Uterine sarcoma

Uterine sarcoma yog mob qog nqaij hlav hauv tsev menyuam (uas xeeb menyuam). Nws tsis zoo ib yam li kev mob kheesxaws endometrial, ntau yam mob khees-xaws uas pib tshwm sim rau sab hauv tsev menyuam. Txoj hlab sarcoma feem ntau pib mob leeg hauv qab txoj leeg.

Vim li cas tiag tsis paub. Tab sis muaj qee yam kev pheej hmoo:

• Yav dhau los kho hluav taws xob. Ob peb tus poj niam tsim muaj cov leeg txoj hlab sarcoma 5 txog 25 xyoo tom qab lawv tau txais kev kho mob hluav taws xob rau lwm tus mob hu ua pelvic cancer.
• Yav dhau los los yog tam sim no muaj kev kho tamoxifen rau mob cancer mis.
• Kwv Txhiaj. Cov poj niam Asmeskas Neeg Asmeskas muaj ob npaug kev pheej hmoo uas cov poj niam Neeg Dawb lossis Neeg Esxias muaj.
• Noob caj noob ces. Tib lub cev txawv txav uas ua rau mob qog nqaij hlav hauv qhov muag hu ua retinoblastoma kuj ua rau muaj kev pheej hmoo rau uterine sarcoma.
• Cov poj niam uas tsis tau xeeb tub dua.

Cov tsos mob feem ntau ntawm uterine sarcoma yog los ntshav tom qab lawm. Qhia rau koj tus kws kho mob kom sai li sai tau txog koj:

• Ib qho kev los ntshav twg uas tsis yog ib feem ntawm koj coj khaub ncaws
• Ib qho kev los ntshav uas tshwm sim tom qab lub hnub lawm

Feem ntau, cov ntshav yuav tsis los ntawm mob cancer. Tab sis koj yuav tsum tau qhia koj tus kws kho mob tas li los ntshav txawv.

Lwm cov tsos mob tshwm sim ntawm uterine sarcoma suav nrog:

• Qhov chaw mos tawm tsis zoo nrog tshuaj tua kab mob thiab tej zaum yuav tshwm sim yam tsis los ntshav
• Ib qhov nyhav lossis qog hauv qhov chaw mos lossis lub tsev menyuam
• Mus tso zis ntau zaus

Qee cov tsos mob ntawm uterine sarcoma yog zoo li cov ntawm cov leeg. Tib txoj kev los qhia qhov txawv ntawm sarcoma thiab fibroids yog nrog kev sim, xws li kuaj me me ntawm cov nqaij coj los ntawm lub tsev menyuam.

Koj tus kws khomob yuav siv koj li keeb kwm kho mob. Koj kuj yuav kuaj lub cev thiab kuaj plab mos. Lwm yam kev ntsuam xyuas yuav suav nrog:

• Siv tshuaj los kuaj koj cov nqaij los kuaj seb puas muaj mob khees xaws
• Kev Xa Khoom thiab Kev Kho Mob (D & C) txhawm rau khaws cov hlwb los ntawm lub tsev me nyuam mus rau mob khees xaws

Kev ntsuam xyuas cov duab kos yog xav tau los tsim cov duab ntawm koj cov plab hnyuv siab raum. Ultrasound ntawm lub plab mog feem ntau tau ua ua ntej. Txawm li cas los xij, feem ntau nws tsis tuaj yeem qhia qhov sib txawv ntawm ib qho fibroid thiab sarcoma. Kev thaij MRI ntawm lub plab mog kuj yuav xav tau.

Kev siv lub tshuab koob yees duab siv ultrasound los yog MRI coj los siv rab koob yuav siv los ua kev kuaj mob.

Yog tias koj tus kws kho mob pom pom tus kabmob muaj kabmob kheesxaws, lwm yam kev kuaj mob xav tau txhawm rau ua kom mob cancer. Cov kev kuaj no yuav qhia pom hais tias nws muaj mob cancer ntau npaum li cas. Lawv tseem yuav tau ua yog pom tias nws kis mus rau lwm qhov ntawm koj lub cev.

