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ATLAS PENUNTUN PRAKTIKUM

PATOLOGI ANATOMI
Prof.Dr.Syarifuddin Wahid, SpPA
Dr. Upik A. Miskad, PhD, SpPA
Esophageal cancer. A, Adenocarcinoma usually occurs distally and, as in this case,
often involves the gastric cardia. B, Squamous cell carcinoma is most frequently
found in the mid-esophagus, where it commonly causes strictures.
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2005 Elsevier
Esophageal
cancer.
A, Esophageal
adenocarcinoma
organized into
back-to-back
glands.

B, Squamous cell
carcinoma
composed of
nests of malignant
cells that partially
recapitulate the
organization of
squamous
epithelium.
Acute gastric perforation in a patient presenting with free air under the
diaphragm. A, Mucosal defect with clean edges. B, The necrotic ulcer base
is composed of granulation tissue.
ULKUS GASTER (VENTRIKULI). Tampak mukosa lambung yang masih
intak (panah hitam) menjadi erosi (panah biru) sehingga kelenjar
menghilang
ULKUS GASTER (VENTRIKULI). Dasar ulkus mengandung infiltrat limfosit
(panah hitam), lekosit PMN (panah biru) dan makrofag (panah kuning)
Colorectal carcinoma. A, Circumferential, ulcerated rectal cancer. Note the anal
mucosa at the bottom of the image. B, Cancer of the sigmoid colon that has invaded
through the muscularis propria and is present within subserosal adipose tissue (left).
Areas of chalky necrosis are present within the colon wall (arrow).
ADENOKARSINOMA KOLON
Tampak kelenjar colon yang normal (lingkaran hitam) yang dilapisi epitel
selapis silindris dengan inti masih dibasal, . Lingkaran kuning
menunjukkan daerah karsinoma dimana terjadi proliferasi epitel kelenjar
yang atipia. Struktur kelenjar mengalami berdiferensiasi.


ADENOKARSINOMA KOLON. Kelenjar colon dilapisi sel-sel atipik,
pleomorfik, anisositosis. Inti sel berkromatin kasar, membran inti
irreguler, nukleoli prominent (panah hijau).
APENDISITIS KRONIK EKSASERBASI AKUT. Tampak mukosa apendiks yang
atrofi (lingkaran kuning), proliferasi folikel limfoid (lingkaran hitam) dan hialinisasi
pada sub-mukosa (panah hijau)
APENDISITIS KRONIK EKSASERBASI AKUT. Infiltrat sel radang terdiri
dari sel-sel limfosit (panah kuning) dan sel lekosit PMN (panah hijau)
Figure 18-47 Hepatocellular carcinoma. A, Liver removed at autopsy showing a
unifocal, massive neoplasm replacing most of the right hepatic lobe in a noncirrhotic
liver; a satellite tumor nodule is directly adjacent. B, Microscopic view of a well-
differentiated lesion; tumor cells are arranged in nests, sometimes with a central
lumen.
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2005 Elsevier
Figure 18-47 Hepatocellular carcinoma. A, Liver removed at autopsy showing a unifocal, massive neoplasm replacing most of the right hepatic lobe in a noncirrhotic liver;
a satellite tumor nodule is directly adjacent. B, Microscopic view of a well-differentiated lesion; tumor cells are arranged in nests, sometimes with a central lumen.
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2005 Elsevier
KARSINOMA HEPATOSELULARE. Tampak sarang-sarang proliferasi sel
hepar dengan pola sinusoidal dan trabekular (lingkaran biru) yang
dikelilingi daerah fibrosis (lingkaran hitam)
KARSINOMA HEPATOSELULARE .Sel-sel hepar tampak sangat
pleomorfik, dengan inti anisonukleosis, membran inti irreguler, kromatin
kasar, dan nukleoli prominent (panah biru)
Cirrhosis resulting from chronic viral hepatitis. Note the broad scar and coarse nodular surface.
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HEPATITIS KRONIK AKTIF. Tampak sel-sel hepar (hepatosit) dengan
struktur yang masih baik (lingkaran biru) yang dikelilingi infiltrat sel
radang limfosit dan lekosit PMN (ingkaran hitam)
c
c
HEPATITIS KRONIK AKTIF. Infiltrat sel radang terdiri dari limfosit dan
lekosit PMN (panah hitam)
TBC USUS. Tampak massa nekrosis kaseosa (lingkaran biru) yang
dikelilingi granuloma epiteloid (lingkaran kuning) dan infiltrat limfosit
TBC USUS. Granuloma epiteloid terdiri dari sel-sel limfosit (panah hitam),
makrofag (panah kuning, sel datia Langhans (panah biru) dan sel
epiteloid (panah merah)

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