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artar."]},"beginTime":138,"endTime":181,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=138&ask_summarization=1"},{"index":4,"title":"Polikistik Ovaryum Sendromunun Tedavisi","list":{"type":"unordered","items":["Obez hastalarda ilk basamak zayıflama olup, kilo verildiğinde seks bağcı globin seviyesi artar ve ovam fonksiyonlar %10 hastada düzelir.","Doğum kontrol etmeye başlanır, özellikle pert olan hastalarda en sık kullanılan tedavi bu.","İstirahat almasıyla üretimi durdurulur, adetler düzene girer, androjen seviyesi düştüğü için hitizm, akne oluşumu ve endometrium kanseri gelişmesi önlenir."]},"beginTime":181,"endTime":229,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=181&ask_summarization=1"},{"index":5,"title":"Vulva Kanseri","list":{"type":"unordered","items":["Vulva kanserinin en sık görülen histolojik tipi squa hücreli karsiton olup, cilt olduğu için epidermoid hücreli karsiton da görülebilir.","Epidermoid hücreli karsitonun iki tipi vardır: bazaloid (HPV ile ilişkili, genç yaşta, sigara ile ilişkili, multifokal yerleşim gösteren) ve keratinize (nadir, ileri yaşta, yaşlılığa bağlı, HPV ile ilişkili, skleroz ve ssplez ile ilişkili).","Vulva kanserinin en sık lenfatik metastazı servi yapar, önce inguinal lenf nodlarına, sonra femoral ve pelvik lenf nodlarına gider."]},"beginTime":229,"endTime":288,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=229&ask_summarization=1"},{"index":6,"title":"Vulva Kanserinin Prognostik Faktörleri","list":{"type":"unordered","items":["Vulva kanserinin en önemli prognostik faktörü hastalığın evresidir.","Lenfatik pozitifliği de prognoz için önemli bir faktördür.","En önemlisi evredir, ondan sonra lenfatik metastazdır."]},"beginTime":288,"endTime":316,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=288&ask_summarization=1"},{"index":7,"title":"Servis Kanseri","list":{"type":"unordered","items":["Servis kanseri asemptomatiktir, üst kısmında bulunur ve tedavi için lazer ablasyon veya cerrahi yapılır.","Servis kanserinin en sık primer kanseri bir hücreli kanserdir, kanserlerin birçoğu metastatiktir ve en sık servisten gelir.","Servis kanseri pelvik radyoterapi riskini arttırır, servisten yumuşak dokuya yayılır ve lenfatik yayılır."]},"beginTime":316,"endTime":387,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=316&ask_summarization=1"},{"index":8,"title":"Serviks Kanseri ve Risk Faktörleri","list":{"type":"unordered","items":["Serviks kanseri en az menopoz döneminde görülür ve en önemli risk faktörü HPV enfeksiyonudur.","Erken yaşta ilişkiye başlamak, zayıf olmak, düşük sosyoekonomik düzey, multiple seksüel partner veya partnerin çok eşli olması risk faktörleridir.","HPV 16 ve 18 tipleri sertlik kanserinin en sık nedenleridir, ancak HPV 16 ve 18'in en spesifik olanı HPV 18'dir."]},"beginTime":396,"endTime":421,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=396&ask_summarization=1"},{"index":9,"title":"HPV Enfeksiyonu ve Tarama","list":{"type":"unordered","items":["HPV genellikle asemptomatiktir ve çoğu ezik enfeksiyonlar kolayca kendinden geçer.","Önemli olan tipleri varsa ve risk faktörleri varsa kronikleşmesinden korkulur.","Tarama 20 yaşından sonra başlar, 21-29 yaş arası üç yılda bir, 30-65 yaş arası beş yılda bir yapılır."]