Synovial sarcoma (akaipa synovioma): zvinokonzera, zviratidzo, kurapa

Synovial sarcoma - munhu akaipa bundu iri nyoro munyama. Inokudziridza kubva mudzira rinenge fascia, tsandanyama uye synovial Kamudzira makuru mapfundo. The pathological muitiro kunotungamirira anaplasia masero, nokuvhiringidzirwa Kusiyanisa yavo. Iva bundu kuti chinonetsa kurapa.

tsananguro mukuru chirwere

Synovial sarcoma kunoratidzwa pakuti hapana Kamudzira. Kana iwe kucheka bundu, mukati maro, unogona kuona yakawanda makatsemuka uye cysts. Nokufamba kwenguva, bundu rinopararira mapfupa, vakavaparadza.

The inonyanya oncology kwakadaro, izvo zviratidzo vari kutsanya zvakakwana varwere vane makore 15 kusvika 20 makore. Uye pauriri iyi hakurevi kukonzera. Bundu anokwanisa kubudisa metastases, izvo zvinowanikwa mumapapu, node nodes, mapfupa mumakore 5-8 mushure pakatanga chirwere.

Chirwere oncology kwakadaro, izvo zviratidzo pakutanga sevasina simba, varwere 3 chete kubva miriyoni, saka zvokurwara vaiona zvisinganyanyi kuitika. Bundu vemunyika runonyanya ari ibvi mapfundo. Zvishoma kacho zvinoita achiumbwa kugokora kana mutsipa.

Sarcoma anokwanisa recur pashure kurapa. Uye ngozi iri kumusoro zvakakwana. Kakawanda iye anooneka makore 1-3. Chirwere mberi nokukurumidza zvikuru. Uyezve, zvakaoma kurapa. Kunyange kune nenguva uye abudirire vabatwe zvakanaka Mugumisiro akafanotaurwa kushoma chaizvo. The chirwere achinyengera uye nehasha.

Sei mota hwapedyo?

Synovial sarcoma zvinogona kukonzerwa zvakadaro:

• Radiation kana ionizing nemwaranzi.
• Carcinogenic makemikari.
• Genetic kubatwa.
• Immunosuppressive kurapa zvimwe nyanyisa zvirwere.
• Injury.

Kuti chirwere haisi yakatanga, zvakakodzera kubvisa izvi zvinokonzera.

chirwere kupatsanura

Synovial sarcoma rinogona mhando dzakasiyana. Kupatsanura pakati chirwere chinogona dzakashongwa sechivako anomera:

• Biphasic. Kune akaumba epithelial uye sarcomatous zvinoriumba precancerous.
• Monophasic synovial sarcoma. Rine ayo sezvamunoita mumwe mhando kanganisika masero: epithelial kana sarcomatous.

Gurai bundu mukati kwemarudzi anogona uye ayo Morphology:

1. Fiber. Neoplasm anoumbwa fibers.
2. Cellularity. In kwayo Chimiro aripo glandular zvinyama iyo kazhinji kuitika munhu papilloma uye cysts.

Uyewo, kuti kusachinja-chinja anogona kusiyanisa zvakaoma kana nyoro kuzvimba. Pane kupatsanura pakati nemaziso mamiriro anomera: gistioidnoe, hofori, fibrous, adenomatous, alveolar kana yakavhenganiswa.

symptomatology zablevaniya

Kana murwere hwapedyo oncology kwakadaro, zviratidzo ayo:

• Sudden kurwadziwa njodzi rwakashodoka.
• Kukanganisa kufamba vadyi ushande.
• The kuwedzera remunharaunda node nodes. Akafanirwa kupararira metastasis.
• Kuneta.
• A kuwedzera tembiricha.
• Fivhiri.
• The zvakavhiringidza joinhi akanzwa zvakaoma kana nyoro inotungamirwa.
• Weight rutapudzo.

