Teratoma Yog Dab Tsi?

Zoo Siab

• Txheej txheem cej luam
• Cov hom teratomas
• Cov tsos mob ntawm teratoma
• Sacrococcygeal (pob tw) teratoma
• Ovarian teratoma
• Cov nqaij teratoma
• Teratoma ua rau
• Cov kev tshawb xav ntxaib
• Teratomas thiab mob cancer
• Sacrococcygeal (pob tw) teratoma
• Ovarian teratoma
• Cov nqaij teratoma
• Kev kuaj mob teratomas
• Sacrococcygeal teratoma (SCT)
• Ovarian teratoma
• Cov nqaij teratoma
• Teratoma kho mob
• Sacrococcygeal teratoma (SCT)
• Ovarian teratoma
• Cov nqaij teratoma
• Qhov kev xam pom yog

Txheej txheem cej luam

Lub teratoma yog ib hom qog tsawg uas tuaj yeem muaj cov nqaij thiab cov kabmob ua tiav, nrog rau cov plaub hau, hniav, leeg thiab pob txha. Teratomas feem ntau tshwm sim hauv pob tw txha, zes qe menyuam, thiab cov noob qes, tab sis tuaj yeem tshwm sim lwm qhov hauv lub cev.

Teratomas tuaj yeem tshwm sim hauv cov menyuam tshiab, menyuam yaus lossis neeg laus. Lawv feem ntau cov poj niam. Teratomas feem ntau ua mob me hauv cov menyuam mos, tab sis tej zaum tseem yuav xav kom muaj kev phais mob ntxiv.

Cov hom teratomas

Teratomas feem ntau piav raws li kev paub tab lossis tsis paub tab.

• Lub teratomas mas feem ntau yog benign (tsis yog mob qog nqaij hlav). Tab sis lawv tuaj yeem loj hlob rov qab tom qab raug phais.
• Cov teratomas hauv lub cev tsawg dua tuaj yeem hloov mus rau kev mob qog ntshav.

Teratomas tiav tau raug cais raws li:

• cystic: ntim rau hauv nws tus kheej uas muaj cov kua dej
• tawv: ua los ntawm cov ntaub so ntswg, tab sis tsis tau muab nws tus kheej ntim
• tov: muaj ob qho tib si khov thiab cystic ntu

Lub hnub nyoog cystic teratomas tseem hu ua dermoid cysts.

Cov tsos mob ntawm teratoma

Teratomas yuav tsis muaj tsos mob thaum xub thawj. Thaum cov tsos mob tshwm sim, lawv tuaj yeem sib txawv nyob ntawm seb qhov teratoma nyob qhov twg. Cov chaw muaj ntau rau teratomas yog cov pob txha caj qaum (coccyx), zes qe menyuam, thiab noob qes.

Cov cim thiab tsos mob tshwm sim rau ntau qhov teratomas suav nrog:

• kev mob
• o thiab los ntshav
• nce me ntsis ntawm cov qib alpha-feroprotein (AFP), qhov cim rau qog hlav
• nce me ntsis theem ntawm cov tshuaj hormones beta-tib neeg chorionic gonadotropin (BhCG)

Nov yog qee qhov tsos mob tshwj xeeb rau hom teratoma:

Sacrococcygeal (pob tw) teratoma

Ib qho sacrococcygeal teratoma (SCT) yog ib qho uas tau txhim kho hauv coccyx lossis tus Tsov tus tw. Nws yog cov nqaij muaj hlav muaj ntau hauv cov menyuam mos thiab menyuam yaus, tab sis nws tseem muaj tsawg. Nws tshwm sim hauv kwv yees li ntawm 1 ntawm txhua 35,000 txog 40,000 tus menyuam mos.

Cov teratoma no tuaj yeem loj hlob sab nraud lossis sab hauv lub cev hauv thaj chaw txiav caj dab. Ib cag ntawm ib pawg pom, cov tsos mob muaj xws li:

• cem quav
• mob plab
• mob tso zis heev
• o hauv thaj av pubic
• txhais ceg tsis muaj zog

Lawv tau pom feem ntau hauv cov me nyuam ntxhais dua li cov tub. Hauv ib 2015 kev tshawb nrhiav ntawm cov neeg mob kho rau SCTs ntawm lub tsev kho mob hauv tebchaws Thaib txij xyoo 1998 txog 2012, poj niam mus rau txiv neej sib piv.

