Subtypes, Treatment, uye Prognosis yeSertoli-Leydig Cell Tumor
Chii chinonzi Sertoli-Leydig cell tumors of the ovary?
Tsanangudzo uye Kuitika
Sertoli-Leydig cell tumor (SLCTs), iyo inonziwo Sertoli-stromal tumorumini yemakumbo inowanzojairika uye inoita inenge 0.5% yezviremara zvose zvekuvhara mazai. Kazhinji, matumbu aya anokanganisa vakadzi vasati vava nemakore makumi matatu, kunyange zvazvo vakambotaurwa mumakore ose emakore. Izvi zvinokonzera kuora mwoyo (kwete kenza) kana kuipa (kwete kenza.)
Hormone Kubereka Tumor
SLCTs inogona kubudisa mahomoni, kazhinji mahomoni evanhu. Zvisinei, munenge chikamu chetatu chematambudziko, vakadzi vanokura zviratidzo zve androgen (varume vemahomoni) kudarika zvakanyanya, chirongwa chinonzi masculinization. Kana izvi zvikaitika, chironda ichi chinozivikanwa se "androblastoma" kana "arrhenoblastoma." Mazita aya anongoshanda kumatambudziko apo matumire ari kudarika mahomoni evanhu.
Zviratidzo zvemasikati zvinosanganisira kusavapo kwekuenda kumwedzi, kusimba kwekuberekwa kwemazamu kana kuvepa mazamu, kunyanyisa kwemafuta, kuwedzera kwebvudzi kusveta pazviso uye pachipfuva, nzvimbo dzevarume-mavara, kuwedzera kwezwi, uye kuwedzera kwe clitoris. Kunyange zvazvo zvisingawanzoitiki, kubuda kwechiropa uterine kunogona kuitikawo.
Subtypes
Izvi zvipembenene zvakarongerwa muchina subtypes, zvichienderana nezvinoonekwa pasi pe microscope. Izvi zvinokonzera bundu uye chimiro chaiyo kana maitiro anoonekwa nehutachiona:
1. Zvakanyatsosiyaniswa (gorosi 1)
2.
Yakaparadzaniswa zvishoma (grade 2)
3. Kusiyanisa zvakashata (gorosi 3)
4. Retiform pattern (chimiro chechimiro chinooneka pasi pe microscope)
Nenzira yakanaka, zvinopfuura 97% zveSLCTs ibanga I. Mune mamwe mazwi, vanowanikwa kare-kare mumatambudziko akawanda.
Kurapa
Kugadziriswa kubviswa kwevhavha yakakanganiswa ndiyo inonyanya kurapwa - uye kazhinji kurapa kunodiwa.
Izvi zvinoreva kuti zvinopfuura 75% zvezvipembenene izvi zvinowanikwa kare (girasi I) uye mune imwe chete yenyuchi.
Kana kenza inowanikwa mune imwe nzvimbo yakanyanyisa , chemotherapy uye mashizha mushure mekunge kushandiswa kwekuvhara kweivhai kunogona kukurudzirwa. Uyezve, chirwere ichi chakawedzera kwazvo, kusanganisira kubviswa kwechibereko, zvose mazai uye chero ipi zvayo zvinoratidzika zviri mumakiriniki kana mukati mechidziro chemuviri.
Zvisinei, cherechedza mupfungwa kuti nekuda kwekushayikwa kworudzi urwu rwekenza yakawanda, hapana tsvakurudzo-yakatsigirwa mitemo pamusoro pemhando dzakanakisisa dzehutachiona uye chemotherapy .
Prognosis
Pakati pese, mafungiro (kwenguva refu-maonero) uye mikana yekurapa inotarisa padanho uye chikamu chemuviri. Nenzira, mishonga yose yakapararira mberi kweevary inoonekwa seyakashata (kana kanzira).
Kudzokorora
Kudzoka kunobatanidza nezvinhu zviviri : kuparara kana kuputika kwechirwere chisati chaitika kana panguva yekuvhiya, uye kana mukadzi wacho ane zvishoma zvishoma zvekare zvinyorwa zvataurwa pamusoro apa. Kazhinji, apo SLCTs inodzokazve, inodzokera shure munguva pfupi mushure mekurapa - chaizvoizvo, inenge zvikamu zviviri kubva muzvitatu zvekudzoka mukati megore rokutanga mushure mekurapa. Mushure memakore mashanu, kudarika kunowedzera kusvika 6%. Kana zvakange zvave makore mashanu uye iwe usina kumbodzoka, iwe unogona kutora icho sechiratidzo chakanaka chokuti iwe ucharamba usina rusununguko rwechirwere ichi.
Kutsungirira
Kurwisana nehutachiona hwekuvhara mazai zvakaoma zvakakwana - asi paunenge uchiri muduku zvinonzwa zvakanyanya kusakarurama. Iva iwe mupepeti wako mukutarisira kwako, uye bvunza mibvunzo yakawanda. . Bvunza nezvemhando ipi zvayo yekurapa kwekenza yevana. Sertoli-Leydig cell tumoramu hazvizivikanwe kuitira kuti iwe usasvike boka rekutsigira munharaunda yako, asi mamiriyoni akawanda anotsigira ovarian masangano anowanika paIndaneti nokuda kwezvipembenene zvishoma izvi. Kumbira rubatsiro. Rega vanhu vakutsigirei. Ramba uchifunga kuti imwe yezvipo zvakanakisisa zvaunogona kupa vamwe ndeyekubvuma nekuratidza kuonga kwezvaunopiwa.
Sources:
Gershenson, D. Dambudziko rekuita zvepabonde-hutachiona hwemuviri: Mishonga yeSetoli-stromal cell. Kusvika pari zvino. Updated 09/04/15. http://www.uptodate.com/contents/sex-cord-stromal-tumors-of-the-ovary-sertoli-stromal-cell-tumors
National Institute of Health. MedlinePlus. Sertoli Lydig cell tumorum. Updated 05/29/14. http://breastcancer.about.com/lw/Health-Medicine/Conditions-and-diseases/How-Breast-Cancer-May-Affect-Body-Image.htm