Uterine sarcoma: na hoailona, kiʻi, symptoms,ʻike, a me ka lapaau prognosis o ke ola

Kekahi o ka loa insidious maʻi i loko o nā wāhine ua noʻonoʻo uterine sarcoma. Life olelo wanana a ka mea maʻi loli aʻe ke kaumaha ma muli o ka kahua o ka pathological kaʻina. Eia naʻe, oi pinepine ia mea loaa ole ia. Five-makahiki ola i ke kai i loko o ka loiloi mua ke kahua, he 47% o na hihia a pau. Ma ka loaʻaʻana o ka maʻi 'aʻai i loko o ka ha o kaʻanuʻu - wale 10%. E kamailio e pili ana i ka maikaʻiʻano mea,ʻaʻole e pono e like me ka iʻike, a me ka pono hana.

Description o ka maʻi

uterine sarcoma - pohihihi keia akā, insidious pathology. Neoplasm ua hana mai undifferentiated keena a endometrial myometrium. Oncological mai i loko o nā wāhine o nā mea a pau loa, a me ka apana uuku na kaikamahine. Ua Ua hoikeia aku ai e cyclic kahe ana ke koko, abdominalʻeha, mau malaise. Kaposi ka paʻakikī e diagnose ma na kahua o ka hoʻonaʻauao kakahiaka o? Acaeoey. Noi e pili ana i ka piha hoʻopakele hilinaʻi nui ma luna o ke kahua o ka pathological kaʻina, ke ahonui o ka makahiki a me ka moku'āina o ke ola. A pau ano o ka maʻi i wehewehe aku ma kekahi degere kiʻekiʻe o ka malignancy. No laila, ka mea i hiki ole ke hana.

Ano o ka uterine sarcomas

Ke kaumaha ma muli o ka IIeEeAIEUAA o malignant keena pee no maʻi i kēia 'ano apau loa.

• Leiomyosarcoma - o ka loaʻano pākīkēʻeho i ke kau i ke anawaena o ka 5 knm Ua Ua hana wale nō i loko o ka pahee nā'aʻaʻa o ka myometrium ..
• Endometrial stromal sarcoma e hoʻomōhala ana i loko o connective kākoʻo 'ole o ka uterus, mea loa pohihihi (wale 1% o nā hihia o malignant lesions). Hōʻike 'mau waeʻano o hikoko: hune ka pono a me ka undifferentiated. Ma ka hihia mua, kaʻeho mea aneane pakele no ke ola, ka mea, ua holo pono lohi. Undifferentiatedʻeho ua pu ma ilihune ola, i ka lewa ma ke ano o nā mea maʻi.
• Carcinosarcoma i hanaʻia i loko o ka endometrium.

He nui nā kanaka i hookahuli ai i ka mau maʻi: uterine sarcoma a me ka maʻi 'aʻai. I mea ia mea he maʻi loa okoa. Cancerous hikoko i hana mai epithelial keena, a me sarcomas lakou aloha ia connective wale nō nā'aʻaʻa.

Kumu o ka maʻi 'aʻai

Uterine Sarcoma pili e pathologies luna 'etiology. ʻepekema, ua kau aku kekahi mau wale nō wehewehe kona kumu. He nui no ia manao i ka maʻi e hoʻomōhala ana i lalo o ka aoao o ka pau pūʻulu o nā kumumea. Kēia paha e ka hoʻokō 'ole' ana ma o ka hormonal'ōnaehana a mau trauma uterine kino pomaikai ole oe abdominalʻoki kino, abortion 'ole kekahi' ē 'uao.

I ka maʻi no hoi ia lŘlŘ ku ei ke kāʻei kua o fetal? Acaeoey. No pilikia emi ololi o ka'āno'ē ulu o endometrial'aʻaʻa. E kūkulu i kekahi pathology kekahi manawa ma o na la pololei ole hoola ana o ka polyp pōpilikia 'makahiki a splicing mau me ka ho okumu. Neuroendocrine kāna hana - ia mea i kekahi kumu sarcoma. A nui kūlana ma ka predisposing kumumea ua haawiia mai i kaʻinoʻano, i ka hainā o ka ai '. Kauka e e Tilly i, a me ka abrupt cessation o ovulation.

