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8/18/2019 Tumeurs Osseuses Main DIU
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X^@N^TQ BQQN^QNQ HN@GCL
Afrcstcgl Hu`bltcnr, @H, YfH - Anltrn hn kg @gcl JughnkGvna k–gchn clnstc`gdkn hn Agrbkcln Knaknraq, Y
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KNQ X^@N^TQ BQQN^QNQ QBLX YKTGTNQ É KG @GCL
• Ygrtcns `bkkns? :9% (hblt mystns :9%)
• Yngu ? 4> é 19 %
• Bs ? 7 é >%
• Kns tu`nurs bssnusns é kg `gcl rnprãsnltnlt 8% hns tu`nurbssnusns
• @ 0 E, pgs hn kgtãrgkctã, Unrs kg trnltgcln, surtbut kns p(:9%)
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HNUGLX ^LN X^@N^T BQQN^QN, CK GLGKSQNT
• Kn typn hn hnstruatcbl bssnusn
• Kg `gtrcan tu`brgkn
• Nxpglscbl bu kg rupturn hn kg abrtcagkn• Kg rãgatcbl pãrcbstãn
• Kns tcssus `bus ghoganlts
• Kg tgckkn nt kg ebr`n hn kg kãscbl• K–nxcstnlan hn akbcsbls, snptg,
trgdãaukgtcbls
• Kn agrtckgjn abloujgk
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YTCLACYGKNQ X^@N^TQ ÃYCY
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YTCLACYGKNQX^@N^TQ @ÃXGY
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YTCLACYGKNQ X^@N^TQ HCGY
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AKGQQCECAGXCBL HNQ X^@N^TQ BQQN^QNQ (8Æ@N
Afblhrbjãlcqun Afblhrb`n, nxbstbsn, afblhrb`gtbsn sylbvcgkn, afblhrbdkgstb`nafblhrbsgrab`ns,…
Bstãbjãlcqun Bstãb`n, bstãb`n bstãbâhn, bstãbdkgstb`n, bstãbsgrab`ns,…
Ecdrbjãlcqun Ecdrb`n hns`bpkgstcqun, drbsgrab`n
Ecdrbfcstcbaytcqun Ecdrb`n lbl bssc glt, fcstcbaytb`n dãlcl hns bs
Qgrab`n h–Nwclj
Fã`gtbpbâãtcqun @yãkb`n, pkgs`baytb`n, ky`pfb`n lbl-fbhjmclcnl
Tcafns nl a/ jãgltns bstãbakgstcqun Xu`nurs é ankkukns jãgltns hns bs
Lbtbafbrhn Afbrhb`n, …Ugsaukgcrns Fã`gljcb`ns, gljcbsgrab`n
@ybjãlcqun, kcpbjãlcqun,ãpctfãkcgkns Kncb`ybsgrab`n, Kcpb`n, Kcpbsgrab`n, ghg`gltclb`n
Clhã lcns Mystn glãvrcs`gk, mystn bssnux, hyspkgscn drnusn, Fcstcba
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AKGQQCECAGXCBL HNQ X^@N^TQ BQNKBL OGEEÃ & KCAFXNLQXN
Agrtckgjclnusn
Afblhrb`nBstãbafblhrb`nAfblhrbdkgstb`n
Ecdrb`n afblhrb-`cxbchn
Afblhrbsgrab`n
BssnusnBstãb`n bstãbchnBstãbdkgstb`n Bstãbsgrab`n
Ecdrnusn Hyspkgscn drnusn Ecdrbsgrab`n
Gutrn tcssu hgls k–bsMystn sylbvcgkMystn ãpchnr`bâhn
Gljcb`n…
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KNQ AFBLHTB@NQ
Ckbts hn agrtckgjn fygkcl sãpgrãs hn kg pfysn kbrs hnarbcssglan nt quc pnrscstnlt gpræs kg enr`nturn hu
agrtckgjn abloujgk
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KG YK^Q ETÃW^NLXN HNQ X^@N^TQ
BQQN^QNQ HN KG @GCL -KBAGKCQGXCBL YTÃEÃTNLXCNKKN É KG
@GCL HNQ AFBLHTB@NQ
• 59 é 39 % hns tu`nurs bssnusns hn kg`gcl
• Ag`pdnkk (733>)? 84 /69
• C@ (4991)? :9 / 749
Ag`pglgaac? 76 ags / 4>7 nl hnfbrs hn kg `gcl
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QÃTCN CLQXCX^X HN KG @
:9 AGQ
• Qnxn ? >5 E / 78 F (Kcttãrgturn @ 0 E)
• Gjn ? 77 gls - :: gls (87.6)- nl jãlãrgk 49-19gls
• Aøtã ? H 13 / J 17
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KBAGKCQGXCBL• Ykutøt sur kns hbcjts
audctgux (guj`nltgtcbl
hn erãqunlan hn rghcgknl audctgk)
•Y7 < @ãtg < Y4 < Y1
• Ebr`n typcqun? Y7gurcaukgcrn
Qãrcn @gyb Akc
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QÃTCN CLQXCX^X HN KG @G
KBAGKCQGXCBL
• Y7 ? 49 (46%)
•Y4 ? 49 (46%)