},"beginTime":421,"endTime":484,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=421&ask_summarization=1"},{"index":10,"title":"Serviks Kanseri ve Risk Faktörleri","list":{"type":"unordered","items":["Serviks kanseri en sık 3. ve 6. katta bir artış gösterir, kadınlar 40 ve 60-70'li yaşlarda servis için risk faktörleridir.","Kronik HPV enfeksiyonu, düşük sosyoekonomik düzey, erken yaşta ilişki, sigara ve multialite serviks kanseri için risk faktörleridir.","Serviks kanseri epite tümörler içerisinde en sık görülen büyük hücreli nan kanserdir ve genç kadınlarda daha sık görülür."]},"beginTime":484,"endTime":522,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=484&ask_summarization=1"},{"index":11,"title":"Serviks Kanserinin Özellikleri","list":{"type":"unordered","items":["Serviks kanseri mukus üreten hücrelerden kaynaklanır ve servis şişirdiği için bu ismi alır.","Adezyon HPV tip 18 daha sık saplanır ve biyopsi ile konduysa konizasyon yapılır.","Serviks kanseri adenokart oldukça iyidir, lenfatik hemen hemen hiç yapmaz ve hücreli kanserler kanserle karışabilir."]},"beginTime":522,"endTime":574,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=522&ask_summarization=1"},{"index":12,"title":"Serviks Kanserinin Evreleme ve Tedavisi","list":{"type":"unordered","items":["Serviks kanserinde evreleme klinik olarak muayene ile yapılır.","Evre 1'de tümör servisin dışındadır, evre 2'de servisin içine ulaşmıştır.","Evre 2 ve daha ilerisi ise kemoterapi uygulanır ve serviks kanserinden genellikle böbrek yetmezliği ve ölümden dolayı ölmektedir."]},"beginTime":574,"endTime":653,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=574&ask_summarization=1"},{"index":13,"title":"Ovarian Kanser","list":{"type":"unordered","items":["Ovarian kanser kadınlarda görülen kanser içerisinde dördüncü sırada yer alır ve en iyi prognozu olan kanserdir.","Ovarian kanserinde risk faktörleri: doğum yapmak, evlenmemiş olmak, infertilite sendromu, obezite, diyabet ve Lynch sendromudur.","Angelina Jolie gibi Lynch sendromu olan kişiler boşaltma ameliyatı yapabilir veya tamoxifen kullanabilir."]},"beginTime":653,"endTime":729,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=653&ask_summarization=1"},{"index":14,"title":"Ovarian Kanser Tipleri","list":{"type":"unordered","items":["Ovarian kanser genç yaşta obez kilolularda görülür, peri menopozal dönemde östrojen bağımlıdır ve tipi daha iyi sonuçlar gösterir.","Tip 2 kanseri daha yaşlılarda östrojen ile ilgisi yoktur, daha kötü olur ve P53B16 mutasyonu vardır.","Tip 3 kanseri 2-3 yaşlarda olur, papiller kanser en sık gelişir, daha kötü dur ve P53B16 mutasyonu vardır."]},"beginTime":729,"endTime":795,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=729&ask_summarization=1"},{"index":15,"title":"Endometrium Kanseri","list":{"type":"unordered","items":["Endometrium kanserinde en sık görülen tipler müsinöz, karsinom, adeno karsinom ve sekreter tip olup, en alt düzeydeki en iyi prognozu gösteren kokla ilişkilidir.","Post-menopozal, ileri yaş östrojenden bağımsız gelişen endometrium kanseridir ve endometri atrofiktir.","Trakta en sık aynı anda bulunan iki kanserdir ve obez kadınlar semptomatik olarak gelirler."]},"beginTime":795,"endTime":875,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=795&ask_summarization=1"},{"index":16,"title":"Ovarian Kanser ve Genetik Faktörler","list":{"type":"unordered","items":["Ovarian kanserler var seksörler ve metastatik tümörler olmak üzere üç grupta incelenir.","Ovarian kanserlerin %90'ı kendinden aileseldir ve genetik geçiş vardır.","BRCA gen mutasyonla ilişkili bir sürü kanser vardır ve risk faktörleri: erken adet görmeye başlamak, geç adet görmeye başlamak, çocuk olmamak, infertilite, aile hikayesi ve endometriozistir."]