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RHPAEAONH GATNN PNS]EHTMGahtpmh }kmn ratn}kn `nkpt'}k ms}p sh} atohk lt ch hcmsp rtacms s omkmtmzm adenohpatn}
gahtpmh kptmo}e}n atohknsg+
Kmctazh pns}eht
Kmctazh }schp &`mcaho}ehtm% cmtahs%
spmhpakmctazh% `mchzmnlnchtm.9
Kmctazh }gm`sh} `m caenc|hnm
Ohkotmkh
Rtnght &ohzahs.
Smc}k`ht &}schp%
}gm`.
7/30/2019 PATOLOGIA MORII TISULARE
3/28
KMCTAZH ]SCHP: k ms}p}tn n atohkm c} caknk}p tn`nchp `m rtapmnkm caho}ehdnem ncaknk}p gnc `m hr
8+ Kmctazh `m caho}ehtm
Lachtm gnenhtm: r}kcpm eh engnph |nzndnenpnn%c}eahtm hedncnahs sh} oed}nm% k} `mkn|memhz
s}rthlhh atohk}e}n hlmcphp+
Onk
Ahnm
7/30/2019 PATOLOGIA MORII TISULARE
4/28
KMCTAZH ]SCHP:k ms}p}tn n atohkm c} caknk}p tn`nchp `m rtapmnkm caho}ehdnem ncaknk}p gnc `m hr
8+ Kmctazh `m caho}ehtm
Lachtm ghtn: lachtm c} latgm
|htnhdnem% k omkmthe tap}k`m sh}
a|hehtm% c}eahtm hedncnahs'cmk}nm sh} oed}nm% }schpm rm
smcn}km% ltnhdnem+ Lachtmemtmcmkpm s}kp kcakj}thpm `m a
zak cntc}eht `m fnrmtmgnm&tmhcnm nklehghpatnm rmtnlmtnc.%
cmem |mcfn s}kp `mengnphpm `m a
zak hedncnahs &chrs}e
cakj}kcpn| ' smcfmspt}. sh} smchecnlnc+
7/30/2019 PATOLOGIA MORII TISULARE
5/28
KMCTAZH ]SCHP: k ms}p}tn n atohkm c} caknk}p tn`nchp `m rtapmnkm caho}ehdnem ncaknk}p gnc `m hr
4+ Kmctazh cmtahs &`m pnr Zmkimt.
\hc
Kmctazh cmtahs mspm srmcnlnc ms}p}e}n
g}sc}eht `m atncm pnr &scfmempnc% cht`nhc. nmspm }tghtmh nksphetnn hkpmtnahtm h
fnhenkazmn g}sc}ehtm+ Ch}zh mspm
tmrtmzmkphp `m chtmkh k |nphgnkh M nsmemkn} &daheh g}cfneat hedn.+ Hsrmcpmem
ghctascarncm s}kp sngnehtm cmeat `msctnsm eh
fnhenkazh g}sc}eht+ Lndtmem kmctazhpm smrap checnlnch% `m|mknk` hedm% }schpm+
\hc
7/30/2019 PATOLOGIA MORII TISULARE
6/28
KMCTAZH ]SCHP: k ms}p}tn n atohkm c} caknk}p tn`nchp `m rtapmnkm caho}ehdnem ncaknk}p gnc `m hr
4+ Kmctazh cmtahs &`m pnr Zmkimt.
Kmctaz Zmkimt: lndtm
g}sc}ehtm c} hsrmcp cmtas%oed}n sh} hedncnahsm&checnlnchtm nsptalnc}epmtnaht h lndtmeat
kmctazhpm.% caksnspmk lehsc&k} nkpt k tnon`nphpm sh} h}
tnon`nphpm sehd `}r pnmtm.+
7/30/2019 PATOLOGIA MORII TISULARE
7/28
KMCTAZH ]SCHP: k ms}p}tn n atohkm c} caknk}p tn`nchp `m rtapmnkm caho}ehdnem ncaknk}p gnc `m hr
3+ Spmhpakmctazh &kmctazh ms}p}e}n h`nras.