Kev phais mob yog cov feem ntau siv los kho khees xaws. Kev phais mob yuav raug siv los kuaj mob, theem, thiab kho uterine sarcoma tag nrho tib lub sijhawm.Tom qab phais, tus mob yuav raug kuaj nyob rau hauv ib chav kuaj saib nws nce npaum li cas.

Nyob ntawm cov txiaj ntsig, koj yuav tsum tau siv tshuaj tua hluav taws xob los kho tshuaj los tua cov kab mob qog nqaij hlav uas tseem nyob.

Koj kuj tseem yuav muaj kev kho mob hormone rau qee yam qog uas teb cov tshuaj hormones.

Txog kev mob qog nqaij hlav siab mob uas tau nthuav tawm sab nraum lub plab mog, koj yuav xav koom nrog kev sim tshuaj rau tus mob qog nqaij hlav hauv tsev menyuam.

Mob qog noj ntshav uas tau rov qab los, tuaj yeem siv hluav taws xob rau kev kho mob palliative. Palliative care yog ua rau txo cov tsos mob thiab txhim kho tib neeg lub neej zoo.

Kabmob muaj feem cuam tshuam rau koj txoj kev xav txog koj tus kheej thiab koj lub neej. Koj tuaj yeem daws kev ntxhov siab ntawm kev muaj mob los ntawm kev koom nrog pawg pab txhawb mob qog noj ntshav. Faib rau lwm tus uas muaj kev paub thiab teeb meem zoo ib yam tuaj yeem pab koj txoj kev cia siab.

Nug koj tus kws kho mob lossis cov neeg ua haujlwm hauv lub chaw kho mob cancer los pab koj nrhiav ib pab txhawb nqa rau cov neeg uas tau txheeb pom tias mob kheesxaws uterine.

Koj txoj kev kuaj pom yog nyob ntawm yam thiab theem ntawm uterine sarcoma koj tau thaum kho. Rau cov mob cancer uas tsis kis, tsawg kawg 2 ntawm txhua 3 tus neeg muaj mob qog noj ntshav tom qab 5 xyoos. Tus naj npawb poob qis thaum mob qog pib kis thiab nyuaj rau kev kho.

Uterine sarcoma feem ntau tsis pom thaum ntxov, yog li, kev kuaj pom tsis zoo. Koj tus kws kho mob tuaj yeem pab koj nkag siab txog kev pom txog koj hom qog ntshav.

Teeb meem yuav suav nrog:

• Ib qhov hnoos qeev (lub qhov) ntawm lub tsev menyuam yuav tshwm sim thaum lub hnub D thiab C lossis endometrial biopsy
• Teeb meem los ntawm kev phais mob, hluav taws xob, thiab kev siv tshuaj kho

Mus ntsib koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm tus mob cancer uterine.

Vim tias qhov tsis paub yog vim li cas, nws tsis muaj txoj hauv kev los tiv thaiv kev mob sarcoma. Yog tias koj tau xoo hluav taws xob nyob hauv thaj tsam koj lub plab mog lossis siv tshuaj tamoxifen rau tus mob cancer mis, nug koj tus kws kho mob saib koj yuav tsum raug kuaj xyuas heev npaum li cas vim muaj teeb meem.

Leiomyosarcoma; Endometrial stromal sarcoma; Tsis quav ntsej sarcomas; Uterine cancer - sarcoma; Undifferentiated uterine sarcoma; Malignant sib xyaw Müllerian hlav; Adenosarcoma - uterine

Boggess JF, Kilgore JE, Tran A-Q. Uterine cancer. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 85.

Howitt BE, Nucci MR, Quade BJ. Cov hlav hlav mesenchymal hlav. Hauv: Crum CP, Nucci MR, Howitt BE, Granter SR, Parast MM, Tub Npis TK, eds. Kev kuaj mob Gynecologic thiab Obstetric PathologyCov. 3lawm ed. Philadelphia, PA: Elsevier; 2018: chap 20.

Lub koom haum Cancer National website. Kev kho tus mob eterine (PDQ) - kev noj qab haus huv tshaj lij. www.cancer.gov/types/uterine/hp/uterine-sarcoma-treatment-pdq. Hloov kho Lub Kaum Ob Hlis 19, 2019. Nkag mus Lub Kaum Hlis 19, 2020.