Ovarian teratoma

Cov tsos mob ntawm zes qe menyuam teratoma yog mob hnyav ntawm lub plab mog los yog plab. Qhov no los ntawm lub zog sib ntswg ntawm lub zes qe menyuam (ov ntawm zes qe menyuam) tshwm sim los ntawm qhov loj zuj zus.

Qee zaum cov zes qe menyuam tuaj yeem nrog cov mob uas tsis tshua muaj npe hu ua NMDA encephalitis. Qhov no tuaj yeem ua rau mob tob hau thiab mob hlwb nrog rau kev tsis meej pem thiab hlwb.

Cov nqaij teratoma

Cov tsos mob tseem ceeb ntawm cov noob qes (test test) teratoma yog qog lossis o nyob hauv noob qes. Tab sis nws yuav qhia tsis pom tsos mob.

Cov kab mob ua kom mob teratoma feem ntau muaj hnub nyoog 20 txog 30 xyoo, tab sis nws tuaj yeem tshwm sim thaum muaj hnub nyoog li cas.

Teratoma ua rau

Teratomas tshwm sim los ntawm cov kev cuam tshuam hauv lub cev txoj kev loj hlob, uas muaj txoj hauv kev koj lub hlwb sib txawv thiab tshwj xeeb.

Teratomas tshwm sim hauv koj lub cev mob hlwb, uas tau tsim thaum ntxov hauv kev loj hlob ntawm tus me nyuam hauv plab.

Qee cov keeb tiv kab mob ua koj cov phev- thiab cov qe ua qe. Tab sis kab mob hlwb kuj tuaj yeem nrhiav pom lwm qhov hauv lub cev, tshwj xeeb tshaj yog nyob hauv thaj av ntawm tus Tsov tus tw thiab mediastinum (ib daim nyias nyias cais tawm lub ntsws).

Noob cell yog ib hom cell paub hu ua pluripotent. Qhov ntawd txhais tau hais tias lawv muaj peev xwm sib txawv rau txhua yam tshwj xeeb ntawm tes uas tuaj yeem pom hauv koj lub cev.

Ib txoj kev xav ntawm teratomas qhia tias cov mob tshwm sim hauv cov kab mob hlwb no. Qhov no hu ua parthenogenic txoj kev xav thiab tam sim no pom qhov kev tawm tsam.

Nws piav qhia yuav ua li cas teratomas tuaj yeem pom nrog cov plaub hau, siv quav ciab, hniav, thiab tuaj yeem txawm tshwm sim raws li qhov yuav luag tsim muaj menyuam hauv plab. Qhov chaw ntawm teratomas tseem sib cav rau lawv lub hauv paus hauv keeb kwm thaum ntxov ntawm cov hlwb.

Cov kev tshawb xav ntxaib

Hauv tib neeg, ib hom teratoma uas tsis tshua pom tshwm sim tuaj yeem tshwm sim, hu ua fetus hauv fetu (menyuam hauv plab hauv plab.

Qhov teratoma no tuaj yeem muaj cov tsos ntawm tus menyuam hauv plab tsis ua haujlwm. Nws tau ua los ntawm cov ntaub so ntswg muaj sia nyob. Tab sis yog tsis muaj kev txhawb nqa ntawm tus niam txiv thiab lub hnab amniotic, tus me nyuam hauv plab tsis muaj peev xwm tsis muaj kev loj hlob.

Ib txoj kev xav piav qhia txog tus me nyuam hauv plab fetu teratoma yog qhov seem ntawm tus ntxaib uas tsis tuaj yeem loj hlob hauv lub tsev menyuam, thiab tau nyob ntawm lub cev ntawm tus menyuam tseem muaj sia nyob.

Ib qho kev tawm tsam piav qhia piav qhia txog tus me nyuam hauv plab tam li tsuas yog ib qho kev tsim dermoid cyst ntau dua. Tab sis qib theem siab ntawm txoj kev loj hlob nyiam ob txoj kev xav ntxaib.

Tus menyuam hauv plab menyuam tsuas muaj kev ntxaib ob leeg:

• muaj lawv tus kheej sac ntawm amniotic kua (diamniotic)
• qhia tib qho ແຮ່ (monochorionic)

Tus menyuam hauv lub cev nqaij daim tawv feem ntau kuaj pom thaum tseem hluas. Nws tuaj yeem tshwm sim hauv cov menyuam yaus ntawm ob leeg txiv neej. Hauv cov teratomas pom pom ua ntej tus menyuam muaj hnub nyoog 18 lub hlis.

