{"id":29508,"date":"2025-01-22T12:55:29","date_gmt":"2025-01-22T10:55:29","guid":{"rendered":"https:\/\/dev.synevo.md\/noul-departament-de-histopatologie\/"},"modified":"2025-03-03T15:21:12","modified_gmt":"2025-03-03T13:21:12","slug":"histopatologie-5-intrebari-si-raspunsuri","status":"publish","type":"post","link":"https:\/\/old.synevo.md\/ru\/histopatologie-5-intrebari-si-raspunsuri\/","title":{"rendered":"Histopatologie &#8211; 5 \u00eentreb\u0103ri \u0219i r\u0103spunsuri"},"content":{"rendered":"<h2 class=\"wp-block-heading has-text-color has-link-color wp-elements-168505158ae0f601ff6e3a4e603906a2\" id=\"histopatologia-este-o-ramura-esen\u021biala-e-medicinii-care-joaca-un-rol-crucial-in-diagnosticarea-\u0219i-tratamentul-diverselor-afec\u021biuni-la-synevo-moldova-departamentul-de-histopatologie-ofera-servicii-de-inalta-calitate-utilizand-tehnici-avansate-\u0219i-echipamente-de-ultima-genera\u021bie-pentru-a-asigura-diagnosticuri-precise-in-acest-articol-vom-raspunde-la-5-dintre-cele-mai-frecvente-intrebari-legate-de-histopatologie-pentru-a-va-ajuta-sa-in\u021belege\u021bi-mai-bine-procesul-\u0219i-serviciile-pe-care-le-oferim\" style=\"color:#00489e\">Histopatologia este o ramur\u0103 esen\u021bial\u0103 e medicinii, care joac\u0103 un rol crucial \u00een diagnosticarea \u0219i tratamentul diverselor afec\u021biuni. La Synevo Moldova, departamentul de histopatologie ofer\u0103 servicii de \u00eenalt\u0103 calitate, utiliz\u00e2nd tehnici avansate \u0219i echipamente de ultim\u0103 genera\u021bie pentru a asigura diagnosticuri precise. \u00cen acest articol, vom r\u0103spunde la 5 dintre cele mai frecvente \u00eentreb\u0103ri legate de histopatologie, pentru a v\u0103 ajuta s\u0103 \u00een\u021belege\u021bi mai bine procesul \u0219i serviciile pe care le oferim.<\/h2><div class=\"container synevo-content-box bullet-list\">\n    <div class=\"sycbox-items\">\n        \n                <div class=\"sycbox-item\">\n            <div class=\"sycbox-head\">\n                <div class=\"sycbox-image\">\n                                             <img decoding=\"async\" src=\"https:\/\/old.synevo.md\/wp-content\/themes\/synevo-sage\/resources\/assets\/images\/icons\/icon-health-magnifier.svg\" alt=\"-\">\n                                    <\/div>\n                <div class=\"sycbox-title\">Departament de Histopatologie al Synevo Moldova v\u0103 ofer\u0103 urm\u0103toarele servicii:<\/div>\n            <\/div>\n            <div class=\"sycbox-description\"><p>                                                                                     de diagnostic de tip \u201cprima opinie\u201d \u0219i \u201ca doua opinie\u201d<\/p>\n<p>                                                                              diagnostic histopatologic conven\u021bional, colora\u021bii speciale, teste de<br \/>\n                                                                            imunohistochimie, teste de citogenetic\u0103 tumoral\u0103 \u0219i teste de biologie molecular\u0103<\/p>\n<p>                                                                       diagnostic pe toate tipurile de specimene aspirative, biopsice \u0219i excizionale<\/p>\n<p>                                                                      consult extern integrat \u00eentr\u2010o re\u021bea interna\u021bional\u0103 de profesioni\u0219ti \u00een domeniu<\/p>\n<\/div>\n            \n                    <\/div>\n                \n                \n    <\/div>\n<\/div><p><\/p><div class=\"wp-block-media-text is-stacked-on-mobile\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"980\" height=\"594\" src=\"https:\/\/www.synevo.md\/wp-content\/uploads\/2025\/01\/Ce-presupune-examenul-histopatologic1.jpg\" alt=\"histopatologic\" class=\"wp-image-66893 