ʻO Ganglioneuroblastoma

ʻO Ganglioneuroblastoma kahi tumo waena e kū mai ana mai nā aʻa nerve. ʻO ka tumo waena kekahi mea ma waena o ka benign (ulu lohi a ʻaʻole paha e pāhola) a me nā maʻi hōʻino (ulu wikiwiki, hakakā, a pāhola paha).

Kū pinepine ʻo Ganglioneuroblastoma i nā keiki mai 2 a 4 mau makahiki. Hoʻopili like ka tumo i nā keikikāne a me nā kaikamahine. ʻAʻole loaʻa iki i nā mākua. Loaʻa i nā tumors o ka ʻōnaehana nēkelē ʻokoʻa kekelē o ka hoʻokaʻawale. Hoʻokumu ʻia kēia i ka nānā ʻana o nā hunaola tumola ma lalo o ka microscope. Hiki iā ia ke wānana inā paha e hoʻolaha lākou.

ʻOi aku ka liʻiliʻi o ka palahalaha ʻana o nā tumors Benign. Kūpikipiki nā kūpuna malignant, ulu wikiwiki, a pālahalaha pinepine. ʻO kahi ganglioneuroma ʻoi aku ka maikaʻi ʻole o ke ʻano kūlohelohe. ʻO kahi neuroblastoma (e hana ʻia i nā keiki ma mua o 1 mau makahiki) he māino maʻamau.

Aia paha kahi ganglioneuroblastoma ma kahi wale nō a ākea paha, akā ʻoi aku ka liʻiliʻi o ka hakakā ma mua o kahi neuroblastoma. ʻAʻole ʻike ʻia ke kumu.

ʻO ka mea maʻamau, hiki ke ʻike ʻia kahi puʻupuʻu i loko o ka ʻōpū me ka palupalu.

Hiki ke hana i kēia tumo ma nā pūnaewele ʻē aʻe, e like me:

• Pahu umauma
• ʻĀʻī
• Nā wāwae

E hana paha ka mea mālama ola i kēia mau hoʻokolohua:

• ʻO ka moʻo o ka nila maikaʻi
• ʻIʻini iwi a me ka biopsy
• ʻImi iwi
• ʻO ka scan CT a i ʻole ka MRI scan o ka wahi i hoʻopilikia ʻia
• Scanner PET
• Metaiodobenzylguanidine (MIBG) scan NineManga.com
• ʻO nā hoʻokolohua koko a me ka mimi kūikawā
• ʻO kahi biopsy ʻoki e hōʻoia i ka hōʻoia

Kaukaʻi ʻia i ke ʻano o ka tumo, hiki i ka lāʻau ke komo i ke kaha ʻana, a me ka chemotherapy a me ka radiation radiation.

Ma muli o ka loaʻa ʻole o kēia mau tumors, pono lākou e mālama ʻia i kahi kikowaena loea e nā poʻe loea i ʻike pū me lākou.

Nā hui e hāʻawi i ke kākoʻo a me ka ʻike hou aku:

• Pūʻulu Oncology Children - www.childrensoncologygroup.org
• ʻO ka Neuroblastoma Children's Cancer Society - www.neuroblastomacancer.org

Aia ka nānā i ka lōʻihi o ka palahalaha ʻana o ka tumo, a inā paha i loaʻa i kekahi mau ʻāpana o ka tumo nā pūnana maʻi ʻaʻai ʻāpiki.

Nā pilikia e hopena paha me:

• Nā pilikia o ke kaha ʻana, radiation, a me chemotherapy
• Hoʻolahalaha i ka tumo i nā wahi a puni

Kāhea i kāu mea hāʻawi inā ʻike ʻoe i kahi puʻupuʻu a i ʻole ka ulu ʻana ma ke kino o kāu keiki. E hōʻoia i nā keiki e loaʻa i nā hoʻokolohua maʻamau ma ke ʻano o kā lākou mālama pono keiki ʻana.

ʻO Harrison DJ, Ater JL. ʻO Neuroblastoma. I: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 525.

ʻO Myers JL. Mediastinum. I: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. ʻO Rosai lāua ʻo Ackerman's Surgical Pathology. 11th hua. Piladelapia, PA: Elsevier; 2018: chap 12.