ʻO wai ka mea ma kamepiula?

Gynecologists Ke ho'āʻo nei e hoʻolohe i nā wāhine i loko o ka Kāohiʻana o ka sarcoma, no ka mea, e pau loa ia ke hoola i kēia pathology hiki e loa pohihihi keia. Ma ka wahi mua ia hōʻike ka poe i kekahi hapa o ka ai-kapaia kamepiula pūʻulu. O nā wāhine:

• inoino polycystic ovary (maʻi hoʻonāukiukiʻana mai o ka hormonal imbalance);
• Cancer e loaa ana mai ka umauma lesions;
• aole i haawiia mai ka hanau;
• koena ma hope menopause (menopause ma hope o 50 makahiki wale aku).

A nui kūlana ma keia pili ana e pili ana i ka hereditary predisposition. No ka ola, me ka maikai noonoo ua? Aeiiaiaoaony e hahai wahine ma hope o 40 makahiki, i kokoke poe hoahanau, ka poe i ua diagnosed neoplastic maʻi, me uterine sarcoma.

Symptoms a me na hoailona o ka maʻi

Ua Ua pinepine kapaʻia ka mumule sarcoma pathology no kona maopopo symptoms ma ka loiloi mua ke kahua ka mea, aohe ulu ana. Women mea i wikiwiki e kōkua mai i ka kauka imi, no ka mea hōʻemi aie i ka stress a emi loa mai. ʻO ma hope kahua o ka hoʻonaʻauao sarcoma ke ole hoike i ke ano symptoms, mau e mahuahua ma ka nui a me masquerade like leiomyoma.

E like me ka maʻi progresses, a me ke kaumaha ma muli o ka IIeEeAIEUAA o ka pathological kaʻina ia hoʻohuikau o ka menstrual pōʻaiapuni. Women ohumu o kaʻeha ma ka lalo abdomen, kaumaha hookuuia mai ka putrid ala. Nō hoʻi, no ka ikaika loa ka makemake ke kino, o ka ili i ma luna o ke yellowish tint. Ke koko ho'āʻo ma ke akaka ai loli.

Late hoikeana sarcoma alakai i ka anaemia, nawaliwali, a me ka ascites a eia i. Ma muli o ka metastasis i na maʻiʻaʻai ulu pleurisy a me ka akepaʻa - jaundice. Ke anal o malignant aeee i loko o ka spinal kolamu ua pu ia e eha i loko o kona pauku likeʻole.

Pinepine i ka wa a ka gynecological ka ninaninau me ka manao e pale kauka diagnosed "uterine sarcoma." Na hoailona e hoike ana i ka hoʻomaka o ka pathological kaʻina, i e koa wiwoʻole. Oia ka coincidence ua noʻonoʻoʻana, no ka mea 'eleu lapaʻau i nā manawa kūpono no ka hiki ole o ka maikaʻi hoʻokūkū. Gynecologists i mau hoʻomanaʻo no ka nui o ka papa'āweʻaweʻa kemika ninaninau ana i na wahine ma hope o 40 makahiki, o ka oi aku ma mua o ka hoouka kaua ana o menopause.

Milestones sarcoma

I ka maʻi ua wehewehe aku ma na mea ulu.

• Ma ka loiloi mua kahua o ka sarcoma mea he uuku-nuiʻeho. Ua hiki e kaupalena 'ole mucosal Muscle, ahu iho.
• Ma ka lua o ke kahua o kaʻeho ulu ma ka nui, akā, mawaho o ke kino o ka uterus e hiki mai. No hoi, aia no he hapa infiltration o ke kino.
• Ma ke kolu o ke kahua o kaʻeho ulu i loko o ka uterine kino, akā, kālele loko o ka pelvic wahi. I kekahi manawa, he mea metastasis i na ovaries, nā 'āina' lymph aka wahi. Ma keia kahua o ka maʻi uterine sarcoma hoʻomaka e hoike ano symptoms ina mea i nalowale mai a hiki i keia wahi.
• Ka ha o ke kahua - he au o ka disintegration o kaʻeho, a metastasis ho okumu. Secondary lesions pili i kekahi'ōnaehana o na nā loko, me ka hoohuoi ana i ka ia maʻiʻaʻai a me ka iwi ka lolo.

