Synovial sarcoma (zilonda synovioma): zimayambitsa, zizindikiro, mankhwala

Synovial sarcoma - chotupa zilonda mu zimakhala zofewa. Akufotokozera ku tendon minofu, fascia, minofu ndi Kakhungu synovial zimfundo lalikulu. The ndondomeko pathological zikubweretsa maselo anaplasia, kusokonezeka zosiyanasiyana awo. Khalani chotupa ovuta kuchiza kwake.

General malongosoledwe a matenda

Synovial sarcoma amakhala kuti alibe kapisozi. Ngati inu kudula chotupa, mkati mwa izo, inu mukhoza kuwona zambiri ming'alu ndi cysts. M'kupita kwa nthawi, chotupa kufalikira mafupa, kuwawononga.

Ambiri ngati Oncology, yomwe zizindikiro ndi kudya zokwanira kwa odwala zaka 15 mpaka 20. Ndi pansi mu nkhani iyi si udindo. Chotupa amatha yopangira metastases, zimene zimapezeka mu mapapo, lymph mfundo, fupa zaka 5-8 pambuyo isanayambike matenda.

Matenda Oncology chotero, chomwe zizindikiro adzawonekera ofooka, odwala 3 yekha milioni, kotero kudwala ankaona yosowa kwambiri. Chotupa isanafalikire ambiri mu mafupa bondo. Pasanathe ambiri izo aumbike mwa chigongono kapena m'khosi.

Sarcoma amatha anawathetsa akuyambiranso pambuyo mankhwala. Ndi chiopsezo mkulu mokwanira. Mobwerezabwereza iye amapezeka mu zaka 1-3. Disease m'kati mofulumira kwambiri. Komanso, n'zovuta kuchitira. Ngakhale nkhani ya panthawi yake ndi bwino chithandizo cha zotsatira zabwino unaloseredwa chosowa kwambiri. Matendawa sioneka ndi mwamakani.

Chifukwa chotupa akufotokozera?

Synovial sarcoma akhoza zidzayambike ndi zinthu:

• Cheza kapena cheza ionizing.
• Carcinogenic mankhwala.
• Majini chingawapangitse kukhala zidakwa.
• Immunosuppressive mankhwala ena matenda oopsa.
• Ngozi.

Matenda sunayambe, m'pofunika kuti athetse mavuto amenewa.

Gawo matenda

Synovial sarcoma angakhale osiyanasiyana. Gulu la matenda angathe kuchitidwa ndi kapangidwe ka zotupa:

• Biphasic. Pali anapanga zaminyewa ndi mbali sarcomatous precancerous.
• Monophasic synovial sarcoma. Iwo ali mu kapangidwe kake iliyonse mtundu wina wa maselo nthenda: zaminyewa kapena sarcomatous.

Gawani chotupa mu mitundu mungathe ndi kafukufuku wakapangidwe kazachilengedwe ake:

1. CHIKWANGWANI. Neoplasm anapeka ulusi.
2. Cellularity. Pa kapangidwe ake alipo glandular minofu imene zambiri zimachitika ndi papilloma ndi cysts.

Komanso, kugwirizana amatha kusiyanitsa zovuta kapena zofewa kutupa. Pali gulu la kapangidwe tosaoneka zotupa: gistioidnoe, chimphona, fibrous, adenomatous, alveolar kapena losanganikirana.

symptomatology zablevaniya

Ngati wodwala akufotokozera Oncology amenewa, zizindikiro zake ndi:

• ululu mwadzidzidzi olowa akhudzidwa.
• Kulakwila kuyenda kwambiri ndi ntchito olowa.
• Kuwonjezeka mfundo dera lymph. Ndi chifukwa kufala kwa metastasis.
• Kutopa.
• A kuwonjezeka kwambiri kutentha.
• Malungo.
• Olowa anakhudzidwa ndi ankaona khama kapena zofewa mapangidwe.
• kuchepetsa thupi.

