Tumor(??)

1
Tumor(??)
2
Epidemiology

• ??1010???/?
• ??200??/?,???150???/?
• ????,??,??,??,??
• ????,??,??,???,??

3
Classification

• ??????????????, ?????

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Classification

• ????????????---????????
• benign -- tumor
• malignant -- cancer
• Arising from epithelial - carcinoma
• Arising from mesodermal - sarcoma

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Classification

• ????? blastoma
• Traditional ?,? ??????,???
• ?????????breast cancer,gastric cancer

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Etiology

• Environment
• 1. Chemical factors
• 2. Physical factors
• 3. Biological factors
• Body factor
• 1. Hereditary
• 2. Endocrine
• 3. Immune

7
Pathology

• Generate and progress
• Proliferation cycle
• Differential
• Metastasis
• immunology

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Manifestation

• Local
• Mass
• Pain
• Ulcer
• Bleeding
• Obstruction
• Infiltration and metastasis

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Manifestation

• Systemic
• Anemia
• Lower fever
• Underweight
• Fatigue

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Diagnosis

• History age,time,past history.
• Physical examination
• 1. Systemic
• 2. Localsite,character,regional LN.

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laboratory

• Serum CA19-9,AKP
• ImmunologyCEA,,AFP
• FCM
• Gene diagnosisPCR

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Imaging

• X-ray CT
• B-us
• MRI
• PET

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• Endoscopic
• Pathology
• cytology
• histology

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Staging

• TNM??
• T Primary tumor
• N Node
• M Metastasis

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Prevention

• ????????
• ??????
• ??????????,????

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Treatment
17
Operation

• Prophylactic operation
• ??????,?????????????????????????,???????
• Diagnostic operation
• ?????,?????,??????
• Radical operation
• ????,?????,??????????

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Operation

• Palliative operation??????????,????????????????,?
  ??????
• Reduction operation???????,?????????????,?????,??
  ??????????

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???????

• 1. ????? no incision
• 2. ?????? en block
• 3. ?????? non touch

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Chemotherapy

• Classification
• Side effect
• Molecular target

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• Radiotherapy
• Biological therapy
• TCM traditional chinese medicine

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?????????
23

• Skin basal cell carcinoma

24

• melanoma

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• lipoma

26

• schwannoma

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Hemangioma
28

• cyst