size-full\" srcset=\"https:\/\/old.synevo.md\/wp-content\/uploads\/2025\/01\/Ce-presupune-examenul-histopatologic1.jpg 980w, https:\/\/old.synevo.md\/wp-content\/uploads\/2025\/01\/Ce-presupune-examenul-histopatologic1-300x182.jpg 300w, https:\/\/old.synevo.md\/wp-content\/uploads\/2025\/01\/Ce-presupune-examenul-histopatologic1-768x466.jpg 768w, https:\/\/old.synevo.md\/wp-content\/uploads\/2025\/01\/Ce-presupune-examenul-histopatologic1-18x12.jpg 18w, https:\/\/old.synevo.md\/wp-content\/uploads\/2025\/01\/Ce-presupune-examenul-histopatologic1-600x364.jpg 600w\" sizes=\"(max-width: 980px) 100vw, 980px\" \/><\/figure><div class=\"wp-block-media-text__content\"><p><strong>\u0413\u0438\u0441\u0442\u043e\u043f\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0435<\/strong> presupune examinarea microscopica, de catre medicul anatomo-patolog, a probelor tisulare prelevate in timpul interventiilor chirurgicale si microchirurgicale.Etapele principale ale examinarii HP se succed in ordine: examinare macroscopica \/ esantionare; histoprocesare (fixare in formol, includere la parafina, sectionare blocuri de parafina, colorare standard hematoxilina-eozina\/H&amp;E); examinare microscopica lame colorate H&amp;E; elaborare\/redactare rezultat HP final sau, dupa caz, rezultat HP partial, in conjunctie cu informatii medicale relevante (clinice, imagistice, biochimice, etc) solicitate la receptia probei\/probelor.<\/p><\/div><\/div><div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-1 wp-block-buttons-is-layout-flex\"><div class=\"wp-block-button has-custom-width wp-block-button__width-75\"><a class=\"wp-block-button__link has-white-color has-text-color has-background has-link-color wp-element-button\" style=\"border-radius:0px;background-color:#00539f\"><strong>Cine si cum stabileste numarul de fragmente e<\/strong>\u0219<strong>antionate \u0219i procesate \u00een blocuri de parafina?<\/strong><\/a><\/div><\/div><p><a href=\"https:\/\/www.synevo.md\/informatii-medicale\/ce-reprezinta-examenul-histopatologic\/\" rel=\"nofollow noopener\" target=\"_blank\">\u0412\u0440\u0430\u0447-\u0433\u0438\u0441\u0442\u043e\u043f\u0430\u0442\u043e\u043b\u043e\u0433<\/a>, conform protocoalelor internationale corespunzatoare fiecarui tip de piesa chirurgicala\/microchirurgicala.<\/p><p class=\"has-text-align-left\">Examenul HP clasic (conventional) poate fi urmat de teste complementare (coloratii speciale, teste imunohistochimice\/IHC, test de hibridizare in situ\/ISH) in functie de caz. Pentru efectuarea testelor complementare sunt necesare etape suplimentare, cu grade de complexitate si de dificultate variabile: selectionare fragment\/-e tisular\/-e esantionat\/-e si histoprocesat\/-e; sectionare bloc\/-uri de parafina; efectuarea tehnica a testului\/testelor complementar\/-e; examinare microscopica; elaborare\/redactare rezultat, obligatoriu in conjunctie cu rezultatul HP clasic (conventional) si cu informatii medicale relevante solicitate la receptia probei\/probelor.<\/p><div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-2 wp-block-buttons-is-layout-flex\"><div class=\"wp-block-button has-custom-width wp-block-button__width-75\"><a class=\"wp-block-button__link has-white-color has-text-color has-background has-link-color has-text-align-center wp-element-button\" style=\"border-radius:0px;background-color:#00539f\"><strong>Cine <\/strong>\u0219<strong>i cum stabileste tipul si numarul de teste complementare?