Teratoma malignant o ka mediastinum

ʻO kahi teratoma kahi ʻano maʻi ʻaʻai e loaʻa ana i hoʻokahi a ʻoi aku o nā papa ʻekolu o nā hunaola i loaʻa i kahi pēpē e ulu ana (embryo). Kapa ʻia kēia mau hunaola nā hunaola germ. ʻO kahi teratoma kekahi ʻano tumo kelena mikala.

Aia ka mediastinum ma loko o ka mua o ka pahu ma kahi e hoʻokaʻawale ai i nā akemāmā. Loaʻa ka puʻuwai, nā kīʻaha koko nui, ka peʻa makani, ke gland, a me ka esophagus ma laila.

Hana pinepine ʻia ʻo teratoma mediastinal malignant i nā kāne ʻōpio i ko lākou 20 a 30 paha. Hiki i ka hapanui o nā teratoma malignant ke hoʻolaha i ke kino, a ua pālahalaha ʻia e ka manawa o ke kuhi.

Pili pinepine ʻia nā maʻi ʻaʻai koko me kēia tumo, me:

• Huʻi myelogenous leukemia (AML)
• Myelodysplastic syndromes (hui o nā iwi pū iwi)

Pākuʻi ʻia paha nā ʻōuli:

• ʻEhaʻeha a ʻeha paha
• Cough
• Ka luhi
• Loaʻa ka hiki ke hoʻomanawanui i ka hoʻoikaika kino
• Pokole o ka hanu

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i nā ʻōuli. Hōʻike paha ka hoʻokolohua i kahi paʻa o nā aa e komo ana i waenakonu o ka pahu ma muli o ka hoʻonui ʻia o kaomi ma ka umauma.

Kōkua kēia mau hoʻāʻo e hōʻike i ka tumo.

• Pākuʻi x-ray
• CT, MRI, PET scans o ka umauma, ʻōpū, a me ke pelvis
• Nā kiʻi nuklear
• Nānā ke koko e nānā i ka beta-HCG, alpha fetoprotein (AFP), a me nā lactate dehydrogenase (LDH) pae
• Mediastinoscopy me ka biopsy

Hoʻohana ʻia ʻo Chemotherapy e mālama i ka tumo. Hoʻohana mau ʻia kahi hui o nā lāʻau (cisplatin, etoposide, a me bleomycin) maʻamau.

Ma hope o ka pau ʻana o ka chemotherapy, lawe hou ʻia ka CT scan e ʻike ai inā koe kekahi o nā tumo. Paipai ʻia ke ʻoki kino inā loaʻa ka makaʻu e ulu hou ka maʻi ʻaʻai i kēlā wahi a i ʻole inā ua waiho ʻia kekahi maʻi ʻaʻai.

Loaʻa nā pūʻulu kākoʻo he nui no ka poʻe me ka maʻi ʻaʻai. Kāhea aku i ka American Cancer Society - www.cancer.org.

Aia ka nānā i ka nui o ka tumo a me kahi a me ka makahiki o ka mea maʻi.

Hiki ke pālahalaha ʻia ka maʻi ʻaʻai ma loko o ke kino a aia paha he mau pilikia o ke kaha ʻana a i ʻole pili i ka chemotherapy.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka malignant teratoma.

Dermoid cyst - hōʻino; Nonseminomatous germ cell tumor - teratoma; Teratoma makua ʻole; GCTs - teratoma; Teratoma - extragonadal

• Teratoma - scan MRI
• Teratoma malignant

ʻO Cheng G-S, ʻo Varghese TK, ʻo Park DR. Nā Tumors Mediastinal a me nā Cist. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 83.

Putnam JB. Lū, pā umauma, pleura, a me mediastinum. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 57.