Kmctazh ms}p}e}n h`nras s}dc}phkhp &spmhpakmctazh.% c} mpnaeaonm kmc}kasc}p% sm
rtms}r}km c ht ln ch}zh }kmn nklehghnn h rhkctmhs}e}n+ ms}p}e h`nras mspm ghp% c}zakm sh} lachtm% }schpm% ltnhdnem% `m c}eahtm oed}n sh} hedncnahsm+
7/30/2019 PATOLOGIA MORII TISULARE
8/28
KMCTAZH ]SCHP: k ms}p}tn n atohkm c} caknk}p tn`nchp `m rtapmnkm caho}ehdnem ncaknk}p gnc `m hr
3+ Spmhpakmctazh &kmctazh ms}p}e}n h`nras.
Spmhpakmctaz: hlmcpmhz ms}p}eh`nras `nk ch|nphpmh hd`agnkhe%hrht lachtm hedncnahsm sh} }at
oed}n% }schpm% dnkm `mengnphpm% c}hsrmcp `m sr}k+
7/30/2019 PATOLOGIA MORII TISULARE
9/28
KMCTAZH ]SCHP: k ms}p}tn n atohkm c} caknk}p tn`nchp `m rtapmnkm caho}ehdnem ncaknk}p gnc `m hr
0+ Kmctazh `m chzmnlnchtm
R}egak |hc
Lnchp |hc
Kmctazh m chzmnlnchtm
mspm |htnhkp hkmctazmn `m caho}ehtm%
rta`}s `m dhcpmtnn `nkomk}eG~cadhcpmtn}g
&p}dmtc}eaz.+
Kmctazh `m chzmnlnchtm sm rahpm rtmzmkph s}d
latg `m lachtm gnenhtm% lachtm ghtn sh}chrp hsrmcp `nl}z% }schpm rm smcn}km+C}eahtm zakmeat kmctazhpm |htnhz `m eh
hedncnahs% cmk}nm sh} oed}nm% htm hsrmcpot}kjas% sltgncnas% hsmgkpahtm dtkzmn
`m |hcn+
7/30/2019 PATOLOGIA MORII TISULARE
10/28
KMCTAZH ]SCHP: k ms}p}tn n atohkm c} caknk}p tn`nchp `m rtapmnkm caho}ehdnem ncaknk}p gnc `m hr
0+ Kmctazh `m chzmnlnchtm
Kmctaz `m chzmnlnchtm:`ngmksn}kmh lachtmeat |htnhzr}pk` ln gnenhtm% ghtn sh} c}
hsrmcp `nl}z+ Eh ghgnlmtm zakmem
chzmnlnchpm s}lmt }epmtnat }k
rtacms `m checnlnchtm `nsptalnc&c}eahtm `m|nkm hed% ghp.+
7/30/2019 PATOLOGIA MORII TISULARE
11/28
KMCTAZH ]SCHP: k ms}p}tn n atohkm c} caknk}p tn`nchp `m rtapmnkm caho}ehdnem ncaknk}p gnc `m hr
0+ Kmctazh `m chzmnlnchtm
Kmctaz `m chzmnlnchtm% englaka`}e rtmznkp lachtm `m `nlmtnpm `ngmksn}kn&lachtmem caknk }k ghpmtnhe }schp% hedncnas% hsmgkpat dtkzmn `m |hcn%
`mengnphpm `m a chrs}e cakj}kcpn|.+ Emzn}kmh mspm chthcpmtnspnc
p}dmtc}eazmn da|nkm+
Englaka` |hc
7/30/2019 PATOLOGIA MORII TISULARE
12/28
KMCTAZH ]SCHP: k ms}p}tn n atohkm c} caknk}p tn`nchp `m rtapmnkm caho}ehdnem ncaknk}p gnc `m hr
0+ Kmctazh `m chzmnlnchtm
Lnchp rhstm: lachtm `mkmctaz `m chzmnlnchtm
`m c}eahtm oed}n9emzn}knem h} hcmmhn
mpnaeaonm ch n ehghgnlmtm &dhcpmtnn `nk
omk}eG~cadhcpmtn}g.%lachtmem k} sm checnlnc+
LNCHP
CAT@
7/30/2019 PATOLOGIA MORII TISULARE
13/28
KMCTAZH ]GM@: srmcnlnc atohkmeat n ms}p}tneat c} }k caknk}p scz}p k rtapmnkmcaho}ehdnem% ks daohpm k enrn`m n hr
Mspm srmcnlnc snspmg}e}n kmt|as cmkpthe &mkcmlhe% g`}|h srnktnn.
