Kev mob qog nqaij hlav cancer

Kev mob qog nqaij hlav hauv siab yog mob qog nqaij hlav uas pib hauv cov noob qes. Cov noob qes yog cov txiv neej cov keeb caj ceg menyuam yaus nyob hauv lub qhov quav.

Qhov tseeb ua kom muaj mob qog nqaij hlav ntshav tsis zoo to taub. Qhov tseeb uas yuav ua rau tus txiv neej muaj feem yuav mob qog nqaij hlav hauv pob txha yog:

• Kev tsim noob qes ua txawv txav
• Raug rau qee yam tshuaj
• Tsev neeg keeb kwm mob qog noj ntshav
• HIV kis
• Keeb kwm ntawm noob qes ntshav
• Keeb kwm ntawm lub noob qes uas tsis tau tu (ib los yog ob lub noob qes tsis txav mus rau hauv qhov chaw cia ua ntej yug)
• Klinefelter syndrome
• Ntxiv lawm tshob
• Kev siv luam yeeb
• Mob ntsws qis

Kev mob khees-xaws yog hom kabmob kheesxaws tshaj rau cov menyuam hluas thiab nruab nrab. Nws kuj tseem tuaj yeem tshwm sim hauv cov txiv neej laus dua, thiab qee zaus, ntawm cov tub hluas.

Cov txiv neej dawb yog cov muaj feem ntau dua cov txiv neej Asmeskas Dub thiab Neeg Asmeskas Dub los txhim kho hom mob qog noj ntshav.

Tsis muaj qhov txuas ntawm vasectomy thiab testicular cancer.

Nws muaj ob hom mob qog nqaij hlav cancer:

• Seminomas
• Nonseminomas

Cov qog nqaij hlav no tuaj yeem loj hlob los ntawm cov kab mob hlwb, lub hlwb uas ua cov phev.

Seminoma: Qhov no yog ib hom tshuaj qeeb qeeb ntawm qog pob qog nqaij hlav hauv tib neeg hauv lawv cov hnub nyoog 40 thiab 50. Cov qog nqaij hlav cancer nyob hauv noob qes, tab sis nws tuaj yeem kis rau ntawm cov qog ntshav. Lymph node kev koom tes yog kho nrog kev tua hluav taws xob lossis tshuaj tua hluav taws xob. Seminomas rhiab heev rau kev kho mob hluav taws xob.

Nonseminoma: Hom mob qog nqaij hlav qes qes feem ntau yuav loj hlob sai dua li seminomas.

Nonseminoma hlav cov qog feem ntau ua los ntawm ntau dua ib hom ntawm tes, thiab raug txheeb xyuas raws li cov cell sib txawv no:

• Choriocarcinoma (tsis tshua muaj neeg)
• Cov hlav mob hlav hlav hlav
• Teratoma
• Yolk sac hlav

Lub qog stromal yog ib hom mob qog nqaij hlav tsawg. Lawv ib txwm tsis mob qog noj ntshav. Qhov ob hom tseem ceeb ntawm cov qog stromal yog Leydig cell hlav thiab Sertoli cov hlav hlav. Cov leeg qog ua feem ntau tshwm sim thaum menyuam yaus.

Tej zaum yuav tsis muaj tsos mob dab tsi. Kab mob kheesxaws yuav zoo li tsis muaj kev mob loj hauv cov noob qes. Yog tias muaj cov tsos mob, lawv yuav suav nrog:

• Kev tsis xis nyob lossis mob rau hauv cov noob qes, lossis ib qho zoo nkaus li mob hnyav hauv lub qhov quav
• Hnov mob nraub qaum lossis qis dua hauv plab
• Tsaus cov noob qes lossis hloov rau hauv nws qhov kev xav
• Ntau dhau los ntawm lub mis o cov nqaij (poj niam), txawm li cas los xij qhov no tuaj yeem tshwm sim ib txwm rau cov tub hluas uas tsis muaj mob qog nqaij hlav ntshav
• Cov qog lossis o hauv cov noob qes

Cov tsos mob nyob rau lwm qhov chaw ntawm lub cev, xws li mob ntsws, plab, pelvis, nraub qaum, lossis lub hlwb, kuj yuav tshwm sim yog tias mob qog nthuav tawm sab nraum cov noob qes.

