Kev mob kheesxaws ntawm zes qe menyuam

Kheesxaws ntawm zes qe menyuam yog mob qog nqaij hlav pib rau zes qe menyuam. Zes qe menyuam yog poj niam cov me nyuam ua me nyuam plab hnyuv uas ua qe.

Kheesxaws ntawm zes qe menyuam yog tsib feem ntau ntawm cov pojniam. Nws ua rau muaj neeg tuag ntau dua li lwm hom pojniam deev kabmob.

Cov ua kom mob zes qe menyuam tsis paub meej.

Kev phom sij ntawm kev mob kheesxaws ntawm zes qe menyuam muaj qee yam ntawm cov hauv qab no:

• Cov menyuam yaus tsawg dua tus poj niam muaj thiab tom qab lub sijhawm nws yug menyuam, nws muaj feem ntau yuav mob kheesxaws ntawm zes qe menyuam.
• Cov poj niam uas muaj mob cancer mis lossis tsev neeg muaj keeb kwm mob cancer ntawm lub mis los yog zes qe menyuam muaj feem ntau yuav muaj mob kheesxaws ntawm zes qe menyuam (vim muaj teeb meem hauv cov noob xws li BRCA1 lossis BRCA2).
• Cov poj niam uas siv cov tshuaj estrogen hloov kho (tsuas yog tsis muaj progesterone) rau 5 xyoo lossis tshaj saud yuav muaj feem ntau mob qog nqaij hlav cancer zes qe menyuam. Kev tswj tsis pub muaj menyuam, txo qis kev phom sij ntawm zes qe menyuam.
• Fertility tshuaj tej zaum tsis muaj kev pheej hmoo rau mob qog qe menyuam.
• Cov poj niam laus muaj feem ntau muaj qhov mob qog nqaij hlav cancer mis ntau dua. Feem ntau txoj kev tuag los ntawm mob qog qe menyuam yog tshwm sim rau cov pojniam hnub nyoog 55 thiab laus dua.

Mob kheesxaws ntawm zes qe menyuam feem ntau tsis meej pem. Cov poj niam thiab cov kws kho mob feem ntau liam cov tsos mob ntawm lwm qhov, ntau dua cov mob. Los ntawm kev kuaj mob qog noj ntshav, tus qog feem ntau tau dhau mus dhau lub zes qe menyuam.

Ntsib koj tus kws kho mob yog tias koj muaj cov tsos mob li hauv qab no ntev dua ob peb lub lis piam:

• Los ntshav los yog o ntawm thaj chaw mob plab
• Nyuaj noj mov los yog zoo li tag nrho sai sai (thaum muaj satiety)
• Pelvic lossis qis dua mob plab (thaj chaw yuav hnov ​​hnyav "hnyav")
• Mob nraub qaum
• O o cov qog ntshav hauv puab tais

Lwm cov tsos mob uas tuaj yeem tshwm sim:

• Ntau dhau ntawm cov plaub hau kev loj hlob uas ntxhib thiab maub
• Dheev tso zis
• Xav tso zis ntau dua li ib txwm muaj (nce tso zis ntau zaus lossis tso zis ceev)
• Cem quav

Kev kuaj mob lub cev yuav nquag zoo li qub. Nrog rau kev mob kheesxaws zes qe menyuam nce siab, tus kws kho mob yuav pom o lub plab o vim ntau ntawm cov kua (ascites).

Qhov mob plab hu ua yuav qhia tau lub zes qe menyuam lossis lub plab.

Kev kuaj ntshav CA-125 tsis suav tias yog kev ntsuas ntsuas zoo rau mob cancer ntawm zes qe menyuam. Tab sis, nws yuav ua yog tias tus poj niam muaj:

• Cov tsos mob ntawm zes qe menyuam mob
• Tau kuaj pom tias muaj kabmob kheesxaws ntawm zes qe menyuam los txiav txim siab seb kev kho mob puas ua haujlwm

Lwm yam kev xeem uas yuav muaj xws li:

• Ua kom tiav cov ntshav suav thiab ntshav chemistry
• Cev xeeb tub ntsuas (ntshiab HCG)
• CT lossis MRI ntawm lub plab mog lossis plab mog
• Ultrasound ntawm lub plab mog

Cov kev phais mob, xws li laparoscopy lossis tshawb laparotomy, feem ntau ua rau nrhiav qhov ua rau muaj tsos mob. Yuav siv ib lub cev coj mus kuaj los pab ua qhov kev kuaj mob.

Tsis tau muaj ib lub chaw kuaj sim ntshav kuaj lossis kuaj ntsuas pom tias tuaj yeem ua tiav zoo rau kev kuaj mob lossis tshuaj ntsuam xyuas kab mob ntawm zes qe menyuam thaum ntxov, yog li tsis muaj ib qho kev kuaj ntsuas tus qauv raug pom zoo nyob rau lub sijhawm no.

