Vulvar mob cancer

Vulvar mob cancer yog mob qog hais tias pib ntawm rab qau. Vulvar mob qog feem ntau cuam tshuam rau labia, quav ntawm daim tawv nqaij sab nraud ntawm qhov chaw mos. Muaj qee kis, mob qog nqaij hlav qog rau ntawm qhov chaw txhaws lossis qog rau ntawm ob sab ntawm lub paum qhib.

Feem ntau cov qog ntshav qog nqaij hlav hlav pib hauv cov tawv nqaij hu ua squamous cells. Lwm hom mob qog noj ntshav uas pom ntawm rab qau yog:

• Adenocarcinoma
• Basal cell carcinoma
• Melanoma
• Sarcoma

Vulvar mob qog yog qhov tsawg. Yam txaus ntshai muaj xws li:

• Tus kab mob Human papilloma (HPV, lossis mob pob) ua rau mob rau cov poj niam hnub nyoog qis dua 50 xyoo
• Hloov kho cov tawv nqaij ntev, xws li lichen sclerosis lossis squamous hyperplasia rau cov poj niam hnub nyoog tshaj 50 xyoos
• Keeb kwm mob khees-xaws ncauj tsev menyuam lossis mob kheesxaws ntawm chaw mos
• Haus Yeeb

Cov poj niam uas muaj mob hu ua vulvar intraepithelial neoplasia (VIN) muaj qhov pheej hmoo pheej hmoo mob qog nqaij hlav cancer uas nthuav. Feem ntau ntawm VIN, tab sis, yeej tsis ua rau mob qog nqaij hlav.

Lwm qhov kev pheej hmoo txaus ntshai muaj xws li:

• Keeb kwm kev tsis txaus ntseeg Pap smears
• Muaj kev sib deev ntau
• Muaj kev sib deev thawj zaug thaum 16 lossis hluas dua

Cov poj niam muaj tus mob no feem ntau yuav khaus ncig qhov chaw mos rau lub xyoo. Tej zaum lawv yuav tau siv cov tshuaj pleev tawv txawv txawv. Lawv kuj tseem yuav los ntshav lossis tso tawm sab nraum lawv lub sijhawm.

Lwm yam kev hloov tawv nqaij uas yuav tshwm sim ib ncig ntawm lub qau:

• Mole lossis quav hnav, uas yuav yog xim paj yeeb, liab, dawb, lossis txho
• Daim tawv nqaij tuab lossis tawv tawv
• Daim tawv mob (mob rwj)

Lwm cov tsos mob:

• Mob lossis kub nrog tso zis
• Mob nrog sib deev
• Tsw ntxhe txawv

Qee tus poj niam uas mob qog nqaij hlav cancer tsis muaj tsos mob.

Cov ntsuam xyuas hauv qab no yog siv los kuaj mob qog nqaij hlav vulvar:

• Raug me
• CT scan lossis MRI ntawm lub plab mog mus nrhiav kev kis mob cancer
• Txoj kev ntsuam xyuas pob txha los saib rau qhov txawv txav ntawm daim tawv nqaij
• Positron emission tomography (PET) scan
• Colposcopy

Txoj kev kho yuav tsum muaj kev phais tshem tawm cov qog nqaij hlav. Yog tias cov qog ntshav loj dua (ntau dua 2 cm) lossis loj hlob mus rau daim tawv nqaij, cov qog ntshav hauv thaj chaw ua haujlwm loj kuj tseem yuav raug tshem tawm.

Kev siv hluav taws xob, nrog lossis tsis muaj tshuaj tua kab mob, yuav siv los kho:

• Mob hlav nce siab uas tsis tuaj yeem kho nrog kev phais mob
• Vulvar mob cancer uas rov qab los

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.

Feem ntau ntawm cov poj niam mob qog nqaij hlav cancer uas raug kuaj thiab kho thaum ntxov yuav ua haujlwm zoo. Tab sis tus poj niam qhov txiaj ntsig tau yog nyob ntawm:

• Qhov loj ntawm lub qog
• Hom qog nqaij hlav cancer
• Seb puas yuav kis tau tus mob cancer

Tus kabmob kheesxaws feem ntau rov qab los ntawm lossis ze rau ntawm thaj chaw qog ua haujlwm qog.

Teeb meem yuav suav nrog:

• Kev kis mob cancer rau lwm thaj chaw hauv lub cev
• Kev phiv los ntawm hluav taws xob, phais, lossis chemotherapy

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob no ntev dua 2 asthiv:

• Lub zos voos
• Daim tawv xim hloov pauv
• Mob rau ntawm rab qau

Xyaum kev pw ua ke kom nyab xeeb dua tuaj yeem txo koj txoj kev pheej hmoo mob qog nqaij hlav cancer. Qhov no suav nrog kev siv hnab looj txhawm rau tiv thaiv kab mob sib kis los ntawm kev sib deev (STIs).

Muaj tshuaj tiv thaiv los tiv thaiv qee yam mob kis HPV. Cov tshuaj tiv thaiv no raug pom zoo los tiv thaiv mob qog nqaij hlav hauv chaw mos thiab mob pob ntawm chaw mos. Nws yuav pab tiv thaiv lwm cov qog nqaij hlav txuas nrog HPV, xws li mob qog ntshav vulvar. Cov tshuaj tiv thaiv tau muab rau cov tub ntxhais hluas ua ntej lawv muaj kev sib deev, thiab rau cov hluas thiab cov poj niam txog hnub nyoog 45 xyoos.

Cov kev ntsuam xyuas pelvic sij hawm tuaj yeem pab tshawb pom tias muaj mob qog nqaij hlav cancer thaum ntxov. Qhov kuaj pom ua ntej pab tau txoj hauv kev zoo dua uas txoj kev kho yuav ua tiav.

Mob Cancer - rab qau; Cancer - perineum; Cancer - vulvar; Cov pob ntawm chaw mos - qog nqaij hlav cancer; HPV - hlav ntawm qog nqaij hlav

• Poj niam perineal anatomy

Frumovitz M, Bodurka DC. Cov kab mob ntawm cov ntshav ntawm lub qog: lichen sclerosus, mob hlab ntsha hauv plab, mob ntshav, thiab nqaij hlav. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 30.

Jhingran A, Russell AH, Seiden MV, li al. Mob qog nqaij hlav ntawm ncauj tsev menyuam, ntawm qhov chaw mos thiab ntawm lub paum. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: tshooj 84.

Koh WJ, Greer BE, Abu-Rustum NR, li al. Vulvar cancer, Version 1.2017, NCCN Cov Kev Qhia Kho Mob Ntawm Kev Tshuaj Ntshav Oncology. J Natl Compr Canc NetwCov. 2017; 15 (1): 92-120. PMID: 28040721 pubmed.ncbi.nlm.nih.gov/28040721/.

Lub koom haum Cancer National website. Kev kho mob Vulvar (PDQ) - kev tshaj lij ntawm kev noj qab haus huv. www.cancer.gov/types/vulvar/hp/vulvar- mloog-pdq. Hloov kho Lub Ib Hlis 30, 2020. Nkag mus Lub Ib Hlis 31, 2020.