肿瘤 外科学总论课件

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1、PrinciplesofoncologyPro.ChenDaojinTumorisanabnormalgrowthoftissueresultingfromuncotrolled,progressivemultiplicationofcells.Malignanttumorsarecalledcancer.Latinword`carnos`means`crab`IntroductionCanceriscurrentlymaincauseofdeathindevelopedanddevelopingcountriesItha

2、sbeenestimatedthatmorethan11millionPeoplearediagnosedwithcancereveryyearworldwidethemostcommonmalignanttumourinChina:incity：lungcancer、stomachcarcinoma、livercancer、intestinalcancer、breastcancerincountry：stomachcarcinoma、livercancer、lungcancer、esophaguscancer、intes

3、tinalcancerBenignlipoma,fibroma,adenomaMalignantCarcinoma--epitheliumSarcoma--mesenchymalneuroblastomanephroblastoma--embryonallipomafibroadenoma皮肤基底细胞癌basalcellcarcinomaColoncancersarcoma插图－腹膜后肿瘤retroperitonealneoplasms隆突性皮纤维肉瘤dermatofibrosarcomaprotuberans(DFSP)

4、BenignMalignant--------------------------------------------------------DifferentiatenormalanaplasiaGrowthrateslowhyperplasiaEncapsulationyesinvasiveMetastasisneverusual---------------------------------------------------------DIAGNOSIS1.Historyofillnessmostbenignan

5、dearlystagemalignancydonotpresentsystemicsymptomsforadvancedmalignancy:anemia,fatigue,weightloss,weaknessthewarningsignsofcancerA.Unusualbleedingordischarge.B.Alump.C.Asorethatdoesnotheal.D.Achangeinbowelorbladderhabits.E.Acoughorhoarsenessthatpersists.F.Difficult

6、yinswallowingorindigestion.G.Anychangeinawartormole.H.Weightlossfornoapparentreason.年龄（age）:child—blastoma病程（courseofdisease）:shortcourse—M病史（personalhistory）:alcoholism,smokingfoodadditives,somediseases(familyhistory):familialadenomatouspolyposis-hereditary2.临床表现

7、clinicalmanifestationdependentonthespecifictumor&location(1)肿块（mass）插图.卵巢肿瘤引起的肿块ovariancancer老年性色素疣senilepigmentalwart皮脂囊肿sebaceouscystEpidermalcystEpidermalcystinflamed蔓状血管瘤windinghemangioma毛细血管瘤capillaryhemangiomaHemangiomascapillaryhemangiomasmoslywithbaby,soft

8、,compressible,withsharpborderscavernoushemangiomasconsistofvenulesandfattissue,redorpurple,spongyconsistencywindinghemangiomasconsistofbigwindingblocsve