אונקולוגיה 10

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01

1 TNM :

T . N . M
.

M1 . T3

T0N0M1 .

TNM .

2 ?

Stage - ( TNM).

. Superior Vena Cava

3 :

. Carcinoid

. Squamous Cell Carcinoma

. Adenocarcinoma

4 Year Survival 5 ?

. Oat Cell Carcinoma

. Squamous Cell Carcinoma

. Adenocarcinoma

. Carcinoid

5 :

6 ?

. Squamous Cell Carcinoma

. Adenocarcinoma

7 ?

. S.C.C

8 :

9 ? vagina

. Squamous Cell Carcinoma

. Basal Cell Carcinoma

11 , S.C.C ::

, .

, .

, .

, .

Pap Smear 11:

12 :

().

".

13 :

Condylomata Accuminata

Squamous Cell Carcinoma

Adenocarcinoma

Sarcoma

14 ?

C5 - C7

15 ?

".

16 :

().

17 .
- . ?

Cauda Equine Syndrome -

MM -

Squamous Cell Carcinoma

18 ,
/ . ?

19 , , 00 , .
.?

21 ?00

1%

10%

25%

00%

: 01

1

TNM :

T . N . M
.

M1 . T3

T0N0M1 .

TNM .

TNM T . Tumor T0 .
T1 . ( 3") T4
, , ,
.
N . Nodes - N0 ,
N1 . N3 .
, .
M .Metastases - M0 M1 .
T0N0M1 ! (
).
M1 .
.
.
TNM .

Stage - ( TNM).

. Superior Vena Cava

, ()
.
.
Grade TNM Stage
. .
" " . & Grading
Staging ( ) Palliative
(. )Curative

. Carcinoid

. Squamous Cell Carcinoma

. Adenocarcinoma

Squamous Cell Carcinoma .


, , ,
- .
. , .
, .

Year Survival 5 ?

. Oat Cell Carcinoma

. Squamous Cell Carcinoma

. Adenocarcinoma

. Carcinoid

Oat Cell Carcinoma .Small Cell Ca


(
) . .
.
. , , ,

( ) .
ACTH
. PTH
.
. Oat Cell Carcinoma
Year Survival 5 . 5% (
, . ).

.
. , .
,
( ) .
( , ACTH)
: ,
= . 5% ,
.

. Squamous Cell Carcinoma

. Adenocarcinoma

.

. Squamous ().
.
85% .
.
.
: ( , , ,
) ( )
.
. S.C.C

. S.C.C

(=) (=)
90% . .
,
, ( =
) .
( ) .
. ,
S.C.C . .

" " " .


( ),
(
) .
()
( 15-20 ") .
.

? vagina

. Squamous Cell Carcinoma

. Basal Cell Carcinoma

, :
( ) ,
.
.
. , ( Squamous
) Cell Carcinoma 80% .
3-4% .
. 65
. ,
Condylomata Accuminata
.

, .

11 , S.C.C ::

, .

, .

, .

, .


.
( V.P.H .) V.M.C ,
,
.Squmous cell Carcinoma :
(
).
.
- ,
.

Pap Smear 11:

( -)
( 18
) . ( ) 95%
3 .

.

12 :

().

".

( Carcinoma In Situ
) . ( )

, .
.

13 :

Condylomata Accuminata

Squamous Cell Carcinoma

Adenocarcinoma

Sarcoma

.
( ).
.
( .) HPV
.
C.C.S
( ,
)
/ ( , DES
).

14 ?

C5 - C7

Horners syndrome (
) , ,
, ( C8-T1
. C6 C6 C7
C7 T1 ) C8
.
(=),
(= ) (=),
, -.
,
() ,
.

15 ?

".

,
. ,
.

16 :

().

,
, . .
.

17 .
- . ?

Cauda Equine Syndrome -

MM -

Squamous Cell Carcinoma

,
( )B .
myelo oma -
. .
.
. .
.

18 ,
/ . ?

ant Melanoma ,
.
. ,
. , .
70% .
." 15% .
. .
.10% .
.

19 , , 00 , .
.?

= Pancreatic Adenocarcinom ,
. 50 .70
, , , .
10% .
. 75%
. ,
. .
, .
.
" . CT , US , ERCP , , PTC MRI
2-3" .
, ,
. "
,
. .
. 10%
.

21 ?00

1%

10%

25%

00%

1 10 - . 70 10%
. ,
, .
. ,
.


.
.
.
.
. 60%
" . "
. "
. , , ,,
, .
.
.

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