ki ina hana like o kaʻike,

'Ike o ke sarcoma i loko o ke kakahiaka nui kahua o ka hoʻonaʻauao mea pinepine paʻakikī no ka nele o ke ahuwale symptoms. Ma ka loiloi mua kuka ma ke gynecologist huli mōʻaukala a me nā ikepili ma luna o ka mea hiki wale mai o oncological pathologies i loko o ka ohana koke. Gynecological ninaninau hōʻike loli ma ka cervix coloration, e huai ae i na hoailona o ka hikoko. A laila, he helu ua häʻawi mai a me ka lako e keʻena hoʻokolohua ho'āʻo ma (koko helu, HI, MRI, ultrasound hysteroscopy a me na nā loko).

Palena pauʻike, o ka uterine sarcoma eliminates maʻi me ka like lapaʻau kiʻi. Mau nā ovarian hikoko, benign wahine nā loko, endometrial polyps. E hooiaio ai no ka definitiveʻike, mea hiki ole me he biopsy. Iloko o keia ina hana, ma lūmauaʻeho'aʻaʻa aʻo.

Metastases ma Kaposi

Neoplasm metastases hiki dissipate a me ke koko, a ua ulu i loko o nā loko e pili. Pehea o ke kaʻina hana o ka kūkākūkā o malignant aeee? Sarcoma Ka Wailele O kona (particles) i loko o ke koko, i kahi e komo i ka ÷ naehana hanu a me ka skeletal nenoai, ka mea mawaho genitalia. Ma keia hihia loa pinepine lakou aloha ia i ke pio haʻalele akemāmā. Malignant keena pinepine komo iloko o ka epididymis. Kēia complication ana ia lŘlŘ i loko o kaʻike, 'endometrial uterine sarcoma. " Metastases hoʻomaka koke neʻe i ma ke kino, i hiki ke alakai i ka make koke.

lapaʻau koho

I ka 'inikua mea hoʻohana kekahi mau ano o ka hana maikaʻiʻole o ka uterine sarcoma. Ma ka hapanui o nā mea maʻi me ka hoʻohui pūʻia kaumaha i koho i ka loaʻa oʻoki kino a me ka chemoradiotherapy. Ke hana ua hana wale i loko o nā kuʻina ka loiloi mua o ka maʻi kaʻina. Ua apono 'e hooholo i ke kahua o ka maʻi, a alakai i ka wehe neoplasm. Ka buke o ka 'uao hilinaʻi nui ma luna o kaʻeho wahi a me kona nui. I ka maikaʻi hihia, e lawe aku oe i ka uterus me appendages, a ma poʻe hewa nui - a pau e pili kino. A hiki loa hihia hoʻokahi wale nōʻoki lāʻau lapaʻau 'uao e aole e lawa pono. Like i ka ninau o ka pāhawewe Inc, i keia mea, o kekahi o ka loa ka hoʻokō koho e kū uterine sarcoma maʻi. Ei ma keia hihia ka mea i loaa ole ia ia. Ua Ua kuhikuhi e pepehi i ka maʻi 'aʻai keena puehu wale aku no.

chemotherapy

chemotherapy no ka uterine sarcomas Komo i ka hoʻohana 'ana o anthracyclines ( "Idarubicin," "Doskorubitsin", "Epirubicin"). Kēia no laila,-kapa antitumor antibiotics. Ano, i ka poe akamai i ka 'Imi këia i ka hopena o ka "ifosfamide" o ka lāʻau, kona hoʻohana like me ka monotherapy, a ma ka hui pu ana, a me nā lāʻau. Chemotherapy maikaʻiʻano ua malama i ka 30% o nā mea maʻi.