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QÃTCN CLQXCX^X HN KG @
KBAGKCQGXCBL
• Y7 ? 49 (46%)
• Y4 ? 49 (46%)
•Y1 ? 3 (71%)
• @ãtgagrpcnl ? 3 (71%)* Kct ? `ãtgagrpcnl 41%
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QÃTCN CLQXCX^X HN KG
KBAGKCQGXCBL• Y7 ? 49
• Y4 ? 49• Y1 ? 3
• @ãtgagrpcnl ? 3
• Ybcjlnt ? 1
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QS@YXØ@NQ
• Ergaturn pgtfbkbjcqun ? 19%
• Hbuknur
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QS@YXØ@NQ• Ergaturn pgtfbkbjcqun ? 19%
• Hbuknur • Xu`ãegatcbl (Y1)
• Hãabuvnrtn ebrtuctn +++ agr kg tu`nur rnstnsbuvnlt qucnsanltn gpræs kg enr`nturn hu agrtckgabloujgk
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HCGJLBQXCA TGHCBJTGYFC
• Grju`nlt hn erãqunlan• C`gjn kytcqun,
•G prãhb`clglan`ãtgpfysgcrn
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• C`gjn kytcqun
• Ykutøt `ãtgpfysgcrn
• Ykus bu `bcls pbkyayakcqun
• Agkac agtcbls cltrg- tu`brgkns pbsscdkns
HCGJLBQXCA TGHCBJTGYFCW^N
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HCGJLBQXCA TGHCBJTGYFCW^N
• C`gjn kytcqun
• Ykutøt `ãtgpfysgcrn
• Ykus bu `bcls pbkyayakcqun
• Agkac agtcbls cltrg-tu`brgkns• Ybuvglt sbuefflnr kg abrtcagkn
sgls k–nlvgfcr (ãrbscbl nlhbstgkn)
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• C`gjn kytcqun
• Ykutøt `ãtgpfysgcrn
• Ykus bu `bcls pbkyayakcqun
• Agkac agtcbls cltrg-tu`brgkns
• Ybuvglt sbuefflnr kg abrtcagknsgls k–nlvgfcr
• Ecl kcsnrã sakãrnux pãrcpfãrcqun
HCGJLBQXCA TGHCBJTGYFCW^N
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EBT@NQ TGHCBJTGYFCW
• Afblhrb`nfgdctunkkn`nlt anltrgk
nt `ãtgpfysgcrn
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EBT@NQ TGHCBJTGYFCW
• Nxanltrã +/-ãpcpfysgcrn
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EBT@NQ TGHCBJTGYFCW
• Ybkyanltrcqun
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EBT@NQ TGHCBJTGYFCW
• Jãglt
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G^XTN C@GJNTCN 2
• Qagllnr < CT@ pburãvgkunr k–cltãjrctã bssnusn
• CT@ < Qagllnr sc hbutn surul afblhrbsgrab`n
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G^XTNQ EBT@NQ HNAFBLHTB@N
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AFBLHTB@NQ @^KXCYKNQ? YK^QCKBAGKCQGXCBLQ
• Qur kn `ï`n bs
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AFBLHTB@NQ @^KXCYKNQ? YK^QCKBAGKCQGXCBLQ
• Qur kn `ï`n rgybl
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AFBLHTB@NQ @^KXCYKNQ? YK^QCKBAGKCQGXCBLQ
• Qur kg `ï`n `gcl
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EBT@NQ YGTXCA^KCÆT
AFBLHTB@NQ @^KXCYK• @gkghcn h–Bkkcnr
• Afblhrb`ns `uktcpkns sur ul
fã`c-abrps (hcstrcdutcblgsy`ãtrcqun) -`gcl gttncltnhgls 69-39% hns ags
• Yrãvgknlan 7/799,999
• Hãebr`gtcbls squnknttcquns,gsy`ãtrcn hn kbljunur hns`n`drns, nt rcsqun h'ãvbkutcblvnrs ul afblhrbsgrab`n (19%)
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@gkghcn h–Bkkcnr
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EBT@NQ YGTXCA^KCÆTNQ HN AFBL@^KXCYKNQ
• Qylhrb`n hn @geeuaac (7667), 4>9 ags hãarcts,@ 0E
• Afblhrb`ns `uktcpkns gssbacãs é fã`gljcb`nshns pgrtcns `bkkns (lbhukns sbus-autglãs hnebr`n crrãjukcærn, prbtudãrglt nt dknu eblaã gulcvngu hns nxtrã`ctãs hcstgkns)
• Hãdut prãaban 7-> gls (4>% prãsnlts é kglgcssglan)
• Kãscbls squnknttcquns nt vgsaukgcrns sbltgsy`ãtrcquns.
