Kuvharidzika kweBreslow Kunoshandiswa muMelanoma Kuronga, Clark Level Inowanzoshandiswa
Chiremba wako anotaura kuti maranoma yako ndiyo danho IIA (T2bN0M0) uye Blowlow depth 2 mm.
Iwe unoshamisika kuti mutauro wekune imwe nyika ari kutaura-chokwadi, chironga chinonzi melanoma chinogona kuvhiringidza uye chinopisa. Kuti ikubatsire kunzwisisa kuti nei chirairo chaiyo yakasarudzwa iwe, heino tsanangudzo pfupi yezvinoreva mazwi aya.
Chirwere cheMelanoma
Kana chiremba wako achiona ainetseka pamusi panguva yekuongorora ganda , danho rinotevera ndere ganda rinopisa .
Kana bhiopsy inoratidzira melanoma, muongorori anoongorora bhiopsy kuti aone danho (kureba) kwechirwere kuitira kuti urongwa huri nani hwekurapa kwako.
Kunze kweNhamba yeTMM , unogonawo kunzwa chiremba achishandisa nhamba yeBreslow kana nhamba yeClark kurondedzera kufungidzira kwako (maonero). Iyi nzira mbiri yekuisa maranoma zvinoshandiswa chete kana maranoma akavharirwa, zvichireva kuti haina kupararira kune chero nhengo dzemuviri kana imwe nhengo mumuviri. imwe nhamba yaClark kutsanangura maitiro ako (maonero). Iyi nzira mbiri yekuisa maranoma zvinoshandiswa chete kana maranoma akavharirwa, zvichireva kuti haina kupararira kune chero nhengo dzemuviri kana imwe nhengo mumuviri.
Heino nzira yekudzidudzira:
Blowlow Thickness
Chokutanga chakataurwa naAlexandria Breslow, MD, muna 1970, Brislow thickness inotsanangurwa sehuwandu hwakareba hurefu hwee melanoma, kubva kumusoro chaizvo (inonzi "granular layer") kunzvimbo yakadzika kupinda mukati meganda.
Chimbo chinonzi "ocular micrometer" chinoshandiswa kuyera kubwinya kwetukutu (excused) rakabviswa.
Pakati pese, iyo yakakwirira yeBreslow thickness, yakaipisisa yakafananidzira-mune mamwe mazwi, iyo inokanganisa melanoma, mukana mukuru iyo yekupararira. Heano kune makore mashanu ekupukunyuka mazinga anobva pane imwe Breslow thickness.
Ramba uchiyeuka kuti kuponeswa kwezvipembenene izvi zvizere uye hazvirevi kuratidza mhaka yako pachako:
- pasi pemamiriyoni mana: makore mashanu ekupukunyuka ari kusvika 92 muzana kusvika 97 muzana-kureva kuti 92 kusvika ku 97 vanhu vanobva pavanhu zana vachave vapenyu makore mashanu mushure mekunge vaongororwa vane melanoma inenge isingapfuuri 1mm muhupamhi.
- 1.01 kusvika 2 mm: Kupona kwemakore mashanu kunenge 81 kusvika kune 92 muzana
- 2.01 kusvika 4 mm: Kupona kwemakore mashanu kunenge makumi manomwe kubva muzana kusvika 81 muzana
- yakakura kupfuura 4 mm: kupona kwemakore mashanu kune 53 muzana kusvika 70 muzana
Pamusana pokururama kwayo mukufanotaura mberi kwezvinoitika, Breslow thickness yakaiswa mumutero weTMM staging system ye melanoma. Ichokwadi, Breslow thickness ndiyo inonyanya kukosha kujekesa mukati memaranoma, pamwe nechirwere (T) nharaunda, uye kuvapo kwehutachiona hweganda (kuputsika kweganda, kubuda ropa, kurira).
Clark Level
IC Clark level inoreva maitiro ekudzika kwechirwere ichi apinda mukati mezvikamu zveganda . Iyi sangano yakatanga kusimbiswa naHow Clark, MD, zvakare muna 1966. Mazinga a Clark anotsanangurwa zvakarongerwa sezvizvi:
- Nhamba I: Yakagadzirirwa kune epidermis (kumusoro kwepamusoro peganda) inonzi "in situ" melanoma
- Nhamba II: Kukoka kwepa papillary (kumusoro) dermis
- Nhamba III: Kuzadza yemapillary dermis , asi hapana kuwedzerwa mumutsara (pasi) dermis
- Dhigirii IV: Kurwisana kwemashoko akadai
- Dhigirii V: Kukoka kwemukati, mukati mutsvuku
Izvi zvose zvichitaurirwa, mazinga aClark haasati ashandiswa kuverenga kujekesa ikozvino. Izvi ndezvokuti kutsvakurudza kwakavaratidzira kuva vashoma kunopedzisira kuitika, zvishoma nezvishoma kubereka, uye zvakanyanya kutenderera kupfuura kuwedzera kweBreslow. Zvimwe kukanganisa kwegadziriro iyi inoratidza kuti inowanzooma kwazvo kusiyanisa pakati peClark Level II uye Nhamba III , uye haigone kushandiswa pamaranomas emichindwe nemasango.
Pane imwe nguva umo maCl Clark angashandiswa kufanotaura kufungidzira-mune varwere vane tsvina (pasi pe1mm mm) melanoma.
Kunyange zvakadaro, inoshandiswa chete sechinhu chisipo kana mitotic chiyero chemuviri mutsvuku hachigoni kutsanangurwa. Iyo mitotic chiyero inoreva nhamba yekenza masero inoparadzanisa. Chikwata chepamusoro chemitoti chinoratidza kuti kenza inowanzopararira.
Shoko Rinobva
Edza kuti usapindira zvakare mumashoko ekunyora kwechironda. Pane kudaro, tarisa pane chinangwa chekenza yako chinoreva kurapa kwako uye maonero.
> Sources:
> America Cancer Society. (May 2016). Maranoma echirwere cheganda reMeanoma.
> America Cancer Society. (May 2016). Kupona mazinga echirwere chepachirwere chekenza, nechigamba.
> Balch CM et al. Shanduro yekupedzisira ye 2009 AJCC Melanoma Kuronga nekugadzirisa. J Clin Oncol . 2009 Dec 20; 27 (36): 6199-6206.
> Balch CM, et al. Prognostic factors kuongororwa kwevarwere 17,600 vane maranoma: kuvimbiswa kweAmerican Joint Committee yeCancer melanoma staging system. J Clin Oncol . 2001 Aug 15; 19 (16): 3622-34.