},"beginTime":875,"endTime":965,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=875&ask_summarization=1"},{"index":17,"title":"Ovarian Kanser Tipleri ve Yayılım Yolları","list":{"type":"unordered","items":["Ovarian kanser tipleri: müsinöz, endometrioid, berrak hücreli, breer ve an diferansiyel olarak gelir.","Ovarian kanserler serviks kanserine benzer, endometri, endometrioid, berrak hücreli kanserler epitelle renaul transal epitel'e benzer.","Ovarian kanserlerin en sık ve en erken yayılma yolu batının içerisine yayılmasıdır."]},"beginTime":965,"endTime":1074,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=965&ask_summarization=1"},{"index":18,"title":"Embriyo Tümörleri","list":{"type":"unordered","items":["Embriyo tümörleri psikolojik olarak benzer ve tek taraflı olarak kanserleri kötü dur.","Embriyo tümörleri patolojide çivi gibi görünür ve şeffaf hücrelerden oluşur.","Embriyo tümörleri transferlere benzer ve cerrahi ile tedavi edilir."]},"beginTime":1082,"endTime":1151,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=1082&ask_summarization=1"},{"index":19,"title":"Diskeynom","list":{"type":"unordered","items":["Diskeynom, diskin en sık görülen tümörüdür ve erkeklerde semu karşılığıdır.","Diskeynom gebelikteki en sık lateral over tümörüdür ve histolojik olarak kronomi benzer tümördür.","Diskeynom radyoterapi duyarlı olan tek tümördür ve ekstrastregonlar hippofiz, mediastinal ve retroperitonal alanında da gelişebilir."]},"beginTime":1151,"endTime":1230,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=1151&ask_summarization=1"},{"index":20,"title":"Dermoid Kist","list":{"type":"unordered","items":["Dermoid kist en sık görülen telefonda bu biletler genel yüzde oranda genelde ikinci katta en sık rastlanır.","Dermoid kist endos ve mezodermal yapıları içerir ve en sık ektodermal yapılar için diş, tırnak, kıl gibi şeyler içerir.","Dermoid kist en sık porsiyona ve rüktüel olan over sömürüdür ve gebelikte de en sık görülen beni over sömürdür."]},"beginTime":1230,"endTime":1279,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=1230&ask_summarization=1"},{"index":21,"title":"Endoma Sinüs Tümörü","list":{"type":"unordered","items":["Endoma sinüs tümörü (opt tümörü) vitalin keseden gelişi ve her zaman tek taraftır.","Endoma sinüs tümörü akp salgılar.","Endoma sinüs tümörü kromozom incelemede 46-45-46 moza ismi görülür ve bu tümörler içinden yüzde disk gelişebilir."]},"beginTime":1279,"endTime":1317,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=1279&ask_summarization=1"},{"index":22,"title":"Erken Embriyoma ve Tümörler","list":{"type":"unordered","items":["Erken puber'i yapan tümörler embriyoya karsitom, poli embriyoma koryokarsitom ve GND'de tümörler.","Bu tümörler puberte pakok yapan tümörlerdir."]},"beginTime":1317,"endTime":1385,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=1317&ask_summarization=1"},{"index":23,"title":"Fonksiyonel Tümörler","list":{"type":"unordered","items":["Fonksiyonel tümörler köken alıcı gruplara bağlı olarak oluşur.","En sık androma diye geçer ve sertler, ledler gibi unsurlardan oluşur.","Fonksiyonel tümörlerin en önemli faktörü DNA projesi östrojendir."]},"beginTime":1385,"endTime":1452,"href":"/video/preview/12379701913930379844?parent-reqid=1774100112470970-2681616484150662817-balancer-l7leveler-kubr-yp-sas-72-BAL&text=PRIMERTUS&t=1385&ask_summarization=1"},{"index":24,"title":"Gebelik Terimleri","list":{"type":"unordered","items":["Gravida toplam gebelik 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