Cov pob txha hlav

Lub pob txha pob txha yog qhov kev loj hlob tsis meej ntawm cov hlwb hauv pob txha. Lub pob txha mob yuav yog cov mob qog nqaij hlav (malignant) lossis mob noncancerous (benign).

Cov ua kom mob pob txha tsis paub meej. Lawv feem ntau tshwm sim hauv thaj chaw ntawm pob txha uas loj hlob sai. Cov teeb meem ua tau suav nrog:

• Caj ces tsis dhau ntawm cov tsev neeg
• Kev tawg
• Raug Mob

Feem ntau, tsis muaj ib qho laj thawj tshawb pom.

Osteochondromas yog cov pob txha caj dab (non-mob). Cov mob no tshwm sim feem ntau rau cov tub ntxhais hluas hnub nyoog 10 thiab 20 xyoo.

Kab mob qog nqaij hlav uas pib hauv pob txha hu ua qog pob qog hlav. Mob khees-xaws rau cov pob txha pib nyob rau lwm qhov ntawm lub cev (xws li lub mis, lub ntsws, lossis txoj hnyuv) yog hu ua ob leeg los yog metastatic pob txha hlav. Lawv coj tus cwj pwm sib txawv ntawm thawj cov pob txha hlav.

Hlav pob txha qog ua ntej:

• Chondrosarcoma
• Ewing sarcoma
• Fibrosarcoma
• Osteosarcomas

Kab mob khees xaws uas feem ntau kis mus rau tus pob txha yog cov qog nqaij hlav:

• Lub mis
• Raum
• Lub ntsws
• Cem plab
• Lub qog

Cov hom mob cancer no feem ntau cuam tshuam rau cov laus.

Kab mob khees xaws yog feem ntau rau cov neeg uas muaj keeb kwm mob caj dab hlav.

Cov tsos mob ntawm tus mob pob txha yuav suav nrog ib qho hauv qab no:

• Cov pob txha lov, tshwj xeeb los ntawm kev raug mob me me (raug mob)
• Mob pob txha, tej zaum yuav mob heev dua hmo ntuj
• Qee zaum cov nqaij thiab o tuaj yeem hnov ​​ntawm qhov nqaij hlav

Qee qhov hlav qog ua si tsis muaj mob.

Tus kws kho mob yuav kuaj xyuas lub cev. Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Alkaline phosphatase ntshav theem
• Nqaij xyoob
• Cov pob txha scan
• Kev ntsuas hluav taws xob xoo
• CT scan ntawm lub hauv siab
• MRI ntawm pob txha thiab cov nqaij mos uas nyob ib puag ncig
• Xoo hluav taws xob ntawm pob txha thiab cov nqaij mos uas nyob ib puag ncig
• TSIAJ scan

Cov kev kuaj mob hauv qab no kuj yuav raug coj los saib xyuas tus kabmob:

• Alkaline phosphatase isoenzyme
• Cov ntshav calcium qib
• Parathyroid hormone
• Ntshav phosphorus theem

Qee qhov hlav qog yaug tawm mus nyob ntawm lawv tus kheej thiab tsis tas yuav mus kho. Koj tus kws kho mob yuav saib xyuas koj zoo. Koj yuav yuav xav tau kev ntsuam xyuas cov duab tsis tu ncua, xws li xoo hluav taws xob, txhawm rau saib yog lub qog yaig lossis loj tuaj.

Kev phais mob yuav tsum tau tshem tawm cov qog qee kis.

Kev kho mob qog pob txha mob qog nqaij hlav uas tau kis tawm los ntawm lwm qhov chaw hauv lub cev yog nyob ntawm seb qhov mob qog pib qhov twg. Muab zuaj hluav taws xob rau txoj kev kho mob kom tiv thaiv pob txha lov lossis txo qhov mob. Siv tshuaj khomob siv los tiv thaiv kev txhawm chim lossis xav tau phais lossis tawg.

Mob qog nqaij uas pib hauv pob txha yog qhov tsis tshua muaj siab. Tom qab kuaj me, kev siv tshuaj kho mob thiab kev phais mob ib txwm tsim nyog. Yuav tsum tau siv hluav taws xob kho ua ntej lossis tom qab phais tas.

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.

Koj ua tau zoo npaum li cas yog nyob ntawm hom mob pob txha.

Qhov tshwm sim feem ntau yog zoo rau cov neeg uas tsis mob (tsis ua haujlwm) hlav. Tab sis qee qhov hlav qog cov pob txha hlav tuaj yeem hloov mus ua mob qog noj ntshav.

Cov neeg muaj mob qog pob txha mob uas tsis kis mus ntxiv yuav kho tau. Txoj kev kho kom zoo yog nyob ntawm hom mob cancer, thaj chaw, qhov loj me, thiab lwm yam. Nrog koj tus kws kho mob tham txog koj qhov mob cancer tshwj xeeb.

Cov teeb meem uas tuaj yeem los ntawm cov qog lossis cov kev kho mob suav nrog:

• Mob
• Txo cov haujlwm, nyob ntawm lub qog
• Phiv los ntawm kws khomob
• Kev kis mob cancer rau lwm cov nqaij ze (metastasis)

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob mob pob txha.

Mob qog nqaij hlav - pob txha; Mob pob txha; Thawj tus pob txha mob; Mob pob txha thib ob; Cov pob txha mos - benign

• Kev xoo hluav taws xob
• Cev pob txha
• Osteogenic sarcoma - xoo hluav taws xob
• Ewing sarcoma - xoo hluav taws xob

Heck RK, Qho Khoom Ua Si PC. Lub cev tawm / mob qog nqaij hlav hauv pob txha. Hauv: Azar FM, Beaty JH, Canale ST, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. 13th ed. Philadelphia, PA: Elsevier; 2017: chap 26.

Heck RK, Qho Khoom Ua Si PC. Malignant qog cov pob txha. Hauv: Azar FM, Beaty JH, Canale ST, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. 13th ed. Philadelphia, PA: Elsevier; 2017: chap 27.

Lub Tebchaws National Comprehensive Cancer Network lub vev xaib. NCCN kev soj ntsuam kev coj ua hauv oncology (Cov txheej txheem NCCN): Kab mob cancer. Daim Ntawv 1.2020. www.nccn.org/professionals/physician_gls/pdf/bone.pdf. Hloov kho Lub Yim Hli 12, 2019. Nkag mus Lub Xya Hli 15, 2020.

Reith JD. Pob txha thiab pob qij txha. Hauv: Goldblum JR, Teeb Yuav LW, McKenney JK, Myers JL, eds. Rosai thiab Ackerman's phais Neeg Kho MobCov. 11th ed. Philadelphia, PA: Elsevier; 2018: chap 40.