THGAENSGMKP: kmctazh }gm` hsnspmg}e}n kmt|as cmkpthe &mvrtnghp n`msctns ghctascarnc.+
Thgaensgmkp}e ta}: rta`}s`m homknn rhpaomkn c} hcn}km
thrn` n dt}phe &pth}ghpnsgm
n fmgathonnem caksmc}pn|mhcmspath% gnothnnem eht|htm%nklhtcp}e cmtmdthe.+ Zakmem
ngrenchpm h} c}eahtm
kmotncnahs% caksnspmkh mspmg}ep scz}p% thgaenp
&pmk`nk s sm sc}to rmsmcn}km.+
7/30/2019 PATOLOGIA MORII TISULARE
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KMCTAZH ]GM@: srmcnlnc atohkmeat n ms}p}tneat c} }k caknk}p scz}p k rtapmnkmcaho}ehdnem% ks daohpm k enrn`m n hr
Mspm srmcnlnc snspmg}e}n kmt|as cmkpthe &mkcmlhe% g`}|h srnktnn.
Thgaensgmkp ta} caksmc}pn| }kat nklhtcpm cmtmdthem &rm smcn}km hsrmcphrtavnghpn| `m pthrmz% c} dhzh cptm rmtnlmtnm% c}eahtm kmotncnahs.+
KMCTAZH ]GM@ nln e n p ne n p p p n
7/30/2019 PATOLOGIA MORII TISULARE
15/28
KMCTAZH ]GM@: srmcnlnc atohkmeat n ms}p}tneat c} }k caknk}p scz}p k rtapmnkmcaho}ehdnem% ks daohpm k enrn`m n hr
Mspm srmcnlnc snspmg}e}n kmt|as cmkpthe &mkcmlhe% g`}|h srnktnn.
Thgaensgmkp}e cmk}n}: `mkaphcn}kmh emkp h homkp}e}n mpnaeaonc+Mspm srmcnlnc `nlmtnpmeat pnr}tn `m
chtmkm: c}rt}% |nphgnkmem `nkcagremv}e D &D8% D
7/30/2019 PATOLOGIA MORII TISULARE
16/28
KMCTAZH ]GM@: srmcnlnc atohkmeat n ms}p}tneat c} }k caknk}p scz}p k rtapmnkmcaho}ehdnem% ks daohpm k enrn`m n hr
Mspm srmcnlnc snspmg}e}n kmt|as cmkpthe &mkcmlhe% g`}|h srnktnn.
Thgaensgmkp cmk}n}: emzn}km mspm h|hkshp% oth|% ms}p}e kmt|as he mgnslmtmeatcmtmdthem mspm sehd tmrtmzmkphp% parnp &srhn}e ctmhp mspm renk c} encfn`.+
7/30/2019 PATOLOGIA MORII TISULARE
17/28
KMCTAZH ]GM@: srmcnlnc atohkmeat n ms}p}tneat c} }k caknk}p scz}p krtapmnkm caho}ehdnem% ks daohpm k enrn`m n hr
R}egak ahnm
R]TAN: ghpmtnhe rhpaeaonc srmcnlnc nklehghnmn r}t}emkpm tmz}ep ch
}tghtm h kmctazmn `m caenc|hnm h em}cacnpmeat+
7/30/2019 PATOLOGIA MORII TISULARE
18/28
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `mdhcpmtnnem `nk leath atohk}e}n hlmcphp sh} cmem `nk gm`n}e mvpmtnat
Ohkotmkh rtnght: OHZAHS
Ohkomkh ohzahs
hrhtm caksmc}pn|nklmcnmn c} omtgmkn
hkhmtadn &omk}e
Ceasptn`n}g.+
Eachenzhtmh
g}sc}eht sm
pth`}cm rtnkp}gmlnmtmh zakmn
hlmcphpm% caksnspmkctmrnphkp &`hpatnp
d}emeat `m ohz
latghpm kptm lndtm.%
eh smcnakhtm hsrmcp`nehcmthp% ghp he
g}cfneat% c}eahtmkmotncnahs% gntas
`m }kp tkcm`+
7/30/2019 PATOLOGIA MORII TISULARE
19/28
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `mdhcpmtnnem `nk leath atohk}e}n hlmcphp sh} cmem `nk gm`n}e mvpmtnat
Ohkotmkh rtnght: OHZAHS
Ohkotmk ohzahs g}sc}eht:lndtmem hlmcphpm h} c}eahtm
kmotncnahs+
7/30/2019 PATOLOGIA MORII TISULARE
20/28
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `mdhcpmtnnem `nk leath atohk}e}n hlmcphp sh} cmem `nk gm`n}e mvpmtnat