Kev phais mob yog siv kho txhua theem ntawm qog nqaij hlav cancer. Rau cov sijhawm thaum ntxov, kev phais mob yuav yog txoj kev kho mob nkaus xwb. Kev phais mob yuav muaj kev tshem ob txoj leeg leeg thiab txoj hlab qe menyuam, lub tsev menyuam, lossis lwm yam hauv lub plab lossis pelvis.Qhov hom phiaj ntawm kev phais mob rau zes qe menyuam yog:

• Piv txwv cov chaw uas pom tias muaj mob cancer kis (theem)
• Tshem tawm txhua thaj chaw ntawm cov qog kis (debulking)

Kev siv tshuaj kho siv tom qab kev kho mob los kho ib yam mob qog uas tseem tshuav. Kev siv tshuaj kho mob kuj tseem siv tau yog tias mob qog rov qab mob (rov huam dua). Kev zuaj raws kev kho mob kheev muab rau txoj leeg ua (hla ntawm IV). Nws tseem tuaj yeem raug txhaj tshuaj ncaj qha rau hauv lub plab plab (intraperitoneal, lossis IP).

Kev siv hluav taws xob ntau tsawg los kho kev mob kheesxaws ntawm zes qe menyuam.

Tom qab phais thiab tshuaj kho mob, ua raws li cov lus qhia txog ntau npaum li cas koj yuav tsum ntsib koj tus kws kho mob thiab kuaj koj yuav tsum muaj.

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.

Kheesxaws ntawm zes qe menyuam tsis tshua paub muaj tshwm sim thaum ntxov. Nws feem ntau yog ua tau zoo heev los ntawm kev kuaj mob lub sijhawm:

• Yuav luag ib nrab ntawm cov poj niam nyob ntev dua 5 xyoos tom qab kuaj pom
• Yog tias kuaj pom ntxov thiab kho tau tus kab mob ua ntej yuav mob qog tawm sab nraud sab zes qe menyuam, 5 xyoo kev muaj sia nyob muaj siab.

Hu rau koj tus kws saib xyuas kev noj qab haus huv yog tias koj yog poj niam 40 xyoo lossis laus dua uas tsis ntev tas los kuaj mob pelvic. Kev kuaj mob pelvic sij hawm yog pom zoo rau txhua tus poj niam 20 xyoo lossis tshaj saud.

Hu mus teem sijhawm nrog koj tus kws khomob yog tias koj muaj cov tsos mob ua mob qog qe menyuam.

Nws tsis muaj ib qho qauv lus pom zoo los tshuaj xyuas cov poj niam yam tsis muaj tsos mob (asymptomatic) rau mob qog mis. Pelvic ultrasound lossis kuaj ntshav, xws li CA-125 tsis tau pom tias muaj txiaj ntsig thiab tsis pom zoo.

Kev kuaj keeb kwm ntawm tus kabmob BRCA1 lossis BRCA2, lossis lwm yam kabmob ntsig txog kabmob kheesxaws, tuaj yeem pom zoo rau cov pojniam uas muaj feem yuav mob kheesxaws ntawm zes qe menyuam. Cov no yog cov poj niam uas muaj keeb kwm tus kheej lossis tsev neeg muaj mob cancer mis lossis zes qe menyuam.

Tshem cov zes qe menyuam thiab txoj hlab qe menyuam thiab tej zaum yuav muaj lub tsev menyuam nyob rau hauv cov poj niam uas muaj qhov hloov ua pov thawj hauv BRCA1 lossis BRCA2 gene yuav txo qhov kev pheej hmoo ntawm kev mob kheesxaws ntawm zes qe menyuam. Tab sis, kheesxaws ntawm zes qe menyuam kuj tseem tuaj yeem muaj nyob rau lwm thaj chaw ntawm lub plab mog.

Mob Cancer - zes qe menyuam

• Mob plab tawg - ua paug tawm
• Kev siv tshuaj kho mob - dab tsi yuav nug koj tus kws kho mob
• Pelvic radiation - paug

• Poj niam deev aub
• Ascites muaj mob ntawm zes qe menyuam - CT scan
• Tus mob Peritoneal thiab ovarian mob cancer, CT scan
• Kev phom sij ntawm zes qe menyuam
• Txhawj xeeb txog ntawm kev txhawj xeeb ntawm zes qe menyuam
• Uterus
• Kev mob kheesxaws ntawm zes qe menyuam
• Zaus qe menyuam mob metastasis

Coleman RL, Liu J, Matsuo K, Thaker PH, Westin SN, Sood AK. Carcinoma ntawm zes qe menyuam thiab txoj hlab qe menyuam. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: tshooj 86.

Coleman RL, Ramirez PT, Gershenson DM. Cov kab mob neoplastic ntawm zes qe menyuam: kev tshuaj xyuas, benign thiab malignant epithelial thiab kab mob cell neoplasms, sib deev-qaum stromal hlav. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: cha 33.

Lub koom haum Cancer National website. Kev hloov pauv BRCA: kev pheej hmoo mob qog noj ntshav thiab kuaj noob caj noob ces. www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet. Hloov kho Kaum Ib Hlis 19, 2020. Nkag mus Lub Ib Hlis 31, 2021.