Peritoneal Cancer: Dab tsi yog Peritoneum, Cov tsos mob, & Kev Kho Mob

Cov txheej txheem:

Peritoneal Cancer: Dab tsi yog Peritoneum, Cov tsos mob, & Kev Kho Mob
Peritoneal Cancer: Dab tsi yog Peritoneum, Cov tsos mob, & Kev Kho Mob
Anonim

mob qog noj ntshav peritoneal yog ib qho mob qog noj ntshav tsawg. Nws tsim nyob rau hauv ib tug nyias txheej ntawm cov ntaub so ntswg uas kab lub plab mog. Nws tseem npog lub tsev menyuam, zais zis, thiab qhov quav. Ua los ntawm cov hlwb epithelial, cov qauv no hu ua peritoneum. Nws tsim cov kua dej uas pab lub cev txav mus los hauv lub plab mog.

mob qog noj ntshav peritoneal tsis zoo ib yam li mob plab hnyuv lossis plab. Tsis yog nws yuav tsum tsis meej pem nrog cov qog nqaij hlav uas kis (metastasize) mus rau peritoneum. Mob qog noj ntshav peritoneal pib nyob rau hauv peritoneum, thiab yog li hu ua thawj kab mob peritoneal.

Txoj Kev Sib Txuas Ntawm Kab Ntsig thiab Ovarian Cancers

mob qog noj ntshav Peritoneal ua thiab zoo li mob qog noj ntshav zes qe menyuam. Qhov no feem ntau yog vim qhov chaw ntawm zes qe menyuam yog ua los ntawm cov hlwb epithelial, zoo li lub peritoneum. Yog li ntawd, mob qog noj ntshav peritoneal thiab ib hom qog nqaij hlav zes qe menyuam ua rau cov tsos mob zoo sib xws. Cov kws kho mob kuj kho lawv ib yam nkaus.

Txawm hais tias nws zoo sib xws nrog mob qog noj ntshav ntawm zes qe menyuam, koj tuaj yeem muaj mob qog noj ntshav peritoneal txawm tias koj lub zes qe menyuam raug tshem tawm lawm. Mob qog noj ntshav peritoneal tuaj yeem tshwm sim nyob txhua qhov chaw hauv plab. Nws cuam tshuam rau saum npoo ntawm cov kabmob uas muaj nyob rau hauv lub peritoneum.

Qhov ua rau mob qog noj ntshav peritoneal tsis paub. Txawm li cas los xij, muaj ntau txoj kev xav txog seb nws pib li cas. Qee tus ntseeg tias nws yog los ntawm kev cog qoob loo ntawm zes qe menyuam nyob rau hauv lub plab thaum lub sij hawm kev loj hlob ntawm fetal. Lwm tus xav tias lub peritoneum tau hloov pauv uas ua rau nws zoo li lub zes qe menyuam.

Risks ntawm Peritoneal Cancer

Primary peritoneal cancer muaj ntau dua rau cov poj niam dua li txiv neej. Cov poj niam uas muaj feem yuav mob qog noj ntshav ntawm zes qe menyuam kuj tseem muaj feem yuav mob qog noj ntshav peritoneal. Qhov no yuav zoo dua yog tias koj muaj BRCA1 thiab BRCA2 kev hloov pauv caj ces. Lub hnub nyoog laus yog lwm qhov kev pheej hmoo rau mob qog noj ntshav peritoneal.

