Overview
Chifuva angiosarcoma rudzi rushoma rwekenza yemazamu inotanga mumasero anotevera mishonga yeropa mukati mechifuva chako. Izvozvo zvinogona kuitika nekuda kwehutano nehupamusoro hwemishonga yemajoka, uye inokwanisa kukura nekupararira nokukurumidza. Chirwere chinonzi angiosarcoma chinogona kutanga chichioneka chakafanana nekuputika kweganda, hosha, kana kupwanya.
A sarcoma rudzi rwekenza iyo inokura muzvinyoro zvishoma kana kuti zvinobatana, uye angiosarcoma inogona kuitika mune chero nhengo yemuviri wako.
Pasi pe10% yeangiosarcomas yose inotangira muchipfuva. Angiosarcoma yemazamu inokwana 0,04% kana imwe mu 2,500 matambudziko evanhu vose vane kenza yepabonde.
Mamiriro aya anonziwo angiosarcoma yezamu, mammary angiosarcoma, haemangiosarcoma yezamu, lymphangiosarcoma (kana ichiitika munzvimbo ine lymph node)
Aina
Nyaya yeAngiosarcoma yepamuviri inowanzoongororwa mumadzimai maduku, pakati pemakore makumi maviri kusvika makumi mana. Izvi zvinodhaka zvekenza zvinoratidzika sevanhu vasingazivikanwi vari muchifuva. Secondary angiosarcoma inowanzoonekwa muvakadzi vanopfuura 40, makore mashanu kusvika ku10 mushure mekunge vaine kurapwa kwemaawa kwekenza yepese. IAmerican Cancer Society inotaura kuti angiosarcoma isinganzwisisiki chinetso chemafupa emvere. Vakadzi vakagadzira lymphedema semucherechedzo wekutapukisa lymph node vanogonawo kuongororwa vane angiosarcoma, kunyanya kana nzvimbo yavo yepasiki yakagamuchira marara.
Zviratidzo
Chirwere chinonzi angiosarcoma (chinorwara mumurwere asina kumbobvira aine kenza yemazamu) chinogona kunzwa sechinhu chakakomberedzwa chezamu.
Mune zvimwe zviitiko, ganda raive pedyo rinogona kushanduka bhuruu kana kuti tsvuku uye rinoratidzika kuva nekukurumidza kana kuti kupwanyika. Chikoro chinonzi angiosarcoma (chinorwara mumurwere uyo atoreswa kare nekenza yemazamu) chinogona kunzwa sechinhu chakaoma, chisina kurwadziwa muzamu, ganda rinogona kuva rebhuruu kana rutsvuku pamusoro pehuwandu, uye pangava nekudzimba uye kubwinya kune mamwe maronda.
Vamwe varwere vanorondedzera kunzwa vane nyoro, kana kunyange kurwadziwa kwemazamu, zvichienderana nekukura kwechirwere.
Kuziva
- Mammogram - aniosarcoma ichaita seine mutsara wakazara uye haichazove nemashizha epikisi (spikes zvinowanzoonekwa pamakoromu)
- Ultrasound - aniosarcoma icharatidza zvakanaka pane ultrasound, ine miganhu yakajeka iyo ingave yakaoma
- Chirwere cheMRI - chirwere ichi chinoratidzika paMRI, ichizarura mishonga ine ropa yakakanganiswa uye mhuka dzakapoteredza
- Ganda rinopisa bhiza - mufananidzo weganda rakagadzirirwa ichaendeswa uye inopiwa kunyatsoongorora murabhu, kusiyanisa izvi kubva kune dzimwe, mararamiro akafanana
- Vhura bhiopsy yekuvhiya - kuwana shanho yakakura yeganda uye chirwere chekuongorora kura
Prognosis
Mhando iyi yekenza yemazamu ine utsinye, uye kufungidzira kwako kunobva pane imwe nzvimbo iyo inobatwa, iyo yakareba zvakadini panguva yekuongororwa, uye inoshungurudzwa sei. Angiosarcoma yemazamu inogona kupararira kuburikidza nehutachiona hwemopa kusvika kumapapu ako, chiropa, mapfupa, ganda, uye rimwe remazamu. Uropi hwako, mazai mavari, uye lymph nodes zvinogonawo kugadziriswa ne metastasis ye angiosarcoma. Mhando iyi yemukenza webonde ine yakakwirira yekudzokorora. Kuongororwa kwemazamu angiosarcoma kazhinji kunowedzera kusagadzikana, uye 10% chete kusvika 27% yevarwere vachararama nekenza iyi nemakore mashanu.
Mishonga
- Lumpectomy - kuvhiyiwa kubvisa chiremera uye rutivi rwakakura rwezvisikwa zvakapoteredza (anobatsira kudzivisa kudzokorora)
- Mastectomy - kuvhiyiwa kubvisa zvose zvemazamu
- Chemotherapy - most angiosarcomas haingabatsirwi chemo, asi vamwe vanogona
Shoko Rinobva
Kutsvakurudza kuri kuitwa munzira itsva dzokurapa angiosarcoma yezamu, kuitira kuti ive yakarongedzwa zviri nani, kupa varwere vane hupenyu hwakanaka uye hupenyu hwehupenyu. Inonzi irradiation (zviduku, maitiro akawanda anowanzobuda mazairo) zvinogona kubatsira kudzivirira kugarapo. Hyperthermia (kubata zvirwere nemhepo), interleukin-2 (mushonga unowedzera simba rako rekudzivirira muviri), uye anti-angiogenesis therapy (yakadai seAvastin ), inoonekwa sehutano hwekuedza uye inowanikwa chete mumuedzo wechipatara panguva ino.
Sources:
Radiology 2007; 242: 725-734. Mammary Angiosarcomas: Kufananidza Kuwana mu 24 Varwere. Wei Tse Yang, MD, uye al.
American Cancer Society. Chii chinonzi Breast Cancer? Angiosarcoma. Yakarongedzwa: 09/13/2007.
Iranian Journal of Radiology, Winter 2006, 3 (2). Angiosarcoma ye Breast; Mushumo weChiitiko uye Nyaya Yokuongorora. D. Farrokh MD., J. Hashemi MD., Uye B. Zandi MD. PDF file fomu.
Cancer. 2003 Apr 15; 97 (8): 1832-40. Angiosarcoma mushure mekuchengetedza mazamu-kuchengetedza remishonga. Monroe AT, Feigenberg SJ, Mendenhall NP.