Zvinetso mukubata chimiro chisingajairika chekenza yekoloni
Colorectal chirwere ishoko rinoshandiswa kurondedzera huwandu hwakawanda hwekenza ine malignancies inobata koni uye / kana rectum.
Pamarudzi akasiyana-siyana , pane imwe iyo inoratidzika semhando yepamusoro inobata vanhu vanopfuura 125,000 veAmerica gore negore. Inonzi adenocarcinoma uye nhamba dzezvikamu makumi mapfumbamwe nemazana makumi mapfumbamwe nemazana ezana emaronda emakero muU.S. Kuwedzera kune yakakurumbira adenocarcinoma (AC), kune maviri madiki mashoma subtypes anozivikanwa se:
- mucinous adenocarcinoma (MAC)
- chikwangwani-ring cell carcinoma (SRCC)
Pakati pezvikamu izvi, MAC inowanzoonekwa uye inotarisa pakati pe10 ne15 muzana yemaronda ose akasiyana.
Kunzwisisa Adenocarcinoma
Adenocarcinoma inoreva zvikwereti zvinokanganisa masero anonyangadza mumasikirwo. "Adeno-" ndicho chirevo chekutanga kana "gland" apo "-carcinoma" izwi rinoshandiswa kurondedzera kanzira inotanga paganda kana mumasukisi anowedzera nhengo.
Adenocarcinomas inobudirira nokuti ikoni inoumbwa nehutanda hwakawanda hwezvinyorwa zvinoshumira zviviri zvinokosha:
- kuti inonwe mvura kubva mucheka ichidzokera muropa
- kuvhara mukoko mukoloni kuti igadzire zvipfeko sezvavanodzingwa kubva mumuviri
Kana aya masero asingakwanisi kubudisa mucus wakawanda, chigadziko chekoloni chinogona kutyiswa sechibvumirano chisingabvumirwi uye chikuvadza. Nokufamba kwenguva, izvi zvinogona kukonzera kukanganisa pamagetsi, zvichiita kuti masero awedzere asingaverengeki pasina nzira dzekudzivisa kana kuzvidzora.
Ichi ndicho chinhu chinokonzera kuumbwa kweAdenocarcinoma.
Nzira Inobatsira Sei Adenocarcinoma Kusiyana?
Mucinous adenocarcinoma (MAC) yakasiyana neadenocarcinoma (AC) maererano neyo inogona kunge yakabva kune imwechete chikonzero chinokonzerwa nemararamiro, asi, panzvimbo yekubudisa michina yakawanda, inowedzera zvakawanda.
MAC inoratidzirwa nekuumbwa kwedumbu rinenge rine 50 muzana mucin.
Mucin haisi mutsara pairi chete asi pane glycoprotein chikamu chemukasi nemamwe mashiviri emumuviri (akadai saliva uye mukaka wemvere). Ndicho chikamu chemucinous icho vazhinji vanotenda kubetsera chiremara chinopararira zvakanyanya kukuvadza sezvo ichicheka kupfuura madziro echiremera kusvika kune zvisikwa zvakatarisana.
Sezvo zvakadaro, MAC yakagara ichionekwa sechisimba chinotyisa cheA AC uye kuti hachina kugamuchira kurapwa. Zvose izvi zvinotendwa zvichiri kukwikwidzana pakati pevatsvakurudzi, vamwe vavo vanofungidzira kuti haisi yekukurumidza kwekufambira mberi asi panzvimbo yepakati apo chirwere chinowanikwa chinotungamirira kumigumisiro yevarombo.
Pane uchapupu hunotsigira izvi. Kazhinji kutaura, MAC inowanikwa mune zvidzidzo zvakanyanya zvechirwere chacho. Izvi zvinokonzerwa, mune chikamu, kune chokwadi chokuti zvipembenene mucinous zvine nguva yakareba yakasimba yekuti "yepamusoro" maronda uye haawanzoonekwi kusvikira ari makuru uye akawanda anotaurwa.
Kunyangwe pakaonekwa kare, chimiro chisina tsanangudzo chakatsanangurwa uye muganhu chinoita kuti zvive zvakaoma kunyange kunyange vane ruzivo rwechipatara kuti vaite zvakanaka .
Ukuwo rumwe rutivi, MAC ine mhemberi yakasiyana-siyana "chiremba" pane AC. Kunyange zvazvo tisati taziva kuti izvi zvinorevei nekuwedzera kwezvirwere - zvingave kana zvisingaiti - tinoziva kuti kenza mucinous inowanzova yakanyanya kusimba kwehutano (iyo nyika inotaridzika sekusagadzikana kwema microsatellite ) kupfuura kenza isiri mucinous.
Izvo izvi zvinokonzerwa nekunetseka kwekunyanya kukonzera kushandiswa kwakanyanya kana mucin. Iko mucin, zvakare, inogadzira chigadziro chingaita, chaizvoizvo, kudzivirira mishonga yemakemikrasi kubva mumasero emukenza anoshanda zvakanaka. Muchidimbu, chemo inogona kusakwanisa kuwana kwainofanira kuva.
Shoko Rinobva
Kunyange zvazvo zviri pachena kuti mucinous adenocarcinoma ine maitiro akasiyana-siyana anoita kuti zvive zvakaoma kufungidzira (uye zvinogona kutungamirira ku nguva shomanana yekupona), pane zvimwe zvinhu zvatinoziva zvinoshamwaridzana nekukura kwayo:
- achiri muduku
- kuva mukadzi
- nhoroondo yezvipembenene zvinoputika zvirwere (IBD), zvakadai seCrohn's disease kana ulcerative colitis
- nhoroondo yehutachiona hwepachevic kana mumimba
Kana pane zvimwe zviratidzo zvekare zvekenza yakawanda uye iwe une nhoroondo yemhuri yehutachiona, zvakakosha kutora matanho ekuwedzera kana kupera kwekutanga kusina kukwana. MAC inowanzonyanya kukanganiswa panguva yebhiopsy uye inogona kuonekwa nyore nyore kushandisa magnetic resonance imaging (MRI) .
Usanonoka kukumbirazve kuongororwa kana zviratidzo zvinopfuurira kana kuipa. Zvimwe, iwe unogona kutsvaga pfungwa yechipiri kubva kune nyanzvi yepamusoro inowanikwa muMAC uye SRCC.
> Sources
- > National Cancer Institute: National Institutes of Health. "Cancer Stat Facts: Colon uye Rectum Cancer." Bethesda, Maryland; 2017.
- > Numata, M .; Shiozawa, M .; Watanabe, T ;; et al. "Makiriniki epathological maitiro e colorectal mucinous adenocarcinoma uye nzira yekurapa yechirwere." World Journal of Oncology Yokuvhiya. 2012; 10: DOI: 10.1186 / 1477-7819-10-109.