Sarkoma palupalu nā mākua

ʻO ka sarcoma palupalu (STS) kahi maʻi ʻaʻai e hana i nā mea palupalu o ke kino. Hoʻopili, kākoʻo, a hoʻopuni paha nā mea palupalu i nā ʻāpana o ke kino. I nā mākua, kākaʻikahi ka STS.

Aia nā ʻano like ʻole o nā maʻi ʻaʻai palupalu. Pili ke ʻano o ka sarcoma i ka aʻa i hoʻokumu ʻia i:

• Nā mākala
• Tendons
• Momona
• Nā kīʻaha koko
• Nā moku Lymph
• Nā koʻo
• Nāʻaʻaʻa a puni nā hono

Hiki ke hana i ka maʻi ʻaʻai kokoke i kēlā me kēia wahi, akā ʻike pinepine ʻia i ka:

• Poʻo
• ʻĀʻī
• Nā mea kaua
• Nā wāwae
• Kumu
• Kapu

ʻAʻole maopopo i ke kumu o ka nui o nā sarcomas. Akā aia kekahi mau kumu pilikia.

• ʻO kekahi mau maʻi hoʻoilina, e like me Li-Fraumeni Syndrome
• ʻO ka radiation radiation no nā maʻi ʻē aʻe
• Hōʻike i kekahi mau kemika, e like me ka vinylloride a i ʻole kekahi mau lāʻau make
• Loaʻa ka pehu ʻana i nā lima a me nā wāwae no ka manawa lōʻihi (lymphedema)

I nā wā mua, ʻaʻohe pinepine nā hōʻailona. Ke ulu nei ʻo ka maʻi ʻaʻai, kumu paha ia i kahi puʻupuʻu a ʻōhū paha e hoʻomau ana i ka ulu ʻana o ka manawa. ʻO ka hapanui o nā puʻupuʻu ʻaʻole KANI.

ʻO nā ʻōuli ʻē aʻe e like me:

• ʻEha, inā kaomi ia ma luna o ke aʻalolo, organ, ipu koko, a i ʻole nā ​​mākala
• Ka poloka a me ke kahe ʻana o ka ʻōpū a i ʻole nā ​​ʻōpū
• Nā pilikia hanu

E nīnau aku kāu mea mālama ola iā ʻoe e pili ana i kāu mōʻaukala olakino a hana i kahi hoʻokolohua kino. Hiki i nā hoʻokolohua ʻē aʻe ke:

• Nā kukuna X
• CT scan
• MRI
• Scanner PET

Inā kānalua kāu mea hāʻawi i ka maʻi ʻaʻai, loaʻa paha iā ʻoe kahi biopsy e nānā ai no ka maʻi ʻaʻai. I kahi biopsy, hōʻiliʻili kāu mea hāʻawi i kahi kiko kiko e nānā ai i ka lab.

E hōʻike ka biopsy inā loaʻa ka maʻi ʻaʻai a kōkua e hōʻike i ka wikiwiki o kona ulu ʻana. E noi paha kāu mea hāʻawi i nā mea hou e hoʻokuʻi ai i ka maʻi ʻaʻai. Hiki i ke kau ke haʻi i ka nui o ka maʻi ʻaʻai i kēia manawa a inā ua pālahalaha ia.

ʻO ke ʻoki lāʻau ka lāʻau maʻamau no STS.

• I nā wā mua, hemo ka tumo a me kekahi mau mea olakino a puni ia.
• I kekahi manawa, pono e hemo wale i ka nui o nā kiko. I nā manawa ʻē aʻe, pono e hemo kahi ākea ākea o nā kiko.
• Me nā maʻi ʻino holomua e hana i ka lima a i ʻole ka wāwae, ukali paha ke kahakaha e ka radiation a me ka chemotherapy. Kākaʻikahi, pono e ʻoki ʻia ka lālā.

Loaʻa iā ʻoe he radiation a chemotherapy paha:

• Hoʻohana ʻia ma mua o ke kaha ʻana e kōkua ai e hōʻemi i ka tumo i mea e maʻalahi ai ka lawe ʻana i ka maʻi ʻaʻai
• Hoʻohana ʻia ma hope o ke kaha ʻana e luku i nā hunaola maʻi ʻea i koe

Hoʻohana ʻia ʻo Chemotherapy e kōkua i ka make ʻana i ka maʻi ʻaʻai i metastasized. ʻO kēia ke kumu ua hoʻolaha ia i nā wahi like ʻole o ke kino.

Hoʻopili ka maʻi ʻaʻai i kou manaʻo e pili ana iā ʻoe iho a me kou ola. Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike like a me nā pilikia e hiki ke kōkua iā ʻoe e hōʻemi i ka noho kaʻawale.

E noi i kāu mea hāʻawi e kōkua iā ʻoe e ʻike i kahi hui kākoʻo no ka poʻe i ʻike ʻia me STS.

ʻO ka kuanaʻike no ka poʻe i mālama mua ʻia ka maʻi ʻaʻai maikaʻi loa. ʻO ka hapa nui o ka poʻe i ola i nā makahiki 5 hiki ke manaʻo ʻia me ka ʻaʻohe ʻole i 10 mau makahiki.

Hoʻopili nā pilikia me nā hopena ʻaoʻao mai ke ʻoki ʻana, chemotherapy, a i ʻole radiation.

E ʻike i kāu mea hāʻawi e pili ana i nā puʻupuʻu e ulu ana i ka nui a ʻehaʻeha paha.

ʻAʻole ʻike ʻia ke kumu o ka hapa nui o STS a ʻaʻohe ala e pale aku ai. Ke ʻike nei i kāu mau pilikia a haʻi aku i kāu mea hāʻawi ke ʻike mua ʻoe i nā hōʻailona hiki ke hoʻonui i kou manawa e ola i kēia ʻano maʻi ʻaʻai.

STS; Leiomyosarcoma; Hemangiosarcoma; Kaposi’s sarcoma; Lymphangiosarcoma; Synovial sarcoma; Neurofibrosarcoma; Liposarcoma; Fibrosarcoma; Histocytoma fibrous malignant; Dermatofibrosarcoma; Angiosarcoma

Contreras CM, Heslin MJ. Sarkoma palupalu. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 31.

Pūnaewele ʻo National Cancer Institute. Hoʻomaʻamaʻa sarcoma aʻa mākua palupalu (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/soft-tissue-sarcoma/hp/adult-soft-tissue-treatment-pdq#section/all. Hoʻohou i Ianuali 15, 2021. Loaʻa iā Pepeluali19, 2021.

ʻO Van Tine BA. ʻO nā Sarcomas o nā mea palupalu. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 90.