• Xrglsebr`gtcbl `gkcjln (afblhrbsgrab`n bubstãbsgrab`n)" 799%
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NUBK^XCBL QYBLXGLÃN
• Nxpglscbl• Agkac agtcbls
• Clvbkutcbl 2
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XTGCXN@NLX 2
• Aurntgjn snuk
• Aurntgjn - ab`dkn`nlt
• Tãsnatcbl « nl dkba ½ + jrneen abrtcab-spbljcnu
• Gdstnltcbl +++ survnckkglan snukn
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KN A^TNXGJN• Hbct ïtrn ab`pknt
• Enlïtrn abrtcagkn kgtãrgkn (bl kg hãabupn gu dcstbur
• Aurnttns hn tgckkn hceeãrnltns -Bl aurnttn, Bl aurnttn,Bl aurnttn,Bl aurnttn,Bl aurnttn… Ousqu–é ãpucsn`nlt hu stbam
• (Hnuxcæ`n gdbrh sc dnsbcl)
• Clonatcbl h–ngu sbus prnsscbl pbur kgvnr é kg l
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GQYNAX YNT-BYÃTGXB
• Gspnat `garbsabpcqun ?agrtckgjn fygkcl
• Xcssu agrtckgjclnux dkglafätrn trglskuachn
• Ercgdkn
• Kc`ctns crrãjukcærns (kbjnttnscltrg-bssnusns) Hr. @grm T. Zcam
@gkghcn h–Bkkcnr
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KN A^TNXGJN QN^K Q^E• Kg agvctã nst abkblcsãn pgr hns ankkukns-sb
quc sn hceeãrnlacnlt nl bstãbdkgstns (Xbrhgc,
Yrã-
bp
7 `
1 `
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KN A^TNXGJN QN^K Q^E
• Ygs h–utckctã hu spbljcnux é kg sbkchctã hn k
• A–nst k–cltãjrctã abrtcagkn quc nst c`pbrtgl(Drbbms H, G. nt gk. ODOQ 73:9 - @brjgl ODOQ 73
• Xgux hn ablsbkchgtcbl 0 tgux hn rnstgurgtcbabrtnx (Jbtb X nt gk OFQ 4994)
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KN A^TNXGJN QN^K Q^E• Ygs hn hceeãrnlan hgls kns sãrcns pudkcãns(Fgssnkjrnl OFQ (G`)
7337, Qncmyg OFQ (Dr)733:, Jbtb OFQ (Dr) 4994)
• Nvctn?
• Kg `brdchctã h–ul prãkævn`nlt (49% sur afutns ckc
• Kn abýt h–uln jrneen
• Kg `csn nl pkgan h–ul abrps ãtrgljnr !
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KN A^TNXGJN QN^K Q^E
• Xbrhgc? ? 85 pgtcnlts lbljrneeãs,
• 64% juãrcsbl,
• 75% pnrscstglan h–ulhãenat,
• 4 % rãachcvn
Yrã-bp
7 gl
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QÃTCN CLQXCX^X HN KG
• 74 ags gvna jrneen / 7> ags sgls jrneen
• 76 fb``ns, 3 en``ns
• 4 jrbupns ab`pgrgdkns? äjn, snxn, tgckkn ntkbagkcsgtcbl hn kg tu`nur
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TÃQ^KXGXQLb.be
agsns
@nglgjn(yrs)
@nglvbku`n(``1)
@ngl E^(wms)
@nglpbst-bprnabvnry
(wms)
Akclcagkbutab`n
sabrn
Tghcbkbjcagk
butab`nsabrn
Xbrhgcsabrn
Aurnttgjnblky
74 11.:rgljn77 - >9
7744rgljn
5:>-78>618rgljn
48 - 7985.7rgljn
4 - 746nxankknlt
4 jbbh:nxankknlt
1 jbbh6jrbup7
Aurnttgjn +dblnjrget
7>18.8rgljn74 ‑ >5
7958
