![Page 1: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/1.jpg)
Zaboluvawa na
dojkata
![Page 2: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/2.jpg)
Dojkata, osobeno `lezdeniot
del, e del od reproduktivniot
sistem na `enata. Taa e pod
neuroendokrina kontrola
(CNS - hipotalamus - hipofiza - nadbubreg - ovariumi).
@lezdenoto tkivo na dojkata se
nao|a vo razli~na sostojba vo
zavisnost od vozrasta,
nejzinata reproduktivna
sostojba i hormonskata
sostojba na organizmot.
![Page 3: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/3.jpg)
Dijagnostika na promeni na
dojkata:
Koi se osnovni
dijagnosti~ki metodi koi se
primenuvaat vo dijagnostika
na dojkata?
![Page 4: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/4.jpg)
Dijagnostika na promeni na
dojkata:
klini~ki pregled
radiodijagnostika
(ehotomografija i/ili mamografija)
fina tenkoiglena
biospija.
hirur{kata ekcizija
![Page 5: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/5.jpg)
Dijagnostika na promeni na
dojkata:
klini~ki pregled
radiodijagnostika
(ehotomografija i/ili mamografija)
fina tenkoiglena
biospija.
hirur{kata ekcizija
1 2 3
![Page 6: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/6.jpg)
DOJKA
.Inspekcija
.Palpacija na dojka
.Palpacija na aksilarna jama
![Page 7: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/7.jpg)
DOJKA
.Inspekcija
.Palpacija na dojka
.Palpacija na aksilarna jama
![Page 8: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/8.jpg)
DOJKA
.Inspekcija
.Palpacija na dojka
.Palpacija na aksilarna jama
![Page 9: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/9.jpg)
DOJKA
.Inspekcija
.Palpacija na dojka
.Palpacija na aksilarna jama
![Page 10: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/10.jpg)
DOJKA
.Inspekcija
.Palpacija na dojka
.Palpacija na aksilarna jama
![Page 11: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/11.jpg)
Dijagnostika na promeni na
dojkata:
klini~ki pregled
radiodijagnostika
(ehotomografija i/ili mamografija)
fina tenkoiglena
biospija.
hirur{kata ekcizija
![Page 12: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/12.jpg)
Dijagnostika na promeni na
dojkata: klini~ki pregled
radiodijagnostika(ehotomografija i/ili mamografija)
fina tenkoiglena biospija.
hirur{kata ekcizija
![Page 13: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/13.jpg)
Dijagnostika na promeni na
dojkata:
klini~ki pregled
radiodijagnostika
(ehotomografija i/ili mamografija)
fina tenkoiglena
biospija.
hirur{kata ekcizija
![Page 14: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/14.jpg)
Dijagnostika na promeni na
dojkata:
klini~ki pregled
radiodijagnostika
(ehotomografija i/ili mamografija)
fina tenkoiglena
biospija.
hirur{kata ekcizija
![Page 15: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/15.jpg)
Dijagnostika na promeni na
dojkata: klini~ki pregled
radiodijagnostika(ehotomografija i/ili mamografija)
fina tenkoiglena biospija.
hirur{kata ekcizijaTrojna dijagnosti~ka
postapka
![Page 16: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/16.jpg)
Klasifikaciona Klasifikaciona Klasifikaciona Klasifikaciona
grupa I grupa III grupa IV grupa V
I0 I1
sledi
tumorektomija tumerektomija tumerektomija mastektomija/+ ex tempore kvadrantektomija
klini~ki + limfadenektomija
histolo{ka
analiza
benigno maligno
![Page 17: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/17.jpg)
Dijagnostika na promeni na
dojkata:
klini~ki pregled
radiodijagnostika
(ehotomografija i/ili mamografija)
fina tenkoiglena
biospija.
hirur{kata ekcizija
Hirur{kata ekcizija
e standarna
procedura koga
trojnoto ispituvawe
ne dade definitiven
rezultat.
![Page 18: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/18.jpg)
SIMPTOMI + OBJEKTIVEN PREGLEDRIZIK
FAKTORI
MAMOGRAFIJA
Galaktografija
EHO nadojka
PUNKCIONABIOPSIJA
+
iscedok
+
CITODIJAGNOSTIKA
Rtg pulmo
Labaratorija
EHO na
abdomen
Rtg na
koski
Sken na
crn drob
Sken na
koski
Klini~ki
TNM
stadium
Limfografija
KTM
Limfoscintigrafija
III-V
I-V
I-IV
+
Op{ta
sostojba
?
