34
35
1 6000 1 FOBT 70% 8600 2 40-74 32% 26800 3 2 53600 4 36
2 074 1 2 3 37
38
39
40
The WHO Classification of tumours. Pathology & Genetics of tumours of the Digestive System. Edited by Stanley R. Hamilton, Lauri A. Aaltonen. IARC Press, Lyon, 2000 41
42
43
44
- 45
34
: _2_ _0_ _0_ - - ( ) 1.1.?( ) 1.5. 1.,,, 2. 3. 4. 2 1.2.70 5 1.2. 3. 4. 1 3 4 1.3.?( 1.6. 1/3 ) 1., 2. 3. 4. 1 2 3 1.4.?( 1.7 ) 1., 2. 3. 4. 1/3 1 2 3 34
35 2.1. 1 2. 3 4. 2.6.? ( ) 1. 2. 3. ( ) 4. 2.2.? 1. 2. 3. 2.7.? 1. 2. 2.8. 1. 2. 2.3.? 1. 2. 3. 2.9.? 1. 2. 2.10.? 1. 2. 2.4.? ( ) 1. 2.X- 3. 4. 2.11. 1. 2.5. ( ) 1. 2. 3. 4. 5. 6. 7. 2.11.? 1. 2. :
1. 2. 18 15 3. -- _2_ _0_ _0_ _3_ - _1_ _2_ - _0_ _9_ 2003 12 9 2003 2009 0112 0131 4., 5. 6. 7. 01 8. 36
* 1982 0-2.40 2.07 1-9.60 7.36 5-10.00 11.03 10-9.00 13.13 15-9.00 12.49 20-8.00 7.41 25-8.00 9.22 30-6.00 7.27 35-6.00 5.40 40-6.00 4.82 45-6.00 4.72 50-5.00 4.07 55-4.00 3.38 60-4.00 2.73 65-3.00 2.12 70-2.00 1.43 75-1.00 0.86 80-0.50 0.37 85-0.50 0.12 100.00 100.00 * 1985 37
*** ** : ** *** 1) 2) 5 7 * 3 8 4000ml 34 11 4000 ml 3) 10 4) 1 5) 6) 7). ******** 34
2 **cm 12 6 3 4 5 34
TNM T N M 4 T3 N 2 M 24 TNM T4 T4 pt3, V L TN >3 mm, <3 mm M T N M M1 cm1 pm1 pm1 TNM Dukes 34
: : 1.2. : : : : 1. : 6. 5 <1 / 1.1 : 01.2.3. 1.2 : 0.2. 3. 4. 2-3 / 4-5 / 6-7 / 1.3,? 2. : 2.1 1 2.3.4.5. 3. : ( 0= 1=) /? 3.1 0=1= 3.2 4. : ( 0= 1=) /?? 4.1 / / 4.2 / 0= 1= 4.3 / 4.4 / 5. ( 0= 1=) /?? 5.1 / 5.2 / Cm Kg (/) mmhg 5.3 / 34
18 15 0 6 / 1 7 0 0 0 0 1.72 35
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 36
1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 37
1 2 3 4 1 2 3 4 1 2 3 4 38
39