ʻO ka tumo testicular pūnaewele ʻo Leydig

ʻO kahi tumo pūnaewele ʻo Leydig kahi tumo o ka testicle. Hoʻokumu ia mai nā pūnaewele ʻo Leydig. ʻO kēia nā pūnaewele i loko o nā testicle e hoʻokuʻu i ka hōmona kāne, testosterone.

ʻAʻole ʻike ʻia ke kumu o kēia tumo. ʻAʻohe mea i ʻike ʻia no kēia tumo. ʻAʻole like me nā ʻōpala kele germ o nā testicle, ʻaʻole pili kēia tumo i nā hōʻike hōʻike ʻole.

Hana nā puʻupaʻa ʻo Leydig i kahi helu liʻiliʻi loa o nā tumo testicular āpau. ʻIke pinepine ʻia lākou i nā kāne ma waena o 30 a 60 mau makahiki. ʻAʻole maʻamau kēia tumo i nā keiki ma mua o ka ʻōpio, akā hiki ke kumu i ka wā ʻōpio.

ʻAʻohe paha ʻōuli.

Ke hiki mai nā hōʻailona, ​​hiki iā lākou ke hoʻopili:

• Ka hōʻoluʻolu a ʻeha paha i ka lepa
• Ka hoʻonui ʻana i kahi testicle a i ʻole hoʻololi i ke ʻano o ka manaʻo
• ʻO ka ulu nui ʻana o nā kiko o ka umauma (gynecomastia) - akā naʻe, hiki i kēia ke hana maʻamau i nā keikikāne ʻōpio ʻaʻohe o lākou i ka maʻi ʻaʻai testicular
• Kaumaha i ka scrotum
• Lū a ʻōhū paha i kēlā me kēia mea hōʻike
• ʻEha ma ka ʻōpū o lalo a i ʻole kua
• ʻAʻole hiki ke makua kāne i nā keiki (infertility)

ʻO nā ʻōuli ma nā ʻāpana ʻē aʻe o ke kino, e like me ka akemāmā, ʻōpū, pelvis, kua, a i ʻole ka lolo inā paha ua pāhola ka maʻi ʻaʻai.

Hōʻike pinepine kahi hoʻokolohua kino i kahi puʻupuʻu paʻa i hoʻokahi o nā testicle. Ke mālama ke kahu mālama ola i ke kukui uila i ka scrotum, ʻaʻole hele ke kukui i ka puʻupuʻu. Kapa ʻia kēia hoʻāʻo transillumination.

ʻO nā hōʻike ʻē aʻe kekahi:

• Nā hoʻokolohua koko no nā māka tumo: alpha fetoprotein (AFP), human chorionic gonadotropin (beta HCG), a me lactate dehydrogenase (LDH)
• CT scan o ka umauma, ʻōpū a me ke pelvis e nānā inā ua pālahalaha ka maʻi ʻaʻai
• ʻO Ultrasound o ka scrotum

Hana pinepine ʻia kahi ninaninau o nā mea ma hope o ka hemo ʻana o ka testicle holoʻokoʻa (orchiectomy).

ʻO ka mālama ʻana i kahi tumo pūnaewele Leydig e pili ana i kāna pae.

• ʻAʻole i pālahalaha ka maʻi ʻaʻai I ma waho o ka testicle.
• Ua pālahalaha ʻia ka maʻi ʻaʻai pae i nā lymph node i loko o ka ʻōpū.
• Ua pālahalaha ka maʻi ʻaʻa pae III ma ʻō aku o nā lymph node (hiki paha i ke ake, nā akemāmā, a me ka lolo).

Hana ʻia ke ʻoki e wehe i ka testicle (orchiectomy). Hiki ke hoʻoneʻe ʻia nā lymph node kokoke (lymphadenectomy).

Hoʻohana ʻia ʻo Chemotherapy e mālama i kēia tumo. ʻOiai he kakaikahi nā puʻupuʻu ʻo Leydig, ʻaʻole i aʻo ʻia kēia mau ʻano lapaʻau e like me ka mālama ʻana i nā lāʻau ʻē aʻe, nā maʻi ʻohe testicular maʻamau.

ʻO ka hui pū ʻana i kahi hui kākoʻo kahi e puʻunaue ai nā lālā i nā ʻike maʻamau a me nā pilikia e hiki ke kōkua pinepine i ka hoʻoluhi i ka maʻi.

ʻO ka maʻi ʻaʻai testicular kekahi o nā maʻi ʻaʻai ʻoi loa. ʻOi aku ka maikaʻi o Outlook inā ʻaʻole i loaʻa wawe ka tumo.

E pāhola paha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino. ʻO nā pūnaewele maʻamau ka:

• Kapu
• Lungs
• Retroperitoneal wahi (ka wahi kokoke i nā puʻupaʻa ma hope o nā mea ʻē aʻe i loko o ka ʻōpū wahi)
• Spine

Hiki i nā pilikia o ke kahakaha ke hoʻopili:

• Kahe a me ka maʻi
• Infertility (inā hemo ʻelua mau testicle)

Inā he makahiki hānau keiki ʻoe, e nīnau i kāu mea hāʻawi e pili ana i nā ʻano hana e mālama i kāu sperm no ka hoʻohana ʻana i kahi lā ma hope.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka maʻi ʻaʻai testicular.

Ke hana nei i ka hoʻokolohua pilikino (TSE) i kēlā me kēia mahina ke kōkua i ka ʻike ʻana i ka maʻi ʻaʻai testicular i ka wā mua, ma mua o ka pālahalaha ʻana. ʻO ka ʻimi ʻana i ka maʻi ʻaʻai testicular i ka wanaʻao he mea nui ia no ke kūleʻa ʻana a me ke ola.

Tumor - Pūnaewele ʻo Leydig; Tumo testicular - Leydig

• Anatomia hānau kāne

Friedlander TW, Liʻiliʻi E. maʻi maʻi ʻaʻai. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 83.

Pūnaewele ʻo National Cancer Institute. Hoʻomaʻo testicular cancer (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/testicular/hp/testicular-treatment-pdq. Hoʻohou ʻia Mei 21, 2020. Loaʻa iā Iulai 21, 2020.

ʻO Stephenson AJ, ʻo Gilligan TD. Nā Neoplasms o nā hōʻike. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 76.