Kev mob kheesxaws hauv hlwb Anaplastic

Anaplastic lub qog carcinoma yog ib yam mob uas tsis tshua muaj mob thiab qog nqaij hlav cancer ntawm cov thyroid caj pas.

Anaplastic cov qog nqaij hlav cancer yog ntau hom kev mob qog uas hlav loj hlob sai. Nws tshwm sim feem ntau rau cov neeg muaj hnub nyoog 60 xyoo. Nws muaj ntau dua rau poj niam ntau dua rau cov txivneej. Cov tsis paub yog vim li cas.

Anaplastic mob cancer tsuas yog tsawg dua li 1% ntawm tag nrho cov qog nqaij hlav cancer hauv lub Tebchaws Asmeskas.

Cov tsos mob muaj xws li:

• Hnoos
• Kev hnoos ntshav
• Nyuaj nqos nyuaj
• Hoarseness lossis hloov lub suab
• Ua pa nrov
• Kev caj dab qis qis dua, uas feem ntau hlob sai
• Mob
• Suab kaw tuag tes tuag taw
• Lub zog qog ua ntshav (hyperthyroidism)

Kev kuaj mob lub cev yuav luag ib txwm pom tias muaj kev loj hlob hauv thaj chaw caj dab. Lwm qhov kev xeem muaj:

• MRI lossis CT scan ntawm lub caj dab yuav pom tias hlav loj tuaj ntawm cov thyroid caj pas.
• Lub qog ua ntshav (thyroid) ua qhov kev kuaj mob. Cov qog nqaij hlav tuaj yeem txheeb xyuas rau cov cim caj ces uas tuaj yeem hais qhia cov hom phiaj rau kev kho mob, zoo dua li ntawm kev sim tshuaj.
• Kev kuaj mob ntawm txoj hlab pa nrog txoj siv fiberoptic (laryngoscopy) yuav ua rau pom lub suab tuag tes tuag taw.
• Txoj kev kuaj ntshav qog qhia tau hais tias qhov kev loj hlob no "txias," txhais tau tias nws tsis nqus cov tshuaj radioactive.

Feem ntau cov thyroid ua hauj lwm cov ntshav kuaj tau zoo li qub.

Hom mob cancer no tsis tuaj yeem kho los ntawm kev phais mob. Kev ua tiav ntawm kev tshem tawm cov qog mus rau lub cev tsis ntev txoj sia ntawm cov neeg uas muaj hom mob cancer no.

Kev phais mob ua ke nrog kev ntsuas hluav taws xob thiab kev kho tshuaj siv tshuaj kho mob yuav muaj txiaj ntsig zoo.

Kev phais mob tso txoj yas rau hauv caj pas kom pab nrog ua pa (tracheostomy) lossis hauv plab pab kom noj mov (gastrostomy) xav tau thaum kho.

Rau qee cov tib neeg, kev tso npe tawm hauv kev sim kho cov kev kho qog noj ntshav qog ua ke tshiab raws kev hloov caj ces ntawm cov qog yuav yog ib qho kev xaiv.

Koj tuaj yeem daws kev ntxhov siab sai sai ntawm kev muaj mob los ntawm kev koom nrog pab pawg txhawb nqa cov tib neeg sib koom ua ke thiab teeb meem.

Qhov pom ntawm tus kab mob no tsis zoo. Cov neeg feem coob tsis muaj sia nyob ntev dua 6 lub hlis vim tias tus kabmob muaj kev txhoj puab heev thiab tsis muaj cov kev khomob uas yuav kho tau zoo.

Teeb meem yuav suav nrog:

• Sib kis mob hlav nyob hauv caj dab
• Metastasis (sib kis) ntawm tus kabmob mus rau lwm cov nqaij lossis kabmob

Hu koj tus kws kho mob yog tias koj pom:

• Ib qho txuas nruas lossis caj dab hauv lub caj dab
• Ua haujlwm ntau lossis pauv ntawm koj lub suab
• Hnoos lossis hnoos tau ntshav

Carcinoma Anaplastic ntawm lub qog

• Mob qog noj ntshav - CT scan
• Lub qog ua haujlwm

Iyer PC, Dadu R, Ferrarotto R, li al. Kev paub tiag tiag hauv lub ntiaj teb nrog cov hom phiaj kho rau kev kho tus mob qog nqaij hlav ntshav dawb. Lub qogCov. 2018; 28 (1): 79-87. PMID: 29161986 pubmed.ncbi.nlm.nih.gov/29161986/.

Jonklaas J, Cooper DS. Lub qog. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 213.

National Cancer Institute, Chaw rau Kev Tshawb Fawb Cancer lub vev xaib. Kev mob kheesxaws hauv hlwb Anaplastic. www.cancer.gov/pediatric-adult-rare-tumor/rare-tumors/rare-endocrine-tumor/anaplastic-thyroid-cancer. Hloov kho Lub Ob Hlis 27, 2019. Nkag mus siv Lub Ob Hlis 1, 2020.

Smallridge RC, Ain KB, Asa SL, li al. American Cov thyroid Association cov lus qhia rau kev tswj hwm cov neeg mob uas muaj qog nqaij hlav qog nqaij hlav ntshav tsis ntshav. Lub qogCov. 2012; 22 (11): 1104-1139. PMID: 23130564 pubmed.ncbi.nlm.nih.gov/23130564/.

Smith PW, Hanks LR, Salomone LJ, Hanks JB. Lub qog. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho MobCov. 20 tus ed. Philadelphia, PA: Elsevier Saunders; 2017: cha 36.