cáncer microinvasor de cérvix dx y tx dr. hernández m

7/21/2019 Cncer Microinvasor de Crvix Dx y Tx Dr. Hernndez m.

1/92

IKMN@D

MAJ KCXD L_KHD (HAZRCKZAK AA-AAA/JAZ)

Q JMJN_ IAJ_DAMUKZD_

Hr. RNH_D FN_MKMHNP ID_DMJA_^@KMD DMJDCDLD

LAMNJDCDLD DMJDCDLD

@nen hnc Znrv aj ad hn Lamnjd cdlk Dmjd clajk

AMZXAX^XD _NLADMKC HN NMEN_INHKHNZ MNDRCZAJKZ

A_NM MD_XN - ?2;:


2/92

X_KXKIANMXD

R_NJMJN_ Q JMJN_ HN J^NCCD XN_AMD

k prnvnmjam Znjumhkrak y

Hntnjjam tniprkmk skcvkm vahks

H _ . R N H _ D F N _ M M H N P I D _ M ?

KZJJR, MJJJ, ?2;2 Znrvajad Lamnjdcdlk Dmjdclajk A_NM MD_XN, ?2;;


3/92

Jmjnr hn Jrvax 0 ;2-;> kdsZjrnnmaml

NXKRK R_N JKMJN_DZK Q

JMJN_

HNZJ_ARJAM J^_KJAM

CNZADMNZ R_N

JKMJN_DZKZ

Jcucks nm vk hn trkmsedrikjam Xrktkianmtd punhn pnriatarnc ;22% hn jurkjam

NZXKHD A Xuidr majd y hn tkcck pnqunk

Cks prdokoacahkhns

hn jurkjam

hasiamuynm

jdmedrin kuinmtk

nc nstkhad

NZXKHD AA Udcuinm cdjkc is aipdrtkmtn

NZXKHD AAA Amvksam hn cds lkmlcads cametajds dtn`ahds vnjamds

NZXKHD AU Nxtnmsam nm nc drlkmasid ok`d ck edrikhn intstksas

FAZXD_AK MKX^_KC

AMXN_UNMJAM NM R_AIN_ MAUNC HNKXNMJAM

H_. RNH_D FN_MMHNP ID_DM

Rrnjmjnr ;22

Jurkjam

MAJ


4/92

Rrnvnmjam Znjumhkrak0

Rrnvnmjam tnrjakrak0

Hr. RNH_D FN_MMHNP ID_M

Hntnjjam

Haklmst ajd

Xrktkianmtd

Lymnjdcdly Dmjdcdly, Onrnjg ?2;20 62-;6?.

Ikmn`d Dmjdclajd Ikmn`d hnJk Iajrd

AMUKZD_


5/92

EC^VDL_KIK HAKLMZXAJD

JIA

Rrunoks hn Hntnjjam y Haklmstajd0

Jatd cdlk jnrv ajdvkl amkc

Jdcpdsjdpak

Oadp sak jnrvajkc har al ahk

Jurntk`n nmhdjnrvajkc(JNJ)

Jdm azkjam CNNR

Jdm azkj am nm erd

Rkrgam HI, \fnckm ZC, Enrcky @, nt kc. Jkmjnr amjahnmjn am eavn jdmtamnmts.Cydm0 AK_JRrnss, ?22? WAK_J Zjanmtaeaj Ruocajktadm Md.;>>


6/92


DRJADMNZ

XN_KRNXAJKZ Dosnrvkjam

Itdhds Kocktavds

Itdhds Nxjasadmkcns

Lamnjdcdlaj dmjdcdly, >tf nhatadm, Onrng kmh fkjgnrs, ?2;2.


7/92Hr. RNH_D FN_MMHNP ID_M

INXDHDZ KOCKXAUDZ0* Jradtnrkpak Kockjam jdm csnr Jdkluckjam erd Ncnjtrdeuclurkjam

Dosnrvkjam0 MAJ OL

* MAJ OL Q MAJ KL.

KZJJR, ?2;:.


8/92Hr. RNH_D FN_MMHNP ID_M

INXDHDZNVJAZADMKCNZ* Jdmd CNNR

Jdmd Easjfnr Jdmd Csnr

Jdmd Erd

FKU/F_*Jdcpd sjdpak Amkhnjukhk, cnsam nmhdjnrvajkc.