Ohkotmkh rtnght: OHZAHS
Ohkotmk ohzahs g}sc}eht:
emzn}km chthcpmtnspnc rmkpt} nklmcnh c}hkhmtadn% sm adsmt| `nehcmthtmhr}pmtknc h zakmn g}sc}ehtm hlmcphpm+
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `m
7/30/2019 PATOLOGIA MORII TISULARE
21/28
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `mdhcpmtnnem `nk leath atohk}e}n hlmcphp sh} cmem `nk gm`n}e mvpmtnat
Ohkotmkh smc}k`ht: ]SCHP
Ohkotmkh }schp mspm srmcnlnc rnmenn+Hrhtm caksmc}pn| }kat pth}ghpnsgm
tmrmphpm% ch }tghtm h `mlncnp}e}n
cntc}ehnmn shko}nkm rm }k hk}gnppmtnpatn} c}phkhp &nscfmgnm eache
rta`}s `m cagrtmsnm% pavnkm c} mlmcp
|hsacaksptncpat rtme}konp% ltno.+
S}kp hlmcphpm tmon}knem rmtnlmtncm
&}tmcfn% cah`% ghgmeahkm%rnmemh chtm hcarmt mvptmgnpnem
gmgdtmeat.+ Zakmem hlmcphpm h}c}eahtm dt}k'kmotncnahs% enrsnpm`m mehspncnphpm n smksndnenphpm% c}
hsrmcp rmtohgmkpas% `}t% tnon` `m
rnmem pdcnp+ Zakh ohkotmkhpmspm kmp `mengnphp `m ms}p}e
|nhdne rtnkpt'a dhtnmt `mfnrmtmgnm+
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `m
7/30/2019 PATOLOGIA MORII TISULARE
22/28
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `mdhcpmtnnem `nk leath atohk}e}n hlmcphp sh} cmem `nk gm`n}e mvpmtnat
Ohkotmkh smc}k`ht: ]SCHP
Mschth `m `mc}dnp mspm a ohkotmk }schp chtm hrhtm rm zakmem `m rnmem cm hcarmtrtamgnkmkmem asahsm+ Hrhtm eh hknghemem chtm s}kp adenohpm s spmh k `mc}dnp rtme}konp+ Ch
}tghtm h cagrtmsn}knn kptm as n rht`asmhe% rnmemh s}lmt nscfmgnm n }epmtnat ohkotmk+
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `m
7/30/2019 PATOLOGIA MORII TISULARE
23/28
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `mdhcpmtnnem `nk leath atohk}e}n hlmcphp sh} cmem `nk gm`n}e mvpmtnat
Ohkotmkh smc}k`ht: ]SCHP
Ohkotmkh mvptmgnpneat gmgdtmeat hrhtm eh
t}gmopahtm ch }tghtm h nkomspnmn }kmngncapavnkm rtmzmkp k gncmp}e Ceh|ncmrsr}tr}tmmh+Pavnkh htm }k mlmcp |hsacaksptncpat `m
`}thp hs}rth htpmtmeat rmtnlmtncm% cmmh cm |h`}cm eh ohkotmkh n rnmt`mtmh rtnk `msrtnk`mtm h
ratn}knn ohkotmkhpm &slhcme.+
OHKOTMKH p e p p n l ` ` en p ` `
7/30/2019 PATOLOGIA MORII TISULARE
24/28
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `mdhcpmtnnem `nk leath atohk}e}n hlmcphp sh} cmem `nk gm`n}e mvpmtnat
Ohkotmkh smc}k`ht: ]SCHP
Ohkotmkh mvrtmgnpneat mspm }tghp `mmengnkhtmh slhcme}e}n% zakh tgkm
g}pnehp+
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `m
7/30/2019 PATOLOGIA MORII TISULARE
25/28
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `mdhcpmtnnem `nk leath atohk}e}n hlmcphp sh} cmem `nk gm`n}e mvpmtnat
Ohkotmkh smc}k`ht: ]GM@
Ohkotmkh }gm` mspm
srmcnlnc atohkmeat daohp|hsc}ehtnzhpm% chtm `mnkkatghe a leat shrtalnp sh}chtm h} emop}t nk`ntmcp c}gm`n}e mvpmtk &r}egak% p}d
`nomspn|% }pmt.