<\/strong><\/a><\/div><\/div><p class=\"has-text-align-left\">Medicul anatomo-patolog, conform unor algoritmi de diagnostic, numai dupa examinarea microscopica a lamelor colorate standard H&amp;E si in conjunctie cu informatii medicale (clinice, imagistice, biochimice, etc) relevante solicitate la receptia probei\/probelor. Informatiile medicale solicitate la receptia probei\/probelor sunt in conformitate cu<a href=\"https:\/\/www.legis.md\/cautare\/getResults?doc_id=24339&amp;lang=ro\" rel=\"nofollow noopener\" target=\"_blank\">  Legea Nr. 42 din 06.03.2008<\/a> privind transplantul de organe, \u0163esuturi \u015fi celule umane.<\/p><p class=\"has-text-align-left\"><strong>Condi\u021bii de conservare \u0219i transport pentru probele proaspete\/fixate \u00een formol (neprocesate histopatologic):<\/strong><\/p><ul class=\"wp-block-list\"><li>Recipiente din material plastic, cu \u00eenchidere etan\u0219\u0103, etichetate corespunz\u0103tor cu datele pacientului (Nume, Prenume, CNP), denumirea piesei chirurgicale \u0219i numele medicului operator.<\/li>\n\n<li>Piesa chirurgical\u0103 intact\u0103 (ne\u00eemp\u0103r\u021bit\u0103 \u00eentre laboratoare de anatomie patologic\u0103).<\/li>\n\n<li>Fixator: formol tamponat 10%, \u00eentr-un volum de cel pu\u021bin 2-10 ori mai mare dec\u00e2t cel al probei.<\/li>\n\n<li>Dac\u0103 fixatorul (formol tamponat 10%) nu este disponibil imediat, pentru a reduce autoliza tisular\u0103:<ul class=\"wp-block-list\"><li>Piesa chirurgical\u0103 mare trebuie p\u0103strat\u0103 la frigider (~4\u00baC) p\u00e2n\u0103 la imersia \u00een fixator \u00een cel mai scurt timp posibil.<\/li>\n\n<li>Piesa chirurgical\u0103 mic\u0103 (biopsii endoscopice, punc\u021bii biopsii etc.) poate fi p\u0103strat\u0103 la frigider (~4\u00baC) \u00een compres\u0103 umed\u0103 p\u00e2n\u0103 la imersia \u00een fixator.<\/li><\/ul><\/li>\n\n<li>Sunt interzise imersia \u0219i transportul piesei \u00een ser fiziologic!<\/li><\/ul><p><strong>Documente medicale care \u00eenso\u021besc probele:<\/strong><\/p><p class=\"has-text-align-left\">Fisa de \u00eenso\u021bire a probei (Formularul A), completat\u0103 \u0219i parafat\u0103 de medicul operator.<\/p><p>Copii dup\u0103 documentele medicale: bilet de ie\u0219ire din spital \/ investiga\u021bii paraclinice (serologie, CT, RMN, Rx, etc.); rezultate histopatologice de la interven\u021bii chirurgicale anterioare.<\/p><p class=\"has-text-align-left\"><br> <strong>Condi\u021bii de conservare \u0219i transport pentru probe histoprocesate \u00een alte unit\u0103\u021bi medicale (blocuri de parafin\u0103, preparate histopatologice permanent colorate):<\/strong><\/p><ul class=\"wp-block-list\"><li>Blocurile de parafin\u0103 nu trebuie supuse agresiunilor termice, mecanice sau chimice.<\/li>\n\n<li>Nu se admit pentru investiga\u021bii\/teste complementare (teste IHC \u0219i de biologie molecular\u0103, color\u0103ri speciale) fragmente tisulare \u00eenghe\u021bate ini\u021bial pentru examen histopatologic intraoperator (examen extemporaneu) \u0219i ulterior procesate prin fixare \u00een formol \u0219i includere la parafin\u0103.<\/li>\n\n<li>Preparatele histopatologice permanent colorate (lame) nu trebuie supuse agresiunilor mecanice, chimice sau termice.<\/li><\/ul><p><strong>Documente medicale care \u00eenso\u021besc probele:<\/strong><\/p><p class=\"has-text-align-left\">Fisa de \u00eenso\u021bire a probei (Formularul B), completat\u0103 \u0219i parafat\u0103 de medicul trimit\u0103tor.<\/p><p>Copie a buletinului\/rezultatul histopatologic original (pentru verificarea datelor de identificare pacient &#8211; prob\u0103).<\/p><p>Copii ale documentelor medicale: bilet de ie\u0219ire din spital \/ investiga\u021bii paraclinice (serologie, CT, RMN, Rx, etc.); rezultate histopatologice de la interven\u021bii chirurgicale anterioare.