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Rezumat_Bogdan_Stefanescu

Rezumat_Bogdan_Stefanescu

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Published by: albastra on Oct 31, 2009
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UNIVERSITATEA
 
DE
 
MEDICIN
Ă Ş
I
 
FARMACIE
 
„GR.
 
T.
 
POPA”
 
IA
Ş
I
 
FACULTATEA
 
DE
 
MEDICIN
Ă
GENERAL
Ă
TEZ
Ă
DE
 
DOCTORAT
 
FORME
 
RARE
 
DE
 
CANCER
 
GINECOLOGIC
 
COORDONATOR
Ş
TIIN
Ț
IFIC:
 
PROF.
 
DR.
 
MIHAI
 
PRICOP
 
DOCTORAND:
 
DR.
 
BOGDAN
 
I.
Ş
TEF
Ă
NESCU
 
IA
Ş
I
 
2009
 
 
Forme
 
rare
 
de
 
cancer 
 
ginecologic 
 
2
 
CUPRINSPARTE GENERAL
Ă
 1.CANCERUL VULVAR 
.........................................................
 
11.1.
NEOPLAZIA INTRAEPITELIAL
Ă
VULVAR 
Ă
............... 11.1.1. DEFINI
Ţ
IE
Ş
I CLASIFICARE............................................... 11.1.2. EPIDEMIOLOGIE...................................................................21.1.3. FACTORI DE RISC................................................................. 21.1.4. DIAGNOSTIC.......................................................................... 21.1.5. DIAGNOSTIC DIFEREN
Ţ
IAL............................................... 31.1.6. TRATAMENT.......................................................................... 41.2.
CANCERUL VULVAR INVAZIV
....................................... 61.2.1. EPIDEMIOLOGIE................................................................... 61.2.2. ETIOLOGIE. FACTORI DE RISC.......................................... 61.2.3. ANATOMIE PATOLOGIC
Ă
.................................................. 91.2.4. C
Ă
ILE DE DISEMINARE...................................................... 151.2.5. DIAGNOSTIC.......................................................................... 161.2.6. GANGLIONUL SANTINEL
Ă
................................................ 191.2.7. STADIALIZARE..................................................................... 191.2.8. DIAGNOSTIC DIFEREN
Ţ
IAL............................................... 211.2.9. TRATAMENT.......................................................................... 221.2.10. FACTORI DE PROGNOSTIC................................................. 30
2.ADENOCARCINOMUL COLULUI UTERIN
...................
 
332.1. EPIDEMIOLOGIE................................................................... 332.2. ETIOLOGIE. FACTORI DE RISC.......................................... 332.3. ISTORIA NATURAL
Ă
........................................................... 352.4. ADENOCARCINOMUL CERVICAL MICROINVAZIV...... 382.5. SUBTIPURI HISTOLOGICE..................................................402.6. C
Ă
ILE DE DISEMINARE...................................................... 432.7. DIAGNOSTIC.......................................................................... 462.8. DIAGNOSTIC DIFEREN
Ţ
IAL............................................... 492.9. STADIALIZARE..................................................................... 502.10. TRATAMENT......................................................................... 502.11. FACTORI DE PROGNOSTIC................................................. 56
3. SARCOMUL UTERIN
..........................................................
 
583.1. EPIDEMIOLOGIE................................................................... 583.2. ETIOLOGIE. FACTORI DE RISC.......................................... 583.3. FORME HISTOLOGICE......................................................... 593.4. C
Ă
ILE DE DISEMINARE...................................................... 623.5. DIAGNOSTIC.......................................................................... 633.6. STADIALIZARE..................................................................... 643.7. DIAGNOSTIC DIFEREN
Ţ
IAL............................................... 653.8. TRATAMENT.......................................................................... 663.9. FACTORI DE PROGNOSTIC................................................. 68
 
Forme
 
rare
 
de
 
cancer 
 
ginecologic 
 
3
 
4.TUMORILE OVARIENE METASTATICE
.......................
 
714.1. DEFINI
Ţ
IE. EPIDEMIOLOGIE.............................................. 714.2. SEDII PRIMARE POSIBILE. PATOGENIE.......................... 724.3. ANATOMIE PATOLOGIC
Ă
.................................................. 734.4. DIAGNOSTIC.......................................................................... 744.5. DIAGNOSTIC DIFEREN
Ţ
IAL............................................... 754.6. TRATAMENT.......................................................................... 764.7. PROGNOSTIC......................................................................... 77
5.CARCINOMUL TUBAR PRIMITIV
..................................
 
785.1. EPIDEMIOLOGIE................................................................... 785.2. ETIOLOGIE. FACTORI DE RISC.......................................... 785.3. ANATOMIE PATOLOGIC
Ă
.................................................. 805.4. C
Ă
ILE DE DISEMINARE...................................................... 835.5. DIAGNOSTIC.......................................................................... 845.6. DIAGNOSTIC DIFEREN
Ţ
IAL............................................... 885.7. STADIALIZARE..................................................................... 895.8. TRATAMENT.......................................................................... 905.9. PROGNOSTIC......................................................................... 96
PARTE PERSONAL
Ă
 6.MOTIVA
Ţ
IA STUDIULUI
................................................... 996.1. ASPECTE ÎN ATEN
Ţ
IA CERCET
Ă
RII................................. 996.2. PREZENTAREA GENERAL
Ă
A LOTULUI STUDIAT....... 1006.3. ANALIZA STATISTIC
Ă
........................................................ 101
7.CANCERUL VULVAR INVAZIV
....................................... 1047.1. MATERIAL
Ş
I METOD
Ă
....................................................... 1047.2. REZULTATE
Ş
I DISCU
Ţ
II.................................................... 1137.2.1. ANALIZA FACTORILOR DE RISC......................................1147.2.2. DIAGNOSTICUL POZITIV
Ş
I STADIAL............................. 1257.2.3. TRATAMENT......................................................................... 1327.2.4. GANGLIONUL SANTINEL
Ă
................................................ 1427.2.5. ANALIZA HISTOPATOLOGIC
Ă
.......................................... 1467.2.6. CORELA
Ţ
II STATISTICE..................................................... 1687.3. CONCLUZII.............................................................................178
8. ADENOCARCINOMUL COLULUI UTERIN
................... 1818.1. MATERIAL
Ş
I METOD
Ă
....................................................... 1818.2. REZULTATE
Ş
I DISCU
Ţ
II.................................................... 1908.2.1. ANALIZA FACTORILOR DE RISC...................................... 1918.2.2. DIAGNOSTICUL POZITIV
Ş
I STADIAL............................. 2008.2.3. TRATAMENT......................................................................... 2068.2.4. ANALIZA CITOLOGIC
Ă
 
Ş
I HISTOPATOLOGIC
Ă
............ 2108.2.5. APARTENEN
Ţ
A ENDOCERVICAL
Ă
A NEOPLAZIEI...... 2308.2.6. CORELA
Ţ
II STATISTICE...................................................... 2338.3. CONCLUZII............................................................................. 237

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