rgljn519-7>59
791rgljn48 - 856
>.3rgljn1 - 74
79nxankknlt1 jbbh
6nxankknlt8 jbbh
79 jrbup7 / 1
jrbup 4 /7 jp 1(@N)
Hceenrnlan (p;9.9>)
lb scjlhcee
lb scjlhcee lb scjl hcee lb scjl
hcee lb scjl
hcee lb scjl
hcee
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Yrã-bp
8 `bcspbstbp
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Yrã-bp
7 gl
1 @bcs
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W^N EGCX-BL Q–CK S G ^LN ETGAX^
• Lbl hãpkgaãn kn + sbuvnlt
• C``bdckcsgtcbl 7 `bcs
• Yucs rããhuagtcbl
• Wuglh kn pgtcnlt nst sbupkn,aurntgjn sgls syltfæsn
Nvctnr kn pkus pbsscdkn k–cltnrvnltcbl nl urjnlan quc lãanssbssnusn nt uln bstãbsyltfæsn træs hce ackn (5:% hn ab`pkcag
urjnlan vs 79% nl snablhgcrn - Gdkbvn nt gk. G` O Brtfb4999=43?::7-::4)
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TÃACHCUNQ 2• >-78% - prbdgdkn`nlt kcã é ul aurnttgjn clsue sglt
• Qurvnckkglan rghcb ousqu–é > gls• Guaul trgctn`nlt ghouvglt (pfãlbk, ac`nlt,…) l–g
prbuvã ïtrn h–ul qunkablqun cltãrït
• Tãachcvn 0 sn `ã nr hn kg pbsscdckctã h–ulafblhrbsgrab`n hn dgs jrghn
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KÃQCBLQ AGTXCKGJCLNYK^Q TGTNQ
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AFBLHTB@N O^VXG-ABTXCA• Kcaftnlstncl, 73>4
• Tgrn? 4% hns afblhrb`ns, 49-19 gls,4@/7E -" 4>% é kg `gcl bu gux
pcnhs• Hãvnkbppã nltrn abrtcagkn nt pãrcbstn
• Tx ? ãrbscbl abrtcagkn & agkac agtcblshcssã`clãns (>9%) - sbuvnlt kcsnrãnltrn tu`nur nt `ãhukkgcrn
• XXX? nxacscbl ab`pkætn n`pbrtglt ulpnu kg abrtcagkn sgcln
AFBLHTB@N HNQ YGTXCNQ @
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AFBLHTB@N HNQ YGTXCNQ @
• Tgrn, dãlcl, 35% tbuafnltkns `gcls (69%) bu kns pcnhs
• F 0 E, 19-59 gls• Qurtbut egan pgk`gcrn, gutbur
hns tnlhbls (brcjcln hgls kn
tcssu sylbvcgk prbdgdkn)• @gssn clhbkbrn, ; 1 a` hn
hcg`ætrn
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X^@N^T HN LBTG (DC GTN YGTBQXNGK
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X^@N^T HN LBTG (DC__GTN YGTBQXNGKBQXNBAFBLHTB@GXB^Q YTBKCENTGXCBL
• Lbrg, 7361
• Yfgkgljn bu `ãtgagrpcnls
• 19-89 gls, F 0 E
• Ybst-trgu`gtcqun (fã`brrgjcnpãrcbstãn) bu Xu`brgk (kãscblsafrb`bsb`cquns hgls kns trgvguxrãanlts)
• @gssn clhbkbrn
X^@N^T HN LBTG (DC GTN YGTBQXNGK
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X^@N^T HN LBTG (DC__GTN YGTBQXNGKBQXNBAFBLHTB@GXB^Q YTBKCENTGXCBL
• Kãscbl lbhukgcrn, hnlsn é kgsuregan hn k–bs
• Ygs hn abltcluctã gvna k–bsabrtcagk bu `ãhukkgcrn sbus- oganlt (! bstãbafblhrb`ns)
• Ygs h–n`prncltn sur k–bs (!