<\/p><div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-3 wp-block-buttons-is-layout-flex\"><div class=\"wp-block-button has-custom-width wp-block-button__width-75\"><a class=\"wp-block-button__link has-white-color has-text-color has-background has-link-color wp-element-button\" style=\"border-radius:0px;background-color:#00539f\"><strong>In c<\/strong>\u00e2<strong>t timp este gata rezultatul?<\/strong><\/a><\/div><\/div><p>\u2022 Timpul de eliberare al rezultatului (RP: raport patologic) este, in majoritatea cazurilor, de minimum 5 zile lucratoare de la receptia probei\/lor in Laboratorul Central;<br>\u2022 In functie de complexitatea cazului, timpul de eliberare al rezultatului poate ajunge la 10 zile lucratoare de la receptia probei\/lor in laborator;<br>Complexitatea cazului este evaluata de catre medicul anatomo-patolog in functie de: numarul de probe per pacient; gradul de dificultate al algoritmului de diagnostic; necesitatea testelor complementare (coloratii speciale si\/sau teste IHC si\/sau test ISH; accesibilitatea la informatiile medicale (clinice, imagistice, biochimice, etc) relevante solicitate.<br>\u2022 In situatii exceptionale care impun depasirea termenului maxim precizat de eliberare a rezultatului vor fi contactati si anuntati din timp medicul trimitator si pacientul.<\/p><div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-4 wp-block-buttons-is-layout-flex\"><div class=\"wp-block-button has-custom-width wp-block-button__width-75\"><a class=\"wp-block-button__link has-white-color has-text-color has-background has-link-color wp-element-button\" style=\"border-radius:0px;background-color:#00539f\"><strong>Ce se <\/strong>\u00ee<strong>ntampla cu probele?<\/strong><\/a><\/div><\/div><p><\/p><div class=\"wp-block-media-text has-media-on-the-right is-stacked-on-mobile is-vertically-aligned-center\"><div class=\"wp-block-media-text__content\"><p> \u2022 Probele proaspete histoprocesate in Departamentul de Histopatologie Synevo vor fi stocate in Laboratorul Central sub forma de blocuri de parafina, in blocoteci, timp de 30 de ani, si sub forma de lame colorate (HE, coloratii speciale, teste IHC, test ISH), in histoteci, timp de 10 ani;<br>\u2022 Probele histoprocesate in alte unitati medicale (blocuri de parafina, preparate histopatologice permanente colorate) vor fi returnate pacientului la eliberarea rezultatului, pentru a fi returnate Laboratorului de Anatomie Patologica de origine; lamele colorate (HE, coloratii speciale, teste IHC, test ISH) obtinute prin sectionarea acestora in Departamentul de Histopatologie Synevo vor fi stocate in Laboratorul Central in histoteci timp de 10 ani.<\/p><\/div><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"980\" height=\"594\" src=\"https:\/\/www.synevo.md\/wp-content\/uploads\/2025\/01\/Ce-presupune-examenul-histopatologic4.jpg\" alt=\"-\" class=\"wp-image-66903 size-full\" srcset=\"https:\/\/old.synevo.md\/wp-content\/uploads\/2025\/01\/Ce-presupune-examenul-histopatologic4.jpg 980w, https:\/\/old.synevo.md\/wp-content\/uploads\/2025\/01\/Ce-presupune-examenul-histopatologic4-300x182.jpg 300w, https:\/\/old.synevo.md\/wp-content\/uploads\/2025\/01\/Ce-presupune-examenul-histopatologic4-768x466.jpg 768w, https:\/\/old.synevo.md\/wp-content\/uploads\/2025\/01\/Ce-presupune-examenul-histopatologic4-18x12.jpg 18w, https:\/\/old.synevo.md\/wp-content\/uploads\/2025\/01\/Ce-presupune-examenul-histopatologic4-600x364.jpg 600w\" sizes=\"(max-width: 980px) 100vw, 980px\" \/><\/figure><\/div><p><\/p><p><\/p><div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-5 wp-block-buttons-is-layout-flex\"><div class=\"wp-block-button has-custom-width wp-block-button__width-100 has-custom-font-size is-style-outline is-style-outline--1\" style=\"font-size:16px\"><a class=\"wp-block-button__link has-white-color has-text-color has-background has-link-color wp-element-button\" style=\"border-radius:0px;background-color:#00539f\"><strong>Cum se procedeaza in cazul in care medicul trimitator sau pacientul doreste o a doua parere in cazul probelor histoprocesate (in Departamentul de Histopatologie Synevo)?