7. Materials of activation of students are during teaching of lecture.

Tasks for self-control:

1. Patient And., 53, appealed to the doctor of surgeon-stomatology with complaints in the presence of ulcer on the side of tongue, that arose up because of injuring a sharp edge to prosthetic appliance. An ulcer exists over month.

What must tactics of doctor be?

(Answer: if after moving away of injuring factor, an ulcer will not disappear during 2 weeks, a patient it follows to direct to oncological department)

2. Doctor surgeon-stomatology pointed at cytological research material that took from an ulcer on the mucous membrane of subglossal area. From a cytological laboratory got confirmation of malignant ulcer.

What further actions of doctor?

(Answer: to direct a patient in oncological department)

3. A patient appealed to stomatology with complaints about bad cicatrization of small hole of tooth that was remote two weeks to the volume. A doctor did scraping off of small hole a few times, and in three weeks, when a permanent gnathalgia appeared, directed a patient with consultation in a stomatological policlinic, where, after histological research of granulation, there was the set diagnosis of malignant tumour.

What break was made bad by stomatology?

Answer: (to granulation, that were deleted from a small hole, it was necessarily to point at histological research)

4. For a patient, 45, at punction of tumor of similar education on the side of neck on the left, mass is got with an odor nuisance.

What diagnosis can be suspected?

(Answer: dermatoid cyst of neck)

5. For a patient, 30, during sanation of cavity to the mouth found out on the area of brain of ear opening a to 1 mm in a diameter, maceration of skin round him. At palpation from him a transparent mucous secret is distinguished. During sounding is a depth a to 5 cm.

What most credible diagnosis?

(Answer: lateral fistula of neck)

6. At the review of patient 36 found out a cyst with liquid content and thin shell. Then a cytological inspection was set a final diagnosis is a lateral cyst of neck.

What treatment is shown in this case?

(Answer: surgical treatment: realization of cut of skin above a cyst on a cutting edge to the sternoclaidomastoideus muscle)

Educational tasks of 3th level (offtype tasks) :

1. Patient of Д., in 41, appealed to the doctor of surgeon-stomatology with complaints in the presence of the slight swelling in a right parotid-masticatory area, that arose up 10 over to the volume, grew slowly. At objective research found out new formation a to 3 cm in a diameter, softly-elastic consistency, painless, with surrounding fabrics unconnected, movable.

What must tactics of doctor be?

What additional methods of inspection does it follow to apply?

(Answer: a doctor must take material for cytological research. Additional methods of inspection : laboratory (global and biochemical analysis of blood), at a necessity roentgenologic (sialogram, taking into account the location of new formation)

2. Doctor surgeon-stomatology pointed at cytological research material that took from an ulcer in the left submandibular area. On results cytological research atypical cages are found.

What further actions of doctor?

(Answer: to direct a patient in an oncologic dispensary)

3. Patient And., 42, appealed to surgeon-stomatology in connection with that he had dryness in to the mouth. At objective research it is set: asymmetry of face due to the slight swelling in a right parotid-masticatory area, Ptimalum of right eye and prolapsus of right corner of mouth. The cutaneous covering in a color is not changed. Right submandibular lymphatic knots are megascopic, soldered inter se, immobile. Opening of mouth is free. Mucous membrane of right cheek area without visible pathology, dry, saliva from fistula of channel of parotid salivary gland is not distinguished.

Put a previous diagnosis.

What must tactics of doctor be?

(Answer: malignant new formation of right parotid salivary gland. Cytological and roentgenologic research. A doctor-oncologist) has consultation and further treatment.

4. At histological research of turbid liquid of rather yellow color oxyphilic is determined fine-grained mass with the elements of multi-layered flat epithelium with the far of lymphocytes.

Set a necessary diagnosis.

(Answer: lateral cyst of neck)

5. At the review of new-born child on the skin of side of neck according to the cutting edge of sternoclaidomastoideus muscle it was discovered bursting to granulation covered by getting wet crusts, a polychromia and maceration of skin round granulation, from that the negligible quantity of rather yellow viscous liquid is constantly distinguished, are determined.

Set a necessary diagnosis.

(Answer: lateral fistula of neck)

6. At the review of patient of К. it was 40 found out painless new formation of the rounded form, that is located on middle third of neck ahead to the sternoclaidomastoideus muscle, with a skin it is not soldered with a skin. Especially well marked off at the turn of chairman sick in an opposite side.

Set a previous diagnosis.

(Answer: lateral cyst of neck)