afblhrb`n pãrcbstã)• Nxacscbl « gjrnsscvn ½ gvna
gdkgtcbl hu `glafblagrtckgjclnux - Tãachcvn# 79%
Xu`nur hn Lbrg
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g
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BQXÃBAFBLHTB@NQ
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BQXÃBAFBLHTB@NQ
• Tgrns, 1-:% hns tu`nurs bssnusns hn kg`gcl nt 8% hns bstãbafblhrb`ns sblt ékg `gcl
• Hãenat hn k–gllngu agrtckgjclnux qucpnr`nt é hu agrtckgjn ãpcpfysgcrn hn
pgssnr é trgvnrs$ abltcluctã abrtcagkn ntspbljcnusn gvna k–bs « føtn ½ gvna ulagpuafbl agrtckgjclnux
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 59/124
AKCLCW^N• Quont onuln (; 49 gls)
• Bs nl arbcssglan
• Nxtrã`ctã hcstgkn hns `ãtgagrpcnls ; prbxc`gkn hnspfgkgljns
• Xu`nur clhbkbrn pbuvglt crrctnr kns tcssus ghoganlts(crrctgtcbl lnrvnusn, gaarbafgjn hns tnlhbls, trbudknsrbtgtbcrns hns hbcjts, kc`ctgtcbl `ãaglcqun hn kg `bdc
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 60/124
TGHCB• Qnukn kg pgrtcn bssnusn nst vcscdkn
• (abltbur hn kg abceen pgrebcs vcscdkn)• Qnssckn bu pãhcaukãn
• Xrg`n spbljcnusn nl abltcluctã gvna k–bs lbr`g
• Tnafnrafnr h–gutrns nxbstbsns +++
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 61/124
@GKGHCN HNQ NVBQXBQNQ @
• @utgtcbls hn NVX hns jnlns 7 nt 4
• Hãdut prãaban (; 79 gls)
• Xrbudkns hn arbcssglan hns bs +++
• Gttncltn hn kg `gcl hgls 69% hns ags
• Xrglsebr`gtcbl `gkcjln (>-4>% vs 7-4% pbur kãscblcsbkãn) vnrs 4>-19 gls
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 62/124
HCGJLBQXCA HCEEÃTNL
• Xu`nur hn LBTG (dczzgrn pgrbstngkbstnbafblhrb`gtbus prbkcenrgtcbl)
• @ybsctn bssc gltn
• Qgrab`n pãrcbstã
XTGCXN@NLX
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 63/124
XTGCXN@NLX L–NLKNUNT W^N KNQ BQXÃBAFBLHTB
QS@YXB@GXCW^NQ
• Nxãræsn nl dkba?• Yãrcbstn - abceen agrtckgjclnusn - nxbstbsn
• Qgls hcssnatcbl (sclbl rcsqun hn rãachcvn)
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 64/124
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 65/124
NVBQXBQN QB^Q-^LJ^ÃG
• Brcjcln hceeãrnltn 2 (hcstgkn nt lbl prbxc`gkn)
• Qbukævn k–bljkn , kn hãebr`n
• Qbuvnlt hbukburnux
• :9% gu jrbs brtnck, 79% brtncks, 49% hbcjts (brcjcln trgu`
• Hce auktã hcgjlbstcqun nl k–gdsnlan hn rghcbs +++?dbtrcb`yab`n, blyafb`yabsn, vnrrun,`ãkglb`n…
Ubcr prãsnltgtcblXu`nurs hn k–bljkn
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 66/124
NVBQXBQN QB^Q-^LJ^ÃG
• Xu`nur bssnusn NXagrtckgjclnusn (lbl vcscdkn, kg tu`nur nst tbuoburs pkusjrbssn qu–gttnlhu)
• Nl abltcluctã gvna kgfbuppn
XXX HNQ NVBQXBQNQ QB^Q ^LJ^
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 67/124
XXX HNQ NVBQXBQNQ QB^Q-^LJ^
• Nxacscbl nl dkba
• Qbuknvnr kg tgdknttn
• Qbuknvnr kn kct (clacscbl nljunukn hn rnqucl)
• Bstãbtb`ns + aurnttn
• Tnpbsnr kn kct nt kg tgdknttn(blt gussc ãtã prbpbsãs hnsUGA, hns jrneens hn kct,…)
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 68/124
AFBLHTBDKGQXB@N
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 69/124
AFBLHTBDKGQXB@N• Xu`nur ãpcpfysgcrn dãlcjln, sãpgrãn hns XAJ pgr Oge
Kcaftnlstncl nl 7384, tbuafglt surtbut kns fb``ns onuln« Dgr @ctzvgf prnsnlt ½ (@glmcl)
• 39% nltrn > nt 4> gls
• Hãvnkbppãn gux hãpnls hu agrtckgjn abloujgk• Tgrn? rãvãkãn pgr hns hbuknurs, ul bnhæ`n (79%), ul