Synovial sarcoma ndi matenda sioneka kwambiri, kotero zizindikiro yoyambirira - imakhala nthawi kuwona dotolo.

kudwala diagnostics

Nthawi zambiri ngakhale madokotala odziwa kupanga zolakwa matenda, tingayambe kuwonongeka mofulumira alili. A kafukufuku wathunthu zikuphatikizapo njira zimenezi:

• X-ray zimfundo akhudzidwa.
• Angiography Mitsempha.
• diagnostics Radionuclide kwa kudziwika ndi malo aang'ono a masango maselo zilonda.
• Biopsy minofu neoplasms.
• US.
• CT kapena Kujambula.
• Laparoscopy.
• Cytological mosamala chitsanzo cha chotupa cha.
• Pachifuwa X-ray, amene amalola kudziwa pamaso pa metastases.
• Immunological kusanthula chotupa cha.
• Majini kuyezetsa matenda kusintha DNA lapansi.

Synovial sarcoma bondo olowa ndi mtundu ambiri kudwala pakati zotupa wa mtundu uwu.

Features mankhwala

Chithandizo cha chotupa chija aliyense ayenera kukhala aatali ndi tima. Iwo amapereka magawo zotsatirazi mankhwala:

1. Opaleshoni. Apa mfundo zilonda amachotsedwa mwa minofu wathanzi. Kuti ali padziko chotupa kuti excised mu china masentimita 2-4 maselo yachibadwa. Nthawi zina, kungakhale kofunika kuchotsa lymph mfundo kapena olowa lonse. Kubwezeretsa magwiridwe a olowa, wodwalayo anachita ntchito pa yokumba olowa m'malo prosthesis.
2. Cheza mankhwala. Izo ntchito makamaka ngati chotupa kale metastasized. Ikani mankhwala woterowo pamaso opaleshoni ndipo pambuyo. Mbali yoyamba, kukhudzana amathandiza kuletsa kukula kwa zotupa ndi kuchepetsa kukula kwake. Pambuyo pa opaleshoni, mankhwala amachitidwa pa nkhani ya kudziwika metastases. Wodwala limasonyeza maphunziro angapo walitsa, pakati limene pali mipata. Mankhwalawa kumatenga za 4-6 miyezi.
3. Mankhwala mankhwala. Mu njira iyi ankachitira synovial sarcoma 3 magawo. Kwa mankhwala mankhwala ntchito monga "Adriamycin", "carminomycin". An mankhwala akhoza kukhala umenewu ngati chotupa amakhudzidwa mankhwala, cytostatics.

Chithandizo cha matenda sangapereke 100% chitsimikizo kuti chotupa si reappear. Koma si zosatheka kubala mankhwala a.

Kuneneratu ndi kapewedwe

Zilonda synovioma nthawi zambiri ali ndi madokotala ananena zawo osauka. Mkulu mwayi wa kupulumuka ndi okhawo odwala amene kudwala anali wapezeka mu gawo loyamba la chitukuko. Chiwerengero mu nkhani iyi ndi 80%.

Kowopsa kwambiri ikuyembekezeka pa Sinovioma monophasic. mfundo ndi yakuti pamene anapanga metastases mu mapapo yomweyo. Biphasic chotupa amenable mankhwala bwino theka.

The matenda limodzi ndi mapangidwe mofulumira metastases Koma kuoneka zizindikiro zoyambirira kuphedwa kwa dokotala. Sinovioma chimodzi cha matenda owopsa mwapang'onopang'ono, amene chaka chilichonse amapezeka pafupipafupi. Therapy si nthawi zonse amatha kwathunthu kuchotsa wodwala matendawa, koma adzalola angapo kutalikitsa moyo wake.

A chiwembu prophylactic, ungathe kubweretsa chitukuko cha kapewedwe, palibe matenda. Koma anthu amene ali ndi kutengera za kumtundu, m'pofunika kuti kafukufuku chaka chilichonse. Koma ngakhale panthawi zovuta kwambiri sayenera kutaya chiyembekezo chifukwa mankhwala si chilili. Khalani wathanzi!