Pancoast Cancer: 'ehaʻeha ka, Symptoms,ʻike, a me ka iapaau ana

Pancoast Ka maʻi 'aʻai - Ka maʻi' aʻai i ua IIeEeAIEUIeXAIIUE i loko o ka luna Groove o ke akemāmā. Ma kona symptoms like i ka tuberculosis, abscess, echinococcus, pneumonia, benign hikoko a me nā pathologies.

Ka inoa o Pancoast hikoko loaa mai ma ka aoao o ka radiologist Henry K. Pancoast. He ua i ka mua o kona nā hoapili hōʻike i ka maʻi i loko o au mamuli. Ua hiki i ka makahiki 1924.

Ma waho aʻeo i ka malignant maʻi, like symptoms hiki i kekahi hoʻoʻino maʻi a me ka maʻi 'aʻai, kekahi IIeEeAIEUIeXAIIUE ma ka luna o ke akemāmā. O kŰia ua kapaia Pancoast maʻi pale.

Ke urgency o ka pilikia Pancoast Ka maʻi 'aʻai o ka pilikia o ka iʻike, i loko o kona manaʻo i ka henua o kaʻeho, paa hou mai la ka iwi' ole. E like me ke kōkua o ka m-kukuna lawe mai i loko o ka loa holomua oncology nā keʻena lāʻau lapaʻau ma ke kakahiaka kahua o ka hoʻonaʻauao ia mea i mau mea hiki ke kuhikuhi i koke i ka maʻi.

Kumu no ka luna o ka akemāmā Ka maʻi 'aʻai

I mau, ka hanana o ka maʻi 'aʻai Pancoast loli ana ma ka ia kumu i loko o nā akemāmā Ka maʻi' aʻaiʻAno. He aha ka keia? Ke kumu nui no kona hoike ana mea ole-e uwahi ana: hana a OE. Ka nui a Mānoa hoʻokani ma ka helu o ka uahi paka paka no ka lā, ka mea e like ai o ka paka hoʻohana ', a me ka nohona ma ka hoao ana o ka uwahi. It E e kaulana ia ma ka hihia o ka hoʻokō 'ole' ana o ka 'ino kanaka e hele mai ana mai loko mai o ka pilikia ciia wale nō ma hope o umi makahiki.

Undergo i kēia maʻi i kekahi kanaka ka poe e ole e ae mai ke kuko no e uwahi ana. Pakeneka make maʻi 'aʻai Pancoast OE paka maoli i ka 1,7-2 manawa. Ke kamepiula pūʻulu i nā keiki a me nā adolescents kona makua mau ka uahi i loko o ko lākou alo. Smoking i loko o 85% o ka hihia ma ka aoao o na luna a pau o ke akemāmā Ka maʻi 'aʻai.

Ma waho aʻeo ka umuahi e hiki i Ka maʻi 'aʻai Pancoast? Aneie a me ka hanalima aʻe. I ka hui 'ana me ia mau mea i pesticides, asbestos, kaumaha i eliiaʻi, arsenic, nikala a chromium kekahi maoli ka pakeneka o ka maʻi' aʻai nā mea maʻi Pancoast.

Nui a me ke kūlana o nā akemāmā maʻi ma ka mōʻaukala: tuberculosis, lawe-imua o ka pneumonia a me ka bronchiectasis, - i keia maoli ka manawa o ke kanaka Pancoastʻeho.

Kēia maʻi e loli ai na kanaka elima mau manawa hou pinepine ma mua o nā wāhine, oiai ka mea, hoike mai ai ia ia iho, ma hope o 50 makahiki. Ua Ua hoao ia kekahi predisposition i ka maʻi 'aʻai Pancoast ua hala ma luna o genetically.

I mau, loaʻa nō kekahi mau kī aʻe e ho ololi i ka hanana o Pancoast Ka maʻi 'aʻai.

• makahiki;
• e uwahi ana;
• ? aneie kumu i loko o ka wahi;
• 'oihana ha awina ma ke kukulu a me ka Nine Inch na hana;
• nā kūpuna mai.

