rak shitovidnoy jelezi

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powerpoint presentation rak shitovidnoy jelezi anatomiya i fiziologiya shitovidnoy jelezi shitovidnaya jeleza – neparniy endokrinniy organ, funktsiya kotorogo reguliruetsya tsentralnoy nervnoy sistemoy i tireotropnim gormonom peredney doli gipofiza. ves shitovidnoy jelezi v vozraste 20–60 let kolebletsya ot 17 do 40 g. vertikalniy razmer doley 50–80 mm, peresheyka – 5–15 mm. funktsiya jelezi zaklyuchaetsya v sinteze i sekretsii tireoidnix gormonov, soderjashix 3 ili 4 molekuli yoda. puti oblucheniya shitovidnoy jelezi radioaktivnie vipadeniya pishevaya tsep zagryaznenie okrujayushey sredi radioaktivnoe oblako vnutrennee obluchenie radionuklidami ingalyatsiya obshie svedeniya na dolyu raka shitovidnoy jelezi vo vsem mire prixoditsya vsego okolo 1-2 % ot vsey onkologicheskoy patologii. obichno rak shitovidnoy jelezi podrazumevaet odin iz chetiryox tipov zlokachestvennix opuxoley shitovidnoy jelezi: papillyarniy, follikulyarniy, medullyarniy ili anaplasticheskiy. naibolee chasti papillyarnie i follikulyarnie opuxoli. follikulyarniy rak bolee agressiven, chem papillyarniy. pri viyavlenii etix raznovidnostey na rannix stadiyax prognoz, kak pravilo, blagopriyatniy. medullyarniy rak yavlyaetsya bolee agressivnim, chem papillyarniy i …

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roskopicheskaya kartina solidnaya komponovka opuxoli nalichie amiloida v strome argirofilnie sekretornie granuli makroskopicheskaya kartina plotniy opuxoleviy uzel na razreze opuxoleviy uzel belovato-jeltogo tsveta s melkobugristoy poverxnostyu granitsa opuxoli na otdelnix uchastkax proslejivaetsya chetko, na drugix ne vidna metastazi rshj v regionarnie limfaticheskie uzli yaremnaya gruppa (verxnie, srednie, nijnie) uzli zadnego treugolnika pre- i paratraxealnie uzli nadklyuchichnie zagrudinnie limfaticheskie uzli podchelyustnie limfaticheskie uzli diagnostika anamnez i klinika ob'ektivno – osmotr i palpatsiya uzi kt, mrt skanirovanie opredelenie urovnya gormonov – ttg,t3,t4 biopsiya – tsitologiya i gistologiya bolnaya rasprostranennim papillyarnim rakom shitovidnoy jelezi s metastazami v limfouzli shei bolnoy rasprostranennim papillyarnim rakom shitovidnoy jelezi s metastazami v limfouzli shei lechenie xirurgicheskiy – subtotalnaya rezektsiya, gemitireoidoektomiya i totalnaya tireoidoektomiya ximioluchevaya terapiya gormonalnoe lechenie lechenie radioaktivnim yodom oslojneniya operativnogo lecheniya zabolevaniy shitovidnoy jelezi krovotecheniya v posleoperatsionnom periode (ot 0,1 do 4%) retsidiv zabolevaniya nagnoenie posleoperatsionnoy rani tireotoksicheskiy kriz retsidiv zabolevaniya tireotoksicheskiy kriz krovotecheniya v …

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va varianti proxojdeniya vozvratnogo nerva

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powerpoint presentation rak shitovidnoy jelezi anatomiya i fiziologiya shitovidnoy jelezi shitovidnaya jeleza – neparniy endokrinniy organ, funktsiya kotorogo reguliruetsya tsentralnoy nervnoy sistemoy i tireotropnim gormonom peredney doli gipofiza. ves shitovidnoy jelezi v vozraste 20–60 let kolebletsya ot 17 do 40 g. vertikalniy razmer doley 50–80 mm, peresheyka – 5–15 mm. funktsiya jelezi zaklyuchaetsya v sinteze i sekretsii tireoidnix gormonov, soderjashix 3 ili 4 molekuli yoda. puti oblucheniya shitovidnoy jelezi radioaktivnie vipadeniya pishevaya tsep zagryaznenie okrujayushey sredi radioaktivnoe oblako vnutrennee obluchenie radionuklidami ingalyatsiya obshie svedeniya na dolyu raka shitovidnoy jelezi vo vsem mire prixoditsya vsego okolo 1-2 % ot vsey onkologicheskoy patologii. obich...

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