Feem ntau cov menyuam hauv fetu teratomas tsis muaj lub hlwb qauv. Tab sis 91 feem pua ​​muaj pob txha nraub qaum, thiab 82.5 feem pua ​​muaj ceg txhaws.

Teratomas thiab mob cancer

Nco ntsoov tias teratomas tau muab cais ua cov paub tab (feem ntau ua mob me) lossis tsis paub qab (ntxim nyiam qog nqaij hlav). Qhov ntxim nyiam muaj mob qog nqaij hlav nyob ntawm qhov chaw ntawm lub cev teratoma pom.

Sacrococcygeal (pob tw) teratoma

SCTs tseem tsis tau loj heev txog lub sijhawm. Tab sis txawm tias cov benign sawv daws yuav xav tau tshem tawm vim yog lawv qhov loj me, thiab kev muaj peev xwm ntawm kev loj hlob ntxiv. Txawm hais tias muaj tsawg, sacrococcygeal teratoma feem ntau pom muaj rau cov menyuam yug tshiab.

Ovarian teratoma

Feem ntau cov zes qe menyuam txawj ua qe. Tus neeg laus lub zes qe menyuam teratoma tseem hu ua dermoid cyst.

Txog ntawm cov qe menyuam hnub nyoog teratomas yog cov kabmob. Feem ntau lawv pom muaj nyob hauv cov poj niam thaum lawv cov me nyuam xyoo.

Tsis paub qab hau (malignant) ntawm zes qe menyuam teratomas muaj tsawg. Feem ntau lawv pom muaj hauv cov menyuam ntxhais thiab cov ntxhais hluas hnub nyoog txog 20 xyoo.

Cov nqaij teratoma

Muaj ob qhov dav ntawm cov pob qij txha teratoma: ua ntej thiab tom qab tiav nkauj tiav nraug. Pre-puberty los yog tshuaj teratomas feem ntau yog paub tab thiab noncancerous.

Tom qab tiav nkauj tiav nraug (cov laus) hnoos qeev teratomas yog malignant. Txog li ob feem peb ntawm cov txiv neej hais tias muaj neeg mob teratoma qhia pom lub txiaj ntsim ntawm kev mob qog nqaij hlav (metastasis) loj.

Kev kuaj mob teratomas

Kev kuaj mob thiab nrhiav pom nyob ntawm qhov chaw ntawm teratoma nyob.

Sacrococcygeal teratoma (SCT)

Cov kab mob sacrococcygeal teratomas qee zaum tshawb pom ultrasound ntawm kev ntsuas ntawm tus me nyuam. Ntau zaus lawv nrhiav tau thaum yug.

Cov tsos mob tshwm sim feem ntau yog o ntawm pob tw, uas cov kws kho mob saib rau hauv cov menyuam tshiab.

Koj tus kws kho mob yuav siv xoo hluav taws xob ntawm lub plab mog, xoo fais fab, thiab CT scans los pab kuaj tus mob teratoma. Kev kuaj ntshav kuj tseem tuaj yeem pab tau.

Ovarian teratoma

Tus me nyuam mos ntawm zes qe menyuam teratomas (cov hlwv dermoid) feem ntau tsis muaj cov tsos mob. Lawv feem ntau nrhiav pom thaum kuaj cov kws kho mob ib txwm muaj.

Qee zaum cov pob txha dermoid ua rau lub cev ntuag me me ua rau zes qe menyuam (zes qe menyuam ua rau lub cev), tuaj yeem ua rau mob plab lossis mob plab.

Cov nqaij teratoma

Cov nqaij muaj zog Testicular te feem ntau nrhiav tau huam yuaj thaum kuaj cov noob qes rau qhov mob los ntawm kev mob. Cov teratomas no loj hlob sai thiab yuav tsis muaj tsos mob thaum xub thawj.

Ob qho tib si benign thiab malignant testicular teratoma feem ntau ua rau testicular mob.

Koj tus kws kho mob yuav kuaj koj cov noob qes kom hnov ​​mob atrophy. Lub cev khov kho tuaj yeem yog tus kos npe rau ntawm kev ua tsis zoo. Kev kuaj ntshav yog siv los ntsuas rau kev nce qib ntawm cov tshuaj hormones BhCG ​​thiab AFP. Kev ntsuas duab ultrasound tuaj yeem pab txheeb xyuas qhov kev nce qib ntawm teratoma.

