Matenda owopsa a mediastinum

Teratoma ndi mtundu wa khansa yomwe ili ndi gawo limodzi kapena angapo mwamaselo omwe amapezeka mwa mwana yemwe akukula. Maselowa amatchedwa majeremusi. Teratoma ndi mtundu umodzi wa chotupa cha majeremusi.

Mediastinum ili mkati kutsogolo kwa chifuwa m'deralo lomwe limalekanitsa mapapo. Mtima, mitsempha yayikulu yamagazi, mapiko amphepo, thymus gland, ndi kum'mero ​​zimapezeka pamenepo.

Malignant mediastinal teratoma amapezeka nthawi zambiri mwa anyamata azaka za 20 kapena 30s. Matenda ambiri oyipa amatha kufalikira mthupi lonse, ndipo amakhala atafalikira pofika nthawi yodziwitsa.

Khansa yamagazi nthawi zambiri imalumikizidwa ndi chotupachi, kuphatikiza:

• Khansa ya m'magazi (AML)
• Myelodysplastic syndromes (gulu la zovuta zamafupa)

Zizindikiro zimaphatikizapo:

• Kupweteka pachifuwa kapena kupanikizika
• Tsokomola
• Kutopa
• Kulephera pang'ono kulekerera zolimbitsa thupi
• Kupuma pang'ono

Wothandizira zaumoyo adzayesa thupi ndikufunsa za zizindikiro. Mayesowo atha kuwonetsa kutsekeka kwa mitsempha yomwe imalowa pakatikati pa chifuwa chifukwa chakuchulukirachulukira m'chifuwa.

Mayesero otsatirawa amathandiza kuzindikira chotupacho:

• X-ray pachifuwa
• CT, MRI, PET imayang'ana pachifuwa, pamimba, ndi m'chiuno
• Kujambula kwa nyukiliya
• Kuyesa magazi kuti muwone beta-HCG, alpha fetoprotein (AFP), ndi milingo ya lactate dehydrogenase (LDH)
• Mediastinoscopy yokhala ndi biopsy

Chemotherapy imagwiritsidwa ntchito pochizira chotupacho. Mankhwala osakaniza (kawirikawiri cisplatin, etoposide, ndi bleomycin) amagwiritsidwa ntchito kwambiri.

Chemotherapy ikamalizidwa, ma scan a CT amatengedwanso kuti awone ngati chotupa chilichonse chatsalabe. Kuchita opaleshoni kungalimbikitsidwe ngati pali chiwopsezo kuti khansayo imayambiranso m'deralo kapena ngati khansa yatsalira.

Pali magulu ambiri othandizira anthu omwe ali ndi khansa. Lumikizanani ndi American Cancer Society - www.cancer.org.

Maganizo ake amatengera kukula kwa chotupa ndi malo komanso zaka za wodwalayo.

Khansara imatha kufalikira mthupi lonse ndipo pakhoza kukhala zovuta pakuchita opareshoni kapena zokhudzana ndi chemotherapy.

Itanani omwe akukuthandizani ngati muli ndi matenda owopsa a teratoma.

Zotupa za Dermoid - zoyipa; Nonseminomatous chotupa cha khungu - teratoma; Mwana teratoma; GCTs - teratoma; Teratoma - extragonadal

• Teratoma - Kujambula kwa MRI
• Matenda owopsa

Cheng GS, Varghese TK, Park DR. Zotupa zapakati ndi zotupa. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 83.

Putnam JB. Mapapu, khoma pachifuwa, pleura, ndi mediastinum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 57.