melanoma tumor
TRANSCRIPT
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МеланомМеланоцит
Меланом
Өнгөн хөрс
Жинхэнэ арьс
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Арьсны нөсөө нийлэгжүүлэгч эс болох меланоцитын хяналтггүй үржил, хувиралтын үр дүнд үүсдэг арьсны хортой хавдарыг меланом гэнэ.
Тодорхойлолт
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Тархвар зүй
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2000-2004 он. 100 000 эрэгтэй хүн ам тутамд меланом өвчний тархалтыг /арьсны өнгө/ харьцуулан харуулав
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Шалтгаан
Кератиноцит эсийн фагоцитоз
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Эрсдэлт хүчин зүйлс
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Эрсдэлт хүчин зүйлс
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Эрсдэлт хүчин зүйлс
Immune system
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Эмгэг жам
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Эмгэг жам
Феомеланин
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Кларкийн ангилал
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1 A Asymmetry Харалдаа бус байрлалтай
2 B Border Зах ирмэг нь зөв бус
3 C Color Жигд бус өнгөтэй
4 D Diameter Хэмжээ нь > 6мм том
5 E Evolving Арьснаас дээш өргөгдсөн (хэмжээ нь өөрчлөгдөнө, дүрс, өнгө)
A, B, C, D, E морфологи ангилал
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Asymmetry
14
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Border
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Color
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Diameter
> 6мм том
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Evolving
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Эмнэлзүйн төрлүүд
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Distribution of Skin Melanomas
Men on their back
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Distribution of Skin Melanomas
Women on the back legs
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Өнгөц тархсан меланома
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Зангилаат меланома
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Нөсөөт хорт меланома
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Эрүүл үеийн меланоцит
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Үе шат I
Some of the melanocytes are atypical, and their numbers increase.
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T1a = 1mm, no ulceration
T1b = 1mm, ulceration or T2a = 2mm
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Үе шат II
Radical Growth Phase (RGP) Melanoma
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Үе шат III
Vertical Growth Phase (VGP), Leads directly to metastasis
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ОношлогооТусгай шинжилгээний аргууд
Цөмийн оношлогоо
Якшийн урвал
Бүтцийн шинжилгээ
Эдийн шинжилгээ
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ЭмчилгээМэс заслаар тайрч авах ( Нэгдүгээр сонголтын эмчилгээ)
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ЭмчилгээХэсгийн лимфийн зангилааг авах
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ЭмчилгээДархлаа эмчилгээ
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Ном зүй1. Б. Хандсүрэн. Арьсны өвчин. 20102. Р. Сундуйжав. Хавдар судлал. 20143. Д. Цолмон. Ц. Тунгалаг. Гистологийн сурах бичиг боть II. 20054. Stiffen Silbernagl. Florian Lang. Color atlas of pathophysiology. 20005. https://ru.m.wikipedia.org/wiki/Меланома 6. www.ncbi.nlm.nih.gov/pmc/articles/PMC27. www.slideshare.net MedicineAndDermatology/malignant-melanoma8. https.en.m.wikipedia.org/wiki/Melanin
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Thank you