ãpglafn`nlt bu uln rgchnur pkus rgrn`nlt
ATCXÆTNQ TGHCB HNQ
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 70/124
ATCXÆTNQ TGHCB HNQAFBLHTBDKGQXB@NQ
• Kãscbl kytcqun, nxanltrcqun, h–ulnãpcpfysn h–ul bs kblj (é kg `gcl, tnlh é ïtrn pkus `ãtgpfysgcrn)
• Qakãrbsn pãrcpfãrcqun ln,pgrebcs ebr`gtcbl bssnusn
• Agkac agtcbls tu`brgkns (4>->9%hns kãscbls)
• ! Fypnr xgtcbl cltnlsn nl CT@
• @ãtgstgsns puk`blgcrns pbsscdkns
XTGCXN@NLX HNQ AFBLHTBDKGQ
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 71/124
XTGCXN@NLX HNQ AFBLHTBDKGQ
• Kãscbl dãlcjln gjrnsscvn snkblNllnmclj hbla rãsnatcbl `grjclgkn scpbsscdkn
• Gspnat `garbsabpcqunfã`brrgjcqun, sn`c-kcquchn
• Wunkquns suaaæs pgr aurnttgjn `gcs59% hn rãachcvn sc aurntgjn snuk vs
4>% sc aurntgjn + jrneen (Fuvbs,ABTT 73:1)
• 9% vs 47% sc ac`nlt é kg pkgan h–ulnjrneen bssnusn (Tg`gppg, ODOQ 4999)
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 72/124
AFBLHTBQGTAB@N
AFBLHTBQGTAB@N
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 73/124
AFBLHTBQGTAB@N
• Ygtcnlts gjãs
• Xu`ãegatcbl sbuvnlt snlscdkn
• Nxpglscbl knltn `gcs ablstgltn
• Tghcb? Jrbssn tu`nur, jãbhns
crrãjukcærns, kysn abrtcagkn nt `gssnhgls kns pgrtcns `bkkns +++
• Ykuscnurs sbus-typns
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 74/124
Nvbkutcbl h–ul afblhrbsgrab`n
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 75/124
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 76/124
X^@N^TQ H–BTCJCLNBQQN^QN
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 77/124
BQXÃB@N BQXÃBÂHN
BQXÃB@N BQXÃBÂHN
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 78/124
BQXÃB@N BQXÃBÂHN
• Fncln 734:
• 4æ`n nl erãqunlan é kg`gcl (79%). 79-7>% hnsBB survcnllnlt é kg `gcl
• 49-19 gls
• 4-8 @ / 7 E
Hr Ngtbl
BQXÃB@N BQXÃBÂHN
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 79/124
BQXÃB@N BQXÃBÂHN
KBAGKCQGXCBLQ• Yfgkgljns (prbxc`gkns) >9%,
• @ãtgagrpn 4>%,
• Agrpn 4>%, surtbut kn sagpfbâhn
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 80/124
QS@YXØ@NQ• Kg hbuknur +++
• Ynr`glnltn, cltnlsn
• Kbagkcsãn• Ykus ebrtn kg luct
• Qbukgjãn pgr k–gspcrcln nt kns GCLQ
• Kcãn é kg prãsnlan hn drns lnrvnusns gvna kns vgcssngux tu`bsnlscdkns gux Yrbstgjkglhclns nt Ayakb-bxyjãlgsn
G^XTNQ QCJLNQ AKCLC
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 81/124
G^XTNQ QCJLNQ AKCLC
• Fypnrtrbpfcn hns pgrtcns`bkkns gux pfgkgljns
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 82/124
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 83/124
HCGJLBQXCA YGTEBCQ YK^Q HCE
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 84/124
HCGJLBQXCA YGTEBCQ YK Q HCE
• Ygs hn sakãrbsn (ebr`n sbuspãrcbstãn)
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 85/124
G^XTN C@GJNTCN
• Qacltcjrgpfcn? fypnr xgtcblcltnlsn kbagkcsãn g-spãac qun
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 86/124
G^XTN C@GJNTCN
• Kn sagllnr
• EGCX KN HCGJLBQXCA
Bstãb`n Bstãbâhn hu pcscebr`n
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 87/124
Bstãb n Bstãbâhn hu pcscebr n
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 88/124
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 89/124
XTGCXN@NLX
• Tãsnatcbl nl dkba
• Gspnat typcqun hu lchus rbujn pnut ïtrn `gsqupgr kg sakãrbsn pãrcpfãrcqun.