![Page 19: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/19.jpg)
S A M O P R E GL E D N A D O J K I(m e se ~ n o )
S K R I N I N G(m a m o gr a f sk i )
D G . P R O C E D U R I- m a m o gr a f i j a
- e h o n a d o j k i
p al p ab i l n am asa(n e c i sta)
n eo dr eden a / /susp ek tn a
ver o j atn ob en i gn a
c i sta n e p al ap b i l n am asa
f i n a t e n k o i gl e n ab i o p si j a F N A
sl e d ip u n k c i j aa sp i r a c i j a
B I O P S I J A P O D K O N T R O L A N A
- u l t r a zv u k ( - zr a c i
us FNA)Ro (s FNA)
- u l t r a zv u k ( -
us CNB)CNB)Ro (s zr a c i
n e d o v o l n o
m a t e r i j a l / /n e o d r e d e n o
I I II IV V
be nig na m a lig nom
t u m e re kt om ija +ex tempore i sk l u ~ i
M S
t u m e re kt om ija //h is t olo{ ka d g .
s le d i
be nig na
m a lig nom
ra d ika lna ope ra cija- m a st e k t o m i j a - k v a d r a n t e k t o m i j a
h e m iot e ra pijan e o a d j u v a n t n a
h e m i o t e r a p i j a
n e o d r e d e n osu sp e k tn o
![Page 20: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/20.jpg)
S A M O P R E GL E D N A D O J K I(m e se ~ n o )
S K R I N I N G(m a m o gr a f sk i )
D G . P R O C E D U R I- m a m o gr a f i j a
- e h o n a d o j k i
p al p ab i l n am asa(n e c i sta)
n eo dr eden a / /susp ek tn a
ver o j atn ob en i gn a
c i sta n e p al ap b i l n am asa
f i n a t e n k o i gl e n ab i o p si j a F N A
sl e d ip u n k c i j aa sp i r a c i j a
B I O P S I J A P O D K O N T R O L A N A
- u l t r a zv u k ( - zr a c i
us FNA)Ro (s FNA)
- u l t r a zv u k ( -
us CNB)CNB)Ro (s zr a c i
n e d o v o l n o
m a t e r i j a l / /n e o d r e d e n o
I I II IV V
be nig na m a lig nom
t u m e re kt om ija +ex tempore i sk l u ~ i
M S
t u m e re kt om ija //h is t olo{ ka d g .
s le d i
be nig na
m a lig nom
ra d ika lna ope ra cija- m a st e k t o m i j a - k v a d r a n t e k t o m i j a
h e m iot e ra pijan e o a d j u v a n t n a
h e m i o t e r a p i j a
n e o d r e d e n osu sp e k tn o
![Page 21: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/21.jpg)
DETEKCIJA NA
SISTEMSKI METASTAZI
•.Rtg grafija na beli drobovi
•.Ehotomografija na abdomen
•.Rtg na koski
• Labaratorija (SE, ALP,hepatalni)
![Page 22: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/22.jpg)
DETEKCIJA NA
SISTEMSKI METASTAZI
.CT na mozok
.CT na beli drobovi
.CT na abdomen
.Sken na crn drob
.Sken na koski
Labaratorija (tumorskimarkeri)
![Page 23: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/23.jpg)
Detekcija na
metastazi
MRI- humerus
CT-crn drob
![Page 24: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/24.jpg)
Kade e potrebna primena na
dijagnosti~ki proceduri?
![Page 25: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/25.jpg)
Kade e potrebna primena na
dijagnosti~ki proceduri:
1. Diskretna masa vo dojkata.
2. Iscedok od dojkata.
3. Mastalgija (bolka vo
dojkata).
![Page 26: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/26.jpg)
Kade e potrebna primena na
dijagnosti~ki proceduri:
4. Vovlekuvawe na bradavkata,promena na konturi na ko`ataili ekcema na bradavkata.
5. Na barawe od pacientkata koja nema simptomatologija a ima pozitivna familna istorija za malignom na dojka.
![Page 27: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/27.jpg)
Novi dijagnosti~ki
proceduri digitalna mamografija
CT
NMRI
termografija
dopler ultrasonografija
pozitron emisiona tomografija
![Page 28: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/28.jpg)
Novi dijagnosti~ki
proceduri radioizotopski isleduvawa,
endoskopija na duktusi,
"core" biopsija,
stereotaksi~ka biopsija
ne se prepora~livi za standardnaupotreba.
