7/25/2014 1

BNH HC
SINH DC NAM
Mc tiu
M t cc tn thng dng vt
M t cc tn thng tinh hon,
mo tinh
M t cc tn thng tuyn tin lit
7/25/2014 2
Bnh hc dng vt
D tt bm sinh
Hp tht bao qui u
D tt l tiu
Vim:
Lu, giang mai,
herpes,
U
Condylom
Carcinm t bo
gai ti ch
Carcinm t bo
gai xm ln

7/25/2014 3
Bnh hc dng vt (tt)
7/25/2014 4
Condylom si
Bnh hc dng vt (tt)
7/25/2014 5
Bnh Queyrat
Bnh Bowen
Carcinom t bo gai ti ch
Bnh hc dng vt (tt)
7/25/2014 6
Carcinom t bo gai dng vt
Bnh hc tuyn tin lit
Thy gia v 2
thy bn
Bnh l:
Vng trung tm,
bao quanh niu
o: tng sn dng
nt
Vng ngoi vi:
carcinom

7/25/2014 7
Bnh hc tuyn tin lit
7/25/2014 8
TTL bnh thng
TTL tng sn
dng nt
TTL ung th
Vim cp: vk xm
nhp trc tip
hoc ng mu
sau nhng th
thut niu khoa
Vim mn: c th
i sau vim cp
hoc khng
7/25/2014 9
Cp
Mn
Tng sn tuyn tin lit
Sau tui 50 xut
tng dn
40t: 20%
60t: 70%
70t: 90%
Tiu kh, ng
nc tiu
Lin quan n ni
tit t nam


7/25/2014 10
Tng sn tuyn tin lit

7/25/2014 11
Carcinom tuyn tin lit
>50t, thng gp.
Nguyn nhn:
cha r, lin quan
n ni tit t nam
Xut pht t ngoi
vi, mt sau,
PSA (prostate- specific antigen )
>10ng/ml: gi K
Theo di tr, ti
pht
Giai on LS:
A: C vi th
B: khu tru TTL
C: xm nhp ngoi
v bao, cha di cn
D: di cn xa

7/25/2014 12
Carcinom tuyn tin lit
7/25/2014 13
Thang im Gleason dng cho nh gi car. TTL

7/25/2014 14
Bnh hc tinh hon
Tinh hon n






ng sinh tinh x
ha
7/25/2014 15
Bng 10%
Bn 42%
Trn bu 48%
Bnh thng
Vim tinh hon:
Cp: lu cu, Clammydia
trachomatis,
Vim lao: sau lao phi,
thn, bng quang
Vim tinh hon do quai b
U ht tinh trng
7/25/2014 16
Vim mo tinh do
lu cu
Vim lao mo tinh
tinh hon
Trn dch tinh mc:

Trn mu tinh mc
7/25/2014 17
U tinh hon
Hu ht l c tnh
Him gp 0,5%
Thng: 15-34t
Nguyn nhn: a
s cha r, tinh
hon n 10%
Phn loi WHO
1. U t bo mm 95%
1. n thun
2. Hn hp
2. U m m dy sinh
dc 5%
7/25/2014 18
Lm sng ca u tinh hon

7/25/2014 19
Di cn
N ha tuyn v
U sau phc mc
Tinh hon to
Trn dchTinh hon
Cc loi u tinh hon

7/25/2014 20
U t bo mm
U tb Sertoli
U tb Leydig
U him
U ti non
hong
U qui
U tinh bo tinh
U tinh bo
Carcinom phi
U t bo mm
U tinh bo 30%
Thng gp, 30-50t
Kch thc ln
Vi th: 3 dang
U tinh bo in hnh
U tinh bo sinh tinh
U tinh bo thoi sn


7/25/2014 21
U t bo mm
Car. Phi
20-30t
Kch thc nh
7/25/2014 22
U t bo mm
U ti non hong
<3t, Schiller- Duval
Car. m nui 1%
U nh, c tnh cao
7/25/2014 23
U t bo mm

7/25/2014 24
U qui <10%
U m m dy sinh dc
U t bo Sertoli
Hu ht lnh tnh,
10% din tic c
tnh
Ch tit estrogen

7/25/2014 25
U t bo Sertoli
U m m dy sinh dc
U t bo Leydig
20-60t
Ch tit estrogen
gy n ha tuyn
v, dy th sm
Thng lnh, 10%
c tnh (ngi ln)

7/25/2014 26
U t bo Leydig

7/25/2014 27

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