9/92

IKMN@D HN MAJ KL - Jk IajrdamvksdrFAZXN_NJXDIAK

Khnjukhd, ahnkc4


JDMAPKJAM - Jarulk _KHAJKC

Znrvaj ad hn Lam njdcd lk Dmjd claj k, A_NM MD_XN.


10/92

RNH_D FN_MMHNP ID_M ;2

Jk Jrvax0 AK;39 :ii \ahtf 39 tf Nhatadm, ?2;2.

Jk Jrvax0 AK?= :ii 39 >ii \ahtf39


11/92

JDMD CNNR0 JAM X_NKXINMX

H _ . R N H _ D F N _ M M H N P I D _ M

Lymnjdcdlaj Rrdjnhurns0 Jdcpdsjdpy, Xrnktinmt de Jnrvajkc Amtrknpatfncakc Mndpcksak, kmh Nmhdintrakc Kssnssinmt OK_OK_K Z. KRLK_, IH7

KIKMHK @. GK^EIKM, IH7 JKXFN_AMN ONXXJFN_, ?2;2.


12/92

JDMD CNNR*Jratnrads hn Amjcusam

RKR jdm CAN hn kctd lrkhd (Haspcksakidhnrkhk, Haspcksak snvnrk y Jmjnr am satu).

Oadpsak hn MAJ hn kctd lrkhd (MAJ AA, AAA y JAZ).

Jdcpdsjdpak jdipktaocn jdm MAJ KL Jdcpdsjdpak khnjukhk

MAJ A pnrsastnmtn d rnjurrnmtn.

AUKK Rdsatavd jdm nxkinm khnjukhd


Idhkcahkh hn Unr y Xrktkr*KZJJR, MJJJ, IH Kmhnrsdm, AK_J.Rramjapads y prkjtajks hn Jdcpdsjdpak, Orokrk Kplkr.

Mndpcksaks Amtrknpatncakcns Jnrvajkcns (MAJ) trktkhks jdm JDMD CNNR nm ck idhkcahkh hn UN_ Q X_KXK_ nm ncAmstatutd _nladmkc hn Nmenrinhkhns Mndpcsajks - A_NM MD_XN hnc ?226 kc ?221, Fnrmmhnz Idrm R, Xdrrns K. Nhukrhd,_dhralunz Jnrmk Gkrck7 _nvastk hn Jkmjnrdcdlk, Udc M :6, Mui ;, pl. :5-8;7 ?2;2.


13/92

Jdmd CNNRJratnrads hn Nxjcusam

Zdspnjfk hn jmjnr amvksdr.

Jatdcdlk hn khnmdjkrjamdik.

MAJ nmhdjnrvajkc.

Jmjnr Iajrd amvksdr. Hasdjakjam Jatd-jdcpd-fastdclajk.

Jdcpdsjdpak Md khnjukhk.


Idhkcahkh hn Unr y Xrktkr*KZJJR, MJJJ, IH Kmhnrsdm, AK_J.Rramjapads y prkjtajks hn Jdcpdsjdpak, Orokrk Kplkr.



14/92

Jdmd CNNRJratnrads hn Nxjcusam

MAJ KL rnjurrnmtn jdmazkhd pdr snlumhk vnz.

MAJ KL jdm jdiprdiasd hn edmhd hn skjdvklamkc.

Cnsadmns jnrvajkcns ikydr hnc % hnc jrvax. Niokrkzd

Hnedriahkhns kmktiajks.


Idhkcahkh hn Unr y Xrktkr*

KZJJR, MJJJ, IH Kmhnrsdm, AK_J.Rramjapads y prkjtajks hn Jdcpdsjdpak, Orokrk Kplkr.



15/92

Jdmd CNNR

Znrvaj ad h n Lamnjd cdl k Dmjd claj k, A_NM MD_XN.


XJMAJK[^A__LAJK


16/92

Xx. MAJ0 Jdmd CNNR


Znrvaj ad h n Lamnjd cdlk Dmjd claj k, A_NM MD_XN.

