Title TUMORI KOŽE GLAVE I VRATA I NJIHOVA PREVENCIJA Title (english) SKIN CANCER OF HEAD AND NECK AND PREVENTION Author Iva Ivkić Mentor Suzana Janković (mentor)Committee member Đulija Malatestinić (predsjednik povjerenstva)Committee member Sandra Pavičić Žeželj (član povjerenstva)Committee member Suzana Janković (član povjerenstva)Granter University of Rijeka Defense date and country 2018-09-25, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Eksponiranost suncu, tj. UV zračenju tijekom života, važan je čimbenik koji utječe na ljude i nastanak kožnih promjena. Kod zanimanja kao što su građevinski radnici, ribari i mornari postoji predispozija u nastanku tumora kože glave i vrata. Pretjerano izlaganje suncu dovodi do starenja kože i pojave kožnih promjena što rezultira nastanku kožnih tumora.
Osnovni cilj rada je istražiti povezanost čimbenika kod pacijenata, važnih u nastanku tumora kože glave i vrata (zanimanje, dob i spol), koliko je tumora potvrđeno dobivenom patohistološkom analizom uzoraka učinjeno u OB Pula te koliki je trošak zdravstva za svaki obavljeni zahvat u lokalnoj anesteziji.
U istraživanju za uputnu dijagnozu melanocitni madež (D 22 do D 22.9) obrađeno je 1 317 operiranih pacijenata od ukupno 7 857 pacijenata sa istom dijagnozom melanocitni madež. Za uputnu dijagnozu zloćudna novotvorina (C do C 44.9) obrađeno je 841 operiranih pacijenata od ukupnog broja 16 331 sa istom dijagnozom zloćudna novotvorina. U istraživanju su uključeni pacijenti podvrgnuti operativnom zahvatu u lokalnoj anesteziji po prvi put,, izdvojeno je 2 158 od ukupnog broja. Nisu izračunati prvi pregledi, kontrole, reekcizije kao ni ponovne ekscizije na drugim dijelovima lica i glave. Učini se test za normalnost raspodjele kao i raspodjela po dobnoj skupini i prema spolu te podjela pacijenata prema pozitivno dobivenim rezultatima, povezanost dobivenih patohistoloških nalaza i zanimanje pacijenta zbog nedostatnih podataka nije se moglo napraviti.
Dobiveni rezultati kod uputnih dijagnoza melanocitni madež kože, sijela usne, uha i vanjskog ušnog kanala, vlasišta i vrata kao i na nespecificiranim dijelovima lica i vrata, ukazuju najvjerojatnije na estetsko skidanje istih jer ne postoji značajna razlika K-S p iznosi p<0,01, zanimanje ne utječe na nastanak istih. U dobivenim rezultatima kod uputne dijagnoze zloćudne novotvorine kože, usne, uha i vanjskog ušnog kanala, vlasišta i vrata kao i na nespecificiranim dijelovima lica ukazuju na značajnu razliku po skupinama. Zbog nedostatnih podataka o zanimanju pacijenata ne može se sa sigurnošću ustvrditi postoji li povezanost istog s nastankom kožnih promjena.
Dobiveni rezultati ukazuju na važnost prevencije i osvješćivanja populacije o važnosti zaštite kože kao i o štetnosti UV zraka.
Abstract (english) Exposure to sun, UV radiation throughout life is an important factor that affects people and the appearance of skin changes. Occupations such as construction workers, fishermens and sailors are predisposed to the begining of skin tumors of the head and neck. Because of excessive exposure to sunlight it causes aging of skin and skin changes resulting appearence of the skin tumors.
The main goal of the study was to investigate and investigate the association of patients with head and neck tumors (occupation, age and sex), how many tumors are confirmed by the patohistological sample analysis, what is the cost of healthcare for each performed local anesthesia. In the inquiry for diagnosis D 22 to D 22.9, 1 317 patients were treated out of a total of 7,857. For referral diagnosis C to C 44,9, 841 patients were treated out of the total number of 16 331. Total number of treated patients, respectively, was associated with anoperative local anesthesia by for the first time, 2 158. First reviews, controls, re-cuts, and re-excision were not calculated on other parts of the face and head. A normal distribution screen as well as distribution by age group and gender and division of patients according to positive results, correlation between the obtained pathohistological findings and patient interest are performed. The results obtained in the diagnosis of melanocytic skin, lips, ear and ear canal, scalp and neck as well as on unspecified facial and neck parts are most likely to be aesthetic removal because there is no significant difference K-S p= p <0.01, occupation does not affect the creation of the same and the data that are in the IT system are not sufficient because some are introduced under unknown occupation and occupation is enrolled in the qualification. In the results obtained with the referral diagnosis of C 44 malignant neoplasms of the skin, lips, ear and the outer ear canal, the scalp and the neck as well as the unspecified parts of the face indicate a significant difference in the groups. Due to insufficient patient data, it is not possible to determine with certainty whether there is any correlation in skin changes.
The obtained results point to the importance of prevention and awareness of the population on the prevention of skin protection as well as on UV radiation.
Keywords
bazocelularni karcinom
planocelularni karcinom
keratoza
melanom
Keywords (english)
basal cell carcinoma
planocellular carcinoma
keratosis
melanoma
Language croatian URN:NBN urn:nbn:hr:184:907948 Study programme Title: Graduate university study of Nursing: Healthcare Management (Biomedicine and Healthcare; clinical medical sciences) Type of resource Text File origin Born digital Access conditions Access restricted to students and staff of home institution Terms of use Repository Repository of the University of Rijeka, Faculty of Health Studies Created on 2018-12-27 08:12:59
