Lymphoma yeTests
Chii chinonzi testicular lymphoma uye chakasiyana sei nedzimwe mhando dzisiri yeHodgkin lymphoma?
Overview
Lymphoma inogona kukanganisa ma testes nenzira shomanana. I-lymphoma inogona kutanga mu testes, iyo iyo iyo inonzi inonzi primary testicular lymphoma, kana kuti lymphoma inogona kusanganisira ma testes sechikamu chezvirwere zvakapararira zvinosanganisira dzimwe nzvimbo dzakawanda.
Kuwanda
Aya ma testes haasi nzvimbo yakawanda ye lymphoma.
Ichokwadi, zviyero izvi zvinowanzobatwa neimwe kenza inonzi germ cell tumors. Vanodarika 5% yevanhu vane kenza mumuedzo ndivo vane lymphoma. Muvanhu vanopfuura makore makumi mashanu, zvakadaro, lymphoma ndiyo kenza inowanzoonekwa yee testes se germ germ cell tumors muzera rezera iri harisi nyore.
Aina
Lymphoma yemayesera inenge nguva dzose yerudzi rweusina Hodgkin's lymphoma (NHL) . Rudzi rwakanyanya kunyanya runoparadzanisa B-cell lymphoma . Mamwe maitiro an immunoblastic lymphoma, Burkitt lymphoma (muvana), uye follicular lymphoma .
Pane mazita mashomanana iwe unogona kunzwa kana iwe uine chirwere che testicular lymphoma. Imwe i " extranodal presentation ". Primary extranodal lymphoma zvinongoreva kuti lymphoma inotanga kuwanika (yakatanga) kunze kweiyo lymphatic system, mune mamwe mazwi, inowanikwa mumayesiti kutanga pane pane lymph node, spleen, bone marrow, kana thymus.
Aya ma testes (pamwe chete nenheyo yenheyo) inonziwo nzvimbo dze nzvimbo tsvene .
Zvinokonzera
Hazvizivikanwi kuti chii chinokonzera testicular lymphoma, asi pane dzakawanda zvinokonzerwa nengozi dzisiri yeHodgkin lymphoma . Ikoko kune ushamwari nehutachiona hwehutachiona, kunyanya EBV (Epstein-Barr virus inokonzera mono) , CMV (cytomegalovirus infection) , parvovirus B19 (hutachiona hunokonzera "hutachiona" chirwere, kurwisana kunowanzobatanidzwa nehutachiwana hwehutachiona hwevana), uye HIV.
Zviratidzo nezviratidzo
Chiratidzo chinowanzozivikanwa ndiko kuwedzerwa kweimwe yemayeso maviri. Pane kazhinji kazhinji kana kusarwadziwa kunobatanidza neizvi. I testis inogona kunzwa inorema. Kana iyo lymphoma yakapararira kune dzimwe nhengo dzomuviri, pangave nezviratidzo zvine chokuita nezvikamu zvakakanganiswa. Ikoko kunogona kuva imwe kana kupfuura yeB-zviratidzo zve lymphoma - fever, kuora muviri kana kuputika usiku.
Kuziva
Chirwere chakawedzerwa chinogona kuva nezvikonzero zvakawanda, uye chiremba wako anogona kuona nyore nyore mamiriro ezvinhu akajeka uye akajeka. Kana pane kusava nechokwadi kwechirwere, an ultrasound kana CT scan ye testes ichakurudzirwa semuedzo wokutanga. Mimwe miedzo yeropa nokuda kwechirwere chevarume inogadzirwa kuitira kuti ione magirasi emakumbo emakumbo, chirwere chinowanzojairika chetestis cancer. Nzira yakanakisisa yokuwana nayo chaiyo yemararamiro ndeyekubvisa testis nekuvhiya nyore. Chiyero chesano kana bhiopsy kazhinji hachikurudzirwe nekuda kwekugadzikana kwechirwere "mbeu" -kuparadzira masero emukenza kunharaunda iyo nheyo inowanikwa. Izvo zvakabviswa testicle tissue zvino inotarirwa pasi pe microscope, uye kugadziriswa kwekupedzisira kunoitwa.
Miedzo Pashure Pokuziva
Kana chirwere chepupuriro chiri lymphoma, sarudzo inotarisirwa musati mishonga inotanga. Izvi zvinowanzowanzobatanidza kuongorora kwechimbudzi chemuviri uye chifuva uye chekuongorora marrow .
Testicular lymphoma inogonawo kupararira muchirwere chinonzi cerebrospinal fluid (CSF) inopinda mukati meuropi nemutsipa wesipinha. Kuvhara kwepombi (mutsara wepombi) kunogona kuitwa kuitira kubvisa chiduku chechidimbu ichi kubva mumucheto uri kumucheto kumashure uye kuedzesera kwemasero e-lymphoma.