..SIy Idvan cnnp;.wiv

..SIy Idvan cnnp?.wiv

..SIy Idvan cnnp:.wiv

Rrdjnhaianmtd quarrlajdtnriamkhd.
http://localhost/var/www/apps/conversion/tmp/My%20Movie%20leep1.wmvhttp://localhost/var/www/apps/conversion/tmp/My%20Movie%20leep2.wmvhttp://localhost/var/www/apps/conversion/tmp/My%20Movie%20leep3.wmvhttp://localhost/var/www/apps/conversion/tmp/My%20Movie%20leep3.wmvhttp://localhost/var/www/apps/conversion/tmp/My%20Movie%20leep3.wmvhttp://localhost/var/www/apps/conversion/tmp/My%20Movie%20leep3.wmvhttp://localhost/var/www/apps/conversion/tmp/My%20Movie%20leep2.wmvhttp://localhost/var/www/apps/conversion/tmp/My%20Movie%20leep2.wmvhttp://localhost/var/www/apps/conversion/tmp/My%20Movie%20leep2.wmvhttp://localhost/var/www/apps/conversion/tmp/My%20Movie%20leep1.wmvhttp://localhost/var/www/apps/conversion/tmp/My%20Movie%20leep1.wmvhttp://localhost/var/www/apps/conversion/tmp/My%20Movie%20leep1.wmvhttp://localhost/var/www/apps/conversion/tmp/My%20Movie%20leep2.wlmp


17/92

Jdmd CNNR Xjmajk


Ranzk dpnrktdrak. Rrdjnhaianmtd quarrlajd tnriamkhd, jdm

suosucektd errajd.


18/92

JDMD CNNR

Hr. Rnhrd Fnrmmhnz Idrm

5 ZNIKMKZ

: Insns


19/92

Nvkcukjam JdcpdsjpajkRktrm Mdrikc


?2;; Jdcpdsjdpaj Xnriamdcdly de tfn Amtnrmktadmkc Enhnrktadm edr Jnrvajkc Rktfdcdly kmh

Jdcpdsjdpy. @kjdo Odrmstnam, IH, IRK, @kins Onmtcny, IO, JfO, Rntnr Oszn, IH, Erkmg Larkrha, IH,Fdpn Fknemnr, IH, KJDL ?2;?.


20/92

Nvkcukjam JdcpdsjpajkRktrm kmdrikc





21/92

Xapds hn Jdmd CNNR





22/92

Xapds hn Jdmd CNNR




Xapd ;0 NxdjrvaxXapd ?0 Nxdjrvax + JkmkcXapd :0 Jkmkc Jnrvajkc


23/92

Nsjasam tapd ;0

_nsnjk jdipcntkinmtn nc

njtdjrvax

Nsjasam tapd ?0

_nsnjk tdhk ck zdmk hn

trkmsedrikjam y umk pnqunk

jkmtahkh hn npatncad

nmhdjnrvajkc

Nsjasam tapd :0

_nsnjjam nmhdjnrvajkc



Xapds hn Jdmd CNNR



24/92

Jdmd Erd0 IKMN@D HN JAI


Oadpsak nm Jdmd Erd0Ns umk oadpsaknxjasadmkc, qun rntarktdhd nc tn`ahdprnjkmjnrdsd hncjunccd utnramd pkrk

nxkiamkrcd y hnsjkrtkrjmjnr iajrdamvksdr djmjnr amvksdr.

@vnm Khuctk

Jdmd erd jdm trkquncdpckstakutacazkmhd pumtds hn sturihdre.Dpjadmkc pumtds hn Odmmnys.


25/92

IKMN@D JAIJDMD E_D0 JAM X_NKXINMX


Lymnjdcdlaj Rrdjnhurns0 Jdcpdsjdpy, Xrnktinmt de Jnrvajkc Amtrknpatfncakc Mndpcksak, kmh Nmhdintrakc Kssnssinmt OK_OK_K Z. KRLK_, IH7

KIKMHK @. GK^EIKM, IH7 JKXFN_AMN ONXXJFN_, ?2;2.


26/92

JDMD E_D J_AXN_ADZ HN IAJ_DAMUKZAM


Jdmn oadpsy0 pnrenjtaml tfn prdjnhurn,IK_J _. XDLCAK, ?22?


27/92

J_AXN_ADZ

JDMD E_D HAKLMZXAJD

Zdspnjfk hn jmjnr

HJ Cnsam ikydr

Op. Jk iajrdamvksdr

Jdcpdsjdpak md khnjukhk

Jatdcdlk hn jkrjamdik

Hasdjakjam jatd fastdclajk

Hasdjakjam jdcpd fastdclajk

JNJ pdsatavd

Jatdcdlk khnmdjkrjamdik


Lymnjdcdly Dmjdcdly Zurlnry , Ourlfkrht, ?22;.Onrng, Fkjgnrs, Lymnjdcdlaj dmjdcdly, >tf nhatadm ?2;2KZJJR, MJJM, _nik ?226.


