Synovial sarcoma yog cov nqaij mos malignancy. Nws tsim los ntawm cov leeg nqaij, fascia, cov leeg thiab synovium ntawm cov pob qij txha loj. Cov txheej txheem pathological ua rau cell anaplasia, ua txhaum ntawm lawv qhov sib txawv. Cov qog tsim kho uas nyuaj kho.
piav qhia txog tus kab mob
Synovial sarcoma yog tus cwj pwm los ntawm qhov tseeb tias nws tsis muaj tshuaj ntsiav. Yog tias koj txiav cov neoplasm, tom qab ntawd hauv nws koj tuaj yeem pom ntau cov kab nrib pleb thiab hlwv. Sij hawm dhau mus, cov qog kis mus rau cov pob txha, ua rau lawv puas tsuaj.
Qhov feem ntau ntawm oncology, cov tsos mob tshwm sim sai heev, hauv cov neeg mob hnub nyoog 15 txog 20 xyoo. Thiab poj niam txiv neej nyob rau hauv rooj plaub no tsis ua lub luag haujlwm. Cov qog muaj peev xwm muab cov metastases, uas pom nyob rau hauv lub ntsws, qog nqaij hlav, cov pob txha 5-8 xyoo tom qab pib ntawm tus kab mob.
Oncology kuaj pom, cov tsos mob ntawm qhov mob me me thaum xub thawj, tsuas yog 3 tus neeg mob tawm ntawm ib lab, yog li cov kab mob tau suav tias tsawg heev. Cov qog yog localized feem ntau nyob rau hauv lub hauv caug pob qij txha. Tsawg zaus, nws tshwm sim hauv pob qij txha lossis hauv caj dab.
Sarcoma tuaj yeem tshwm simtom qab kev kho mob. Thiab qhov kev pheej hmoo siab heev. Nws rov tshwm sim tom qab 1-3 xyoos. Tus kab mob no sai heev. Tsis tas li ntawd, nws nyuaj rau kho. Txawm hais tias muaj kev kho raws sijhawm thiab ua tiav, qhov txiaj ntsig zoo yog qhov tsis tshua muaj kwv yees. Tus kab mob no insidious thiab aggressive.
Vim li cas qog nqaij hlav?
Synovial sarcoma tuaj yeem tshwm sim los ntawm cov hauv qab no:
- Radiation lossis ionizing hluav taws xob.
- Kev kis kab mob rau cov tshuaj.
- Zaj caj ces.
- Immunosuppressive kho mob rau lwm yam qog noj ntshav.
- Kev mob.
Yuav kom tus kab mob tsis tuaj, cov laj thawj no yuav tsum raug tshem tawm.
YKev faib tawm ntawm pathology
Synovial sarcoma tuaj yeem muaj ntau hom. Kev faib tawm ntawm tus kab mob tuaj yeem ua tau raws li tus qauv ntawm neoplasm:
- Biphasic. Epithelial thiab sarcomatous precancerous Cheebtsam tsim ntawm no.
- Monophasic synovial sarcoma. Nws muaj ib hom kev hloov pauv ntawm cov hlwb: epithelial lossis sarcomatous.
Nws muaj peev xwm faib cov qog rau hauv hom raws li nws cov morphology:
- Fibrous. Lub neoplasm muaj fibers.
- Cellular. Nws cov qauv muaj cov qog nqaij hlav, los ntawm cov papillomas thiab cysts feem ntau tsim.
Kuj, raws li qhov sib xws, cov qog tawv lossis mos tuaj yeem paub qhov txawv. Muaj kev faib tawm raws li tus qauv microscopicneoplasms: histioid, loj cell, fibrous, adenomatous, alveolar los yog tov.
Symptoms of ntuav
Yog tus neeg mob tsim mob qog noj ntshav, cov tsos mob yog:
- Sudden mob nyob rau hauv cuam tshuam.
- Kev tsis sib haum xeeb thiab kev ua haujlwm ntawm kev sib koom ua ke.
- Ntau cov qog ntshav hauv cheeb tsam. Nws tshwm sim vim qhov kis ntawm metastases.
- Nyob.
- Qhov kub nce ntxiv.
- Fever.
- Ib qho nyuaj lossis mos yog hnov hauv qhov cuam tshuam.
- poob phaus.
Synovial sarcoma yog ib yam kab mob insidious heev, yog li thawj cov tsos mob yog vim li cas mus ntsib kws kho mob.
YKev kuaj mob ntawm pathology
Ntau zaus, txawm tias cov kws kho mob paub txog ua yuam kev hauv kev kuaj mob, thiab qhov no yog fraught nrog kev puas tsuaj sai rau tus neeg mob tus mob. Kev ntsuam xyuas tiav suav nrog cov txheej txheem hauv qab no:
- X-ray ntawm kev sib koom ua ke.
