Nevus ntawm cov qog sebaceous yog ib qho neoplasm, uas nyob rau hauv 7 ntawm 10 tus neeg mob yog congenital. Nws manifests nws tus kheej sai txaus, twb los ntawm thawj hnub koj yuav txiav txim tau nws. Qee zaum, ib qho nevus tuaj yeem pom thaum thawj ob peb xyoos ntawm tus menyuam lub neej. Qhov chaw ntawm thaj chaw feem ntau yog lub taub hau (ntug ntawm cov plaub hau), lub ntsej muag thiab tsis tshua muaj lwm qhov ntawm lub cev.
cov ntaub ntawv dav dav
Hmoov tsis zoo, cov tshuaj niaj hnub no tseem tsis tuaj yeem kawm paub tseeb txhua qhov ua rau mob nevus. Feem ntau, qhov tsim no tsis suav tias yog ib yam uas txaus ntshai, tab sis yog tias tsis muaj kev ntsuas, ces qhov teeb meem yuav tshwm sim dhau sijhawm. Hauv qab no yog daim duab ntawm nevus ntawm qog sebaceous.
Lub sebaceous nevus yog qhov loj, nws tuaj yeem ncav cuag 6 centimeters hauv txoj kab uas hla. Nws nto yog pob, daj xim. Nyob rau hauv qhov chaw uas lub nevus ntawm cov qog sebaceous ntawm lub taub hau nyob, tsis muaj plaub hau.
Thaum tus me nyuam nyuam qhuav yug los, thiab nws muaj qhov neoplasm tam sim ntawd, thaum pib nws zoo li me me,uas loj hlob raws sij hawm. Tom qab ib ntus, qhov chaw hloov mus rau hauv lub me me wart. Feem ntau ntawm cov xwm txheej, qhov kev loj hlob tsis zoo no tshwm rau ntawm tawv taub hau. Xws li ib qho neoplasm kuj tseem tuaj yeem tshwm sim ntawm lwm qhov ntawm lub cev, tab sis ntau zaus tsawg dua.
Stages of education
Nevus ntawm cov qog sebaceous hauv cov menyuam yaus muaj peb theem ntawm kev tsim:
- Me nyuam mos. Qhov saum npoo ntawm neoplasm yog du nrog me me papillae. Tsis muaj plaub hau nyob rau hauv qhov chaw no. Lub nevus ntawm cov qog sebaceous hauv cov menyuam yug tshiab tsis nce siab saum tawv nqaij.
- Txoj Kev Hluas. Papules ntawm qhov me me yog tsim rau ntawm daim tawv nqaij, uas zoo nkaus li zoo ib yam li warts. Lawv muaj xim daj lossis txiv kab ntxwv. Nyob sib ze heev.
- lub sijhawm hluas. Thaum lub hnub nyoog no, tus kab mob no txaus ntshai heev, vim tias muaj kev pheej hmoo siab uas cov neoplasm tuaj yeem degenerate mus rau hauv cov qog nqaij hlav cancer. Nyob rau theem no, sebaceous nevus yuav tsum nyob rau hauv kev saib xyuas ntawm tus kws kho mob dermatologist.
Vim li cas nevus tshwm sim
Cov kws tshawb fawb feem ntau qhia tias qhov ua rau lub ntsiab ntawm nevus ntawm cov qog sebaceous yog lawv cov hyperplasia. Vim yog cov ntaub so ntswg loj hlob, muaj qhov txawv txav ntawm cov hlwb epidermal, cov hauv paus plaub hau thiab cov qog apocrine, thiab vim li no, nevus tsim.
Dab tsi tuaj yeem ua rau rov yug dua tshiab ntawm nevus
Ua rau ntau tus neeg zoo siab, tus nevus tsis tshua muaj kev phom sij rau tib neeg, tab sis tseem muaj kev zam, thiab tsis muaj mobneoplasm tuaj yeem hloov mus ua qog nqaij hlav malignant. Yam uas tuaj yeem ua rau muaj kev yug dua tshiab:
- YGenetic predisposition. Cov kab mob xws li nevus ntawm cov qog sebaceous ntawm lub taub hau ntawm tus menyuam tuaj yeem kis tau los ntawm cov niam txiv ntawm qib caj ces. Qhov kev pheej hmoo ntawm malingization ntawm nevus nce yog tias muaj tus kab mob nyob hauv ib tus neeg hauv tsev neeg.