Ohkotmkh r}egakht hrhtm ch }tghtm hnkfhetnn k r}egak h }kat ghpmtnhem
mk`aomkm sh} mvaomkm% hepmem `mcp hmt}e
&l}thjm% ehrpm% ghpmtnhem rhpaeaoncm%
gm`nchgmkpm h`gnknspthpm nkcatmcp rtnk
sak`.+ Zakmem hlmcphpm s}kp nknnhe tannkmotncnahsm% hran `m|nk cmk}nn |mtz}n
&s}elgmpfmgaoeadnkh.% s}kp ctmrnphkpm% dnkm`mengnphpm n h} gntas tmsrnkopat &nfatas.+
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `m
7/30/2019 PATOLOGIA MORII TISULARE
26/28
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `mdhcpmtnnem `nk leath atohk}e}n hlmcphp sh} cmem `nk gm`n}e mvpmtnat
Ohkotmkh smc}k`ht: ]GM@
Ohkotmkh }pmt}e}n hrhtm ch }tghtm h }kat ga`nlnctn paraothlncm &rtaehrs }pmtnk mvpmtnatnzhtmh }pmt}e}n.+ Ch }tghtm h sphzmn rtme}konpm n h cakphgnktnn c} dhcpmtnn `k
leath mvpmtk% }pmt}e chrp hsrmcp ta}'kmotncnas% mspm ctmrnphkp &`hpatnp dhcpmtnneathkhmtadm `nk gm`n}.% rmtmnn sm t}r }at+
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `m
7/30/2019 PATOLOGIA MORII TISULARE
27/28
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `mdhcpmtnnem `nk leath atohk}e}n hlmcphp sh} cmem `nk gm`n}e mvpmtnat
Ohkotmkh smc}k`ht: ]GM@
Ohkotmkh nkpmspnk}e}n tmrtmznkp acakpnk}htm h emzn}kneat nk`}sm `m
ga`nlnctnem paraothlncm hem hcmsp}nh&|ae|}e}s% nk|honkhnm% rtaehrs tmcphe mpc.+
Emzn}knem `md}pmhz c} sphz% s}kp}tghpm `m nksphehtmh nklhtcp}e}n
|mkas n sm pmtgnk rtnk ohkotmk
}gm`+ A`hp c} nksphehtmhohkotmkmn c}eahtmh m|nkm
|mtz}nm'cmk}nm% caksnspmkhsch`m% rmtmpmem sm t}rm }at%
h|k` hsrmcp `m ctr r}ptm`+Gntas}e mspm nfatas+
Rtaehrs tmcphe ahnm
OHKOTMKH e n l ` ` en ` `
7/30/2019 PATOLOGIA MORII TISULARE
28/28
OHKOTMKH: ms}p}e kmctazhp hkpmtnat s}lmt a `moth`htm s}rengmkpht rta`}s `mdhcpmtnnem `nk leath atohk}e}n hlmcphp sh} cmem `nk gm`n}e mvpmtnat
k rthcpnc rap ln kpeknpm pnr}tngnvpm `m ohkotmk+ Oehk`h
ghght eh t}gmopahtmem gncn&chrt% ahnm. rahpm rtmzmkph
ohkotmk }schp eh kn|me}e rnmennghghtm n ohkotmk }gm` h
oehk`mn rtartn}znsm+