• Abltrøkn rghcb hn kg pcæan• Hcspgrctcbl c``ãhcgtn hn kg hbuknur
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 90/124
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 91/124
MSQXN ÃYCHNT@BÂ
à Â
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 92/124
MSQXN ÃYCHNT@B• 1æ`n tu`nur bssnusn nl
erãqunlan
• Egct suctn é ul trgu`gtcs`ngvna pãlãtrgtcbl hn ankkuknsmãrgtclcsãns quc vbltprbhucrn ul mystn rn`pkc hn
mãrgtcln (gspnat hnhnltcercan)
• Qurtbut Y1, @ < E, 19-89 gls
MSQXN ÃYCHNT@BÂHN
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 93/124
MSQXN ÃYCHNT@BÂHN
• @gssn clhbkbrn, arbcssgltprbjrnsscvn`nlt nt ãrbhgltk–bs
• Ygrebcs gspnat clfflg``gtbcrnpsnuhb-bstãâtn bu psnuhb- tu`nur `gkcjln
• Ck nxcstn ul dbrh sakãrnuxhgls kns zblns lblhãtructns +++
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 94/124
XTGCXN@NLXQ
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 95/124
XTGCXN@NLXQ
• Nxacscbl `grjclgkn bu aurntgjnn`pbrtglt kg pbafn
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 96/124
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 97/124
LN YGQ ABLEBLHTN
• Xu`nur bssnusn é ankkukns jãgltns• Xu`nur sylbvcgkn é ankkukns jãgltns (0 tu`nur
`yãkbpkgxn bu sylbvctn vckkc-lbhukgcrn pcj`
XAJ
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 98/124
XAJ
• Xu`nurs dãlcjlns kbagkn`nltgjrnsscvns nt hnstruatrcans
• 49% hns tu`nurs bssnusns nljãlãrgk, rgrns é kg `gcl (7->%)
• Ãpcpfysn hns bs kbljs (@Y)
• Tghcus hcstgk 1æ`n kbagkcsgtcblnl erãqunlan
• E < @, 19->9 gls
XAJ
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 99/124
XAJ• Xu`nur ãpcpfysgcrn nt `ãtgpfysgcrn
• @ãtgstgsns puk`blgcrns « dãlcjlns ½ blt ãtã hãarctns
• Kns tu`nurs hn kg `gcl hbllnrgcnlt pkus hn rãachcvn nt h`ãtgstgsns puk`blgcrns sc kn trgctn`nlt nst cltrg-kãscblln
Tghcbk Drgs vbk.87 lb.1 Qáb Ygukb @gy/Ouln 4996
XAJ
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 100/124
XAJ• Gspnat typcqun? kãscbl kytcqun
ãpcpfysb-`ãtgpfysgcrn édbrhs `gk kc`ctãs nt sgls`gtrcan cltrg-tu`brgkn
• CT@ lãanssgcrn sc hnstruatcblbssnusn nt/bu `gssn hns
pgrtcns `bkkns• Dckgl sagllnr lbtg``nlt
puk`blgcrn
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 101/124
XTGCXN@NLX
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 102/124
XTGCXN@NLX• YGQ hn rghcbtfãrgpcn (rcsqun
hn trglsebr`gtcblsgrab`gtnusn)
• Qc kc`ctã? aurntgjn ntab`dkn`nlt (arybafcrujrcn,jrneen, ac`nlt) gvna tgux hnrãachcvn >9%
• Qc nxtnlscbl hgls kns pgrtcns`bkkns? rãsnatcbl kgrjn ntrnablstruatcbl
XAJ uklg hcstgk, rãsnatcbl
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 103/124
Tãachcvn XAJ, ebr`n gjrnsscvn, g`putgtcbl
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 104/124
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http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 105/124
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http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 106/124
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http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 107/124
MSQXNGLÃUTCQ@GK
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 108/124
GLÃUTCQ@GK
• >% hn tbutns kns kãscblsbssnusn dãlcjlns `gcs 1->%snukn`nlt sblt é kg `gcl(surtbut `ãtgagrpcnls)
• ; 49 gls (6>% hns ags), @ 0 E• 19% sblt gssbacãns/snablhgcrns
é h–gutrns tu`nurs
• Glb`gkcns afrb`bsb`cqunshu jïln hn k–udcquctcl-spnac aprbtngsn
MSQXN GLÃUTCQ@G
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 109/124
SQ G U CQ@G
• Hbuknur nt bnhæ`n• Ergaturn rãvãkgtrcan
• Kãscbl kytcqun, nxpglscvn,`ãtgpfysgcrn gvna hns snptg
• Qbuvnlt uln bssc agtcblpãrcbstãn sbukcjln kg tu`nur
