-
7/28/2019 Oncology - Cervical Ca
1/32
-
7/28/2019 Oncology - Cervical Ca
2/32
.
:
- 500 000 (79%
);
- 200 000 . 2- ( )
.
1-
.
-
7/28/2019 Oncology - Cervical Ca
3/32
2003 . 6- :- 5,1%
;- 1990 2003 . 6,5 5,1%.-
2- ;- 11,5 100 000 .
6,3 100 000.
, 2003 ., 24,3%.
11% .
-
7/28/2019 Oncology - Cervical Ca
4/32
2003 . III-IV 39,7% .
(20,9%),
.
54,1 .
35 , ,
1,6-10%.
.
2%
.
-
7/28/2019 Oncology - Cervical Ca
5/32
.
, .
. , . :
1. ;
2. ;
3. ;
4. .
,
.
-
7/28/2019 Oncology - Cervical Ca
6/32
,
.
.
10 , . 90%
.
100
, 34 .
:
1. 16, 18, 31,
33, 48 56;
-
7/28/2019 Oncology - Cervical Ca
7/32
6 11
, , .
16 (50 70% ) 18 (10 20%);
,
.
,
.
-
7/28/2019 Oncology - Cervical Ca
8/32
1947 . ,
.
IN (
):
- IN I ;
- IN II ;
- IN III in situ.
-
7/28/2019 Oncology - Cervical Ca
9/32
, , .
.
, .
() (IN III) ,
.
, in situ,
, .
, , , .
-
7/28/2019 Oncology - Cervical Ca
10/32
,
.
.
-
7/28/2019 Oncology - Cervical Ca
11/32
( 10-15 ),
,
.
30%
in situ.
.
. in situ
.
-
7/28/2019 Oncology - Cervical Ca
12/32
.
,
.
,
.
.
-
- ,
.
-
7/28/2019 Oncology - Cervical Ca
13/32
. ,
.
, . ,
- .
,
I .
-
7/28/2019 Oncology - Cervical Ca
14/32
,
. .
.
, .
:
- I ,
;
- II ;
- III ;
- IV
.
-
7/28/2019 Oncology - Cervical Ca
15/32
.
, ,
:
- 1
;
- 3 (I1 )
1% ;
- 3-5 (I2 )
5-8%.
.
,
.
.
-
7/28/2019 Oncology - Cervical Ca
16/32
:
- ;
- - .
,
.
, .
:
- , ,
;
-
7/28/2019 Oncology - Cervical Ca
17/32
- ;
- ;
- .
:- , ,
;
- ;
- ;- ;
- ;
- ;
- .
-
7/28/2019 Oncology - Cervical Ca
18/32
.
.
, .
-
.
-
7/28/2019 Oncology - Cervical Ca
19/32
1995 .
(FIGO) 3
.
.
,
. :
- ,
;
- ,
-
7/28/2019 Oncology - Cervical Ca
20/32
-
,
.
.
3 ,
,
( ) .
97-98%.
-
7/28/2019 Oncology - Cervical Ca
21/32
I2
.
I II ( ),
.
-
7/28/2019 Oncology - Cervical Ca
22/32
,
,
I II . II .
-
7/28/2019 Oncology - Cervical Ca
23/32
.
:
- I2 - II ;- I1
;
- II
.
-
7/28/2019 Oncology - Cervical Ca
24/32
.
:
- , (,
);
- :
1. ;2. ;
3. ;
4. IIII ;
5. ;
-
7/28/2019 Oncology - Cervical Ca
25/32
6. ;
7. ;
- ,
,
-
7/28/2019 Oncology - Cervical Ca
26/32
.
, ,
.
:- 23%
- 22%
- 20%
- 18%
- 18%
- 17%
- 15%-
14%
-
7/28/2019 Oncology - Cervical Ca
27/32
- 14%
- 10%
2-
.
,
, , .
.
:
- :
1. + ;
2. + ;- ,
:
1. + + ();
2. + + (IF);
-
7/28/2019 Oncology - Cervical Ca
28/32
-
:
1. + ;
2. + ;
3. + + ;
4. + ;
5. + .
-
7/28/2019 Oncology - Cervical Ca
29/32
,
.
-
.
.
-
7/28/2019 Oncology - Cervical Ca
30/32
.
:
- ;
- , ;
- ;
- ;
-
7/28/2019 Oncology - Cervical Ca
31/32
-
.
-
7/28/2019 Oncology - Cervical Ca
32/32
