Malignant teratoma ntawm mediastinum

Lub teratoma yog ib hom mob cancer uas muaj ib lossis ntau dua peb txheej txheej ntawm cov hlwb muaj nyob hauv menyuam mos (menyuam xeeb). Cov qe no yog hu ua kab mob ua qe. Teratoma yog ib hom mob qog ua hlav.

Cov tshuaj nruab nrab yog nyob sab xub ntiag ntawm lub hauv siab hauv thaj chaw uas cais cov ntsws. Lub siab, cov hlab ntshav loj, cov hlab ntshav tawm, thymus caj pas, thiab txoj hlab nqos mov muaj nyob ntawd.

Malignant mediastinal teratoma feem ntau tshwm sim hauv cov txiv neej hluas hauv lawv li 20 lossis 30s. Cov teratomas uas mob feem ntau tuaj yeem kis thoob plaws hauv lub cev, thiab tau kis los ntawm lub sijhawm kuaj pom.

Mob qog ntshav feem ntau cuam tshuam nrog cov qog ntshav no, suav nrog:

• Mob myelogenous mob ntshav dawb (AML)
• Myelodysplastic syndromes (pawg mob pob txha mob)

Cov tsos mob tuaj yeem suav nrog:

• Hauv siab mob lossis siab
• Hnoos
• Nkees
• Tsawg lub peev xwm los ua kom tawm dag zog
• Ua tsis taus pa

Tus kws kho mob yuav kuaj ib ce thiab nug txog cov tsos mob. Qhov kuaj mob tuaj yeem qhia qhov txhaws ntawm cov leeg nkag mus rau hauv nruab nrab ntawm lub hauv siab vim muaj qhov nce siab ntawm thaj chaw hauv siab.

Cov ntawv sim hauv qab no pab txheeb xyuas cov qog:

• Kev ntsuas hluav taws xob xoo
• CT, MRI, PET kuaj ntawm lub hauv siab, lub plab, thiab lub plab mog
• Nuclear kev ntsuam xyuas kev
• Kev kuaj ntshav ntsuam xyuas cov kab mob beta-HCG, alpha fetoprotein (AFP), thiab lactate dehydrogenase (LDH) qib
• Mediastinoscopy nrog kev kuaj me

Kev siv tshuaj kho mob yog siv los kho cov qog. Cov tshuaj sib xyaw ua ke (feem ntau cisplatin, etoposide, thiab bleomycin) feem ntau siv.

Tom qab tshuaj tua kab mob tiav, CT scans rov qab los saib seb puas muaj ib qho mob qog. Kev phais mob tuaj yeem pom zoo yog tias muaj kev pheej hmoo tias mob qog yuav loj hlob rov qab rau thaj chaw ntawd lossis yog tias muaj mob qog qog.

Muaj ntau pab pawg muaj kev pab rau cov neeg mob cancer. Hu rau American Cancer Society - www.cancer.org.

Qhov pom kev zoo nyob ntawm cov qog loj thiab qhov chaw nyob thiab hnub nyoog ntawm tus neeg mob.

Tus kabmob muaj peev xwm kis thoob plaws lub cev thiab yuav muaj teeb meem phais lossis ntsig txog kev siv tshuaj khomob.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm teratoma.

Dermoid cyst - malignant; Nonseminomatous kab mob cell mob qog - teratoma; Lub cev tsis haum teratoma; GCTs - teratoma; Teratoma - extragonadal

• Teratoma - MRI scan
• Malignant teratoma

Cheng G-S, Varghese TK, Park DR. Mediastinal hlav thiab hlwv. Hauv: Broaddus VC, Mason RJ, Ernst JD, li al, eds. Murray thiab Nadel Cov Ntawv Phau Ntawv Qhia Txog Cov PaCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: tshooj 83.

Putnam JB. Lub ntsws, hauv siab ntsa, pleura, thiab mediastinum. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho MobCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 57.