Mishonga
Mushonga wekenza chepenicular unowanzobatanidza kubvisa tumarara, asi mamwe mushonga unotarisirwa kudzivirira kenza yekudzoka kune imwe imwe nyanzvi, nheyo yepamusoro yenheyo, nezvimwe nzvimbo dzinowanika kunze.
Kuvhiya - Kubvisa nyanzvi (orchiectomy) ndiyo chikamu chekutanga chekurapa uye kazhinji kunoitwa sechikamu chekuongororwa.
Chemotherapy - Chemotherapy regimen CHOP inowanzopiwa pamwe neRituxan. Mishonga iyi mumutambo uyu inosanganisira Cytoxan (cyclophosphamide), Adriamycin (doxorubicin), Oncovin (vincristine), uye prednisone.
Targeted therapy - Rituxan (rituximab) inonzi monoclonal antibody inowanzopiwa pamwe nechemotherapy. Miviri yedu inoita zvirwere zvinorwisa mabhakitiriya nemavirusi. Rituxan inonyanya kushandiswa kwevanhu inogadzirwa nemunhu yakagadzirirwa kurwisa lymphoma masero.
Radiation - Mazayiro anowanzoitwa kumativi ekudzivirira, kunyanya kuderedza mikana yekenza inowedzera mune imwe nyanzvi.
Central nervous system prophylaxis - Central nervous system prophylaxis inowanzobatanidzwa sechikamu chekurapa kudzivirira iyi lymphoma kupararira kana kuramba ichidzoka mukati memutambo wesheyo.
Kuchengetedza Kubereka
Kazhinji kachochete testicular inoda kubviswa, asi zvose chemotherapy uye remishonga inokonzera mahara zvinogona kukonzera kusabereka. Nenzira inonakidza sperm banking ndiyo nzira yakakwana yevarume vakawanda. Ita chokwadi chekutaura nachiremba wako nezvekuchengetedza kubereka panguva yekurapwa kwekenza kuitira kuti uzive zvose zvaunosarudza usati watanga kurapwa.
Kutsungirira uye Kutsigira
Kana iwe wakamboonekwa uine testicular lymphoma unenge uchinzwa wakaneta. Sezvo ichi chiri chirwere chisingawanzove iwe unganzwa uri woga, uye ushamise kuti ndiani unogona kutaura naye. Svika kumhuri neshamwari. Chimbofunga kubatana nemharaunda yemukenza paIndaneti. Tiri kurarama munguva iyo iwe unogona kuwana vamwe ne testicular lymphoma kumativi ese enyika, uye unogona kuwana kunyange kutsigirwa uye vanhu kuti vadzidzise pfungwa kubva 24/7. Tsvakurudzo uye dzidze nezvechirwere chako , uye tora chikamu chakasimba mukutarisira kwako. Kurapa kwechirwere ichi kune utsinye, asi kusiyana nemararamiro akawanda anopa mukana wakanaka wekutora nguva kwenguva refu chirwere chacho.
Sources:
Kanzira: Mazano uye Maitiro eOnology 7th Edition. Vakuru: DeVita VT, Hellman S, Rosenberg SA. Lipincott Williams & Wilkins 2005.
Chapuy, B., Roemer, M., Steward, C. uye al. Targetable genetic zvinhu zvepakutanga testicular uye nheyo yepamusoro yenheyo system lymphomas. Ropa . 2016. 127 (7): 869-81.
Cheah, C., Wirth, A., uye J. Saymour. Primary testicular lymphoma. Ropa . 2014. 123 (4): 486-93.
Huang, Y., Zhang, Z., Tashkin, D., Feng, B., Straif, K., naM. Hashibe. Chirwere chepidemiologic chekudya mbanje nekenza: inovandudzwa. Cancer Epidemiology Biomarkers uye Kudzivirira . 2015. 24 (1): 15-31.
Vitolo, U., Chiappella, A., Ferreri, A. et al. Kutanga-mutsara mushonga wepamusoro testicular yakawanda B-cell lymphoma ne-rituximab-CHOPD, CNS prophylaxis, uye contralateral testis irradiation: mhedziso yekupedzisira yenyika yepamutambo wechipiri II. Nyaya yeCliniki Oncology . 2011. 29 (20): 2766-72.
Iwesif, L., Hammer, G., Blettner, M., naHeeb Zeeb. Kenza yechipupuriro uye zvirwere zvehutachiona: kuongorora kwekuongorora mabhuku uye meta-analysis. Zvinyorwa zveZvipano zveVirrology . 2013. 85 (12): 2165-75.