Book 4 - Self Instructional Manual for Cancer Registrars - SEER ...

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L..._ph Nodes of Head and NeckThe lymph node drainage for most sites within the head and neck will be to cervical1 nodes. Thisis a general term for nodes located in the neck or draining into the nodes of the neck. Morespecifically, cervical nodes may be identified as:• Occipital• Mastoid (postauricular)• Facial: infra-orbital, maxillary,buccinator, supramandibular• Parotid: preauricular, subparotid, infra-auricular• Sublingual (lingual)• Retropharyngeal° Submental• Submandibular (submaxillary)• Anterior cervical: prelaryngeal, pretracheal, paratracheal, laterotracheal(recurrent laryngeal nerve chain)• Internal jugular: upper and lower deep cervical (jugulodigastric and jugulo-omohyoid)• Spinal accessory (posterior cervical)• Transverse cervical (supraclavicular)The term "supraclavicular nodes" is commonly used to include the transverse cervical nodes and thelowest nodes of the internal jugular and spinal accessory chains.The regional nodes for some of the anatomic sites in the head and neck area are, for example:• Occipital and mastoid lymph nodes - skin of posterior scalp and neck• Parotid lymph nodes - parotid gland, buccal mucosa, tympanic cavity, eyelids• Retropharyngeal lymph nodes - pharynx, palate, nasal cavity• Submental and submandibular lymph nodes - lip, anterior two-thirds of tongue, floor of mouth,submandibular gland° Internal jugular (upper and lower deep cervical) lymph nodes, tongue, floor of mouth, palate,pharynx, larynx, thyroid glandRefer to the Figures 6 and 28 if you need help in clarifying the locations of these lymph nodes.1cervical--Pertaining to the neck, or to the neck of any organ or structure.74
Q14A general term for lymph nodes located in the neck isQ15A general term for lymph nodes of the transverse cervical chain and of the lowest nodes of theinternal jugular (upper and lower deep cervical) and spinal accessory chains isQ16List five examples of specific cervical nodes:1.2.3.4.5.Q17What is another name commonly used for submandibular nodes?75
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SEER ProgramSelf Instructional Manu
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CONTENTSBOOK 4: HUMAN ANATOMY AS RE
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ILLUSTRATIONS(Figures 1-82, cont'd)
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ACKNOWLEDGEMENTSPortions of Book 4
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SECTIONAOBJECTIVES AND CONTENT OF B
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BSECTIONBTERMS USED TO INDICATE BOD
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Directional Planes of the BodySagit
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Relative Positional and Directional
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Figure 3. ANATOMIC DIVISIONSOF THE
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Answers to Practical ExerciseNote t
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SECTIONCTHE INTEGUMENTARYSYSTEM19
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EpidermisThe epidermis (Figure 4A)
Page 33 and 34: Q1a. What are the two primary layer
Page 35: Epidermis is epithelial tissue deri
Page 38 and 39: Answer:Q2The three glands of the sk
Page 41 and 42: Q3Q4Accessory skin organs are found
Page 43 and 44: Benign TumorsThere is a large group
Page 45 and 46: Q5 Match the malignant tumors of th
Page 47 and 48: MalignantMelanomaMalignant melanoma
Page 49: The description of the level 1 of i
Page 52 and 53: Q9"Clark's Classification" of malig
Page 54 and 55: Lymphatic Drainage of the SkinThe l
Page 57 and 58: Q10Match the regions of the skin on
Page 59: SECTIONTHE LYMPHATICDSYSTEM51
Page 62 and 63: T-Cells Versus B-CeilsThe two princ
Page 64 and 65: Answer:Q1The lymphatic system colle
Page 66 and 67: Figures 8A-8B. LYMPHATIC DRAINAGE O
Page 68 and 69: Answer:Q3The lymphatic system colle
Page 70 and 71: Lymph nodes accomplish two separate
Page 73 and 74: Q6The lymph nodes have two main fun
Page 75 and 76: SpleenThe spleen, the largest lymph
Page 77 and 78: Q9Match each lymphatic organ or tis
Page 79 and 80: LymphaticDrainageLymph nodes, most
Page 81: Answer:QllLymphatics tend to parall
Page 85: Lymph Nodes of the ThoraxThe lymph
Page 88 and 89: Answer:Q18Lymph nodes of the thorax
Page 91 and 92: Q20Lymph nodes of the abdomen may a
Page 93: Lymph Nodes of Upper and Lower Extr
Page 96 and 97: Answer:Q22c 1. Popliteal Heela 2. A
Page 98 and 99: Hodgkin's disease. The histologic c
Page 100 and 101: Answer:Q23Benign tumors of lymphoid
Page 102 and 103: Extralymphatic/ExtranodalSitesLymph
Page 104 and 105: Answer:Q27Non-Hodgkin's lymphomas m
Page 106 and 107: TilE CARDIOVASCULAR SYSTEMIonatod
Page 108 and 109: CIRCULATORY SYSTEMFigure 14D. BLOOD
Page 110 and 111: Answer:Q1The cardiovascular system
Page 112 and 113: The heart lies in a loose-fitting s
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Page 116 and 117: Answer:Q5The heart has four chamber
Page 118 and 119: Answer:QIODeoxygenated blood from t
Page 120 and 121: Portal System (portal circulation)V
Page 122 and 123: Answer:QllThe three kinds of blood
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Page 126 and 127: Answer:QlgThe three main types of b
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Page 130 and 131: Answer:Q18White blood cells which a
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DEVELOPMENTOF WHITE BLOOD CELLSStem
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Answer:Q20Malignant diseases of the
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Answer:Q25b 1. Leukemia An uncontro
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130
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132
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Answer:Q1The parts of the respirato
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136
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Answer:Q41. Serves as a passageway
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140
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Answer:Q7The pharynx can be divided
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The larynx can be divided into thre
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146
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Answer:Q10The three single cartilag
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150
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Answer:Q14The windpipe or trachea s
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The lungs provide a place where lar
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Answer:Q16The main bronchus, pulmon
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Clinical ManifestationsClinical man
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Answer:Q19The interpleural space ma
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Answer:Q24_g_ 1. Exchange of oxygen
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DIGESTIVE SYSTEM: Esophagus-RectumP
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The organs of the digestive system
