ʻO Ganglioneuroma

ʻO Ganglioneuroma kahi tumo o ka ʻōnaehana autonomic.

ʻO nā Ganglioneuromas he mau ʻōpū laha ʻole e hoʻomaka pinepine i nā keʻa aʻa autonomic. Mālama nā aʻalolo kūʻokoʻa i nā hana o ke kino e like me ke kahe o ke koko, ka nui o ka puʻuwai, ka sweating, ka ʻōpū a me ka hoʻoneʻe ʻana i ka hakahaka, a me ka digestion. ʻO nā tumors he maʻamau ʻole (benign).

Hana pinepine ʻo Ganglioneuromas i ka poʻe ma mua o 10 mau makahiki. Ulu lohi lākou, a hoʻokuʻu paha i kekahi mau kemika a i ʻole nā ​​hormones.

ʻAʻohe mea ʻike pilikia e ʻike ʻia. Eia nō naʻe, pili paha nā puʻupuʻu me kekahi mau pilikia kūpuna, e like me ka neurofibromatosis type 1.

ʻAʻohe kumu o kahi ganglioneuroma. ʻIke wale ʻia ka tumo ke nānā ʻia a mālama ʻia paha kekahi kanaka no kekahi ʻano ʻē aʻe.

Pili nā ʻōuli i kahi o ka tumo a me ke ʻano o nā kemika i hoʻokuʻu ʻia.

Inā aia ka tumo i ka umauma (mediastinum), hiki i nā ʻōuli ke hoʻopili pū ʻia:

• Pilikia hanu
• ʻEha ʻeha
• Kaomi o ka puhi ʻōkuhi (trachea)

Inā haʻahaʻa i lalo ka ʻōpū i loko o ka ʻōpū ma kahi i kapa ʻia ʻo kahi retroperitoneal space,

• Abdominal eha
• Puʻupuʻu

Inā kokoke ka tumo i ka iwi kuamoʻo, kumu paha ia:

• ʻO ke kaohi ʻana o ka iwi kuamoʻo, e alakaʻi ai i ka ʻeha a me ka nalo ʻana o ka ikaika a i ʻole ka manaʻo i nā wāwae, nā lima, a i ʻole ʻelua paha
• Deformity Spine

Hana paha kēia mau tumors i kekahi mau hormona, i hiki ke kumu i nā ʻōuli penei:

• Pohā
• Hoʻonui clitoris (wahine)
• Piʻi koko kiʻekiʻe
• Hoʻonui i ka lauoho o ke kino
• Hoʻoulu

ʻO nā hōʻoia maikaʻi loa e ʻike ai i kahi ganglioneuroma:

• CT scan o ka umauma, ʻōpū, a me ke pelvis
• MRI scan o ka umauma a me ka ʻōpū
• Ultrasound o ka ʻōpū a pelvis

Hiki ke hana i nā hoʻokolohua koko a me ka mimi e hoʻoholo inā ke hana nei ka tumo i nā homone a i ʻole nā ​​kemika ʻē aʻe.

Pono paha kahi biopsy a hoʻopau piha paha i ka tumo e hōʻoia i ka ʻike.

Hoʻopili ka hana me ke ʻoki e wehe i ka tumo (inā ke kumu ia o nā ʻōuli).

ʻO ka hapa nui o nā ganglioneuromas he noncancerous. Maikaʻi ka hopena i manaʻo ʻia.

Hiki i kahi ganglioneuroma ke lilo i maʻi maʻi maʻi a hohola i nā wahi ʻē aʻe. E hoʻi paha ia ma hope o ka hemo ʻana.

Inā lōʻihi ka manawa o ka tumo a ua kaomi ʻia ma ka ʻaoʻao o ke kuamoʻo a i ʻole ke kumu o nā ʻōuli ʻē aʻe, ʻaʻole paha e hoʻohuli ka tumo i ka ʻino. ʻO ke kaohi ʻana o ka iwi kuamoʻo ke hopena i ka nalowale o ka neʻe (paralysis), keu hoʻi inā ʻaʻole ʻike koke ʻia ke kumu.

ʻO ke ʻoki ʻana e hemo ai i ka tumo hiki ke alakaʻi i nā pilikia i kekahi mau hihia. I nā hihia maʻamau, hiki i nā pilikia ma muli o ke kaomi ke hana ma hope o ka hemo ʻana o ka tumo.

Kāhea i kāu kahu mālama ola inā loaʻa iā ʻoe a ʻo kāu keiki paha nā ʻōuli i hōʻea ʻia e kēia ʻano tumo.

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

ʻO Goldblum JR, Folpe AL, Weiss SW. ʻO nā iwi kuamoʻo o nā aʻa peripheral. I: Goldblum JR, Folpe AL, Weiss SW, eds. ʻO nā Tumors Tissue Palupalu ʻo Enzinger a me Weiss. ʻEpekema 7 Piladelapia, PA: Elsevier; 2020: chap 26.

ʻO Kaidar-Person O, Zagar T, Haithcock BE, Weiss J. Nā maʻi o ka pleura a me mediastinum. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 70.