IV. Table of contents of teaching Structural-logical chart of theme

T

ОПУХОЛИ, КЛИНИКА, ДИАГНОСТИКА

HEME:

злокачествен

доброкачеств

Classification:

глиомы

фибромы

рак

липомы

папиломы

саркома

полипы

аденомы

миомы

ангиомы

лейомиомы

фиброаденомы

Clinical displays:

Образование язвы

Метастазы

Длительный

рост

Быстрый рост

Чёткость контуров

Types of diagnostics:

Лабора­торные

Цитология

Клини­ческие

эндоскопия

Инструмен-тальные

Фиброгастроскопия

Субьективные

Тепло­визор

смывы

Анализ крови

Радиоизо-топный

Колоно-скопия

Биопсия

Анализ мочи

Обьек­тивные

Рентгенологическое исследование

Селективная ангиография

Безконтрастное

Контрастное

V. Reference basis of action

Method of raising of diagnosis in obedience to international classification (TNMP)

Символ Т – размер первичной опухоли

T1 – tumour to 2th sm;

T2 – tumour 2 sm and anymore (2-5 sm) with

infiltatsiey more deep layers;

T3 – a tumour germinates in a depth

organ with partial limitation of him

zmeshaemosti (5-10 sm);

T4 – tumour, that goes beyond scopes

organ with complete limitation of smeshe

niya

Символ N- наличие регионарных лимфо­узлов

N0 – absence of changes in knots;

N1 – staggered regionarnie limfouzli;

N2 – the staggered lymphatic knots of the second

order

N3 – staggered remote lymphatic

knots;

Символ М –отдалённые метастазы

M0 – metastases are absent;

M1 – presence of remote metastases;

Символ Р – проникно­вение, глубина инфиль­трации опухоли

R1 – defeat of only mucous membrane;

R2 – defeat podslizitiy layer of organ;

R3 – the staggered mishechniy layer, to

subseroznogo;

R4 – germination on all depth of wall

organ

Method of conducting of differential diagnostics of of high quality and malignant tumours

Of high quality tumours	Malignant tumours
Histological insignificant deviations are given from maternal fabric Expansive growth Grow slowly, evenly Fabrics do not germinate in surrounding Metastases are not given The common state of patient is not violated After the surgical deleting the relapses are not given Possible samoizlechenie	Histological give sharp, atipichnie rejections, immature forms – aplaziya of maternal fabric Infiltration growth Grow quickly, aggressively Germinate and damage surrounding fabrics As a rule metastaziruyut The Vizivayut sharp decline of forces, cachexy After the surgical deleting the relapses are often given Samoizlecheniya does not come

Algorithm of inspection of tumular formation of soft fabrics

№	Task	Pointing	Notes
1.	1. To conduct palpatsiyu of education	1. By careful motions to touch to education, to check up the sickliness of him, union with surrounding fabrics, his structure, sizes. 2. The Propalpirovat regionarnie lymphatic knots. To define their sizes, sickliness, union with surrounding fabrics	At palpatsii of skin and hypodermic-fatty cellulose it is possible to define the soft lobules of of high quality tumour of fatty fabric (lipomi). Ateromi – rounded, elastic, a skin above them does not undertake in a fold. If megascopic, dense painless regionarnie knots are exposed, it is possible to suspect regionarnie metastases