Synovial sarcoma chinhu achinyengera chaizvo chirwere, saka pakutanga chaizvo zviratidzo - inguva kuona chiremba.

zvokurwara Diagnostics

Kakawanda kunyange vanachiremba vane ruzivo vanokanganisa vari kuongororwa, izvo zvingaita kuti nokukurumidza Kushatiswa murwere ezvinhu. Kumwe kuongorora kwakakwana zvinosanganisira nzira dzakadaro:

• Maekisirei ari zvakakanganisa mapfundo.
• Angiography rwengarava ropa.
• Radionuclide Diagnostics nokuti vasabatwa worudzi ruduku nzvimbo zvisumbu masero nyanyisa.
• Biopsy tishu neoplasms.
• US.
• CT kana MRI.
• Laparoscopy.
• Cytological kuongorora wezvaizogona bundu.
• Chest X-ray, izvo anobvumira kuona pamberi metastases.
• Immunological kuongorora bundu.
• nekuongororwa Genetic rokuongorora kuchinja okutodza.

Synovial sarcoma ibvi vadyi ndicho mhando zvokurwara pakati namamota kwakadai.

Features kurapwa

Treatment upi malignancy kunofanira refu uye nyanyisa. It anopa zvinotevera zvokukura kurapwa:

1. Surgery. Pano akaipa raiva pedyo nebundu yabviswa mukati utano tishu. Ndizvo kumativi bundu kuti excised mune imwe 2-4 masendimita kuti masero. Mune zvimwe zviitiko, zvingava zvakakodzera kubvisa node nodes kana yose rwakashodoka. Kunotangazve functionality ari muhudyu, murwere akaita oparesheni pamusoro chakagadzirwa kwemajoini yokutsiva prosthesis.
2. Radiation mushonga. Rinoshandiswa kunyanya nyaya kana bundu yakatobuda metastasized. Shandisa kurapa kwakadaro pamberi oparesheni uye pashure pacho. Muchiitiko chokutanga, kugara kunobatsira kumisa kukura anomera uye kuderedza saizi yaro. Pashure pokuvhiyiwa, kurapa rinoitwa panyaya kuziva miedzo metastases. Murwere rinoratidza kosi wandei irradiation, pakati izvo pane cheap car insurance. Marapirwo rinovapo inenge 4-6 mwedzi.
3. Chemical kurapa. Nenzira iyi kubatwa synovial sarcoma 3 nzendo. Nokuti kurapa aishandisa zvinodhaka zvakadai se "Adriamycin", "carminomycin". Anobudirira kunokwanisa yakadaro chete kana bundu inonyatsoziva nezvinodhaka, cytostatics.

Pakurapa chirwere havagoni kupa 100% kuvimbisa kuti bundu asingadi dzumbunuka. Asi hazvisi hazviiti kubudisa kurapa.

Kufembera uye kudzivirira

Akaipa synovioma kakawanda ane murombo fungidziro. High mikana yokupona ndivo varwere chete avo vane zvokurwara akanga dzakaonekwa iri mudariro rokutanga pakukura. The chikamu hazvisi 80%.

Chakaipa kupfuura kunotarisirwa panguva monophasic Sinovioma. Chokwadi ndechokuti kana akaumba metastases mumapapu pakarepo. Biphasic bundu amenable kuti abudirire kunorapwa hafu nguva.

The chirwere achiperekedzwa akurumidze inotungamirwa metastases Zvisinei chitarisiko wokutanga zviratidzo kuti kumhanyira chiremba. Sinovioma vaiona ndeimwe ngozi mberi zvirwere, izvo zvose gore vari panoonekwa kakawanda. Zvipatara hakusi nguva dzose kukwanisa kubvisa zvachose murwere kwechirwere chacho, asi zvichaita kubvumira akawanda kwamakore hwake.

A prophylactic Zano, hunogona kuunza kukura Kudzivirira, hapana chirwere. Asi vanhu vaya vane majini kubatwa, zvinokosha kuti vakaongororwa ose gore. Asi kunyange mumamiriro ezvinhu akaomesesa havafaniri kurasikirwa netariro, nokuti mushonga asingadi mira. Stay utano!