28/92

Npatncad, kikraccd, hnlnmnrkhd y erakocn, jdm skmlrkhd kc

jdmtkjtd. Zupnreajan arrnluckr nspnjakcinmtn jukmhd nxastnm

kmdrikcahkhns jdcpdsjpajks hn kctd lrkhd (_JA sjdrn =5pdamts).

^cjnrkjam supnreajakc d vnrhkhnrk nrdsadm, nspnjakcinmtnjukmhd nxastnm kmdrikcahkhns jdcpdsjpajks hn kctd lrkhd(_JA sjdrn =5 pdamts).

Uksds skmlumnds ktpajds d kmdrikcns (vksds suonpatncakcns

lrunsds, vkrajdsds, hn jkcaorn arrnluckr y rkiaeajkjam md-hajdtiajk d ckrld y hn jursd md rkiaeajkhd.


Jdcpdsjdpaj \krmaml Zalms de Amvksavn Jkmjnr

Onrng, Fkjgnrs, Lymnjdcdlaj dmjdcdly, >tf nhatadm ?2;2

JA, _nah Jdcpdsjdpaj Amhnx.


29/92

Rktrdmns vksjuckrns kmdrikcns nxtrnikhkinmtn

lrunsks (idskajd y pumtnkhd), sdorn tdhd jdmhastkmjaks amtnrjkpackrns kmjfks n arrnluckrns yuioacajkjam.

Cks cnsadmns lrkmhns, jdipcn`ks, hn kctd lrkhd

(pumtukjam _JA= 5 pumtds) qun djupk trns d juktrdjukhrkmtns jnrvajkcns.

Cnsadmns jdcpdsjpajks hn kctd lrkhd qun snnxtanmhnm nm nc jkmkc jnrvajkc = > ii d is kcc hn

ck vastk jdcpdsjpajk.


Jdcpdsjdpaj \krmaml Zalms de Amvksavn Jkmjnr




30/92

Jatdcdlk hn jkrjamdik nsjkidsd.

Jatdcdlk hn Khnmdjkrjamdik.

Jatdcdlk hn khnmdjkrjamdik am satu.

Jatdcdlk rnjurrnmtn hn kctd lrkhd nm pkjanmtns trktkhks hn

MAJ AAA prnvakinmtn. _nsuctkhd fastdclajd hn MAJ KL, nm umk oadpsak tkmlnmjakc

sam hneamar ck iniorkmk okskc. Jatdcdlk hnr kctd lrkhd nm umk iu`nr pdst inmdpksajk d

arrkhakhk kmtnradrinmtn.


Jcamajkc \krmaml Zalms de Amvksavn Jkmjnr




31/92

J_AXN_ADZ JDCRDZJRAJDZ Q JCMAJDZ

JK_JAMDIK IAJ_DAMUKZD_ HN J_UAV


rnks erakocns, jdm ejac skmlrkhd kc tkjtd. rnks hneamahks jdid jdcpdsjdpajkinmtn salmaeajktavks -

mhajn hn _nah >, jdm supnreajan arrnluckr. cjnrks supnreajakcns jdm npatncad kjntd ockmjd sdorn cds

odrhns. Uksds ktpajds d kmdrikcns. Idskajd d pumtnkhd lrunsd nxtrnikhkinmtn lrdsnrd,

lrkmhns, arrnluckr y jdm ikydr hastkmjak amtnrjkpackr. Cnsadmns hn lrkm nxtnmsam y jdm jkrkjtnrstajks

jdcpdsjpajks hn kctd lrkhd.

Iajrdamvksdr jkmjnr jnrvajkc7 Enrmkmhd Kmsjfku, Jfrystakmn hk Zacvk Ikrj, Ikrak JkrdcamkXdrrnms kmh Ikmdnc Kedmsd Luaikrns Ldmkcvns, ?2;?.


32/92

J_AXN_ADZ JDCRDZJRAJDZ Q JCMAJDZ

JK_JAMDIK IAJ_DAMUKZD_ HN J_UAV


Cnsadmns jdcpdsjpajks hn kctd lrkhd jdm pnmntrkjamhn is hn > ii nm jkmkc nmhdjnrvajkc.

Cnsadmns jnrvajkcns amtrknpatncakcns hn kctd lrkhd nm ncrnsuctkhd fastdclajd hn ck oadpsak, nm ck qun ck

iniorkmk okskc md punhn snr jckrkinmtn hneamahk. Rrunoks jatdclajks hn jkrjamdik hn jcucks nsjkidsks

d hn khnmdjkrjamdik am satu.

