Ibta Cancer: calaamadaha, daaweynta

Cancer - dhibaato dhabta ah ee daawada casriga ah. Waxaa weli aan helay daroogada ah in uu noqon karaa 100% hufnaan si ay u joojiyaan koritaanka unugyada malignant. In isbitaallada, dhakhaatiirta sii wadaan in ay ku riday cudurka laga cabsado in bukaanka ay.

Waxaa jira wax badan oo ka mid ah kansarka. xubin kasta oo ka mid ah unugyada jidhka bini'aadamka waxaa laga yaabaa in si lama filaan ah isku duubay by habka bahal ah. Mid ka mid ah goobaha ay suurto gal ah deegaamaynta - ibta naaskaaga dumarka. Cudurkaan oncological in daawada waxa loo yaqaan cudurka Paget ee.

macluumaad guud oo ku saabsan cudurka

Macluumaadka ugu horeysay ee cudurka Paget ayaa u muuqday in qarnigii XIX ah. Waxaa la og yahay in 1856 by dhakhtar qalliin oo Faransiiska iyo anatomist S. Velpeau helay isbedel bahal ah ee adag ibta-areolar ah. Sannadkii 1874tii, J. Paget, waa dhakhtar qalliin oo British iyo cudurada, waxbarasho dheeraad ah oo faahfaahsan oo ka mid ah cudurka. Taasi waa sababta uu magiciisa la odhan jiray cudur.

cudurka J. Paget daraasadda muujisay urur u dhexeeya isbedel bahal ee carcinoma adag iyo naaska ibtiisa-areolar. gunaanad noocan oo kale ah uu ka dhigay on natiijada 15-galku. Specialist in haweenka ogaaday isbedel bararka maqaar saar. Sanadkan gudihiisa, bukaanka oo dhan ayaa samaysay kansarka ibta naaska. J. Paget sidoo kale soo jeediyay in caabuq maqaar saar saameeyaa unugyada ku wareegsan, iyo isbedel side iyaga in ay sabab u keeni horumarinta neoplasia.

xogta ee hadda ku saabsan cudurka iyo calaamadaha cudurka

Warbixin ku saabsan cudurka sanadkii 2011, ururiyay Clinic "Mayo" ah (USA). Khubarada ayaa go'aamisay in asalka ah ku dhowaad dhammaan kiisaska, isbedelka bahal ee ibta qaawan. Iyada oo horumar dheeri ah cudurka ee geedi socodka maqaarka ku wareegsanaa. Sidoo kale, xogta lagu soo bandhigay, rugaha caafimaadka, waxaa la ogaadaa kartaa in ururinta taariikhda kansarka naasaha Paget ee ku kallifto cudurka saxda ah wuxuu qaadan karaa 6 ilaa 8 bilood.

Waa maxay calaamadaha caan kansarka this? Haweenka ayaa kansarka naasaha ibtooda, dabaal at beddelo dareen ee aagga. Xaaladaha intooda badan, bukaanka ka cabanaya cuncun, dareen gubasho. Sababta oo ah dharka on ibta naaska ka dhaca aagga of casaan. meesha ay dhibaatadu saameysey xitaa bilaabi karaan in ay dhiigaan. Marxaladaha dambe ay jiraan badan dhiig ka ibta (marka kansarka waa wax caadi ah). ibta naaska ayaa la jiido. Inta badan waxaa la arkay fidsanaan of koritaanka burooyinka halista ah.

Baahsanaanta iyo sababaha cudurka

Dhismaha oo dhan neoplasias jira caanaha Paget share kansarka xilsaaray 0.5-5%. Nasiib wanaag, waa cuduro dhif ah. In dadka dhalinyarada ah, waxaa caadi ahaan lama dareemo. Inta badan badanaa la baaraa in dadka waaweyn ee cudurada haweenka postmenopausal (50-60 sano). Celceliska da'da dadka buka - 54 sano.

Sababaha kansarka Paget ee ma la odhan karaa. Sida kansarada kale, waxay weli ma ay garan. Si kastaba ha ahaatee, waxaa jira fikrado. Markii hore Yimaadeen aragtida ah in kansarku ay sabab u tahay socdaalka unugyada atypical weheliyaan xuub qaybta hoose ee laga shido ee epidermis ibta ah.