- Pathology ntawm kev loj hlob ntawm tes. Ib qho kev nce ntxiv ntawm cov qog sebaceous qog nqaij hlav thaum kawg ua rau hyperplasia. Cov plaques loj tuaj ua ke thiab cov kab mob loj.
- kab mob. Piv txwv li, yog tias cov txheej txheem inflammatory tshwm sim nyob rau hauv lub plab zom mov, qhov no tuaj yeem ua rau muaj qhov tsis zoo ntawm sebaceous nevus degenerates rau hauv cov qog malignant.
- Cov khoom siv sab nraud. Yog hais tias tus neeg mob tau txais hluav taws xob los yog thermal burns, yog tas li nyob rau hauv lub scorching hnub, ces qhov no yuav provoke lub degeneration ntawm lub nevus. Tsis tas li ntawd, cov txheej txheem pathological no tuaj yeem pab txhawb los ntawm kev cuam tshuam tsis zoo ntawm cov tshuaj lom.
Kab mob kis
Nevus ntawm cov qog sebaceous ntawm lub ntsej muag lossis ntawm lub taub hau feem ntau pib tsim hauv tsev menyuam. Tab sis nws kuj tuaj yeem tshwm sim me ntsis tom qab thaum yau los yog cov tub ntxhais hluas. Tus kab mob no tsis cuam tshuam nrog kev sib deev ntawm tus menyuam, tus kab mob tuaj yeem tshwm sim hauv ob tus tub thiab ntxhais. Tus kab mob no tsis yog feem ntau tau txais los. Feem ntau, tus kab mob yog congenital, thiab nws txoj kev loj hlob muaj ob theem: infantile thiabprepubertal - thawj lub hnub nyoog kawm ntawv, thiab puberty - hluas.
Symptoms and course
Feem ntau, tsis muaj tsos mob. Tsuas yog nyob rau hauv ob peb feem pua ntawm cov neeg mob, cov neoplasm yog nrog los ntawm kev mob ntawm lub hauv nruab nrab lub paj hlwb los yog txawv txav nyob rau hauv cov qauv ntawm lub cev.
Tus nqi ntawm kev loj hlob ntawm nevus yog qhov qeeb qeeb, kev tsim tsawg tsawg hauv txoj kab uas hla thiab pib nce siab saum daim tawv nqaij. Nyob rau hauv ib rooj plaub ntawm kaum, me me rwj thiab nodules pib tshwm. Sebaceous nevi feem ntau yuav hloov mus ua trichoblastomas lossis syringocystadenomas.
Risk of Complications
Nevus ntawm cov qog sebaceous degenerates rau hauv malignant neoplasms tsis tshua muaj. Raws li kev txheeb cais, nyob rau hauv 15% ntawm tag nrho cov mob, seborrheic nevus kab mob tuaj yeem degenerate rau hauv basal cell carcinoma. Epithelial adenoma (kev tsim kho benign) tsis tshua muaj tshwm sim. Qee zaum cov kab mob tuaj yeem nrog cov kab mob xws li rhinophyma thiab blepharitis.
Qhov txaus ntshai tshaj plaws ntawm tag nrho cov teeb meem no yog, tau kawg, basal cell carcinoma. Qhov no malignant neoplasm pib tsim rau cov neeg muaj hnub nyoog 40 xyoo. Feem ntau, ntau yam kev raug mob ntawm nevi ua ib tug provocateur ntawm rebirth. Yog li ntawd, yog hais tias ib tug neeg muaj xws li mob, ces nws yuav tsum tau kho nrog ceev faj heev kom tsis txhob ua phem rau nws nyob rau hauv txhua txoj kev. Vim qhov tseeb tias nevus feem ntau nyob ntawm tawv taub hau, nws tuaj yeem raug mob thaum muab cov plaub hau.
Kev kuaj mobkab mob
Thaum tus neeg mob mus ntsib lub tsev kho mob, tus kws kho mob ua ntej ntawm tag nrho cov saib xyuas lub hnub nyoog ntawm tus neeg mob, nug seb cov txheeb ze puas muaj qhov no, thiab thaum twg neoplasm tshwm sim. Kev tshuaj xyuas tus neeg mob sab nraud, tus kws kho mob tsuas tuaj yeem kuaj xyuas ua ntej.
Kev tshawb fawb hauv chav sim yuav pab kuaj tus kab mob kom raug. Nrog lawv cov kev pab, nws yuav muaj peev xwm txiav txim siab seb tus kab mob no puas yog mastocytoma, dermal aplasia lossis, qhov phem tshaj plaws, mob qog noj ntshav.
