tuxumdon o`smalari

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презентация powerpoint mustaqil ish mavzu: tuxumdon o`smalari bajardi: 2-davolash ishi fakulteti 509-a guruh talabasi abdusattorov ibrohim tekshirdi: ayupova d.a. toshkent – 2023 toshkent tibbiyot akademiyasi introduction ovarian cancer accounts for 3–4% of cancer in women ovarian cancer is the second most common gynecologic malignancy, endometrial cancer being the most common, but is the most common cause of death among women who develop a gynecologic malignancy. in general, ovarian cancer is a disease of the postmenopausal woman, with the highest incidence among patients ages 65–74 year . risk factors family history ethnicity reproduction others family history the strongest risk factor a women with a single first-degree relative with ovarian cancer has a relative risk (rr) of approximately 3.6 for developing ov.ca compared with general population her life time risk approx. 5% 5-10% of ov.ca are linked to identifiable, inherited mutations in certain genes families in which three or more first-degree relatives …

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st childbirth after age 35 years involuntary infertility late menopause and early menarche pts. with prolonged period or uninterrupted ovulation others exogenous hormones :- hrt dietary factors , diets high in saturated animal fats seem to confer an increased risk by unknown mechanisms … japanese women who move to the united states have an increased ovarian cancer risk. # japanese women who move to the united states have an increased ovarian cancer risk. <<<<< protective factors multiparity: first pregnancy before age 30 oral contraceptives: 5 years of use cuts risk nearly in half tubal ligation hysterectomy bilateral oopherectomy lactation epidemiologic and laboratory evidence suggest a potential role for retinoids , vitamin d, nsaids as preventive agents for ovarian cancer pathology ovarian cancer can be divided into three major categories based on the cell type of origin . the ovary may also be the site of metastatic disease by primary cancer …

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tumours tumours of low malignant potential malignant epithelial ovarian tumor germ cell tumors less than 2% of ovarian cancers are germ cell tumors. 9 out of 10 patients surviving at least 5 years after diagnosis. types of germ cell tumors teratoma dysgerminoma endodermal sinus tumor (yolk sac tumor). stromal tumors about 1% of ovarian cancers are ovarian stromal cell tumors. more than half of stromal tumors are found in women older than 50, but about 5% of stromal tumors occur in young girls. the most common symptom of these tumors is abnormal vaginal bleeding. sudden, severe, abdominal pain. this occurs if the tumor starts to bleed. symptoms early symptoms of ovarian cancer: •pain in the pelvis •pain on the lower side of the body •back pain •indigestion or heartburn •more frequent and urgent urination •pain during sexual intercourse as ovarian cancer progresses these symptoms are also possible: •nausea, weight loss, …

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hronous endometrial carcinoma or as a consequence of metastatic disease to the lower genital tract. ovarian stromal hyperplasia or hyperthecosis also may be associated with excess androgen production, which alters the normal menstrual cycle. diagnosis and clinical evaluation on physical examination: general examination abdominal examination :- abdominal distention is one of the more common findings. the presence of flank fullness and shifting dullness implies the presence of ascites or a large pelvic- abdominal mass , recent eversion of the umbilicus lymph node examination :- the supraclavicular and inguinal areas , sister mary joseph's nodule refers to a metastatic implant in the umbilicus. pelvic examination :- a careful and thorough pelvic examination provides many helpful clues regarding the etiology of a pelvic mass. # benign mass :- mobile , smooth , cystic , unilateral #malignant mass :- fixed , irregular , sold or firm , bilateral. if i find a mass …

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n the majority of stage i and stage ii, but impossible in advanced cases. management … surgery complete hysterectomy & removal of tubes and ovaries lymph node evaluation omentectomy intestinal resection peritoneal stripping/tumor debulking conservative management for those desiring to preserve fertility with early stage disease management … chemotherapy women with stage ia or ib and well or moderately differentiated tumours will not require further treatment. all other patient with invasive ovarian carcinoma require chemotherapy (stage ii-iv –possibly stage ic ). drugs used are carboplatin, cisplatin and taxol. management … radiation therapy currently, radiation therapy plays a limited role in the treatment of patients with epithelial ovarian cancer mainly because of radiation damage to the small bowel, liver, and kidneys. radiation therapy has been used successfully in the treatment of patients with dysgerminoma . prognosis … the prognosis for patients with ovarian cancer is primarily related to the stage of …

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презентация powerpoint mustaqil ish mavzu: tuxumdon o`smalari bajardi: 2-davolash ishi fakulteti 509-a guruh talabasi abdusattorov ibrohim tekshirdi: ayupova d.a. toshkent – 2023 toshkent tibbiyot akademiyasi introduction ovarian cancer accounts for 3–4% of cancer in women ovarian cancer is the second most common gynecologic malignancy, endometrial cancer being the most common, but is the most common cause of death among women who develop a gynecologic malignancy. in general, ovarian cancer is a disease of the postmenopausal woman, with the highest incidence among patients ages 65–74 year . risk factors family history ethnicity reproduction others family history the strongest risk factor a women with a single first-degree relative with ovarian cancer has a relative risk (rr) of approximate...

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