Ka maʻi 'aʻai symptoms

Pinepine, e hoomanawanui i imi kōkua mai i ka holomua kuʻina o ka maʻi. Kēia pilikia o nā i ka nele ana o symptoms ma ke kakahiaka nui kuʻina: ka hoʻomanawanui mea ole cough, hemoptysis, a me ka hapanui importantly - ka hiki physical mā i loko o ka palapala o bumps ma luna o ke kino. Pain ma na kahua o ka hoʻonaʻauao kakahiaka o ka maʻi 'aʻai ana mai i hōʻike.

Ka mea wale nō nā hōʻailona ma nā kahua o ka hoʻonaʻauao 1st a me ka 2nd o Ka maʻi 'aʻai, ua nawaliwali, ikaika luhi, make o ke kaupaonaʻana.

Syndromes a Pancoast Horner

Ma ka hou papa o ka maʻi he mea he kīnā o syndromes a me Pancoast Horner, nā kaawale, a ma ka hui pu ana, i kekahi i kekahi. Kēia e pono e ike.

Pancoast maʻi pale ua hoikeia hou o na kēia mau symptoms:

• loa debilitating eha ma kaʻaoʻao o kaʻeho IIeEeAIEUAA ~ - ma ka poohiwi wahi, i loko o ka papa o ka ulnar nā aʻalolo, a ma lalo o ka'ūhā mua maka;
• nawaliwali lima nāʻiʻo ma kaʻaoʻao maikaʻiʻole ia ma o ke kino, paresthesia, numbness o ka manamana lima, atrophy o na nāʻiʻo o na lala;
• leo loli - ka muli o hoarseness, cough.

I ka paku ole ia iʻeho kōkua aloha o olona, hoike mai ai ia Horner ka maʻi pale:

• palupalu o ke keena lihilihi (ptosis);
• anhidrosis luna lala, a me ka maka me ka hoʻohuli ai i nā poeʻeho;
• constriction o ka haumāna (miosis) a me ka retraction o ka'ōnohi a poʻopoʻo ka (etnoftalm).

Muli o kona kulana pinepine, i ka maʻi 'aʻai ua pu e Pancoast kūlana vena cava maʻi paleʻeho ma ka puʻe ma luna o laila. Kēia maʻi pale ua pu ma ke kēia symptoms:

• umauma eha;
• cough;
• pokole o ka hanu;
• headache, a ua mahuahua sleepiness;
• pio ka wā ha.

ʻike, o ke akemāmā Ka maʻi 'aʻai mau poʻo,

Me ua i haiia ae maluna, i kaʻike, o ka maʻi he pa kupono, no ka mea, ma na kahua o ka hoʻonaʻauao kakahiaka o ka maʻi 'aʻai Pancoast hiki ole mau huai ae i m-na kukuna aie i ka mea i kaʻeho ma ke kahua o kona IIeEeAIEUAA mea,ʻaʻole hiki.

E like me ka rula, ua malamaia lakou hoʻomanawanui iki mai ma ka mua wahi a hiki i ka neurologist a surgeon me ka hoopii o kaʻeha i loko o ka luna lala, a me ka wale ma hope o ia e kiʻi i ka manawa i oleloia ai me ka hoʻomalu oncologists.

Ua haawiia i Pancoastʻeho o kona symptoms i like i ka maʻi 'ē aʻe o ka bronchopulmonary'ōnaehana, pono e konaʻike, hulina, a loaʻa i ka kēiaʻano o nā ana:

1. Radiography - huai ae i ke alo o kaʻeho ma ka hope kuʻina aie i ka hanaʻia naʻe o ka pleura, a me ka helehelena o blackouts.
2. Me tomography a MRI - hoʻoholo i ka nui o vascular komo, o kona iwiʻaoʻao, aka wahi, vertebrae ma ke kaʻina. Nā hopena o kēia mau haʻawina a pau i waena o ka mea nui. Ka mea, hōʻike i ka manawa kūpono o kaʻoki kino.
3. Lymph wahi biopsy - e hooholo i ke kahua o ka maʻi? Acaeoey.
4. A koko ho'āʻo - hoʻoholo i keʻano o ke kino e like me ke okoa.

No hoi, e like me ka hou ana i lawelawe 'ia bronchoscopy (e hoʻoholo i ka moku'āina o ka bronchi a me ka trachea, he kumuhana kokoke i ka hoʻohuli ai i nā wahi), a me ka arteriogram phlebogram (Loiloi i ka ano o na aa koko a me arteries ma ka collarbone āpana).

