rak tela matki

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endometrial cancer rak tela matki anatomiya jenskix genitaliy sxematicheskoe izobrajenie matki, matochnix trub i yaichnikov (vid szadi; pravaya polovina matki, matochnaya truba i yaichnik vskriti): 1 — dno matki; 2 — polost matki; 3 — kruglaya svyazka matki; 4 — matochnaya arteriya; 5 — narujniy matochniy zev (otverstie matki); 6 — vlagalishe; 7 — sheyka matki; 8 — kanal sheyki matki; 9 — vnutrenniy matochniy zev (peresheek matki); 10 — shirokaya svyazka matki; 11 — yaichnik; 12 — voronka matochnoy trubi; 13 — ampula matochnoy trubi; 14 — sobstvennaya svyazka yaichnika; 15 — peresheek matochnoy trubi. chto takoe rak tela matki? eto zlokachestvennoe novoobrazovanie, kotoroe razvivaetsya iz tsilindricheskogo epiteliya vnutrenney poverxnosti matki – endoteliya. rasprostranennost po rasprostranennosti i tempam prirosta zabolevaemosti rak endometriya zanimaet odno iz pervix mest sredi zlokachestvennix novoobrazovaniy reproduktivnoy sistemi ( vtoroe mesto ) s rasprostranennostyu 6,8% sredi jenskogo naseleniya. otlichitelnoy chertoy raka endometriya yavlyaetsya visokaya smertnost …

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adenokartsinoma – eto rak, kotoriy proisxodit iz jelezistoy tkani matki (vnutrenniy sloy matki, ili endometriy). leyomiosarkoma – eto opuxol, kotoraya proizrastaet iz mishechnogo sloya matki. svetlokletochnaya (mezonefroidnaya) adenokartsinoma; • ploskokletochniy rak; • jelezisto-ploskokletochniy rak; • nedifferentsirovanniy rak. formi rosta raka tela matki: ekzofitnaya (v 95% sluchaev nablyudeniyax), endofitnaya i smeshannaya (5%). i tip — gormonalnozavisimiy. xarakterizuetsya razlichnimi proyavleniyami xronicheskoy giperestrogenii v sochetanii s narusheniem jirovogo i uglevodnogo obmena. opuxol voznikaet na fone giperplasticheskix protsessov endometriya i atipicheskoy ego transformatsii. ii tip - avtonomniy patogeneticheskiy variant - nablyudaetsya u 30 – 40 % jenshin starshe 50 let v postmenopauze. soputstvuyushie endokrinno - obmennie narusheniya menee virajeni ili otsutstvuyut. opuxol voznikaet na fone atrofii endometriya, xarakterizuetsya nizkoy stepenyu differentsirovki, glubokoy invaziey miometriya, obladaet visokoy potentsiey k metastazirovaniyu i imeet sootvetstvenno xudshiy prognoz. videlyayut dva patogeneticheskix tipa raka tela matki: videlyayut tri osnovnix puti metastazirovaniya raka tela matki: limfogenniy, gematogenniy i implantatsionniy. naibolee …

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mfogennie metastazi implantatsionniy put v mikroskopicheskaya kartina visokodifferentsirovannaya adenokartsinoma nizkodifferentsirovanniy rak razlichnie mikroskopicheskie varianti raka endometriya klinika matochnie krovotecheniya, kotorie voznikayut u jenshin v menopauze (poyavlenie krovotecheniy posle dolgogo pereriva) dlitelnie i obilnie menstrualnie krovotecheniya u molodix jenshin (ne vstupivshix v period menopauzi). postoyannie noyushie boli v poyasnitse.rak tela matki dlitelnoe vremya mojet protekat bessimptomno, odnako neredko tak je proyavlyaetsya matochnimi krovotecheniyami, bolyami v poyasnitse, libo uvelicheniem razmerov jivota. simptomi intoksikatsii (toshnota, utomlyaemost, slabost). dlitelnaya nemotivirovannaya subfebrilnaya temperatura (37 – 37.5s) stadii i stadiya raka tela matki — opuxol ogranichena endometriem. stadiya ia - opuxol ogranichena endometriem. stadiya ib - invaziya menee chem na 1/2 tolshini miometriya. stadiya 1s - invaziya bolee chem na 1/2 tolshini miometriya. ii stadiya raka tela matki — rak prorastaet endometriy i stromu tservikalnogo kanala. stadiya iia - opuxol zaxvativaet tolko endotservikalnie jelezi. stadiya iib - invaziya v stromu sheyki. stadiya iiia - rasprostranenie opuxoli …

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roskopiya s biopsiey endometriya gisterosalpingografiya, pnevmopelviografiya kt,mrt angio i lifografiya aspiratsionnaya biopsiya i tsitologicheskoe issledovanie biopsiya endometrialnie polipi uzi kartina jelezisto-kistoznaya giperplaziya endometriya. polip endometriya. kt i mrt xirurgicheskoe luchevaya terapiya – pred i posleoperatsionnaya ximioterapiya – adyuvantnaya i neoadyuvantnaya gormonalnaya terapiya – pri gormonozavisimom rake lechenie xirurgicheskoe lechenie ob'em xirurgicheskogo vmeshatelstva opredelyaetsya stadiey protsessa i prognozom. pri blagopriyatnom prognoze provoditsya ekstirpatsiyu matki s pridatkami, a pri neblagopriyatnix — rasshirennaya ekstirpatsiya - pangisteroektomiya (issechenie odnim kompleksom matki, pridatkov, parametralnoy kletchatki i vsex regionarnix limfouzlov) operatsiya ne primenyaetsya tolko v sluchae absolyutnix protivopokazaniy – rasprostranennix metastazov, nekompensirovannoy poliorgannoy i drugoy ekstragenitalnoy patologii drugix tyajelix sostoyaniy pri kotorix bolnaya perevoditsya na palliativnoe lechenie. ob'em xirurgicheskogo vmeshatelstva prognoz protsentnoe sootnoshenie 5-letney vijivaemosti v zavisimosti ot stadii raka pervichnaya profilaktika raka tela matki. kontrol gormonalnogo statusa, dieti, tshatelnaya otsenka pokazaniy k naznacheniyu gormonosoderjashix preparatov. kontrol za kantserogenami okrujayushey sredi (nekotorie pestitsidi obladayut gormonopodobnim deystviem). …

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endometrial cancer rak tela matki anatomiya jenskix genitaliy sxematicheskoe izobrajenie matki, matochnix trub i yaichnikov (vid szadi; pravaya polovina matki, matochnaya truba i yaichnik vskriti): 1 — dno matki; 2 — polost matki; 3 — kruglaya svyazka matki; 4 — matochnaya arteriya; 5 — narujniy matochniy zev (otverstie matki); 6 — vlagalishe; 7 — sheyka matki; 8 — kanal sheyki matki; 9 — vnutrenniy matochniy zev (peresheek matki); 10 — shirokaya svyazka matki; 11 — yaichnik; 12 — voronka matochnoy trubi; 13 — ampula matochnoy trubi; 14 — sobstvennaya svyazka yaichnika; 15 — peresheek matochnoy trubi. chto takoe rak tela matki? eto zlokachestvennoe novoobrazovanie, kotoroe razvivaetsya iz tsilindricheskogo epiteliya vnutrenney poverxnosti matki – endoteliya. rasprostranennost po rasprostra...

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