Chotupa cha Sertoli-Leydig

Sertoli-Leydig cell tumor (SLCT) ndi khansa yosawerengeka ya thumba losunga mazira. Maselo a khansa amatulutsa ndikutulutsa timadzi tomwe timagonana tomwe timatchedwa testosterone.

Zomwe zimayambitsa chotupazi sizikudziwika. Kusintha (kusintha) mu majini kumatha kutengapo gawo.

SLCT imachitika nthawi zambiri mwa atsikana azaka 20 mpaka 30 zakubadwa. Koma chotupacho chimatha kuchitika m'badwo uliwonse.

Maselo a Sertoli nthawi zambiri amakhala m'matenda amphongo oberekera (ma testes). Amadyetsa umuna. Maselo a Leydig, omwe amapezeka m'ma testes, amatulutsa mahomoni ogonana amuna.

Maselowa amapezekanso m'mimba mwa amayi, ndipo nthawi zambiri zimayambitsa khansa. SLCT imayambira m'mimba mwa amayi, makamaka mu ovary imodzi. Maselo a khansa amatulutsa mahomoni ogonana amuna. Zotsatira zake, mkazi amatha kukhala ndi zizindikilo monga:

• Mawu akuya
• Clitoris yowonjezera
• Tsitsi lakumaso
• Kutayika mu kukula kwa m'mawere
• Kuyimitsa msambo

Ululu m'mimba wapansi (m'chiuno) ndi chizindikiro china. Zimachitika chifukwa chotupa chomwe chimakanikizika pafupi.

Wothandizira zaumoyo adzayesa thupi ndi kuyeza m'chiuno, ndikufunsani za zizindikiro.

Mayeso adzalamulidwa kuti awone kuchuluka kwa mahomoni achikazi ndi achimuna, kuphatikiza testosterone.

Kuyeza kwa ultrasound kapena CT mwina kuyenera kuchitidwa kuti mudziwe komwe chotupacho chili ndi kukula kwake ndi mawonekedwe ake.

Opaleshoni yachitika kuti achotse chimodzi kapena zonse ziwiri m'mimba mwake.

Ngati chotupacho chapita patsogolo, chemotherapy kapena radiation radiation itha kuchitidwa pambuyo pochitidwa opaleshoni.

Kuchiza msanga kumabweretsa zotsatira zabwino. Makhalidwe achikazi nthawi zambiri amabwerera pambuyo pa opaleshoni. Koma mawonekedwe amphongo amasintha pang'onopang'ono.

Kwa zotupa zotsogola kwambiri, malingaliro sakhala abwino.

Chotupa cha Sertoli-stromal cell; Arrhenoblastoma; Androblastoma; Khansara yamchiberekero - chotupa cha Sertoli-Leydig

• Njira yoberekera yamwamuna

Penick ER, Hamilton CA, Maxwell GL, Marcus CS. Majeremusi cell, stromal, ndi zotupa zina zamchiberekero. Mu: DiSaia PJ, Creasman WT, Mannel RS, McMeekin DS, Mutch DG, olemba. Chipatala cha Gynecologic Oncology. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 12.

Smith RP. Chotupa cha Sertoli-Leydig (arrhenoblastoma). Mu: Smith RP, Mkonzi. Netter's Obstetrics & Gynecology. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 158.