Ka hoʻohana o ka hui hana mea nui ka hoʻokō aku, akā, e loaʻa i ka helu o kaʻaoʻao loa. Nokeʻano ua ike mai o ka hoʻohui pū Inc, "docetaxel" a me ka "gemcitabine". Ua Ua ana hoʻohana hou 'ia i loko o relapsed.

He aha'ē aʻe ai 'i ia i loko o kaʻike, o "uterine sarcoma?" Hōmona lapaʻau ua hoaponoia wale i ka wa a me ka haahaa o ka malignancy neoplasm.

Outlook

He aha ka ka prognosis o uterine sarcoma i? Photos o nā mea maʻi i ola i insidious maʻi i ka hoihoi o ka manaolana. Eia naʻe, i loko o ka hapanui o na hihia, i ka hope o ka adverse pathology, kiʻekiʻe pahiki o relapse. He aha ke ano o keia ka 'ikepili helu?

Me ka 'eleuʻike, o kaʻeho, a me ka pahiki hana o ka recurrence o 65%. I Ina o sarcomas i loko o nā kuʻina ma hope o ka hiki ole o ka hou-? Acaeoey o pathologic kaʻina o 90%. E like me ka rula, o ka hoʻomanawanui ola manawa ma hope oʻoki kino o 2 makahiki. 'Ikepili helu keʻae i ke ola elima-makahiki ma hope o lapaʻau o sarcoma ua malama wale i loko o 40% o ka hihia.

Ke kaumaha ma muli o ka kahua o ka maʻi, i kēia kumu i e like penei:

• ka mua ke kahua - 47%;
• ka lua o ke kahua - 44%;
• ke kolu o ke kahua - 40%;
• ha o kaʻanuʻu - 10%.

Naʻe, i kēia mea wale nōʻikepili mai ka ao ma aʻepekema i kākau hihia o ka maikaʻi hope ma hope o lapaʻau o uterine sarcoma maʻi. Pehea nui nā mea maʻi e noho me ia i kaʻike, mea e olelo paakiki. I mai la keia ninau ia mea e pono ke ike i ke kahua o ka maʻi, lapaʻau ua haliia mai la mawaho, relapse hihia. Wehewehe aku ma ka maikaʻi ma wale ua mau sarcomas, fibromatous ka hanaʻia o nā aka wahi. A ma keia hihia, pono 'eleuʻike, a me ka lapaau.

kāohi ana

Pehea e pale aku i ka ulu ana o keia noho pilikia maʻi? Mua o nā mea a pau, poe akamai i waiho aku i ka makahiki pelvic hōʻike. Ua mea no hoi e pono e hahai i ke kauka i ka kuhikuhi no ka iapaau ana o ka "wahine" maʻi, o ka oi aku ka poe i pili i ka hormonal kāna hana. A kūikawā kūlana ma ka Kāohiʻana o ka hāpai keiki ua haawiia mai ana keiki. Kauka mai e waiho aku i ka hookaulua hoʻolālā kao. Inā no kekahi kumu 'aʻole' oe makemake e ho'āʻo i ka kūlana o ka makuwahine, oe e hoʻohana contraception, a i ole abortions. Not e hōʻike i ka pono no kou kino. Keʻai E komoʻano nui o ka hou hua a me kaʻai iā. A helu o ka holoholona momona mea maikaʻi, e kali. E hāʻawi mai hoʻi i ka hewaʻano, pana aku au i nā manawa ke ao o waho, a paani haʻuki.

ka hopena

I ka noonoo ana o nā kānakaʻepekema, a kauka nō,ʻo ia ke nānā maʻi, e like me uterine sarcoma. Life prognosis mea hiki ole ke kilokilo ka wā i kēia maʻi. ʻOiai sarcoma mea pohihihi keia maʻi, ia mea he papa inoa o nāʻano pākīkē malignancies. E like me ka 'āwīwī a me ke akamai lapaau manaolana no ka mea maikaʻiʻano mea i pono. Pathology ke hana i loko o nā wāhine o nā mea a pau loa. I ka wā o ka atypical symptoms a me ka maʻi puʻuwai e nīnau aku i ke kauka. O maikaʻi checkups makahiki. E hoʻokaʻaʻike ola!