Cancer nsonga zamabele: zizindikiro, chithandizo

Cancer - vuto lenileni la mankhwala amakono. Iwo akadali anapeza mankhwala amene angakhale 100% Mwachangu kuletsa kukula kwa maselo zilonda. M'zipatala, madokotala kupitirizabe kuika matenda zoopsa odwala awo.

Pali zambiri khansa. chiwalo chilichonse ndi minofu iliyonse m'thupi la munthu akhoza mwadzidzidzi anakumbatira ndi ndondomeko pathological. Imodzi mwa malo zotheka ya kutanthauzira - ndi nipple pa mabere mkazi. Izi matenda oncological mankhwala amatchedwa matenda Paget a.

General mfundo za matendawo

Mfundo yoyamba pa matenda Paget a anaonekera kwa zaka za m'ma XIX. Amadziwika kuti 1856 ndi dokotala French ndi anatomist S. Velpeau anapeza kusintha pathological cha zovuta nipple-areolar. Mu 1874, J. Paget, dokotala British ndi dokotala wodziwa za vutoli, zambiri mwatsatanetsatane kuphunzira matenda. N'chifukwa chake dzina lake linatchedwa matenda.

J. Paget matenda kuphunzira anasonyeza Kugwirizana pakati pa kusintha pathological wa carcinoma nipple-areolar zovuta ndi chifuwa. Kugamula Iye anapanga pa zotsatira za kuzipenya 15. Katswiri akazi anaona zachiphamaso kusintha yotupa. Pa chaka, odwala onse anali ndi khansa ya m'mawere nipple. J. Paget adati zachiphamaso kutupa amakhudza minofu yoyandikana ndi kusintha osachiritsika mwa iwo chifukwa chifukwa chitukuko cha neoplasia.

deta Current pa matenda ndi zizindikiro za matenda

Information za matenda mu 2011, anasonkhanitsa Clinic "Mayo" (USA). Akatswiri ena anatsimikiza kuti choyambirira pafupifupi milandu, kusintha pathological wa nipple poyera. Ndi kupitirira winanso wa matenda mu ndondomeko amatenda khungu lozungulira. Komanso, deta kuperekedwa, zipatala, izo Tingaone kuti mbiri khansa mndandanda wa m'mawere Paget kuti staging matenda zolondola Pamatenga miyezi 6 mpaka 8.

Kodi zizindikiro ndi khalidwe kansa imeneyi? Akazi amene akhala nsonga zamabele khansa, kusangalala pa kusintha tilinazo m'deralo. Nthawi zambiri, odwala amadandaula kuyabwa, moto zotengeka. Chifukwa cha zovala pa nipple ndi areola zimachitika m'dera la redness. The zinkakhala m'dera Mwinanso akhoza kuyamba kutuluka magazi. Mu masiteji kenako pali zambiri magazi kuchokera nipple (Pamene khansa ali ofanana). nipple ndi anakoka. Nthawi zambiri iwo anati flattening cha kukula kwa zotupa zilonda.

Kuwanda ndi zimayambitsa matenda

Kapangidwe ka neoplasias onse alipo mammary Paget khansa gawo anatumizidwa 0.5-5%. Mwamwayi, ndi matenda osowa. Mu achinyamata, nthawi si wapezeka. Nthawi zambiri matenda akuluakulu kudwala mu akazi postmenopausal (zaka 50-60). Avereji anthu odwala - 54 chaka.

Chimayambitsa khansa Paget sangathe adzatchedwa. Mofanana ndi khansa zina, iwo akali sanamvetse. Komabe, pali mfundo. Poyamba kuika patsogolo chiphunzitso khansara akufotokozera chifukwa kusamuka maselo atypical pamodzi chapansi nembanemba wa ducts mu khungu nipple.