Tsis tas li, ib qho histology tau ua los ua qhov tseeb dua. Nrog nws cov kev pab, nws yog ib qhov ua tau kom txiav txim siab ntau npaum li cas peculiarity ntawm cov tsim uas tshwm sim ntawm daim tawv nqaij thiab qhov tob ntawm qhov txhab ntawm lub epidermis. Txhawm rau tiv thaiv kev loj hlob ntawm qog nqaij hlav cancer, kev tshuaj xyuas yog tsim rau cov hlwb atypical.
Yog tias tsim nyog, tus kws kho mob yuav siv lub tshuab nqus dej los ntawm kev tsim cov kua dej. Qhov no yuav pab txiav txim seb qhov kev pheej hmoo ntawm nevus degeneration. Tab sis nrog rau txoj kev tshawb fawb no, xws li histology, cov ntaub so ntswg raug mob tshwm sim.
Kev kho mob
Tom qab kev kuaj mob, koj yuav tsum ua raws li koj tus kws kho mob cov lus pom zoo. Tsis muaj teeb meem koj yuav tsum tau noj tshuaj los yog sim tshem tawm cov neoplasm ntawm koj tus kheej, qhov no tuaj yeem ua rau muaj qhov phem heev - lub nevus tuaj yeem degenerate mus rau hauv cov qog nqaij hlav cancer.
Kev kawm yuav tsum raug tshem tawm hauv tsev kho mob nkaus xwb thiab thaum muaj hnub nyoog ua ntej kev laus laus lawm.
Muaj peb txoj hauv kev los tshem tawm sebaceous nevus:
- kev tshem tawm;
- electroknife excision;
- kev puas tsuaj nrog kua nitrogen.
Raws li txoj cai, cov txheej txheem tshem tawm yog ua nyob rau hauv cov chaw kho mob oncology nyob rau hauv kev saib xyuas ntawm tus kws kho mob oncologist thiab kws kho mob dermatologist. Ib daim ntawm cov ntaub so ntswg tshem tawm yuav tsum raug xa mus rau kev kuaj mob.
Yog tias cov hlwb atypical tau pom los ntawm qhov tshwm sim, tom qab ntawd rov kuaj xyuas dua feem ntau ua kom pom qhov muaj cov metastases hauv lwm cov kabmob thiab ntawm lub ntsej muag.
Qhov zoo tshaj plaws yog txoj kev phais tshem tawm. Nrog rau lwm txoj hauv kev, qhov rov tshwm sim ntawm sebaceous nevus yog ua tau.
Nyob rau hauv kev phais, lub neoplasm yog excised. Yog tias nws tsis tuaj yeem tshem tawm nevus ib zaug, ces cov tawv nqaij puas raug tshem tawm hauv theem. Kev tawg ntawm kev ua haujlwm yuav tsum tsawg heev. Feem ntau nws nyuaj rau kev ua haujlwm vim qhov chaw ntawm pathology.
Kev phais tuaj yeem ua tau raws li tshuaj loog hauv zos lossis tshuaj loog. Yam tshuaj loog xaiv, tus kws kho mob txiav txim siab. Nws nyob ntawm lub hnub nyoog ntawm tus neeg mob, nrog rau qhov chaw thiab qhov loj ntawm qhov tsim. Tom qab excision ntawm lub nevus, lub qhov txhab yog sutured. Yog hais tias nws loj thiab nyob rau hauv ib qho chaw tseem ceeb, daim tawv nqaij graft yog ua tiav.
Ib daim ntaub uas tsis muaj menyuam yog siv rau ntawm cov sutures. Kev hnav khaub ncaws ua txhua hnub rau ib lub lim tiam, thaum lub qhov txhab raug kho nrog cov tshuaj tua kab mob. Tom qab qhov txhab tau zoo lawm, cov sutures raug tshem tawm.
Howkom paub tseeb tias sebaceous nevus tsis tshwm sim, tsis muaj leej twg paub. Nws yog qhov zoo dua los tshem tawm txawm tias thaum menyuam yaus (txog 12 xyoos) lossis thaum tus menyuam tseem me heev. Kev tshem tawm kev phais yeej tsis rov muaj dua.
Qhov kev cia siab feem ntau yog qhov zoo. Raws li kev txheeb cais, tsuas yog 10% ntawm cov neeg mob tsim basalioma. Kev hloov pauv tsis zoo yog qhov tsawg dua.