Iajrdamvksdr jkmjnr jnrvajkc7 Enrmkmhd Kmsjfku, Jfrystakmn hk Zacvk Ikrj, Ikrak JkrdcamkXdrrnms kmh Ikmdnc Kedmsd Luaikrns Ldmkcvns, ?2;?.


33/92


Iajrdamvksdr jkmjnr jnrvajkc7 Enrmkmhd Kmsjfku, Jfrystakmn hk Zacvk Ikrj, Ikrak Jkrdcamk Xdrrnms kmh IkmdncKedmsd Luaikrns Ldmkcvns, ?2;?.


34/92

AJK +0 Idskajd y pumtnkhd lrunsd nm rnks nxtnmsks, sulnstavks hn jkrjamdikiajrdamvksdr.

Lamnjdcdlk Dmjdclajk, Jnmtrd Dmjdclajd DMJDIKZ.



35/92

AJK +0 Iajrducjnrkjadmns y ucjnrkjadmns, sulnstavks hn jkrjamdik iajrdamvksdr.

Lamnjdcdlk Dmjdclajk, Jnmtrd Dmjdclajd DMJDIKZ.



36/92

AJK +0 Uksds kmdrikcns y tn`ahd erakocn, skmlrkmtn kc jdmtkjtd, sulnstavks hn jkrjamdikiajrdamvksdr d amvksdr.

Lamnjdcdlk Dmjdclajk. Jnmtrd Dmjdclajd, DMJDIKZ.



37/92


JAM haklmdstaj kmh trnktinmt, Kplkr Okrokrk, ?226. JAM, Xrnktinmt, Zdcdrzk, ?226.Lymnjdcdlaj Dmjdcdly, Onrng kmh Fkjgnrs >tf nhatadm ?2;2.


38/92

Jdmd Erd0 Xjmajk


@vnm Khuctk

Jdmd erd0 Xjmajk quarrlajk NROK HyJ0

Xnmjucd sjfrdnhnr, Rdzza, Orkum. Hacktkhdr Fnlkr, fkmg, prktt.

Fastnrdintrak0 Zais, Ikrtam, Jdccam.

Zuturks cktnrkcns0 _. tnriamkc K.^tnra mk0 Uajryc M; JX-;

_nsnjjam snlm Hkccnmokjf-Fnccwnl


39/92

Jdmd Erd0 Xjmajk


@vnm KhuctkJdmd erd0 Xjmajk quarrlajk Xrkquncdpckstak0

- CK y CR0 Rumtds hn Zturihdre.Rumtds hn Mdvkgs.

- Jdiasurks0 Rumtds hn Odmmnys. Xapds hn Zuturks0

Uajryc M; JX-;Jktlut Jriajd M; I_ :>, 82

Xkpm vklamkc.


40/92


Eumhkinmtds hn Lamnjdcdlk Dmjdclajk, Jncdrad K. ;165.


41/92


Eumhkinmtds hn Lamnjdcdlk Dmjdclajk, Jncdrad K. ;165.


42/92



43/92


Xnmjucd sdorn kiods ckoads0

Zjfrdnhnr, Rdzza, Orkum.

Odmmnys Lymknjdcdlajkc Zurlnry @dfm I . Idmklfkm

Eumhkinmtds hn Lamnjdcdlk Dmjdclajk, Jncdr ad K. ;165.


44/92


Xrkquncdpckstak hn Zturihdre 0 :, 5, 1, ;?

Odmmnys Lymknjdcdlajkc Zurlnry @dfm I. Idmklfkm.

Zturihdre K. Xrkjfndpckstaj intfdhs kmh rnsucts0 K jcamajkc stuhy oksnh updm tfnpfysadcdly de tfn insdintraui. Zurl Lymnj Dostnt ;1;5. ??0 1:.

Ckoad kmtnr adr y Rdstnr adr


45/92


Zuturk hn Zturihdre nm

Ckoad kmtnr adr y pdstnradr.

Ktc ks de lymnjdcdlaj dmjdcdly, Fkms, ?222.

Odmmnys Lymknjdcdlajkc Zurlnry @dfm I . Idmklfkm


46/92


Xrkquncdpckstak

hn Zturihdre Idhae 0

CK0 ;, ;?, ;?, ;;CR0 >, 5, 5,

cáncer microinvasor de cérvix dx y tx dr. hernández m

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