Galeb
23. јул 2009. у 10.33
Sama dijagnoza je nejasna i nije napisana u skladu sa postojecom klasifikacijom cancera Thyroidne zljezde. Već kada se radi o papilarnom canceru treba znati i stadij što se iz navedene dijagnoze ne moze znati. Se je vo presudno adi terapije, prognoze, kontrola. Iz navedenih razlogaa je nemoguće odgovoriti na vase pitanje. Sami mozete ukucati u Googl dijagnozu i necete moći dobiti niti jedan nalaz tog obolenja.
Evo vam krataka pregled te klasifikacije:
Staging
Tumor, node, and metastasis (TNM) for papillary carcinoma of the thyroid are classified as follows:
* Primary tumor (T)
o TX: Primary tumor cannot be assessed.
o T0: No evidence of primary tumor is found.
o T1: Tumor size is 2 cm or less in greatest dimension and is limited to the thyroid.
o T2: Tumor size is greater than 2 cm but less than 4 cm, and tumor is limited to the thyroid.
o T3: Tumor size is greater than 4 cm, and tumor is limited to the thyroid or any tumor with minimal extrathyroidal extension (extension to sternothyroid muscle of perithyroid soft tissues).
o T4a: Tumor extends beyond the thyroid capsule and invades any of the following: subcutaneous soft tissues, larynx, trachea, esophagus, or recurrent laryngeal nerve.
o T4b: Tumor invades prevertebral fascia, mediastinal vessels, or encases the carotid artery.
* Regional lymph nodes (N)
o NX: Regional nodes cannot be assessed.
o N0: No regional node metastasis is found.
o N1a: Metastasis is found in level VI (pretracheal and paratracheal, including prelaryngeal and Delphian) lymph nodes.
o N1b: Metastasis is found in unilateral, bilateral, or contralateral cervical or upper/superior mediastinal lymph nodes.
* Distant metastasis (M)
o MX: Distant metastasis cannot be assessed.
o M0: No distant metastasis is found.
o M1: Distant metastasis is present.
Stages of Papillary Carcinoma of the Thyroid
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Table
Younger Than 45 Years Age 45 Years and Older
Stage I Any T, Any N, M0 T1, N0, M0
Stage II Any T, Any N, M1 T2, N0, M0
Stage III T3, N0, M0, T1, T2, T3, N1a, M0
Stage IVa T1, T2, T3, N1b, M0, T4a, N0, N1, M0
Stage IVb T4b, any N, M0
Stage IVc Any T, any N, M1
Younger Than 45 Years Age 45 Years and Older
Stage I Any T, Any N, M0 T1, N0, M0
Stage II Any T, Any N, M1 T2, N0, M0
Stage III T3, N0, M0, T1, T2, T3, N1a, M0
Stage IVa T1, T2, T3, N1b, M0, T4a, N0, N1, M0
Stage IVb T4b, any N, M0
Stage IVc Any T, any N, M1
Ako imate histoloski nalaz cancera to u cjelosti prepisite kao i nalaze stadija cancera. Ovo iz razloga sto microcarcinoma bi znacilo mali cancer sto je neprihvatljivo jer ta podjela na male i velike meni je nepoznata. To bi ispalo da je neko brojao stanice cancera i na toj bazi podijelio na male i velike. To je jednom rijeci i nemoguće. Kako se radi o papilarnom canceru koji je često inkapsuliran i manje agresivan, sa dobrom prognozom, koji stvara hormon to bi se trebali navesti i svi ostali nalazi koji se kod toga rade da se dobije uvid u stanje i o tome da komentar.
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