Leydig cell qog nqaij hlav qog

Lub qog cell Leydig yog cov qog ntawm cov noob qes. Nws tsim los ntawm Leydig hlwb. Cov no yog cov cell hauv cov noob qes uas tso cov txiv neej hormone, testosterone.

Qhov ua kom muaj cov qog ntshav no tsis paub. Kuj tsis paub muaj feem ua kom muaj tus kabmob no. Tsis zoo li cov kab mob ntawm cov qog ntawm cov noob qes, cov nqaij hlav no zoo li tsis txuas nrog cov noob qes uas tsis tau txais.

Cov qog cell Leydig ua cov qog ntawm cov qog noob qes. Feem ntau lawv pom muaj hauv cov txiv neej hnub nyoog 30 thiab 60 xyoo. Cov qog no tsis pom muaj nyob hauv menyuam yaus ua ntej pib ua tiav nkauj tiav nraug, tab sis nws yuav ua rau muaj neeg ntxov ntxov.

Tej zaum yuav tsis muaj tsos mob dab tsi.

Thaum cov tsos mob tshwm sim, lawv tuaj yeem suav nrog:

• Kev tsis xis nyob lossis mob hauv lub noob qes
• Kev tsim txom ntawm lub noob qes lossis hloov pauv qhov nws xav
• Kev loj hlob dhau ntawm lub mis o cov nqaij mos (gynecomastia) - txawm li cas los xij, qhov no tuaj yeem tshwm sim ib txwm muaj rau cov tub hluas uas tsis muaj mob qog nqaij hlav ntshav
• Lub siab mob qog ntawm qhov nqaj
• Cov qog lossis o hauv cov noob qes
• Mob hauv qab plab lossis nraub qaum
• Tsis muaj peev xwm leej txiv cov me nyuam (ntxiv lawm tshob)

Cov tsos mob los ntawm lwm qhov hauv lub cev, xws li mob ntsws, plab, plab, plab, lossis hauv lub hlwb kuj tseem tuaj yeem tshwm sim yog tias mob cancer kis mus.

Kev kuaj ib ce lub cev yuav qhia tawm cov pob hauv ib lub noob qes. Thaum tus kws kho mob tuav ib lub teeb xais mus rau tom qhov chaw vog, lub teeb tsis dhau daim quag. Txoj kev kuaj no hu ua transillumination.

Lwm yam kev ntsuam xyuas suav nrog:

• Kev kuaj ntshav rau cov cim qog: alpha fetoprotein (AFP), tib neeg chorionic gonadotropin (beta HCG), thiab lactate dehydrogenase (LDH)
• Kev kuaj duab ntawm lub hauv siab, lub plab thiab lub plab mog kom kuaj seb tus kabmob puas tau kis mus rau
• Ultrasound ntawm daim pluaj

Kev tshuaj xyuas cov ntaub so ntswg feem ntau yog ua tom qab tag nrho cov noob qes yuav phais tawm (orchiectomy).

Kev kho mob ntawm Leydig cell qog nyob ntawm nws theem.

• Theem Kuv mob cancer tsis tau dhau mus ua lub noob qes.
• Mob Theem II mob kis mus rau cov qog ntshav hauv plab.
• Qeb III mob cancer tau dhau mus ua qog ntshav (tej zaum ua rau lub siab, lub ntsws, lossis lub hlwb).

Kev phais mob kom tshem tawm cov noob qes (orchiectomy). Cov qog ntshav nyob ze kuj tseem yuav raug tshem tawm (lymphadenectomy).

Kev siv tshuaj kho mob yuav siv los kho cov mob qog ntshav no. Raws li Leydig cov qog ua haujlwm los ntawm cov tshuaj tsis tshua muaj, cov kev kho no tsis tau kawm ntau npaum li kev kho mob rau lwm yam, ntau dua cov noob qog nqaij hlav muaj ntshav.

Koom tes nrog pab txhawb uas cov tswvcuab sib koom ua ke dhau los thiab qhov teeb meem feem ntau tuaj yeem pab txo kev ntxhov siab ntawm kev mob.

Kev mob qog nqaij hlav yog ib hom kev kho mob thiab kho mob khees xaws ntau yam. Outlook yog qhov tsis zoo yog tias lub qog tsis pom thaum ntxov.

Tus kabmob yuav kis mus rau lwm qhov ntawm lub cev. Feem ntau cov chaw muaj xws li:

• Plab
• Lub ntsws
• Retroperitoneal thaj chaw (thaj chaw ze rau lub raum nyob tom qab lwm yam kabmob hauv lub plab)
• Ntxub

Lwm yam mob ntawm kev phais mob tuaj yeem suav nrog:

• Los ntshav thiab kis tus kab mob
• Ntxiv lawm tshob (yog tias ob lub noob qes raug tshem tawm)

Yog tias koj nyob lub hnub nyoog yug menyuam, nug koj tus kws khomob txog cov hauv kev kom txuag koj cov phev los siv tom ntej.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob qog nqaij hlav cancer.

Ua qhov kev ntsuas tus kheej (TSET) kuaj mob txhua lub hlis yuav pab tshawb pom qog nqaij hlav ntshav thaum ntxov, ua ntej nws kis. Pom pom cov kab mob qog nqaij hlav ntxov yog ib qho tseem ceeb rau kev kho kom vam meej thiab muaj sia nyob ntev.

Mob Qog - Leydig cell; Cov nqaij hlav mob - Leydig

• Txiv neej deev aatomy

Friedlander TW, Me E. Testicular cancer. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 83.

Lub koom haum Cancer National website. Kev kho mob qog nqaij hlav cancer (PDQ) - cov kws muaj txuj ci kho mob. www.cancer.gov/types/testicular/hp/testicular-nyuj-pdq. Hloov kho Tsib Hlis 21, 2020. Nkag mus Lub Xya Hli 21, 2020.

Stephenson AJ, Gilligan TD. Neoplasms ntawm cov noob qes. Hauv: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein UrologyCov. 12th ed. Philadelphia, PA: Elsevier; 2021: chap 76.