Txheeb xyuas seb puas yog mob cancer tau kis mus rau lwm qhov ntawm lub cev, koj tus kws kho mob yuav thov xoo hluav taws xob ntawm koj lub hauv siab thiab lub plab. Kev kuaj ntshav kuj tseem siv los kuaj xyuas cov cim qog.

Teratoma kho mob

Sacrococcygeal teratoma (SCT)

Yog hais tias teratoma raug kuaj pom nyob rau hauv cov theem hauv tus menyuam, koj tus kws kho mob yuav ua tib zoo saib xyuas koj lub cev xeeb tub.

Yog tias qhov teratoma tseem nyob me, yuav npaj ib qho chaw mos qhov paum los. Tab sis yog tias lub qog loj los yog muaj ntau dhau ntawm cov kua tshuaj amniotic, koj tus kws kho mob yuav yuav npaj rau kev yug menyuam thaum ntxov.

Muaj qee zaus, yuav tsum muaj kev phais tus me nyuam kom hle SCT ua ntej ua rau muaj kev phom sij txog lub neej.

SCTs uas kuaj pom thaum yug los lossis tom qab ntawd raug tshem tawm los ntawm kev phais mob. Lawv yuav tsum tau ua tib zoo saib xyuas, vim tias muaj kev rov qab los tswj tsis pub dhau peb xyoos.

Yog hais tias tus teratoma yog malignant, kev siv tshuaj kho mob siv nrog rau kev phais mob. Ciaj sia nyob nrog cov kev kho mob niaj hnub no.

Ovarian teratoma

Tus poj niam lub zes qe menyuam muaj hnub nyoog (dermoid hlwv) feem ntau raug tshem tawm los ntawm kev phais mob laparoscopic, yog cov hlwv me me. Qhov no koom nrog kev phais me me hauv plab kom ntxig qhov ua tau thiab qhov txiav me me.

Kev pheej hmoo me me ntawm laparoscopic tshem tawm yog tias cov hlwv tuaj yeem ua rau tawg thiab ua kom cov khoom waxy. Qhov no tuaj yeem ua rau cov lus teb tiv thaiv kab mob hu ua tshuaj lom neeg mob peritonitis.

Muaj qee kis nws yog qhov tsim nyog yuav tsum tshem tawm qee qhov lossis tag nrho cov zes qe menyuam. Ovulation thiab poj niam coj khaub ncaws yuav txuas ntxiv los ntawm lwm lub zes qe menyuam.

Hauv 25 feem pua ​​ntawm cov neeg mob, cov pob txha dermoid yog pom nyob hauv ob qho zes qe menyuam. Qhov no nce koj kev pheej hmoo ntawm poob poob fertility.

Cov teratomas hauv tsev me nyuam mos feem ntau pom muaj nyob hauv cov menyuam ntxhais mus txog 20s thaum ntxov. Txawm hais tias cov tshuaj teratomas no tau kuaj pom ntawm ib theem dhau los, feem ntau feem ntau kho tau los ntawm kev sib koom ua ke ntawm kev phais thiab tshuaj kho mob.

Cov nqaij teratoma

Kev hlais tawm cov noob qes feem ntau yog thawj qhov kev kho mob rau qhov mob teratoma thaum nws mob qog nqaij hlav.

Kev siv tshuaj zawv zaws tsis ua hauj lwm zoo rau hnoos qeev teratoma. Qee lub sij hawm muaj kev sib xyaw ntawm teratoma thiab lwm cov nqaij hlav uas yuav xav tau kev kho mob kho mob.

Tshem tawm cov noob qes yuav cuam tshuam koj kev noj qab haus huv kev sib deev, phev suav, thiab kev muaj me nyuam. Feem ntau muaj ntau dua ib txoj kev kho mob, yog li tham nrog cov kev xaiv nrog koj tus kws kho mob.

Qhov kev xam pom yog

Teratomas yog cov tsis tshua muaj thiab feem ntau ua benign. Cov kev kho mob rau cov tshuaj tua kab mob qog nqaij hlav tau zoo dua qub xyoo tas los, yog li feem ntau muaj peev xwm kho tau. Qhia rau koj tus kheej ntawm cov kev xaiv thiab pom ib tus kws muaj txuj ci tshaj lij yog koj qhov kev lees paub zoo tshaj plaws.