Mitundu ya kusintha pathological

khansa Nipple mwina patsogolo imodzi mwa njira zotheka:

1. Chimake choyamba kokha nthaŵi pathological mu nipple ndi areola. kusintha zina si wapezeka.
2. Mu chimake chachiwiri cha chitukuko cha khansa ndi wapezeka zizindikiro Muzisamala mu zovuta nipple-areolar. ndi zizindikiro zosonyeza zingasonyeze khansa ya nipple chiyani? Photos of matenda, chimene Tingaone mu mabuku osiyanasiyana ndi nkhani zachipatala kuganizira redness, makulitsidwe, ulceration. Kuwonjezera zizindikiro zimenezi, palpable induration, chotupa mu bere.
3. Mu chimake lachitatu, kusintha khungu mwaonapo. Mu kuona matenda kuwululidwa chotupa mu bere, ndipo pa Kupenda histological anaulula Paget khansa (monga kupeza mwachisawawa).

Cancer ya nipple: zizindikiro, malingana ndi mitundu ya matenda

zizindikiro zosiyanasiyana angayambe khansa. Malinga ndi chithunzi matenda, khansa Paget akhoza wachinsinsi motere:

• aakulu eczematid;
• pachimake eczematid;
• psoriatic mawonekedwe;
• pigmentary mawonekedwe.

Kodi nipple mu khansa ya m'mawere? Yankho la funso limeneli zimadalira mawonekedwe a matenda. Mu eczematid aakulu mkazi kwa nthawi yaitali pali nipple chikanga. Ndi kuzungulira ilo crusts. Pamene iwo kutha, malo awo amasandulika noticeable kulira pamwamba. Mu eczematid pachimake amalembedwa hyperemia. The granularity zabwino padziko, ukutulutsa, ulceration komanso ndi khalidwe la matenda, monga Paget ndi matenda (kapena nipple khansa). Zizindikiro za mtundu psoriatic pa khungu kuoneka ngati flakes exfoliated, pamene pigment mawonekedwe - mu mawonekedwe a mawanga kupitirira areola lapansi.

Matenda a khansa

Pamene amaganiziridwa njira zilonda zikuchitika mu England mammary, madokotala mankhwala mammography. phunziro ili si olanda za khansa ya m'mawere zimene X-ray, ultrasound akhoza ntchito. M'kupita kwa zikhoza kuonedwa zotupa. njira ina matenda - Kujambula. Zikomo kwa iye, akatswiri kuwulula kusintha nipple, ndilo kukomoka undetectable.

Akazi ndi amaganiziridwa khansa nipple anati matenda matenda chithunzi Paget a, amagwira ntchito mu nipple ndi areola biopsy wa makulidwe lonse. phunziro ili adzalola ndi matenda zolondola, kutsimikiza kapena kutsutsa kukhalapo kwa khansara.

Features mankhwala khansa ya nipple ndi

Chithandizo Katswiri Mzimuyo malingana ndi zotsatira analandira matenda. Pamene biopsy ndi zoipa, izo ikuchitika zazikulu kuwunika wodwala. Ngati matenda amapanga lokha anamva, anasonyeza zizindikiro, ndi biopsy chachiwiri.

Pa chitsimikiziro cha matenda Paget ndi opareshoni kuchotsa chotupa ndi zimakhala ozungulira, kapena kwathunthu mu bere. Kenako anatumizidwa mankhwala zina, kulola potsiriza kuwononga maselo nthenda.

Kuti mudziwe zambiri za mankhwala opaleshoni

ntchito ndi chinthu chofunikira komanso zofunikira mu kuphatikiza mankhwala a khansa monga khansa ya m'mawere nipple. Akatswiri kwa nthawi yaitali sakanakhoza kubwera kwa mapeto chilichonse chimene mankhwala ndi zothandiza kwambiri. Maphunziro osiyanasiyana. Yunivesite ya Michigan kusanthula zotsatira za chithandizo cha odwala 36. Onse anali opaleshoni limba. M'tsogolo, wodwalayo anali pafupifupi miyezi 113. 11% ya amayi anali zisadzachitikenso.

