Click here to load reader

Умайн их биеийн хавдар

  • Upload
    -

  • View
    1.251

  • Download
    4

Embed Size (px)

Citation preview

. . . .

, , . , . .

95% , 5% .

20-30%- , 30-35 .

- - .

, , , . , . .

, - \\ . .

- interstitial (intramural) - subserous ( ) - pedunculated, subserous - subserous, displacing tube - intraligamentous tumor - cervical ( ) - pedunculated, submucous - submucous ( ) - pedunculated, submucous, frotruding through external os

- , , , , \ \

Hysteroscope

:

, - \, , \- ,

. ,

, , ,

, . . , ,

. , .

- 1- .2004 40320 , 7090 . 6 1 .- 2- , 60,8%- .2005 100,000 13,9% .

. 40-49 29,3%50-59 34,9% .

60-6540 , , , 4 55 40 4

, // . .

, . . .

/ / :

: / /-95% / / - 5% . 2 . .

G166%85-90%G220%65-70%G3045-50%

/FIGO 1988/ I AG 1, 2, 3 \\I BG 1, 2, 3 1\2 I CG 1, 2, 3 1\2 II AG 1, 2, 3 II BG 1, 2, 3 III AG 1, 2, 3III BG 1, 2, 3III CG 1, 2, 3IV AG 1, 2, 3IV BG 1, 2, 3 , ,

I A, B

II

III A

III B

III C

IV A

IV B

, TNM 1- 1- 1b- - 1- - N0

2- .2- . .2b- .

3- .3- , , , .3b- .3- N1 /

4- 4-1-

, 3 .1. \, , , , \2. \, , \3. \ \

\75-80%\. , . .

\ \ , MRI

.

2 0,5 .

. - 10-16 - 3-4 / 5 / 6-7 ./ 3-6 /

, .40 , ,

, .

. 20 . .

90% . . 2 .

, MRI , , MRI .

, , . 100% . .

- , , . , MRI

IIII-IV , G1G2, G3 1\3- 1\3- 50%

. , , . ( )

2 . . , , , .

1/3 , /G1-G2/

, 2 3- 3- , 3-

/2-3 / 1 500 7 3 , 3 500 7 2 , 6 500 7 1 , 6 2 3 500 7 1 , 6 250 7 1 , 6

.

Ia G1 G2 Ia G3 / , , 50% /

Ib G1 - G2 .Ib , G3, lc G , . . - -

ll // - , - / /

lla 50 % , G1, G2 > 50 % , G3 llb

lll

. - - , -

lllA ,

lllB lllB . /, /

lV . . , .

, , 1 , 2 6 1 , 125 4 , 1 3 75%-

I, II III, IV . I 5 86-98%, II 70-71%, III 32,1%, IV 5,3%

, ,

/BRCA /

//

/1.5-2%/ , ,

- I- Ia- Ib- II- III- , IIIa- , IIIb- , IV- IVa- IVb-

41-50 / , ,

, , , , .