肿瘤学课件 肿瘤绪论和介绍.pptVIP

Excisional Biopsy: Surgical Margins摘除组织的活检：手术切口缘 Tissue Sample 3. Location 定位 Primary tumor Lymph node Distant metastasis 肿瘤原发灶 周围淋巴结 远处转移灶 Staging 肿瘤分类 = Anatomical extend of the tumor 肿瘤扩散的解剖基础 ?How far has the tumor spread in the body?“ “肿瘤在体内能扩散多远?” Primary tumor 肿瘤原发灶 Regional lymph nodes 局部淋巴结 Distant metastasis 远端转移灶 Location Weiterbildung Onkologie Zürich, 2004 Introduction and Diagnosis绪论与诊断 Overview 综述 Introduction: 介绍 Getting a diagnosis 如何诊断 1. General health status 全身健康状况 2. Tissue sample 组织取样 3. Localization 定位 = Prognosis and therapy 预后与治疗 Introduction: Why worry about cancer in pets?? 为什么担心宠物患癌症？ Major cause of death in pets宠物的主要死因 45% of dogs 10 years die of cancer 45%的、10岁以上的老龄狗死于癌症 23% of dogs and cats (of all age groups) presented for necropsy died of cancer 23%的狗猫（各年龄段）尸检时发现死于癌症 Prevalenz increasing 越来越多的影响因素 Human-animal bond 人畜共用 Improved diagnostics 先进的诊断技术 Better preventive and therapeutic medical practices 较好的预防与治疗实践 - Animals get older 动物老龄化 Breeding品种 - Predispositions遗传因素 Environmental influences环境影响 Introduction Veterinarians should be prepared...兽医应当具备的 ... Owners are informed and have high expectations 主人的见多识广和对医生的高期望值： Exposure through tv, press, internet etc 平时通过电视、报纸杂志、网络等了解一些 Owners fears about cancer 主人对癌症的恐惧 Many owner have personal experience with cancer 许多主人有患癌症的经历 Veterinarian should be positive, compassionate, and knowledgeable 兽医应当以积极的态度去面对，富有同情心而且学识渊博 Rewarding experience for veterinarians 兽医的回报 Owners are devoted, compassionate, and thankful 主人对宠物看病舍得花钱，富同情心，并对看病的医生心存感激 Introduction Diagnosing cancer.... 癌症诊断… General health status 全身健康状况 Physical Exam 体检 Complete patient! 全身体检 Palpate all lymph nodes 触诊所有的淋巴结 Body charts 体表定位 MEASURE!! 检测 - Lymph nodes 淋巴结 - Masses 肿块 General Health Bodycharts 体表定位 Gene