Lahjadaha of isbedel bahal ah

Kansarka naaska ibtiisa in mid ka mid ah fursadaha suurto gal horumarka laga yaabaa:

1. muuqashadii koowaad waxaa la arkay oo kaliya inta lagu guda jiro geeddi-bahal in ibta naaska. isbedel kale oo aan la ogaan.
2. In muuqashadii labaad ee horumarinta kansarka la ogaado calaamadaha laga shakiyo ee adag ibta-areolar ah. Waa maxay calaamadaha muuqda ayaa tilmaamaya laga yaabaa in kansarka naaska ibtiisa? Photos of cudurka, kuwaas oo loo arki karaa buugaag kala duwan iyo articles caafimaad fikiri guduudasho, baniaadamnimo, ulceration. Waxa intaa dheer in calaamadahan, induration u dareemi, buro naaska.
3. In muuqashadii saddexaad, isbedel maqaarka aan arkay. In baaritaanka caafimaad oo shaaca ka qaaday in buro naaska iyo, inta lagu jiro baaritaanka histological shaaca ka qaaday kansarka Paget (sida lagu helo random).

Kansarka naaska ibtiisa, calaamadaha, taas oo ku xidhan noocyada cudurka

noocyo kala duwan oo calaamadaha ku dhici kara cudurka kansarka. Iyada oo ku xidhan sawirka clinical, kansarka Paget ayaa loo kala saari karaa sida soo socota:

• eczematid chronic;
• eczematid ba'an;
• foomka psoriatic;
• foomka pigmentary.

Sidee ibta in kansarka naasaha? Jawaabta su'aashan ku xiran qaab cudurka. In eczematid chronic qof dumar ah oo muddo dheer jirto canbaar ibta ah. On iyo agagaarka u qalalin. Markii ay baaba'aan, meeshoodii noqdo dusha ooyaya dareemi. In eczematid ba'an calaamadeeyay hyperemia. granularity wanaagsan dushiisa, biyogelidda, ulceration ayaa sidoo kale caan ku ah cudurkan, sida cudurka Paget (ama ibta naaska kansarka). Calaamadaha foomka psoriatic on maqaarka waxay u muuqdaan sida jajabi exfoliated, halka foomka Midabka ah - foomka of dhibco ka baxsan ibta.

Cilad-kansarka

Marka la tuhunsan yahay geedi socodka malignant dhaca qanjirka caanaha, dhakhaatiirta qori mammography. kaas oo X-ray, ultrasound waxaa loo isticmaali karaa Daraasadaan non-invasive kansarka naasaha,. In koorsada waxaa ka mid ah waxaa lagu ogaan karaa burooyin. Hab kale oo ka mid ah cudurka - MRI. Thanks iyada, khubaro daaha ka isbedelada in ibta naaska, taas oo caafimaad ahaan lagu arki karin.

haweenka kuwa la tuhunsan yahay ibta naaska kansarka naasaha lagu arkay cudurka sawir caafimaad oo Paget ee, waxa lagu qoray biopsy ibta naaska ah oo dhumucdiisuna waxay dhan ah. Daraasad Tani waxay u ogolaaneysaa cudur oo dhab ah, si loo xaqiijiyo ama ku doodeen joogitaanka kansarka.

Features of daaweynta kansarka naaska ibtiisa

Specialist Daaweynta go'aamiso ku xiran tahay natiijada ogaanshaha helay. Marka biopsy waa negative, waxaa fuliyay socodka firfircoon ee bukaan-socodka ah. Haddii uu cudurku ka dhigaysa laftiisa dareemay, muujiyey calaamadaha, biopsy labaad.

Marka xaqiijin cudurka Paget ee, qaliin looga saaray buro iyo unugyada ku wareegsan, ama si buuxda oo dhan naaska. Ka dibna waxa loo xilsaaray daaweyn dheeraad ah, jidaynayey dambeyntii baabbi'in unugyo aan caadi ahayn.

Wixii macluumaad dheeraad ah oo ku saabsan daaweynta qalliin

Hawlgalka ayaa waa tallaabo muhiim ah oo loo baahan yahay ah in daawada isku dhafka ah ee kansarka sida kansarka naaska ibtiisa. Khubarada muddo dheer soo gaadhi kari waayeen inay gabagabo ah sida in noocyada daawaynta ee ugu waxtarka badan. Sameeyay waxbarashada kala duwan. The University of Michigan falanqeeyay natiijooyinka daaweynta 36 bukaan. All ayaa la sameeyey qalliin xubin. In mustaqbalka, bukaanka lahaa celcelis ahaan 113 bilood. In 11% dumarka lahaa xoogeystay.

