Ka maʻi ʻaʻai thyroid Anaplastic

ʻO ka Anaplastic thyroid carcinoma kahi ʻano laha ʻole a koʻikoʻi hoʻi o ka maʻi ʻaʻai o ka pākī thyroid.

ʻO ka maʻi kanulau thyroid Anaplastic kahi ʻano invasive o ka maʻi ʻaʻai thyroid e ulu wikiwiki ana. Kū pinepine pinepine ia i ka poʻe ma mua o ka makahiki 60. ʻOi aku ka maʻamau o nā wahine ma mua o nā kāne. ʻAʻole ʻike ʻia ke kumu.

ʻO ka maʻi ʻaʻai Anaplastic wale nō ka liʻiliʻi ma mua o 1% o nā maʻi ʻaʻai thyroid i United States.

ʻO nā hōʻailona me:

• Cough
• ʻApu ʻana i ke koko
• Pilikia i ka ale ʻana
• Hoarseness a hoʻololi paha i ka leo
• Hanu nui
• Puʻupuʻu ʻāʻī lalo, ulu ulu pinepine ia
• ʻEha
• Lōkahi kaula leo
• ʻO ka nui o ka thyroid (hyperthyroidism)

ʻO kahi hoʻokolohua kino kokoke e hōʻike mau i ka ulu ʻana ma ka ʻāʻī o ka ʻāʻī. ʻO nā hōʻike ʻē aʻe kekahi:

• Hiki i kahi MRI a i ʻole CT scan o ka ʻāʻī ke hōʻike i kahi tumo e ulu ana mai ka gland thyroid.
• Hana kahi biopsy thyroid i ka hōʻailona. Hiki ke nānā ʻia kaʻiʻo tumora no nā māka genetic e hōʻike paha i nā pahuhopu no ka mālama ʻana, ʻoi aku i loko o kahi hoʻokolohua hoʻokolohua.
• Hiki ke hōʻike i kahi ala o ke alaloa me kahi laulā fiberoptic (laryngoscopy) i kahi kaula leo paʻa.
• Hōʻike kahi scanaki thyroid i kēia ulu ʻana he "anuanu," ʻo ia hoʻi ʻaʻole ia e komo i kahi mea radioactive.

ʻO nā hoʻokolohua o ka hana thyroid he maʻamau i ka hapanui o nā hihia.

ʻAʻole hiki ke hoola ʻia kēia ʻano maʻi ʻaʻai e ka ʻoki kino. ʻO ka hemo loa ʻana o ka pona thyroid ʻaʻole ia e hoʻolōʻihi i ke ola o ka poʻe i loaʻa i kēia ʻano maʻi ʻaʻai.

ʻO ke ʻoki pū i hui pū ʻia me ka radiation therapy a me ka chemotherapy e loaʻa paha kahi pōmaikaʻi nui.

ʻO ke ʻoki kino e waiho i kahi ʻōmole i ka puʻu e kōkua i ka hanu ʻana (tracheostomy) a i ʻole i loko o ka ʻōpū e kōkua ai i ka ʻai ʻana (gastrostomy) i pono i ka wā o ka lapaʻau.

No kekahi poʻe, ke kākau inoa ʻana i ka hoʻokolohua hoʻokolohua o nā mālama ʻana i ka maʻi ʻaʻai thyroid hou e pili ana i nā loli o ka tumo.

Hiki iā ʻoe ke hōʻoluʻolu pinepine i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo o ka poʻe e kaʻana like ana i nā ʻike a me nā pilikia.

ʻIlihune ka kuanaʻike me kēia maʻi. ʻAʻole ola ka hapanui o ka poʻe ma mua o 6 mau mahina no ka mea huhū ka maʻi a ʻaʻohe o nā koho lapaʻau kūpono.

Komo pū nā pilikia:

• Hoʻolahalaha ka tumo i loko o ka ʻāʻī
• Metastasis (pālahalaha) o ka maʻi ʻaʻai i nā kino o ke kino a i ʻole nā ​​ʻokena

Kāhea i kāu kahu mālama ola inā ʻike ʻoe:

• ʻO kahi puʻupuʻu hoʻomau a i ʻole ka nui i ka ʻāʻī
• Hoarseness a i ʻole hoʻololi i kou leo
• Cough a ʻū paha i ke koko

ʻO ka carcinoma Anaplastic o ka thyroid

• Ka maʻi ʻaʻai thyroid - CT scan
• Kelepaʻi thyroid

ʻO Iyer PC, Dadu R, Ferrarotto R, et al. ʻO ka ʻike honua maoli me ka lāʻau i hoʻomākaukau ʻia no ka mālama ʻana i ka carcinoma anaplastic thyroid. ʻOhana. 2018; 28 (1): 79-87. PMID: 29161986 pubmed.ncbi.nlm.nih.gov/29161986/.

ʻO Jonklaas J, ʻo Cooper DS. ʻOhana. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 213.

National Cancer Institute, Pūnaewele no ka pūnaewele noiʻi maʻi ʻaʻai. Ka maʻi ʻaʻai thyroid Anaplastic. www.cancer.gov/pediatric-adult-rare-tumor/rare-tumors/rare-endocrine-tumor/anaplastic-thyroid-cancer. Hoʻohou i Pepeluali 27, 2019. Loaʻa iā Pepeluali 1, 2020.

Smallridge RC, Ain KB, Asa SL, et al. Nā ʻōkuhi ʻAmelika Hui Pū ʻIa ʻo ʻAmelika no ka mālama ʻana i nā maʻi me ka maʻi ʻaʻai thyroid anaplastic. ʻOhana. 2012; 22 (11): 1104-1139. PMID: 23130564 pubmed.ncbi.nlm.nih.gov/23130564/.

Smith PW, Hanks LR, Salomone LJ, Hanks JB. ʻOhana. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier Saunders; 2017: chap 36.