n<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<p><a href=\"https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus3.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-1118\" src=\"https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus3.jpg\" alt=\"\" width=\"958\" height=\"750\" srcset=\"https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus3.jpg 958w, https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus3-300x235.jpg 300w, https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus3-768x601.jpg 768w\" sizes=\"(max-width: 958px) 100vw, 958px\" \/><\/a><\/p>\n<\/div><\/div>\n<div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<p>1 &#8211;\u00a0<u>Les contours int\u00e9rieur et ext\u00e9rieur<\/u>\u00a0des glandes endom\u00e9triales sont tr\u00e8s sinueux. La paroi glandulaire est d\u00e9prim\u00e9e par des\u00a0<u>\u00e9pines conjonctives<\/u>\u00a0qui donnent aux glandes un aspect de dentelle.<\/p>\n<\/div><\/div><\/div>\n<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<p><a href=\"https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus4.jpg\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-1119\" src=\"https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus4.jpg\" alt=\"\" width=\"1000\" height=\"665\" srcset=\"https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus4.jpg 1000w, https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus4-300x200.jpg 300w, https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus4-768x511.jpg 768w, https:\/\/histologie.univ-nantes.fr\/wp-content\/uploads\/2018\/10\/AppGenFemUterus4-720x480.jpg 720w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/a><\/p>\n<\/div><\/div>\n<div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\">\n<p>2 &#8211;\u00a0<u>L&#8217;\u00e9pith\u00e9lium<\/u>\u00a0reposant sur une pseudo-vitr\u00e9e doubl\u00e9e de fibroblastes aplatis, est form\u00e9 de cellules hautes pr\u00e9sentant un p\u00f4le apical flou\u00a0\u00a0et un noyau basal. A ce stade, la partie apical de la cellule est occup\u00e9e par du glycog\u00e8ne.<\/p>\n<p>3 &#8211;\u00a0<u>La lumi\u00e8re<\/u>\u00a0de la glande est encombr\u00e9e de produits de s\u00e9cr\u00e9tion.<\/p>\n<p>4 &#8211;\u00a0<u>Le chorion<\/u>\u00a0tr\u00e8s cellulaire est \u0153d\u00e9mati\u00e9 par place. Il appara\u00eet \u00e0 ce stade une exsudation s\u00e9ro-fibrineuse interstitielle coagulable.<\/p>\n<p>5 &#8211;\u00a0<u>Les vaisseaux<\/u>\u00a0sont tr\u00e8s nombreux, sp\u00e9cialement les art\u00e9rioles qui affectent une disposition\u00a0<u>spiral\u00e9e<\/u>.\u00a0<u>La section r\u00e9p\u00e9t\u00e9e d&#8217;un m\u00eame vaisseau<\/u>\u00a0en un endroit donn\u00e9 du chorion permet de d\u00e9duire cette disposition.<\/p>\n<\/div><\/div><\/div>\n<p><em><u>N.B<\/u><\/em><em>. : L&#8217;ensemble des crit\u00e8res observ\u00e9s permet de confirmer que la biopsie a \u00e9t\u00e9 pratiqu\u00e9e au d\u00e9but de la phase de s\u00e9cr\u00e9tion proprement dite, soit environ le 22<sup>\u00e8me<\/sup>\u00a0jour du cycle menstruel.\u00a0\u00a0<\/em><\/p>\n<p>&nbsp;<\/p>\n<a href=\"https:\/\/histologie.univ-nantes.fr\/category\/lappareil-genital-feminin\/\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#9a0620;border-color:#7c051a;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:0px 16px;font-size:13px;line-height:26px;border-color:#b95163;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"> &lt;&lt; L&#8217;APPAREIL GENITAL FEMININ<\/span><\/a>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Coupe d&#8217;ut\u00e9rus de femme<br \/>\nCoupe de biopsie d&#8217;endom\u00e8tre de femme&hellip; <a class=\"kt-excerpt-readmore more-link\" href=\"https:\/\/histologie.univ-nantes.fr\/?p=1077\">Lire la suite&#8230;<\/a><\/p>\n","protected":false},"author":2,"featured_media":1117,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"image","meta":[],"categories":[48],"tags":[],"_links":{"self":[{"href":"https:\/\/histologie.univ-nantes.fr\/index.php?rest_route=\/wp\/v2\/posts\/1077"}],"collection":[{"href":"https:\/\/histologie.univ-nantes.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/histologie.univ-nantes.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/histologie.univ-nantes.fr\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/histologie.univ-nantes.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1077"}],"version-history":[{"count":12,"href":"https:\/\/histologie.univ-nantes.fr\/index.php?rest_route=\/wp\/v2\/posts\/1077\/revisions"}],"predecessor-version":[{"id":1425,"href":"https:\/\/histologie.univ-nantes.fr\/index.php?rest_route=\/wp\/v2\/posts\/1077\/revisions\/1425"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/histologie.univ-nantes.fr\/index.php?rest_route=\/wp\/v2\/media\/1117"}],"wp:attachment":[{"href":"https:\/\/histologie.univ-nantes.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1077"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/histologie.univ-nantes.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1077"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/histologie.univ-nantes.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1077"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}