Sidoo kale, daraasadda South Korean la sameeyay. Natiijooyinka ayaa la falanqeeyay by daaweynta 104 dumarka qaba kansarka ah ibta naaska. khubaro mastectomy xilsaaray 92 bukaan, 12 qof ku qaatay hawlaha hay'adda. Ka dibna waxa 3 xoogeystay ayaa la ogaado ka dib markii mastectomy oo ka mid ah ka dib markii uu fursad u daaweyn labaad. Daraasado ayaa muujiyey in hawlaha hay'adda hana u kordhinnin fursad of horumarinta labakaclaynta ee haweenka. Habkan daaweynta la siiyaa bukaanka qaba resection dhismaha ibta-ibta.

Dawaynta ilayska

daaweyn wax ku ool ah ee kansarka - waa daaweynta shucaaca. Hawshoodu waa in la burburiyo unugyada uu ka samaysan yahay diiradda bahal ah. Dawaynta ilayska si ay ula qabsadaan la, laakiin iyadoo ay sabab u daaweynta u xanuunsadaa ma aha oo kaliya buro, laakiin sidoo kale unugyada caafimaadka qaba. Sababtoo ah saamaynta xun ee jirka waxaa ka waxyeellooyin:

• Local - gubasho shucaaca qaabeeya, waxaa jira hemorrhage yar focal ay sabab u tahay kordhinta nuglaanta xididdada dhiigga,
• nidaamka - bukaanka ka cabanaya lallabo, matag, daciifnimo, daal.

Dawaynta kimikalka ee kansarka ka mid ah ibta

Dawaynta kimikalku waxay ku lug leedahay maamulida of a daroogada gaar ah anticancer in looga hortago in koritaanka unugyada malignant iyo saamaynta dhaawici iyaga on. daaweynta noocan oo kale ah ee kansarka naaska ibtiisa waxaa loogu talagalay si ay u qabtaan hawlahan soo socda:

• ka hortagga cudurka xadka-;
• saamayn wax ku ool ah oo ku saabsan burada codsiga xiga ee fursadaha daaweynta degaanka (qalliin ama shucaaca).

Kiimiko isku daaweyn, shucaac iyo sidoo, Ulasocto waxyeelo. In 80% ee kiisaska of lalabo iyo matag. Sidoo kale, ay sabab u tahay chemotherapy, timaha bilaabo inuu soo dhacaan, noqon ciddiyaha more debcaan, rabitaanka cuntada sii xumaanaya, caadooyinka isbedel dhadhan.

therapy hormone

caawiye daaweynta noocan oo kale ah ay goobjoog ka ahaayeen burooyinka hormoonka-ku-tiirsane ah ee jirka ku. Si kastaba ha ahaatee, kansarka Paget ayaa muddo dheer ma iska leh burooyinka sida. In 1949 ay ahayd markii ugu horeysay soo jeediyay in cudurka laga yaabaa in ay ka jawaabaan hormone therapy, laakiin xaaladaha qaarkood. cilmi Later cadaato this. therapy hormoon cudurka noocan oo kale ah sida caaggaas kansarka ayaa cadeeyay wax ku ool ah ay goobjoog ka ahaayeen neoplasm a malignant ee receptors progesterone iyo estrogen.

Waqtigan xaadirka ah, baahida loo qabo therapy hormoon, bukaanka waxaa maamulo "tamoxin", "Zitazonium ',' Nolvadex '. Waxay waxaa loo arkaa ah "Heerka dahab ah" ee daaweynta sida. Si kastaba ha ahaatee, waxaa jira xaalad ah oo daawooyinkan loo isticmaali karaa: burada waa in ay leeyihiin receptors for hormoonnada steroid (> 10 fmol / protein mg). Baahida loo qabo in la qeexo daweynta khubaro daawooyinka hormoonnada.

saadaasha The kansarka naaska ibtiisa

Cancer waa cudurro aad u daran oo khatar ah. Ma jirin marka laga reebo iyo kansarka ibta naaska. Muxuu noqon doonaa natiijada daaweynta? Saadaasha ku xiran tahay isku-dar ah arrimood:

• stage of cudurka;
• da'da qofka buka,
• Tirada marinnada lymph lug;
• heerka uu kansar;
• joogitaanka arrimo morphological loo kasin.

Dhakhaatiirta ogaan xaalado badan marka dadka ibta dhimanaya kansarka. Dhimashada, sida caadiga ah la heli karo in marxaladaha soo daahay, in kiisaska sare, colaad noolaha iyo kansar. Sidaas darteed, marka astaamaha laga shakiyo ma daahin karaa booqashada dhakhtarka. Sida aad kolba baari khabiir, si degdeg ah u gelin doonaa cudurka saxda ah iyo qori daaweynta lagama maarmaanka ah.