ʻO ka tumo pūnaewele Sertoli-Leydig
ʻO ka tumo pūnaewele ʻo Sertoli-Leydig (SLCT) kahi maʻi ʻaʻai liʻiliʻi o nā ovaries. Hoʻokumu a hoʻokuʻu nā hunaola maʻi ʻino i kahi kāne kāne kāne i kapa ʻia testosterone.
ʻAʻole ʻike ʻia ke kumu kūpono o kēia tumo. Hiki i nā hoʻololi (hoʻololi) i nā gen ke hoʻokau i kahi kuleana.
Kū pinepine ʻo SLCT i nā wahine ʻōpio 20 a 30 mau makahiki. Akā hiki ke tumo i kēlā me kēia makahiki.
Aia nā hunaola Sertoli i loko o nā glands hānau kāne (nā hōʻike). Hānai lākou i nā hunaola sperm. ʻO nā pūnaewele Leydig, i loko o nā testes, hoʻokuʻu i kahi hormone kāne kāne.
ʻIke ʻia kēia mau hunaola i loko o nā ovaries o ka wahine, a i nā manawa kakaikahi loa e alakaʻi i ka maʻi ʻaʻai. Hoʻomaka ka SLCT i nā ovaries wahine, ʻo ka hapa nui i hoʻokahi ovary. Hoʻokuʻu nā hunaola maʻi ʻaʻai i ka wahine kāne kāne. A ʻo kahi hopena, hoʻomohala paha ka wahine i nā ʻōuli e like me:
- He leo hohonu
- Pākuʻi hoʻonui ʻia
- Lauoho lauoho helehelena
- Lilo i ka nui o ka umauma
- Ke kū nei i nā wā paheʻe
ʻO ka ʻeha ma ka ʻōpū haʻahaʻa (pelvic area) kahi hōʻailona ʻē aʻe. Kū aʻe ia ma muli o ke tumo e kaomi ana i nā hale kokoke.
E hana ka mea mālama ola i kahi hoʻokolohua kino a me kahi hōʻike pelvic, a nīnau e pili ana i nā hōʻailona.
E kauoha ʻia nā hoʻāʻo e nānā i nā pae o ka wahine a me nā kāne, e like me ka testosterone.
E hana ʻia paha kahi ultrasound a i ʻole CT scan e ʻike ai kahi o ka tumo a me kona nui a me kona ʻano.
Hana ʻia ke ʻoki e wehe i hoʻokahi a i ʻole nā ovaries ʻelua.
Inā piʻi ka tumo i ke kahua, chemotherapy a i ʻole radiation therapy e hana ʻia ma hope o ke kaha ʻana.
ʻO nā hopena ma mua ke hopena i kahi hopena maikaʻi. Hoʻi pinepine nā ʻano wahine ma hope o ke kaha ʻana. Akā ʻo nā ʻano kāne e hoʻonā lohi.
No nā Tumors pae holomua hou aku, ʻoi aku ka maikaʻi ʻole o ka nānā.
Tumo pūnaewele Sertoli-stromal; Arrhenoblastoma; Androblastoma; Ka maʻi ʻaʻai ʻōvarian - ka maʻi tumeke Sertoli-Leydig
- ʻŌnaehana hānau kāne
Penick ER, Hamilton CA, Maxwell GL, Marcus CS. ʻO ke kele germ, stromal, a me nā tumors ovarian ʻē aʻe. I: DiSaia PJ, Creasman WT, Mannel RS, McMeekin DS, Mutch DG, eds. ʻOihana Oncology Clinical Gynecologic. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 12.
ʻO Smith RP. ʻO ka tumo pūnaewele Sertoli-Leydig (arrhenoblastoma). I: Smith RP, hoʻoponopono. ʻO Netter's Obstetrics & Gynecology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap 158.