Akemāmā Cancer iapaau ana

Lapaʻau o Pancoast Ka maʻi 'aʻai ia lŘlŘ wale nō ma ka hana kūikawā Ka maʻi' aʻai nā keʻena lāʻau lapaʻau, ka kahua ololi o ka ka manaʻo pohihihi o ka Inc. 'Ikepili helu hōʻike i Pancoast Ka maʻi' aʻai ua 'akomi i oi pinepine i loko o ke kolu o ke kahua, ka wā o ka eha o ka maʻi' aʻai ana i kēia 'ano e lilo ana i intolerable. Lapaʻau ma keia hihia ia mea pono e hoʻomaka me ka? Eaia o kaʻeha lapaʻauʻia, mai ka narcotic analgesics.

I ka papa kuhikuhiE ano o ka hana iʻeho Pancoast:

• chemotherapy;
• pāhawewe Inc;
• ʻoki kino.

preoperative Inc

Maʻi Inc ia lŘlŘ i loko o kekahi mau kahua o ka hoʻonaʻauao: preoperative a me ka postoperative lapaʻau,ʻoki kino.

Mālama '-Inc mea he luna' o ka chemotherapy a me ka irradiation pono e emi i ka hikoko, a pale aku i ka laha ana o metastases i loko o ka lymph aka wahi. Kēia i mea e hiki ai, e lawe mai i ka hana i ua hiki ole ma mua o ua kanaka.

Ka pāhawewe ke Inc Hiki ke hoʻohana pū me he kuokoa iaoia o ka lapaʻau iaʻoki kino i ole e hiki. Irradiation ma keia hihia, ho'ēmi i kā kaʻeha ma ka hoomanawanui, akā, 'aʻole e pili i ke ola expectancy.

A me ka pāhawewe, a me chemotherapy papa mālama 'ia i loko o kekahi mau kahua o ka hoʻonaʻauao, a me, mai hemo mai ma waena o 2-3 pule. Ma hope o radiotherapy a chemotherapy ka hoʻomanawanui ua ia e hahai mai-i ka hookolokolo ana, i ka hopena o ka i manao e pili ana i ka manawa kūpono o kaʻoki kino.

Pilina o ana i loko o ka iapaau ana o ke akemāmā Ka maʻi 'aʻai

ʻoki lāʻau lapaʻau lapaʻau mea,ʻaʻole i loko o nā hihia: ina he mea ole kumu hoʻomalu o ka hoʻomanawanui i ka uea, e ae ia ia ia e iʻoki kino paha ua holoʻokoʻa i hele mai nei nui, loihi mai ka lesion, māhele o ke kino - e lawe mai i ka 'uao mea pointless. Ka pakeneka o ke ola i loko o ia o ka moku'āina o ke ana ana o ke hoʻomanawanui i ka palena haʻahaʻa.

Ma nā hihia, i ka wa a ka hana mea hiki, ma laila i kekahi mau Lolina o kona hoʻi:

1. Pulmonectomy - ana o ka holoʻokoʻa ka leo o ka loli akemāmā.
2. Resection o ke akemāmā.

Me ka nuiʻeho overgrowth e kāpae i mau iwi a me vertebrae, vascular, thoracic paia o ka brachial plexus. Ma pohihihi keia hihia, i ka hoʻomanawanui e paa i ka amputation o ke keena lala.

Ma hope oʻoki kino a me ka radiotherapy a me ka chemotherapy e paa no ka "hoʻopau aku" kaʻeho keena, e pale i ka hanana o relapses.

Ke prognosis o Ka maʻi 'aʻai ka luna o na maʻiʻaʻai

Ola o nā mea maʻi i undergone Ka maʻi 'aʻai Pancoast, hilinaʻi nui ma luna o ke kahua ma i ka maʻi i ua' akomi i.

Hoʻomanawanui iki mai diagnosed i i haawiia i ka 1st ke kahua o ka maʻi, i ka paepae puka ola nei a puni 60%, ka 2nd anu u - i hou aku 40%, a ma kaʻike, o ka 3rd kahua o ka maʻi 'aʻai elima laina lanakila wale 20% o nā mea maʻi.

Ma ke kahua 4 Ka maʻi 'aʻai Pancoastʻaneʻane maʻi: i ka 98% o ka hoopii, e make ia lŘlŘ i loko o 6-7 mahina ma hope o ka hana lapaau.