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Answer:Q1The main organs of the dig
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• Lips. The lips form the upper a
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Answer:Q5The lip consists of an exp
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Malignant TumorsMalignant lesions a
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Answer:Q8The tongue is composed of
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• Gums (gingiva). The gums are fo
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Answer:Qllb__ 1. GumMucosal coverin
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182
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Answer:Q12The palate is the roof of
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186
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Answer:Q18The major salivary glands
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190
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Answer:Q21c 1. Gum Retropharyngeala
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Oropharynx. The air and food passag
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196
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Answer:Q23Another name for the hypo
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Answer:Q25a__ 1. HypopharynxServes
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Answer:Q28a. Tonsillar pillar - Oro
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Figure 31. MEASUREMENTS OF THE ESOP
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206
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Answer:Q30The esophagus extends fro
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The medial border of the stomach is
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Q33The stomach lies just below thei
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Answer:Q33The stomach lies just bel
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216
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Answer:Q38The small intestine is ab
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The large intestine receives the fl
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Malignantand Benign TumorsThe usual
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224
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Answer:Q41The large intestine is ab
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Answer:Q433. The ileocolic lymph no
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Metastatic tumors involving the liv
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Answer:Q45The most common primary t
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234
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Answer: 046The function of the gall
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238
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Answer:Q48.The pancreas plays an im
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Figure 39. PRINCIPAL PARTS OF THE U
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The microscopic structure of the re
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Answer:Q1The urinary system consist
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Figure 41. A NEPHRON_ Otomes_JLus_;
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250
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Answer:Q4The blood is circulated th
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254
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Answer:Q8The regional lymph node dr
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258
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Answer:Q12The tube which carries ur
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URINARY BLADDER, RENAL PELVIS AND U
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Malignant TumorsBladder cancer is t
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Answer:Q14The urinary bladder is a
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Q18Theis a membranous tube which co
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Answer:Q18The urethra is a membrano
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Figure 44.FEMALE PELVIS (frontal vi
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CORPUSUTERII I _ 'PRIMARY] ENDOMETR
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Answer:Q1The female reproductiveorg
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• Choriocarcinoma, a highly malig
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Answer:Q6For corpus uteri you might
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FallopiantubesThe fallopian tubes,
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Answer:Q7b 1. Uterus Pear-shaped mu
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Q8Name the three openings of the ut
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Answer: 08In naming the three openi
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Regional Lymph NodesThe regional ly
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6. Vaginal orifice f. Glands that s
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Answer:Q14The vagina is situated be
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296
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298
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Answer:Q19The breasts overlie the p
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A tumor specified as "subareolar" i
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Answer:Q22One of the first and most
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306
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ANSWERS TO REVIEW TESTd 1. Gonads i
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310
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Answer:Q25The male gonads consist o
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314
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Answer:Q27c 1. Epididymis Tube loca
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Figure 51. PROSTATE GLAND (frontal
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Answer:Q29b 1. Prostate Gland which
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RegionalLymph NodesThe regional lym
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324
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Answer:Q30Male hormones are produce
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Figure 53. ENDOCRINEGLANDS328
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• Prolactin (luteotrophic hormone
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Parathyroid GlandThere are four par
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Thymus GlandThe thymus gland is loc
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Q2Match the hormone on the left wit
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Answer:Q1d 1. Hormones Organic secr
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340
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Figure 58.AXIAL SKELETONSkuLl.342
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344
