The thematic module 2. Bases of clinical oncology Practical employment № 29

Theme: Tumours

The I. Aktualnost themes

Without regard to modern development of medicine, diagnostics and medical treatment of tumours remains an enough thorny and actual problem. This problem is complicated by the permanent increase of number of patients with tumours, appearance of atipichnih and the lately diagnosed clinical forms, absence of adequate medicinal and instrumental providing of hospitals. The necessity of timely diagnostics of different types of tumours is the important task of doctor of any speciality. Important place in complex medical treatment of patients of surgical permanent establishment, is present necessity of study of such important section how tumours are. The acquaintance of students with the method of inspection, by the clinical signs of tumular process at of high quality and malignant forms their flow and modern methods of diagnostics and medical treatment, is the necessary constituent of knowledges for a future doctor and medical sister.

ІІ. Purpose of employment:

1. Gentlefolks the organization of oncologic help in Ukraine (=II).

2. Gentlefolks the etiology and pathogeny of malignant tumours (=II).

3. Gentlefolks the epidemiology of malignant tumours (=II).

4. Gentlefolks international classification of tumours (=II).

5. Gentlefolks the clinic of separate malignant and of high quality tumours (cancer of skin, lower lip, milk gland; ateroma, lipoma) (=II).

6. Gentlefolks are principles of medical treatment of tumours (=II).

7. to be Able to differentiate of high quality and malignant tumular growth (=III).

8. to Capture the method of diagnostics of of high quality tumours of soft fabrics: ateromi, lipomi (=III).

9. to be Able on the clinical symptoms of patient with a tumour to diagnose in obedience to the international classification TNMR (=III).

ІІІ. Providing of initial level of knowledges-abilities

Literature:

Basic:

1. Metodichnі rozrobki for auditornoї that samostіynoї roboti studentіv.

2. Zagalna hіrurgіya / After red. S.P.Guchenko, M.D.Gelіbi, S.D.Hіmіcha – Kiїv.: Zdorov’ya, 1999.

3. Cherenko M.P., Vavrik G.M. Zagalna hіrurgіya z anestezіologієyu, by the bases of reanіmatologії that to doglyadu after hvorimi – Kiїv.: Zdorov’ya, 1999.

4. Gostishev V.K. General surgery: Studies. – M.: Medicine, 1993.

5. Gostishev V.K. "Guidance to practical employments on general surgery". M., "Medicine" - 1987.

Additional:

1.А.А. Simodeyko, S.S. Fіlіp, O.O. Boldigar Zagalna hіrurgіya in pitannyah і vіdpovіdyah. Uggorod, «Іva» - 2005.

2.С.М. Genik, M.V. Prokopishin, V.M. Krisa that іn. Situatsіynі zadachі z hіrurgії.Івано-Франківськ, «Lіleya-N.В» – 2003.

3.А.А. Simodeyko, S.S. Fіlіp, O.O. Boldigar, Panto V.І. By Praktichnі naviki z zagalnoї hіrurgії z doglyadom after hvorimi. Uggorod, UgNU. – 2001.

Tests and tasks for verification of initial level of knowledges

Define the clinical displays of of high quality tumour:

a form and fine-grained structure is rounded

immobile and sroshena with surrounding fabrics

megascopic lymphatic knots palpiruyutsya

at palpatsii a tumour is sickly

there is a capsule

flyuktuatsiya above a tumour

What from the transferred tumours are of high quality?

melanoma

fibroadenoma

lipoma

madenokartsinoma

limfosarkoma

fibrosarkoma

A cancer develops from:

immature connecting fabric

ferrous epithelium

blood vessels

lymphatic vessels

integumentary epithelium

smooth or striped muscles

There is what characteristically for an of high quality tumour?

hasty growth

slow growth

infiltruyushiy growth

cachexy

rapid fatigueability

not srashena with surrounding fabrics

There is what characteristically for an of high quality tumour?

expansive growth

hasty growth

infiltrativniy growth

propensity to the relapses after the operation

absence of power to give metastases

sharp influence on the exchange of matters

There is what not characteristically for a malignant tumour?

presence of capsule

atipichnoe structure

metastazirovanie

polymorphism of structure

relative autonomy of growth

slow growth

What feature not characteristic for a malignant tumour?

spreads on lymphatic vessels

absence of metastases

germinates surrounding fabrics

can exist right through life sick

develops quickly and without visible reasons

the relapse comes after deleting of tumour

All researches help raising of diagnosis of tumour, except for:

elektrokardiograficheskoe research

anamnesis of sick

endoskopicheskih researches

laboratory data

biopsy

bakteriologichnoe research

All behaves to antiblastike, except for:

introduction of protivoopuholevih antibiotics

application of hormonal preparations

application of altitude chamber

application of chemotherapeutic preparations

application of radial therapy

application of fizioprotsedur

All can be the complaints of patient with a malignant new formation, except for:

rapid fatigueability

losses of appetite, ishudaniya

nauseas in the morning

pains in area of heart

apathy

alternating lameness making to progress

All behave to the peredrakovim diseases of geludochno-kishechnogo highway, except for:

chronic anatsidniy gastritis

paraproktit

chronic kaleznoy ulcer

piles

polypuses of stomach

polypuses of thick intestine

How are of high quality tumours from smooth and transversal-striped mishechnoy fabric named?

papilloma

leyomioma

adenoma

rabdomioma

dermoid

hondroma

How are of high quality tumours from vessels named?

gemangioma

leyomioma

limfangioma

rabdomioma

papilloma

adenoma

Name testimonies to deleting of of high quality tumours:

declining years of patient

permanent injuring of a new formation

suspicion on the regeneration

young age of patient

risk of appearance of metastases

decline of immunity of sick

Name testimonies to deleting of of high quality tumours:

mechanical squeezing by the tumour of surrounding structures

declining years of patient

speed-up growth

decline of capacity of patient

risk of appearance of metastases

young age of patient