VIPoma

VIPoma yog ib yam mob uas tsis tshua muaj mob cancer uas feem ntau loj hlob tuaj ntawm cov hlwb hauv cov neeg hu ua islet cells.

VIPoma ua rau cov hlwb nyob rau hauv lub txiav ua kom theem siab ntawm cov tshuaj hormones hu ua vasoactive plab hnyuv peptide (VIP). Qhov tshuaj hormones no ua kom cov hnyuv tawm hauv cov hnyuv. Nws kuj tseem tau so qee qee cov leeg nqaij ntshiab hauv lub plab zom mov.

Qhov tseeb yog vim li cas ntawm VIPomas tsis paub.

Kab mob VIPomas feem ntau kuaj mob rau cov neeg laus, feem ntau kwv yees li hnub nyoog 50. Cov poj niam muaj kev cuam tshuam ntau dua li txiv neej. Tus kabmob no muaj tsawg kawg. Txhua xyoo, tsuas yog kwv yees li ntawm 1 ntawm 10 lab tus tib neeg muaj tus mob VIPoma.

Cov tsos mob ntawm VIPoma tuaj yeem suav nrog ib qho hauv qab no:

• Mob plab thiab cramping
• Mob plab zawv (watery, thiab feem ntau hauv ntau)
• Lub cev qhuav dej
• Ua ntsej muag yws lossis liab
• Nqaij mob vim cov ntshav poov tshuaj ntshav qis (hypokalemia)
• Xeev siab
• Lub cev yuag

Tus kws kho mob yuav kuaj ib ce thiab nug txog koj li keeb kwm kev mob thiab cov tsos mob.

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Kev kuaj ntshav cov ntshav (cov teeb txheeb theem pib lossis ua tiav ntawm vaj huam sib luag)
• CT scan ntawm lub plab mog
• MRI ntawm lub plab mog
• Kev soj ntsuam quav rau tus neeg mob raws plab thiab electrolyte qib
• Qib VIP hauv cov ntshav

Thawj lub hom phiaj ntawm kev kho yog kho kom lub cev qhuav dej. Feem ntau muab kua los txhab rau ntawm leeg ntshav (tso dej raws leeg) txhawm rau hloov kua dej uas raws plab.

Lub hom phiaj tom ntej yog kom qeeb zawv plab. Cov tshuaj tuaj yeem pab tswj tau kho mob raws plab. Ib cov tshuaj zoo li no yog octreotide. Nws yog manmade daim ntawv ntawm lub ntuj tsim uas thaiv qhov kev txiav txim ntawm VIP.

Txoj hauv kev zoo tshaj plaws ntawm kev kho mob yog kev phais tawm kom tshem tawm cov qog. Yog hais tias cov qog tsis kis mus rau lwm cov kabmob, kev phais mob feem ntau tuaj yeem kho tus mob.

Koj tuaj yeem daws kev ntxhov siab ntawm kev muaj mob los ntawm kev koom nrog pawg pab txhawb mob qog noj ntshav. Faib qhia rau lwm tus uas muaj kev paub thiab teeb meem ntau yam tuaj yeem pab koj tsis txhob xav tias yog ib leeg.

Kev phais feem ntau tuaj yeem kho VIPomas. Tab sis, hauv ib feem peb mus rau ib nrab ntawm tib neeg, lub qog tau kis los ntawm lub sijhawm ntawm kev kuaj mob thiab tsis tuaj yeem kho tus mob.

Teeb meem yuav suav nrog:

• Kab mob sib kis mob (metastasis)
• Plawv raug ntes los ntawm cov ntshav poov tshuaj kom qis
• Lub cev qhuav dej

Yog tias koj muaj mob raws plab dej ntev dua 2 rau 3 hnub, hu rau koj tus kws kho mob.

Vasoactive plab hnyuv peptide-ua cov qog; VIPoma syndrome; Pancreatic endocrine mob qog

• Qos Yis

Lub koom haum Cancer National website. Kev txiav txim siab hlav hlav neuroendocrine hlav (islet cell hlav) kev kho mob (PDQ) - cov kws muaj txuj ci kho mob. www.cancer.gov/types/pancreatic/hp/pnet-treatment-pdq. Hloov kho Lub Ob Hlis 8, 2018. Nkag mus Lub Kaum Ib Hlis 12, 2018.

Schneider DF, Mazeh H, Lubner SJ, Jaume JC, Chen H. Cancer ntawm endocrine system. Hauv: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff's Clinical OncologyCov. Thib 5 ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2014: chap 71.

Vella A. Lub plab thiab lub plab cov qog endocrine hlav. Hauv: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. Williams Phau Ntawv ntawm EndocrinologyCov. 13th ed. Philadelphia, PA: Elsevier; 2016: chap 38.