<\/strong><\/a><\/div><\/div><p><\/p><p>\u2022 Se vor elibera probe tisulare procesate histopatologic in Laboratorul de Histopatologie Synevo (blocuri si\/sau lame) in baza unei <em>Cereri de eliberare probe (bloc de parafina, lame colorate) pentru consult extern<\/em><\/p><div class=\"wp-block-rank-math-toc-block has-text-color has-link-color wp-elements-571510318ebc969f241e083e44f288d9\" style=\"color:#00539f\" id=\"rank-math-toc\"><h2>Pentru un diagnostic precis \u0219i \u00eencredere deplin\u0103 \u00een rezultate, adreseaz\u0103-te cu \u00eencredere la Synevo. Echipa noastr\u0103 de speciali\u0219ti \u00een histopatologie este dedicat\u0103 s\u0103 \u00ee\u021bi ofere cele mai avansate servicii, sprijinindu-te astfel \u00een men\u021binerea unei s\u0103n\u0103t\u0103\u021bi optime. <br><br><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-black-color\">Consult\u0103 lista testelor efectuate de Synevo din categoria <a href=\"https:\/\/www.synevo.md\/categorie\/histopatologie\/diagnostic-histopatologic\/\" rel=\"nofollow noopener\" target=\"_blank\">Histopatologie.<\/a><\/mark><br><br><\/h2><nav><div><div class=\"\"><a href=\"#histopatologia-este-o-ramura-esen\u021biala-e-medicinii-care-joaca-un-rol-crucial-in-diagnosticarea-\u0219i-tratamentul-diverselor-afec\u021biuni-la-synevo-moldova-departamentul-de-histopatologie-ofera-servicii-de-inalta-calitate-utilizand-tehnici-avansate-\u0219i-echipamente-de-ultima-genera\u021bie-pentru-a-asigura-diagnosticuri-precise-in-acest-articol-vom-raspunde-la-5-dintre-cele-mai-frecvente-intrebari-legate-de-histopatologie-pentru-a-va-ajuta-sa-in\u021belege\u021bi-mai-bine-procesul-\u0219i-serviciile-pe-care-le-oferim\">Histopatologia este o ramur\u0103 esen\u021bial\u0103 e medicinii, care joac\u0103 un rol crucial \u00een diagnosticarea \u0219i tratamentul diverselor afec\u021biuni. La Synevo Moldova, departamentul de histopatologie ofer\u0103 servicii de \u00eenalt\u0103 calitate, utiliz\u00e2nd tehnici avansate \u0219i echipamente de ultim\u0103 genera\u021bie pentru a asigura diagnosticuri precise. \u00cen acest articol, vom r\u0103spunde la 5 dintre cele mai frecvente \u00eentreb\u0103ri legate de histopatologie, pentru a v\u0103 ajuta s\u0103 \u00een\u021belege\u021bi mai bine procesul \u0219i serviciile pe care le oferim.<\/a><\/div><\/div><\/nav><\/div><p><\/p>","protected":false},"excerpt":{"rendered":"<p>\u00a0Noul departament de Histopatologie al Synevo Moldova v\u0103 ofer\u0103 urm\u0103toarele servicii: \u2022 De diagnostic de tip [&hellip;]<\/p>","protected":false},"author":1,"featured_media":66890,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[452],"tags":[1187],"class_list":["post-29508","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ultimele-stiri","tag-histopatologie-ru"],"_links":{"self":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/posts\/29508","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/comments?post=29508"}],"version-history":[{"count":73,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/posts\/29508\/revisions"}],"predecessor-version":[{"id":68860,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/posts\/29508\/revisions\/68860"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/media\/66890"}],"wp:attachment":[{"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/media?parent=29508"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/categories?post=29508"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/old.synevo.md\/ru\/wp-json\/wp\/v2\/tags?post=29508"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}