Cov tsos mob ntawm Peritoneal Cancer

Ib yam li mob qog noj ntshav zes qe menyuam, mob qog noj ntshav hauv lub cev tuaj yeem nyuaj rau kuaj pom thaum ntxov. Qhov ntawd yog vim nws cov tsos mob tsis meej thiab nyuaj rau txheeb xyuas. Thaum cov tsos mob pom tseeb tshwm sim, tus kab mob tau nce zuj zus. Tom qab ntawd, cov tsos mob zoo li cov qog nqaij hlav zes qe menyuam. Feem ntau cov tsos mob no yog tshwm sim los ntawm cov kua (ascites) nyob rau hauv lub plab mog. Cov tsos mob qog nqaij hlav peritoneal tuaj yeem suav nrog:

  • plab tsis xis nyob los yog mob los ntawm cov pa roj, plab zom mov, siab, o, tsam plab, los yog cramps
  • Xav kom puv, txawm tias tom qab noj mov
  • Ntaus lossis raws plab
  • Kev cem quav
  • tso zis ntau heev
  • Poob qab los
  • Qhov hnyav nce lossis poob
  • Ntshav qhov chaw mos los ntshav
  • qhov ncauj los ntshav
  • Ua tsis taus pa

YDiagnosting Peritoneal Cancer

Ntxiv rau kev nug txog cov tsos mob, koj tus kws kho mob yuav tshuaj xyuas koj li keeb kwm kev kho mob thiab kuaj lub cev, uas suav nrog kev tshuaj xyuas qhov txawv txav hauv cov cheeb tsam no:

  • Yuav Uterus
  • Vagina
  • Ovaries
  • plab
  • Lub zais zis

Kev xeem koj yuav muaj xws li:

Ultrasound. Lub suab nrov nrov ua rau daim duab hu ua sonogram.

CA-125 ntshav kuaj. Qhov kev ntsuas no ntsuas cov tshuaj hauv cov ntshav hu ua CA-125. Yog hais tias muaj ntau ntau, peritoneal los yog zes qe menyuam cancer yuav tshwm sim. Tab sis CA-125 tuaj yeem siab rau lwm yam laj thawj. Yog li, qhov kev sim no tsis tuaj yeem lees paub qhov kev kuaj mob ntawm cov qog nqaij hlav no.

CT scan. Lub khoos phis tawj txuas nrog lub tshuab X-ray tsim cov duab ntxaws hauv lub cev.

qis GI series lossis barium enema. Nrog rau qhov kev sim no, koj thawj zaug tau txais ib qho enema uas muaj cov tshuaj dawb, chalky hu ua barium. Qhov no qhia txog txoj hnyuv thiab lub qhov quav ntawm X-ray. Nws ua kom pom qee cov qog thiab lwm yam teeb meem.

Upper GI series. Nrog rau qhov kev sim no, barium tau nqos thiab txoj hlab pas, plab, thiab duodenum (thawj ntu ntawm txoj hnyuv me) tau piav qhia ntawm X-ray..

Biopsy. Tus kws phais tshem tawm cov ntaub so ntswg los ntawm kev qhib lub plab thaum lub sij hawm laparotomy lossis los ntawm kev ntxig cov cuab yeej los ntawm qhov me me hauv plab (laparoscopy). Yog tias tus kws kho mob xav tias mob qog noj ntshav, lawv tuaj yeem tshem tawm ib lossis ntau lub cev. Tus kws kho mob tshawb xyuas cov ntaub so ntswg hauv qab lub tshuab ntsuas kom paub meej tias kev kuaj mob qog noj ntshav.

Paracentesis. Yog tias qhov kev phais tsis tuaj yeem ua tau lossis ascites tuaj yeem yog vim lwm yam ua rau, tus kws kho mob tuaj yeem tshem tawm cov kua dej los kuaj xyuas hauv lub tshuab ntsuas. Qhov no hu ua paracentesis.

Cov qog nqaij hlav zes qe menyuam thiab cov qog nqaij hlav peritoneal zoo ib yam hauv lub tshuab tsom. Yog li, tus qauv thiab qhov chaw ntawm cov qog pab qhia seb hom mob qog noj ntshav twg tshwm sim.