• G k–cltnrvnltcbl kns agvctãs sbltrn`pkcns hn sglj
Agsn aburtnsy be Hr Fglc Gk Qgkg`,Tghcbpgnhcg.brj, rCH? 465:7
Agsn aburtnsy be Tghcbpgnhcg.brj, rCH? 77768
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 110/124
MSQXN GLÃUTCQ@GK? XTG
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 111/124
Q Q@
• Aurntgjn nt jrneen +/-pfnlbk bu arybafcrurjcn agrrãachcvn hn >9%
• Qclbl nxacscbl kgrjn ntrnablstruatcbl
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 112/124
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 113/124
MSQXN QSLBUCGK CLXBQQN^V
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 114/124
QÃTCN C@
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 115/124
QÃTCN C@• 76 ags (7.:% hns mystns sylbvcgux)
• 78 E/8F
• Gjn `bynl 1> gls (75-:9)
• Kbagkcsgtcbl? kulgtu` 5, Qagpfbchn >, Qn`c-kulgsagpfbchn 7, Tghcus 4, Xrgpæzn 7, Jrglh bs 7,Yyrg`chgk 7, Yfgkgljn 7
NXCBYGXFBJÃLCN? 4XFÃ
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 116/124
NXCBYGXFBJÃLCN? 4 XFÕ Yãlãtrgtcbl h–ul mystn cltrg-grtcaukgcrn 2 8:% gssbacãs é ul mystn hns pgrtcn
(Ugl hnl Huljnl)
• Cltrclsæqun
• Hãjãlãrnsanlan `uabâhn cltrg-`ãhukkgcrn (strnss, trgu`g rãpãtãs) (Qafgobwcaz)
• @ãtgpkgscn hn ankkukns `ãsnlafy`gtnusns (Enkh`gl)
• Gssbacgtcbl hns hnux ebr`ns gvna uln rãpgrtctcbl >9/>9 (Xgmgsn, Cmnhg, Qaf^rcduru,…)
Ugl hnl Huljnl Q, @grafnsc Q, Nzznhcln T, Dclhbu H, Kbrng Y. Tnkgtcblsfcp dntwnnl hbrsgk j
tfn wrcst glh cltrgbssnbus jgljkcbl aysts be tfn agrpgk dblns. Gatg Brtfbp Dnkj 499>=:7(>
MSQXN QSLBUCGK CLXTG-B
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 117/124
Q Q
• Kn pkus sbuvnlt gsy`ptb`gtcqun, hn hãabuvnrtn ebrtuctn
• Ygrebcs hbukburnux
• Tgrn`nlt rãvãkã pgr hns ab`pkcagtcbls
• Ergaturn (Afgltnkbt 7336)
• Gpbpfysn ulacebr`n ?rupturn fflãafcssnurs > (@gsghg 733:)
• Jrglh bs ? crrctgtcbl lnre audctgk (Dbwnrs 73:3)
NVG@NLQ AB@YKÃ@NLX
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 118/124
@ Q @ @
• Tghcbjrgpfcns stglhgrh ?
hcgjlbstca• Kãscbl kgaulgcrn
• Kcsnrã sakãrnux
QAGLLNT
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 119/124
QAGLLNT
• Kãscbl kytcqun purn
• Abltburs rãjukcnrs
• Ãpgcssn sakãrbsn
pãrcpfãrcqun
• Tnafnrafnr uln ergaturnbu uln dræafn abrtcagk
CT@
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 120/124
CT@
• Qgls cltãrït
• Tnafnrafn h–ul mystn hnspgrtcns `bkkns gssbacã
XTGCXN@NLX
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 121/124
XTGCXN@NLX• Qbuvnlt gsy`ptb`gtcqun, rnafnrafnr pgtfbkbjcn hn
vbcsclgjn pbur ul trgctn`nlt ablsnrvgtnur h–gdbrh
• L–bpãrnr qun kns mystns sy`ptb`gtcquns
• sagpfbâhn ? hnux ags snukn`nlt hn ergaturn
• sn`c-kulgcrn ? guaul ags hn abkkgpsus
UBCN H GDBTH
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 122/124
UBCN H–GDBTH• Qagpfbâhn ? gltãrcnurn
• Qn`c-kulgcrn ? hbrsgkn
• Gdbrh bssnux ?
• gu trgvnrs hu agrtckgjn
• kcjg`nlt sagpfb-kulgrcnl (^rcduru)
• abrln pbstãrcnurn (rnpãrgjn rghcb)
AB@DKN@NLX QYBLJCN
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 123/124
AB@DKN@NLX QYBLJCN
• Xbuoburs prãablcsã hgls kg kcttãrgturn
• Xbuoburs lãanssgcrn 2
ABLAK^QCBL
8/18/2019 Tumeurs Osseuses Main DIU
http://slidepdf.com/reader/full/tumeurs-osseuses-main-diu 124/124
ABLAK^QCBL• Xu`nurs bssnusns sblt rgrns, kn pkus sbuvnlt dãlcjlns
• Ln pgs budkcnr k–cltãrït hns rghcbs hnvglt uln hbuknuruln hãebr`gtcbl hns hbcjts
• Yrnlhrn sbl tn`ps gvglt hn prbpbsnr ul trgctn`nlt, prnlhrnhns gvcs ab`pkã`nltgcrns pbur ghgptnr kn jnstn é kg kãs
• Gu `bclhrn hbutn, dcbpscn afcrurjcagkn snkbl kns ræjkn
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