Komanso, phunziro la South Korea kunachitidwa. Zotsatira kusanthula ndi mankhwala a akazi 104 ndi khansa ya nipple lapansi. Akatswiri Mastectomy anatumizidwa odwala 92, anthu 12 anakhala ntchito limba. Kenako 3 zisadzachitikenso anali wapezeka pambuyo mastectomy ndi limodzi pambuyo wachiwiri mankhwala njira. Kafukufuku wasonyeza kuti ntchito limba musati kuwonjezera mwayi kukhala kusuta akazi. Njira imeneyi mankhwala anapatsidwa odwala resection wa nipple-areola zovuta.

mankhwala cheza

mankhwala oletsa khansa - ndi cheza mankhwala. ntchito yake ndi kuwononga maselo amene amapanga cholinga pathological. Cheza mankhwala kupirira izo, koma chifukwa cha mankhwala ndi matenda osati chotupacho komanso maselo wathanzi. Chifukwa cha zotsatira zoipa thupi pali mavuto:

• Local - zooneka cheza amayaka, pali waung'ono focal kukha magazi chifukwa kuwonjezeka fragility Mitsempha;
• dongosolo - odwala amadandaula nseru, kusanza, kufooka, kutopa.

Chithandizo cha mankhwala khansa ya nipple ndi

Morning kumafuna utsogoleli wa mankhwala enieni anticancer kuti kuteteza kukula kwa maselo zilonda ndi ingafooketse iwo. Kuchitiridwa khansa ya nipple lakonzedwa kuchita ntchito zotsatirazi:

• kupewa matenda metastatic;
• chikoka othandiza pa chotupacho kwa ntchito wotsatira mungachite wamba chithandizo (opaleshoni kapena cheza).

Morning, cheza mankhwala komanso pamodzi ndi mavuto. 80% ya milandu kunyansidwa ndi kusanza. Komanso, chifukwa Morning, tsitsi wayamba akugwa, kukhala misomali kwambiri Chimaona, chatsika kudya, zizolowezi kusintha kukoma.

timadzi mankhwala

Kuchitiridwa amathandizanso pamaso pa zotupa timadzi amadalira mu thupi. Komabe, khansa Paget kwa nthawi yaitali sanali a zotupa amenewa. Mu 1949 inali nthawi yoyamba adafotokoza kuti matenda angalankhule timadzi mankhwala, koma akamaziwononga. kafukufuku Kenako atsimikizira izi. M'thupi mankhwala kwa matenda monga khansa teats zathandiza mu pamaso pa neoplasm zilonda za maselo progesterone ndi esitirojeni.

Pakali pano, kufunika mankhwala m'thupi, odwala kutumikiridwa "Tamoxifen", "Zitazonium ',' Nolvadex. Iwo amaonedwa "golide muyezo" mu zimenezi. Komabe, pali matenda amene mankhwala angagwiritsidwe ntchito: chotupa ayenera zolandilira kwa mahomoni steroid (> 10 fmol / mg ndi mapuloteni). Kufunika chimatanthauza chithandizo cha mankhwala m'thupi akatswiri.

Kuti madokotala ananena zawo khansa ya nipple ndi

Cancer ndi matenda aakulu ndiponso oopsa. Yotero ndi khansa ya m'mawere nsonga zamabele. Kodi zotsatira za chithandizo? Kulosera tsogolo la matenda zimadalira osakaniza zinthu:

• siteji ya matenda;
• m'badwo wa munthu wodwalayo;
• chiwerengero ziwiya mtsikana lymph;
• mlingo wa chotupa chija;
• pamaso pa zifukwa chowawa morphological.

Madokotala mukudziwa Nthawi zambiri pamene nipple anthu akudwala khansa. Imfa zambiri zikupezeka magawo mochedwa Nthawi zamakono, ndi ndewu kwachilengedwenso ndi chotupa chija. Choncho, pamene zizindikiro Muzisamala akhoza musazengereze ulendo kwa dokotala. Mwamsanga tione katswiri, liwiro adzakhala matenda lolondola ndi mankhwala mankhwala kutero.