Kev kho mob qog noj ntshav peritoneal

Koj yuav muaj ntau dua ib hom kev kho mob qog noj ntshav peritoneal. Hom kev kho koj muaj nyob ntawm:

  • theem thiab qib ntawm tus mob qog noj ntshav
  • qhov loj thiab qhov chaw ntawm tus kabmob
  • Koj lub hnub nyoog thiab kev noj qab haus huv tag nrho

Kev kho mob qog noj ntshav peritoneal suav nrog:

Surgery. Kev phais tsis yog pab kuaj mob xwb. Nws kuj tseem yuav tshem tau cov qog. Txhawm rau ua kom mob qog noj ntshav thiab kho tus mob no, tus kws phais yuav tshem tawm txhua yam kab mob uas pom. Tus kws phais kuj tseem tuaj yeem tshem cov zes qe menyuam, cov hlab ntsha, thiab lub tsev menyuam. Raws li qhov pom tau, tus kws phais kuj tseem tuaj yeem tshem tawm lwm cov ntaub so ntswg thiab lub cev. Nws yog ib qho tseem ceeb heev kom muaj qhov kev phais no ua los ntawm tus kws kho mob gynecological oncologist. Cov kws kho mob tshwj xeeb no paub txog kev mob qog noj ntshav hauv gynecological thiab muaj kev vam meej ntau dua.

Tshuaj kho mob. Cov tshuaj kho mob qog noj ntshav peritoneal zoo ib yam li cov tshuaj siv rau kev mob qog noj ntshav zes qe menyuam. Koj tuaj yeem tau txais cov tshuaj no los ntawm kev txhaj tshuaj rau tus neeg mob sab nraud txhua ib, ob, lossis peb lub lis piam. Qee zaum, cov tshuaj khomob yog xa ncaj qha mus rau hauv lub plab los ntawm lub catheter uas tau muab tso rau hauv qab ntawm daim tawv nqaij thaum phais. Qhov no yog hu ua intraperitoneal chemotherapy. Koj kuj tau txais nws li ntawm peb lub lis piam, tab sis nws yog qhov kev kho mob nyuaj dua.

HIPEC (hyperthermic intraperitoneal chemotherapy). Qhov no yog kev tswj hwm cov tshuaj kho cua sov rau hauv peritoneum tom qab kev phais. Cov txheej txheem no feem ntau tshwm sim rau cov qog nqaij hlav peritoneal uas tau kis los ntawm cov hnyuv, plab hnyuv, lossis plab.

Palliative care. Cov kws kho mob feem ntau kuaj mob qog noj ntshav hauv cov theem siab. Kev pab txhawb nqa tuaj yeem pab txo cov tsos mob ntawm mob qog noj ntshav xws li mob, poob phaus, lossis ua kua dej.

Cov kev kho mob ntxiv yuav raug siv, suav nrog cov phiaj xwm kev kho mob, kev kho tshuaj hormonal, thiab kev kho hluav taws xob rau qee qhov kev mob qog noj ntshav hauv plab.

Peritoneal Cancer Prognosis: Yuav Ua Li Cas

Kev kuaj mob qog noj ntshav hauv plab yog qhov zoo tshaj yog tias txhua yam qog noj ntshav raug tshem tawm thiab tus kws kho mob gynecological thiab tus kws kho mob kho mob kho koj. Cov kws kho mob no muaj kev paub tshwj xeeb txog kev mob qog noj ntshav hauv gynecological.

Koj cov kws kho mob yuav saib xyuas koj tom qab kho. Mob qog noj ntshav peritoneal tuaj yeem kis tau sai vim tias lub peritoneum muaj cov qog ntshav thiab cov ntshav uas nws tuaj yeem mus. Kev rov tshwm sim tom qab kev kho mob yog tshwm sim nrog mob qog noj ntshav peritoneal. Qhov ntawd yog vim qhov mob qog noj ntshav no feem ntau kuaj pom nyob rau theem siab. Tej zaum koj yuav xav tau ntau tshaj ib puag ncig kev kho mob lossis lwm yam kev phais.

Nco ntsoov nrhiav kev txhawb nqa rau koj tus kheej thaum koj mus txog kev kho mob thiab kho.

Pom zoo:

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