Ama-subtypes, Ukwelashwa, nokuHlelwa kwe-Sertoli-Leydig Cell Tumors
Yiziphi izicubu ze-sertoli-Leydig ze-ovary?
Incazelo kanye nesehlakalo
Ama-tumor cell se-Sertoli-Leydig (SLCTs), okuthiwa yi-Sertoli-stromal cell tumors ajwayelekile kakhulu futhi enza cishe ama-0.5% azo zonke izicubu ze-ovarian. Ngokuvamile, lezi zicubu zithinta abesifazane abangaphansi kweminyaka engu-30, nakuba bebikwe kuzo zonke izigaba. Lezi zicubu zingaba zinhle (ezingenayo umdlavuza) noma ezimbi (ezingekho umdlavuza.)
I-hormone yokukhiqiza izicubu
I-SLCT ingaveza ama-hormone, ngokuvamile amahomoni wesifazane. Kodwa-ke, cishe engxenyeni eyodwa kwezintathu zamacala, abesifazane bakhula izimpawu ze-androgen (amahomoni wesilisa ngaphezulu), inqubo eyaziwa ngokuthi i-masculinization. Uma lokhu kwenzeka, lesi sifo siyaziwa ngokuthi "i-androblastoma" noma "i-arrhenoblastoma." Lawa magama asebenza kuphela kumacala lapho izidumbu zithwele amahomoni wesilisa angaphezu kwamandla.
Izibonakaliso zemasculinization zifaka isikhathi sokungena esikhathini esingekho, ukungabi nokuthuthukiswa kwesifuba noma ukuxilongwa kwebele, izinyosi ezidlulayo, ukukhula kwezinwele ezidlulele ebusweni nasesifuba, izindawo ezibonakalayo zesilisa-iphethini, ukujula kwezwi, nokwandiswa kwe-clitoris. Yize kungavamile, ukugeleza okungavamile kwe-uterine kungase kwenzeke.
Ama-subtypes
Lezi zicubu zihlukaniswa ngezigaba ezine, ngokuya ngokuthi zibukeka kanjani ngaphansi kwe-microscope. Lezi zici ziyizinga lokuhlukumezeka kanye nesibonelo noma ukubukeka okungaziwa yi-pathologist:
1. Ukuhlukaniswa kahle (ibanga 1)
2.
Ukuhlukanisa phakathi kwesikhathi (ibanga lesi-2)
3. Ukuhlukanisa ngokwehlukana (ibanga lesi-3)
4. Iphethini ye-Retiform (ukubukeka okuphawuleka kakhulu ngaphansi kwe-microscope)
Ngenhlanhla, ngaphezu kwama-97% we-SLCTs ebangeni I. Ngamanye amazwi, atholakale kakhulu ekuqaleni kwamacala amaningi kakhulu.
Ukwelapha
Ukususwa kokuhlinzwa kwe-ovary ethintekile kuyindlela ejwayelekile kakhulu yokwelashwa - futhi ngokuvamile ukwelashwa okudingekayo.
Kungenxa yokuthi ngaphezu kwamaphesenti angu-75 kulawa mathambo atholakale kusenesikhathi (ibanga I) futhi ku-ovary eyodwa kuphela.
Uma umdlavuza utholakala esiteji esiphezulu kakhulu , i-chemotherapy kanye nomswakama ngemuva kokususwa kokuhlinzwa kwama-ovari kungase kuphakanyiswe. Futhi, ukuhlinzwa kuningi kakhulu, kubandakanya nokususwa kwesibeletho, zombili ama-ovari kanye nanoma yiziphi ezinye izicubu ezibonakalayo kumakhansela amancane noma ngaphakathi kwesikhumba esiswini.
Kodwa-ke, khumbula ukuthi ngenxa yokungabi nalutho kwaloluhlobo lomdlavuza ophakeme, azikho izinhlahlandlela ezisekelwa ucwaningo ngezinhlobo ezinhle kakhulu zokwelapha imisebe kanye ne-chemotherapy .
Isibikezelo
Ngokuvamile, ukubikezela (ukubuka isikhathi eside) kanye namathuba okuthola ukwelashwa kuxhomeke esiteji nasezingeni le -tumor. Ngencazelo, zonke izicubu ezazisakaze ngaphesheya kwe-ovary zibhekwa njengezilimaza (noma ezinomdlavuza).
Ukuphindaphindiwe
Ukuphindaphindiwe kuhlotshaniswa nezinto ezimbili : ukuphuka noma ukuvuza kwe-tumor ngaphambi noma ngesikhathi sokuhlinzwa, futhi uma lona wesifazane enephethini le-retiform elingavamile elibalulwe ngenhla. Ngokuvamile, uma i-SLCTs ibuyele emuva, i-recur maduze ngemva kokwelashwa - empeleni, cishe izingxenye ezimbili kwezintathu ze-recur zingakapheli unyaka wokuqala ngemuva kokwelashwa. Ngemuva kweminyaka emihlanu, izinga lokuphindaphinda liyehla ku-6%. Uma sekuyiminyaka emihlanu futhi ungenakho ukuphindaphindiwe, ungathatha lokho njengesibonakaliso esihle ukuthi uzohlala ukhululekile kulolu hlobo lomdlavuza.
Ukubhekana
Ukubhekana nesifo se-ovarian kunzima ngokwanele - kodwa uma usemusha uzizwa ungalungile nakakhulu. Yiba ummeli wakho siqu ekunakekeleni kwakho, bese ubuza imibuzo eminingi. . Buza mayelana nanoma yiziphi izilingo zokwelashwa zomdlavuza we-ovarian. Ama-tumor cell se-Sertoli-Leydig ajwayelekile kakhulu ukuze ungabi neqembu lokusekela emphakathini wakho, kepha imiphakathi yokusekela e-ovarian enhle kakhulu iyatholakala ku-intanethi kulezi zicubu ezingavamile. Cela usizo. Vumela abantu bakusekele. Khumbula ukuthi esinye sezipho ezinhle kakhulu ongabanika abanye ukwamukela nokuveza ukubonga ngalokho okunikezwayo.
Imithombo:
Gershenson, D. Izicubu zezintambo zobulili zesisu: i-Sertoli-stromal cell tumors. Kusesikhathini. Kubuyekezwe 09/04/15. http://www.uptodate.com/contents/sex-cord-stromal-tumors-of-the-ovary-sertoli-stromal-cell-tumors
I-National Institute of Health. I-MedlinePlus. I-Sertoli Lydig cell tumors. Kubuyekezwe 05/29/14. http://breastcancer.about.com/lw/Health-Medicine/Conditions-and-diseases/How-Beast-Cancer-May-Affect-Body-Image.htm