Melanoma ntawm lub qhov muag

Melanoma ntawm lub qhov muag yog mob qog noj ntshav uas tshwm sim hauv ntau qhov chaw ntawm lub qhov muag.

Melanoma yog hom qog nqaij hlav uas yuav kis tau sai heev. Feem ntau nws yog hom qog nqaij hlav.

Melanoma ntawm lub qhov muag tuaj yeem cuam tshuam rau ntau qhov ntawm lub qhov muag, suav nrog:

• Choroid
• Lub cev Ciliary
• Conjunctiva
• Tawv qhov muag
• Iris
• Ntsaws

Cov choroid txheej yog qhov chaw muaj feem ntau ntawm melanoma hauv lub qhov muag. Qhov no yog txheej ntawm cov hlab ntsha thiab cov nqaij sib txuas ntawm cov dawb ntawm lub qhov muag thiab retina (nraub qaum qhov muag).

Cov kabmob yuav tuaj yeem tsuas yog pom hauv qhov muag. Los sis, nws yuav kis tau (metastasize) rau lwm qhov chaw hauv lub cev, feem ntau yog daim siab. Melanoma tuaj yeem pib rau ntawm daim tawv nqaij lossis lwm yam hauv lub cev thiab kis mus rau lub qhov muag.

Melanoma yog qhov feem ntau ntawm cov qog lub qhov muag rau cov neeg laus. Txawm li ntawd los, melanoma uas pib hauv qhov muag yog qhov tsawg.

Ntau dhau hnub ci dhau hnub yog qhov tseem ceeb txaus ntshai rau tus mob melanoma. Cov neeg uas muaj kev ncaj ncees-tawv nqaij thiab qhov muag xiav muaj kev cuam tshuam ntau tshaj plaws.

Cov tsos mob ntawm melanoma ntawm lub qhov muag tuaj yeem suav nrog ib qho hauv qab no:

• Bulging ob lub qhov muag
• Hloov hauv iris xim
• Lub zeem muag tsis zoo hauv ib lub qhov muag
• Liab, qhov muag mob
• Cov teeb meem me me rau ntawm IRIS los yog conjunctiva

Muaj qee kis, yuav tsis muaj tsos mob dab tsi.

Kev kuaj qhov muag nrog lub ntsej muag o yuav pom tshwm ib puag ncig lossis lub qog (leeg pob) rau hauv lub qhov muag.

Kev ntsuam xyuas uas yuav raug txiav txim suav nrog:

• Lub paj hlwb CT lossis MRI kuaj txhawm rau saib rau kev sib kis (metastasis) rau lub hlwb
• Qhov muag ultrasound
• Nqaij tawv nqaij yog tias muaj thaj chaw cuam tshuam rau ntawm daim tawv nqaij

Cov tshuaj melanomas me tuaj yeem kho nrog:

• Kev phais mob
• Laser
• Kev siv hluav taws xob kho (xws li riam riam Gamma, CyberKnife, kho mob hlwb)

Kev phais mob kom tshem tawm lub qhov muag (lub ntsej muag) tej zaum yuav xav tau.

Lwm txoj kev kho uas yuav siv suav nrog:

• Kev siv tshuaj kho mob, yog hais tias mob cancer tau kis ntau dhau qhov muag
• Kev Siv Tshuaj Tiv Thaiv, uas siv cov tshuaj los pab koj lub cev tiv thaiv kab mob melanoma

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.

Qhov tshwm sim rau melanoma ntawm lub qhov muag yog nyob ntawm qhov loj ntawm qog nqaij hlav thaum nws txheeb xyuas. Cov neeg feem coob muaj sia nyob yam tsawg 5 xyoos txij li lub sijhawm tau kuaj pom yog tias tus kabmob tsis kis mus rau sab nraud qhov muag.

Yog hais tias mob cancer tau kis sab nraud qhov muag, txoj kev muaj sia nyob ntev yuav tsawg dua.

Cov teeb meem uas tuaj yeem tsim vim melanoma ntawm lub qhov muag suav nrog:

• Kev sib cais lossis ploj ntawm lub zeem muag
• Retinal kev ua haujlwm
• Tshaj tawm ntawm cov qog mus rau lwm qhov chaw ntawm lub cev

Hu mus teem sijhawm nrog koj tus kws saib xyuas kev noj qab haus huv yog tias koj muaj cov tsos mob ntawm daim tawv muag ntawm lub qhov muag.

Txoj hauv kev tseem ceeb los tiv thaiv qhov muag ntawm lub qhov muag yog tiv thaiv lub qhov muag los ntawm kev tshav ntuj, tshwj xeeb ntawm 10 a.m. txog 2 p.m., thaum lub hnub lub hnub ci ci tshaj. Looj tsom iav uas muaj kev tiv thaiv ultraviolet.

Peb xav kom kuaj qhov muag ib xyoos ib zaug.

Malignant melanoma - choroid; Malignant melanoma - qhov muag; Qhov muag hlav; Oan melanoma

• Retina

Augsburger JJ, Correa ZM, Berry JL. Malignant intraocular neoplasms. Hauv: Yanoff M, Duker JS, eds. OphthalmologyCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2019: chap 8.1.

Lub koom haum Cancer National website. Kev kho mob melanoma intraocular (uveal) (PDQ) - kev paub txog kev noj qab haus huv. www.cancer.gov/types/eye/hp/intraocular-melanoma-nyuj-pdq. Hloov kho Lub Peb Hlis 24, 2019. Nkag Mus Siv Lub Yim Hli 2, 2019.

Seddon JM, McCannel TA. Kev mob phaum mob rau sab nrauv uveal melanoma. Hauv: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. Ryan's RetinaCov. 6 tus ed. Philadelphia, PA: Elsevier; 2018: cha 143.

Cov ntaub thaiv npog CL, Ntaub thaiv JA. Txheej txheem cej luam ntawm kev tswj hwm ntawm pos tom qab uveal melanoma. Hauv: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. Ryan's RetinaCov. 6 tus ed. Philadelphia, PA: Elsevier; 2018: chap 147.