![Page 29: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/29.jpg)
Novi dijagnosti~ki
proceduri digitalna mamografija
CT
NMRI
termografija
dopler ultrasonografija
pozitron emisiona tomografija
![Page 30: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/30.jpg)
Novi dijagnosti~ki
proceduri radioizotopski isleduvawa,
endoskopija na duktusi,
"core" biopsija,
stereotaksi~ka biopsija
ne se prepora~livi za standardnaupotreba.
![Page 31: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/31.jpg)
Novi dijagnosti~ki
proceduri
radioizotopski isleduvawa, endoskopija na duktusi,
"core" biopsija,
stereotaksi~ka biopsija
![Page 32: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/32.jpg)
Novi dijagnosti~ki
proceduri radioizotopski isleduvawa,
endoskopija na duktusi,
"core" biopsija,
biopsija pod kontrola na
ultrazvuk
![Page 33: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/33.jpg)
Novi dijagnosti~ki
proceduri radioizotopski isleduvawa,
endoskopija na duktusi,
"core" biopsija,
stereotaksi~ka biopsija
![Page 34: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/34.jpg)
Senzitivnost
%
Tehnika Specifi~nost
%Nepalpabilen
tumor73-97 S-FNA 91-100
94-97 US-FNA 98-100
71-100 S-CNB 99-100
100 US-CNB 100
Palpabilentumor
77-99 FNA 99-100
![Page 35: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/35.jpg)
Golemina na tumor
0
20
40
60
80
100
Tis T1 T2 T3 T4
%
1989-1997
2001
USA
![Page 36: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/36.jpg)
Za palpabilnite lezii finata tenkoiglena biopsija e mnogu poefektivna, poeftina i realno primenliva metoda.
Za nepalpabilnite lezii prva linija na izbor e fina tenkoiglena biopsija vodena pod ehosonografija.
Stereotaksi~koto vodewe mamografski e potrebno pri postoewe na kalcifikati i lezii koi ne se vizualiziraat pod eho.
![Page 37: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/37.jpg)
Novi dijagnosti~ki
proceduri
Detekcija na genski mutacii
(BRCA 1, BRCA 2 . . . .
![Page 38: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/38.jpg)
SIMPTOMI NA
ZABOLUVAWATA NA
DOJKATA Bolka
Iscedok
Promeni na bradavica
Tvrdina (dojka, pazuvna jama)
Promeni na ko`a
![Page 39: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/39.jpg)
BolkaPROCENT NA @ENI KOI IMAAT
BOLKA VO RAZLI^NI VOZRASTI
0
10
20
30
40
50
>20 21-25 26-30 31-35 36-40 41-45 46-50 51-55 56>
% %
![Page 40: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/40.jpg)
BolkaPri~ini za bolka vo dojka
0
10
20
30
40
50
cikli~na
necikli~naTietze
trauma
sklerozira~ka adenozamalignom
drugi zaboluvawa
%
![Page 41: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/41.jpg)
Iscedok proziren (serozen)
zakrvaven (serohemoragi~en)
mle~en
sivozelen
krvav
![Page 42: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/42.jpg)
Promeni na bradavica
![Page 43: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/43.jpg)
Tvrdina (tumor)~vor, zadebeluvawe
vo dojka
![Page 44: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/44.jpg)
Tvrdina (tumor)
vo pazuvna jama
![Page 45: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/45.jpg)
Promeni na ko`a
![Page 46: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/46.jpg)
Promeni na ko`a
![Page 47: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/47.jpg)
![Page 48: Zaboluvawa na dojkata - ЦЕНТАР ЗА СЕМЕЈНА ... · PDF filePalpabilen tumor 77-99 FNA 99-100. Golemina na tumor 0 20 40 60 80 100 Tis T1 T2 T3 T4 % 1989-1997 2001 USA](https://reader034.vdocuments.net/reader034/viewer/2022052313/5a8f29c17f8b9a085a8d9952/html5/thumbnails/48.jpg)
4. Karcinom na dojkata
naj~esto maligno zaboluvawe kaj `enata, so zastapenost od 25 do 75
slu~ai na 100 000 `eni
se manifestira so palpatoren tumor vo dojkata
sistemsko zaboluvawe