Khansa ya chithokomiro ya Anaplastic

Anaplastic thyroid carcinoma ndi khansa yosawerengeka komanso yoopsa ya khansa ya chithokomiro.

Khansa ya chithokomiro ya anaplastic ndi mtundu wa khansa ya chithokomiro yomwe imakula mwachangu kwambiri. Amachitika kawirikawiri mwa anthu opitirira zaka 60. Amakhala achikazi kwambiri kuposa amuna. Choyambitsa sichikudziwika.

Khansa ya Anaplastic imangokhala pafupifupi 1% yokha ya khansa ya chithokomiro ku United States.

Zizindikiro zake ndi izi:

• Tsokomola
• Kutsokomola magazi
• Zovuta kumeza
• Kuwopsya kapena kusintha mawu
• Kupuma mokweza
• Khosi laling'ono la khosi, lomwe nthawi zambiri limakula msanga
• Ululu
• Kulumikizana ndi chingwe
• Chithokomiro chopitilira muyeso (hyperthyroidism)

Kuyezetsa thupi nthawi zambiri kumawonetsa kukula m'khosi. Mayeso ena ndi awa:

• Kuunika kwa khosi kwa MRI kapena CT kumatha kuwonetsa chotupa chokula kuchokera pachithokomiro.
• Chidziwitso cha chithokomiro chimayambitsa matendawa. Minyewa yotupayo imatha kuyang'aniridwa ngati ili ndi majini omwe angapangitse kuti athandizidwe, makamaka poyesedwa.
• Kuwunika kwa mlengalenga wokhala ndi fiberoptic scope (laryngoscopy) kumatha kuwonetsa chingwe cholumikizira.
• Kujambula kwa chithokomiro kumawonetsa kukula uku ngati "kuzizira," kutanthauza kuti sikutenga chinthu chowononga mphamvu.

Chithokomiro chimayesa magazi nthawi zambiri.

Khansa yamtunduwu siyingachiritsidwe ndi opaleshoni. Kuchotsa kwathunthu kwa chithokomiro sikumatalikitsa miyoyo ya anthu omwe ali ndi khansa yamtunduwu.

Kuchita opaleshoni limodzi ndi mankhwala a radiation ndi chemotherapy atha kukhala ndi phindu lalikulu.

Kuchita opaleshoni kuyika chubu pakhosi kuti chithandizire kupuma (tracheostomy) kapena m'mimba kuti muthandizire pakudya (gastrostomy) kungafunike mukamalandira chithandizo.

Kwa anthu ena, kulembetsa kukayezetsa kuchipatala chazithandizo zatsopano za khansa ya chithokomiro kutengera kusintha kwa chibadwa cha chotupacho kungakhale kosankha.

Nthawi zambiri mutha kuchepetsa kupsinjika kwa matenda polowa nawo gulu la anthu omwe akugawana zomwe akumana nazo pamavuto.

Maganizo a matendawa siabwino. Anthu ambiri samakhala moyo wopitilira miyezi isanu ndi umodzi chifukwa matendawa ndi achiwawa komanso kusowa njira zabwino zochiritsira.

Zovuta zingaphatikizepo:

• Kufalikira kwa chotupa m'khosi
• Metastasis (kufalikira) kwa khansa kumatenda ena kapena ziwalo zina

Imbani wothandizira zaumoyo wanu mukawona:

• Bulu losalekeza kapena kuchuluka kwa khosi
• Kuuma kapena kusintha kwa mawu anu
• Chifuwa kapena kutsokomola magazi

Anaplastic carcinoma ya chithokomiro

• Khansa ya chithokomiro - CT scan
• Chithokomiro

PC ya Iyer, Dadu R, Ferrarotto R, et al. Zochitika zenizeni padziko lapansi ndi chithandizo chamankhwala chothandizira anaplastic thyroid carcinoma. Chithokomiro. 2018; 28 (1): 79-87. PMID: 29161986 pubmed.ncbi.nlm.nih.gov/29161986/.

Jonklaas J, Cooper DS. Chithokomiro. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 213.

National Cancer Institute, Center for Cancer Research tsamba lawebusayiti. Khansa ya chithokomiro ya Anaplastic. www.cancer.gov/pediatric-adult-rare-tumor/rare-tumors/rare-endocrine-tumor/anaplastic-thyroid-cancer. Idasinthidwa pa February 27, 2019. Idapezeka pa February 1, 2020.

Smallridge RC, Ain KB, Asa SL, ndi al. Malangizo a American Thyroid Association pakuwongolera odwala omwe ali ndi khansa ya chithokomiro. Chithokomiro. 2012; 22 (11): 1104-1139. (Adasankhidwa) MAFUNSO: 23130564 pubed.ncbi.nlm.nih.gov/23130564/.

Smith PW, Hanks LR, Salomone LJ, Hanks JB. Chithokomiro. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier Saunders; 2017: mutu 36.