Kev kuaj lub cev feem ntau qhia pom cov pob qij ntawd (ib qho loj) hauv ib qho 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:

• Mob plab thiab pelvic CT scan
• Kev kuaj ntshav rau cov cim qog: alpha fetoprotein (AFP), tib neeg chorionic gonadotrophin (beta HCG), thiab lactic dehydrogenase (LDH)
• Kev ntsuas hluav taws xob xoo
• Ultrasound ntawm daim pluaj
• Pob txha mos thiab lub taub hau CT scan (txhawm rau saib kev kis mob cancer mus rau cov pob txha thiab taub hau)
• MRI lub hlwb

Kev kho mob yog nyob ntawm:

• Hom noob qog ntshav
• Cov theem ntawm cov qog

Thaum kuaj pom mob qog noj ntshav, thawj kauj ruam yog los txheeb xyuas hom qog nqaij hlav cancer los ntawm kev kuaj nws hauv qab lub tshuab tsom. Lub hlwb yuav ua tau seminoma, nonseminoma, lossis ob qho tib si.

Cov kauj ruam tom ntej yog los txiav txim seb deb npaum li cas cov qog nqaij hlav tau kis mus rau lwm qhov ntawm lub cev. Qhov no yog hu ua "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 (nws yuav ua rau npaum li daim siab, lub ntsws, lossis lub hlwb).

Peb hom kev kho mob tuaj yeem siv.

• Kev phais mob tshem tawm cov noob qes (orchiectomy).
• Kev siv hluav taws xob los siv hluav taws xob ntau xoo hluav taws xob lossis lwm yam hluav taws xob loj tuaj yeem siv tom qab kev phais mob kom tiv thaiv qog tsis rov qab. Kev ntsuas hluav taws xob feem ntau tsuas yog siv rau kev kho cov seminomas.
• Kev siv tshuaj kho mob siv cov tshuaj los tua cov qog noj ntshav. Cov kev kho no tau txhim kho txoj kev ua neej zoo rau cov neeg muaj seminomas thiab nonseminomas.

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

Kev mob qog nqaij hlav yog ib hom kev kho mob thiab kho mob khees xaws ntau yam.

Tus nqi ntawm cov muaj sia nyob rau cov txiv neej thaum ntxov seminoma (yam tsawg kawg ntawm cov noob qes qes) yog tshaj 95%. Tus kab mob-tsis muaj txoj sia nyob rau qib II thiab III mob qog nqaij hlav yog qis dua me ntsis, nyob ntawm qhov loj ntawm cov qog thiab thaum pib kho.

Kev mob kheesxaws uas kis tau yuav kis rau lwm qhov ntawm lub cev. Feem ntau cov chaw muaj xws li:

• Lub siab
• Lub ntsws
• Retroperitoneal thaj chaw (thaj chaw ze rau lub raum nyob tom qab lwm yam kabmob hauv lub plab)
• Lub Hlwb
• Pob txha

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

• Los ntshav thiab mob tom qab phais tas
• Ntxiv lawm tshob (yog tias ob lub noob qes raug tshem tawm)

Cov neeg muaj mob qog nqaij hlav cancer muaj feem uas yuav tsim mob:

• Cov hlav hlav ob (mob cancer thib ob tshwm sim ntau qhov chaw ntawm lub cev uas muaj kev txhim kho tom qab kev kho mob cancer thawj zaug)
• Kab mob plawv
• Kev mob ntshav siab

Tsis tas li, cov teeb meem mus sij hawm ntev hauv cov neeg mob cancer yuav muaj xws li:

• Mob paj hlwb peripheral
• Mob raum
• Kev puas tsuaj rau lub pob ntseg sab hauv los ntawm cov tshuaj siv los kho tus mob qog

Yog tias koj xav tias koj yuav xav muaj menyuam yav tom ntej, nug koj tus kws kho mob txog cov hau kev los cawm koj cov phev kom 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 (TSEG) ntawm tus kheej txhua lub hlis yuav pab tshawb pom qog nqaij hlav qog 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. Txawm li cas los xij, kev kuaj mob qog nqaij hlav ntshav tsis pom zoo rau cov pej xeem hauv tebchaws Meskas.

Kab Mob Cancer - noob qes; Mob qog cell; Mob qog nqaij hlav seminoma; Nonseminoma testicular mob cancer; Cov tsiaj ua kom tawv nqaij

• Kev siv tshuaj kho mob - dab tsi yuav nug koj tus kws kho mob
• Kev siv hluav taws xob kho - cov lus nug kom nug koj tus kws kho mob

• Txiv neej deev aatomy
• Cov txiv neej deev

Einhorn LH. Kev mob qog nqaij hlav cancer. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil Tshuaj. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 190.

Friedlander TW, Me EJ. Kev mob qog nqaij hlav cancer. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 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#section/_85. Hloov kho Tsib Hlis 21, 2020. Nkag mus rau Lub Yim Hli 5, 2020.