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Answer:Q1The skeletal system is com
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348
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Answer:Q4One characteristic which d
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352
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Answer:Q8The purpose of the sesamoi
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Structure of BoneEach long bone of
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Answer:QllThe numbered parts of the
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Facial bones. The facial bones are
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Figure 65. BONES OF THE THORAX Figu
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Q17Match the bones on the left with
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Figure 67. APPENDICULARSKELETON366
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Malignant TumorsBone is derived fro
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Q20Sites from which metastases to b
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Q22Match the description on the lef
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Answer:Q21c 1. Angiosarcoma A malig
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Figure 68.MUSCLE TYPES376
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Figure 69. HISTOLOGICAL COMPARISONS
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Answer:Q1The three types of muscle
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382
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Answer:Q61. True Malignant tumors o
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• Supinators turn the palm upward
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Answer:Q8The three general function
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Answer:Q11Match the muscle groups o
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392
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Figure 70.NERVE CELL (neuron)394
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Answer:Q1The central nervous system
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Figure 71.CEREBRUMCEREBRUMC_ere_etr
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400
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Figure 74 CRANIAL NERVES402
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MalignantTumorsGliomas are tumors o
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406
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Answer:Q6Match each term on the lef
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410
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412
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Answer:Q1The five major sensesof th
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416
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Answer:Q3The three layers which com
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420
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Answer:Q5The eyeball/s not a solid
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424
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Answer:Q8Name the lymph nodes which
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Figure 80. TONGUE: Areas of tasteUv
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Answer:QllReceptors for the sense o
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Malignant TumorsTumors of the nasal
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Answer:Q13The nasal fossa is divide
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Regional Lymph NodesThe lymphatics
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Answer:Q16b 1. External ear Made up
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440
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HISTOLOGIC TYPE PRIMARY SITELeukemi
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444
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DETERMINATION OF SUBSEQUENT PRIMARI
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470
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OTHER ICD-O-2 CODES TO BE CONSIDERE
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474
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SELECTED BIBLIOGRAPHY (cont'd)Paul,
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478
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Adenocarcinoma (continued)Primary s
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Arteries (see also Vessels) (contin
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Blood (see also Cardiovascular syst
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Bone tissue (osseous, vascular tiss
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Breast (mammary gland) (continued)H
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Cartilage (nonvascular tissue) (con
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Cerebrum (forebrain, telencephalon)
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Cortisol, 329, 333, 336, 338Cortiso
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Ducts (see also Endocrine system an
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Estradiol, 281Estrogen-producing ca
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Follicular adenocarcinoma, 331, 337
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Glycogen, 229Gonadotrophic hormone
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Histologic type of cancer, 439-441H
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Integumentary system (skin) (contin
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Kidney (see also Urinary system) (c
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Leukocyte (WBC),Agranular, 119B-Cel
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Luteal cell, 281Luteinizing hormone
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Lymph nodes (continued)Perivesical,
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Lymphoma (continued)Nasopharynx (ph
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Metastases (continued)Lymph node, 6
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Muscle (see also Muscular system) (
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Nervous system, Cranial (continued)
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Ovary (female gonad), 273, 281,285,
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Peripheral nervous system, 393, 396
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Prostate (continued)Urethra (prosta
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Salivary gland (see also Parotid, S
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Skull (diploe), 351, 354, 356, 359,
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Sulcus,Buccal, 178Nasolabial, 39Sup
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Tibia (shin bone), 351, 369Tumors o
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Tumor (see also specific histologic
Page 548 and 549:
Urethra (female, male) (continued)L
Page 550 and 551:
Vertebral cavity, 10Vertebral colum
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