- Kev kuaj ntshav ntawm cov hlab ntsha.
- Radioisotope diagnostics txhawm rau txheeb xyuas qhov me tshaj plaws foci ntawm tsub zuj zuj ntawm malignant hlwb.
- Kev kuaj ntshav ntawm cov nqaij mos neoplasm.
- YUltrasound.
- CT lossis MRI.
- Laparoscopy.
- Kev kuaj mob qog noj ntshav ntawm tus qauv qog.
- lub hauv siab X-ray los kuaj seb puas muaj metastases.
- Immunological tsom xamqog.
- Kev kuaj caj ces txhawm rau kuaj xyuas qhov hloov pauv hauv chromosomes.
Synovial sarcoma ntawm lub hauv caug sib koom yog suav tias yog hom kab mob feem ntau ntawm cov qog ntawm hom no.
Txoj kev kho mob
Kev kho mob ntawm cov kab mob malignant yuav tsum ntev thiab siv zog. Nws muab rau cov theem hauv qab no ntawm kev kho mob:
- Kev phais mob. Ntawm no cov kab mob malignant raug tshem tawm hauv cov ntaub so ntswg noj qab haus huv. Ntawd yog, lwm 2-4 cm ntawm lub cev ib txwm yuav tsum tau muab tshem tawm ib ncig ntawm cov qog. Qee zaum, nws yuav tsim nyog tshem tawm cov qog nqaij hlav los yog tag nrho cov leeg. Txhawm rau rov ua haujlwm ntawm kev sib koom ua ke, tus neeg mob tau txais kev phais los hloov qhov sib koom ua ke nrog cov khoom siv dag zog.
- Kev kho hluav taws xob. Nws yog siv feem ntau yog tias cov qog tau metastasized lawm. Xws li kev kho mob yog siv ob qho tib si ua ntej thiab tom qab phais. Hauv thawj kis, irradiation pab kom tsis txhob muaj kev loj hlob ntawm neoplasm thiab txo nws qhov loj. Tom qab kev phais, kev kho mob yog nqa tawm nyob rau hauv cov ntaub ntawv ntawm nrhiav tau ntawm metastases. Tus neeg mob tau pom ob peb chav kawm ntawm hluav taws xob, ntawm qhov uas muaj qhov sib txawv. Kev kho mob kav li 4-6 lub hlis.
- Tshuaj kho mob. Synovial sarcoma theem 3 yog kho li no. Rau kev kho mob, siv tshuaj xws li Adriamycin, Karminomycin. Xws li kev kho mob tuaj yeem ua tau zoo tsuas yog tias cov qog ua rau cov tshuaj cytostatic.
Kev kho tus kab mob tsis tuaj yeem muab 100% lav tias cov qog yuav tsis rov tshwm sim. Tab sis nws tsis tuaj yeem tsis tsim kev kho.
Huab cua thiab tiv thaiv
Malignant synovioma feem ntau muaj qhov tsis zoo. Tsuas yog cov neeg mob uas kuaj pom pathology nyob rau thawj theem ntawm kev loj hlob muaj feem yuav muaj sia nyob. Qhov feem pua ntawm qhov no yog 80%.
Qhov kev cia siab txaus ntshai tshaj plaws yog nyob rau hauv monophasic synovioma. Qhov tseeb yog tias nrog nws, metastases tau tsim tam sim hauv lub ntsws. Cov qog biphasic tuaj yeem kho tau zoo hauv ib nrab ntawm cov mob.
Tus kab mob no nrog rau kev tsim metastases sai, yog li thaum thawj cov tsos mob tshwm sim, koj yuav tsum khiav mus rau kws kho mob. Synovioma yog suav tias yog ib qho ntawm cov kab mob txaus ntshai tshaj plaws, uas tau kuaj pom ntau thiab ntau dua txhua xyoo. Kev kho mob tsis yog ib txwm muaj peev xwm tshem tau tus neeg mob ntawm cov kab mob, tab sis nws yuav ua rau nws ua rau nws lub neej ntev.
Tsis muaj kev tiv thaiv uas tuaj yeem lav qhov kev tiv thaiv kev txhim kho ntawm tus kabmob. Tab sis cov neeg uas muaj caj ces predisposition yuav tsum tau kuaj txhua xyoo. Tab sis txawm nyob rau hauv qhov teeb meem nyuaj tshaj plaws, ib tug yuav tsum tsis txhob poob kev cia siab, vim hais tias cov tshuaj tsis nyob twj ywm. Noj qab nyob zoo!
