Вопросы для контроля приобретенных знаний

1. Факторы риска возникновения рака тела и шейки матки.Механизмы канцерогенеза. Вирусный фактор в этиопатогенезе рака шейки матки.

2. Предопухолевые заболевания. Локализация, диагностика, лечение.

3. Ранний рак тела, шейки матки , яичников. Классификация, клиника.

4. Особенности клинической картины рака тела, шейки матки, яичников, которые возникли на фоне хронических заболеваний.

5. Современные методы диагностики злокачественных заболеваний тела, шейки матки, яичников .

6. Ранняя диагностика рака шейки матки: скрынинговые методы, виды кольпоскопии, цветные пробы, цитологические исследования.

7. Методы радикального и палиативного лечения рака тела, шейки матки,яичников.Реабилитация, экспертиза трудоспособности, прогноз.

Перечень обязательных практических навыков:

Пальпация реґионарных лимфатических узлов.

Самостоятельная аудиторная работа:

1. Сбор жалоб, анамнеза;

2. Общий осмотр больной, пальпация реґионарных лимфоузлов, бимануальное обследование.

Литература:

Основная:

1. Билынский Б.Т. и соавт. Онкология.- Львов, 1998.- С. 177-208, 254-262

2. Билынский Б.Т. и соавт. Онкология.- Львов, 2007.-34-398,477-485.

3. Материалы лекции.

Дополнительная:

1.Щепотин И.Б. и др. Онкология.- К.: Книга плюс.– 2006. – С. 307-362, 388-394.

2.Онкология. Избранные лекции для студентов и врачей/ Под редакцией В.Ф. Чехуна.- Киев: Здоров’я Украины, 2010.-768с.

3.Щепотин И.Б., Бондарь Г.В., Ганул В.Л. и др. Алгоритмы совреенной онкологии. Киев.- Книга плюс.-2006. С. 223-246, 198-202.

Lesson 5

CERVICAL CANCER AND CANCER OF CORPORIS UTERI, DIAGNOSTICS, CLINIC, TREATMENT

1. Theme Topicality:

In the last decade the incidence of cancer in Ukraine female genitalia is according to WHO 24% of all tumors in women. Approximately 6-12% of patients found in long-standing stages. At the same time, provided the appropriate training of medical staff are the essential conditions for the early and timely detection of diseases.

Objective lessons: Writing basics timely detection and diagnosis of cancer of the body and cervix

2. The goal of the lesson:

Know	Be able to:
General information about the spread of malignant tumors.	Analyze statistical data about the distribution of cancer of the body and cervix.
Basic principles of obtaining a history with non-malignant diseases. Rules of ethics.	Collect history of suspected malignant lesions of the body and cervix.
The method of color samples during extended colposcopy mechanisms change color fabrics.	Conduct color samples in cervical cancer and interpret the results.
Radiologically, colposcopic, cyto-morphological pattern in normal and non-tumor pathology character.	Interpret data radiological, colposcopic and cytological studies.
Clinical manifestations of cancer of the body and cervix.	Conduct survey to assess the general condition, to describe the status of the cervix.
Indications and contraindications for various types of special treatment.	Assign appropriate and justify special treatment.

self-paced educational literature to practical lessons

The content and sequence of learning activities	Guidelines for training activities
The statistics about the disease of the body and cervix in Ukraine and other countries	Use data Cancer Registry of Ukraine
Benign and premalignant disease of the body and cervix. The clinic, diagnosis, treatment	Features of the structure of the body and cervix.
Clinical classification of cancer of the body and cervix. TNM Classification System	Histogenetic classification of malignant tumors. The essence of classifications
Clinical cancer of the body and cervix. Early cancer.	Describe the characteristic manifestations of cancer of the cervix and body from the history and physical examination of the patient
Diagnosis of cancer of the body and cervix. Features body cancer and cervical cancer, which appeared on the background of chronic diseases	These laboratory, radiological, colposcopy, cytomorphological studies in cancer of the body and cervix
Methods of treatment of cancer of the body and cervix	Indications and contraindications for the use of surgery, radiation, chemotherapy methods. Evaluation of effectiveness
Metastasis of cancer of the body and cervix	Ways metastatic cancer of the body and cervix

Questions for control of acquired knowledge:

14. Risk factors of cancer of the body and cervix. Mechanisms of carcinogenesis. Viral factor in the etiopathogenesis of cervical cancer.

15. Precancer disease. Localization, diagnosis and treatment.

16. Early cancer of the body and cervix, classification, clinic.

17. Clinical features of cancers of the body and cervix, which appeared on the background of chronic diseases.

18. Modern methods of diagnosis of malignant disease of the body and cervix.

19. Early detection of cervical cancer: screening methods, types of colposcopy, color samples, cytological examination.

20. Methods radical and palliative treatment of cancer of the body and cervix, rehabilitation, examination performance, weather.

REFERENCES

1. Bilynsky B.T. , et al. Oncology. - Lviv, 1998. - S. 123-139.

2. Peterson B.E. CANCER. - Moscow, 1980. - C. 244-277.

3. Schepotin I.B., Ganul V.L. Klimenko I.A. and others. Oncology. - K.: Book plus. - 2006. - S. 161-169, 196-214.

4. Materials lectures.