ʻComlelo ʻume ʻume uterine

ʻO Uterine sarcoma kahi maʻi ʻaʻai liʻiliʻi o ka uterus (ʻōpū). ʻAʻole like ia me ka maʻi ʻaʻai endometrial, kahi maʻi ʻaʻai ʻoi aku ka nui e hoʻomaka i ka uhi ʻana o ka kōpū. Hoʻomaka pinepine ka Uterine sarcoma i ka mākala ma lalo o kēlā uhi.

ʻAʻole ʻike ʻia ke kumu kūpono. Akā aia kekahi mau kumu pilikia.

• ʻO ka radiation radiation i hala iho nei. Hoʻomohala kekahi mau wahine i ka sarcoma uterine 5 a 25 mau makahiki ma hope o ka loaʻa ʻana o ka radiation therapy no kekahi maʻi pelvic cancer.
• ʻO ka hana i hala a i ʻole me ka tamoxifen no ka maʻi ʻaʻai umauma.
• Heihei. ʻElua mau manawa o ka makaʻu o nā wahine ʻApelika ʻAmelika i loaʻa i nā wahine keʻokeʻo a ʻĀkia paha.
• Nā Genetics. ʻO ka gen abnormal like ke kumu o kahi maʻi ʻaʻai maka i kapa ʻia ʻo retinoblastoma a hoʻonui pū i ka makaʻu no ka sarcoma uterine.
• ʻO nā wahine hāpai ʻole.

ʻO ka hōʻailona maʻamau o ka sarcoma uterine ke kahe ʻana o ke koko ma hope o ka menopause. E hoʻomaopopo koke i kāu kauka mālama ola:

• ʻO nā kahe koko ʻaʻole ia he ʻāpana o kāu menstrual period
• Kekahi kahe kahe ma hope o ka menopause

ʻO ka hapanui paha, ʻaʻole no ke ka maʻi ʻaʻai. Akā pono ʻoe e haʻi mau i kāu mea hāʻawi e pili ana i ke kahe koko ʻole.

ʻO nā hōʻailona kūpono ʻē aʻe o ka sarcoma uterine e komo pū me:

• Hoʻokuʻu i ka maʻi maʻi maikaʻi ʻole me nā antibiotic a kū paha me ke kahe ʻole o ke kahe
• ʻO kahi nuipa a puʻupuʻu paha i ka ʻōpū a i ʻole ka uterus
• Me ka mimi pinepine

ʻO kekahi o nā ʻōuli o ka sarcoma uterine e like me nā fibroids. ʻO ke ala wale nō e haʻi ai i ka ʻokoʻa ma waena o sarcoma a me fibroids me nā hoʻāʻo, e like me kahi biopsy o nā kiko i lawe ʻia mai ka pūpū.

Lawe kāu mea hāʻawi i kāu mōʻaukala olakino. E loaʻa iā ʻoe kahi hoʻokolohua kino a me kahi hōʻike pelvic. Hiki i nā hoʻokolohua ʻē aʻe ke:

• ʻO ka biopsy endometrial e hōʻiliʻili i kahi hāpana o ke kiko e nānā i nā hōʻailona o ka maʻi ʻaʻai
• ʻO ka dilation a me ka curettage (D & C) e hōʻiliʻili i nā hunaola mai ka uterus e nānā no ka maʻi ʻaʻai

Pono nā hoʻokolohua kiʻi e hana i kiʻi o kāu mau hua hānau. Hana pinepine ʻia ʻo Ultrasound o ka pelvis. Eia naʻe, ʻaʻole hiki ke haʻi pinepine i ka ʻokoʻa ma waena o ka fibroid a me ka sarcoma. Pono paha kahi scan MRI o ka pelvis.

ʻO kahi biopsy e hoʻohana ana i ka ultrasound a i ʻole MRI e alakaʻi ai i ka nila ke hoʻohana ʻia e hana i ke kuhi.

Inā loaʻa i kāu mea hāʻawi nā hōʻailona o ka maʻi ʻaʻai, pono nā hoʻokolohua ʻē aʻe no ka hoʻonohonoho ʻana i ka maʻi ʻaʻai. E hōʻike ana kēia mau hoʻāʻo i ka nui o ka maʻi ʻaʻai. E hōʻike pū lākou inā ua pālahalaha ʻia i nā ʻāpana ʻē aʻe o kou kino.

ʻO ke ʻoki lāʻau ka lāʻau maʻamau no ka maʻi ʻaʻai uterine. Hiki ke hoʻohana i ka hana ʻokiʻoki e hōʻoia, pae, a mālama i ka sarcoma uterine āpau i ka manawa hoʻokahi.Ma hope o ke kaha ʻana, e nānā ʻia ka maʻi ʻaʻai i loko o kahi lab e ʻike ai i kona holomua.

Kaukaʻi ʻia i nā hopena, pono ʻoe i radiation therapy a chemotherapy paha e pepehi i nā hunaola maʻi ʻea i koe.

Hiki paha iā ʻoe ke hoʻōla hormonone no kekahi ʻano tumors e pane i nā hormona.

No ka maʻi ʻaʻai holomua i laha ma waho o ka pelvis, makemake paha ʻoe e hui pū me kahi hoʻokolohua hoʻokolohua no ka maʻi ʻaʻai uterine.

Me ka maʻi ʻaʻai i hoʻi mai, hoʻohana ʻia paha ka radiation no ka hoʻomaʻamaʻa palliative. Pono ka mālama Palliative e hōʻoluʻolu i nā hōʻailona a hoʻomaikaʻi i ke ola o ke kanaka.

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 kaʻanalike ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike like a me nā pilikia e hiki ke kōkua iā ʻoe e hōʻemi i kahi kaʻawale.

E noi i kāu mea lawelawe a i ʻole nā ​​limahana ma ke kikowaena maʻi ʻaʻai e kōkua iā ʻoe e ʻike i kahi hui kākoʻo no ka poʻe i ʻike ʻia me ka maʻi ʻaʻai uterine.

Pili kāu wānana i ke ʻano a me ke kahua o ka sarcoma uterine āu i mālama ai. No ka maʻi ʻaʻai ʻaʻole pālahalaha, ma ka liʻiliʻi he 2 o kēlā me kēia 3 poʻe me ka maʻi ʻaʻai ʻole ma hope o 5 mau makahiki. Ua heleleʻi ka helu i ka hoʻomaka ʻana o ka maʻi ʻaʻai e lilo i paʻakikī e mālama.

ʻAʻole ʻike pinepine ʻia ka Uterine sarcoma, no laila, ʻilihune ka wānana. Hiki i kāu mea hāʻawi ke kōkua iā ʻoe e hoʻomaopopo i ke kuanaʻike no kāu ʻano maʻi ʻaʻai.

Komo pū nā pilikia:

• Hiki ke hana i kahi perforation (hole) o ka uterus i ka manawa o D a me C a i ʻole ke biopsy endometrial
• Nā pilikia mai ke ʻoki, radiation, a me ka chemotherapy

E ʻike i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka maʻi ʻaʻai uterus.

Ma muli o ka ʻike ʻole ʻia o ke kumu, ʻaʻohe ala e pale ai i ka sarcoma uterine. Inā ua loaʻa ʻoe i ka radiation radiation ma kou wahi pelvic a i ʻole lawe i ka tamoxifen no ka maʻi ʻaʻai umauma, e nīnau i kāu mea lawelawe i ka manawa pinepine e nānā ʻia ai ʻoe no nā pilikia kūpono.

Leiomyosarcoma; Sarometa stromal endometrial; Nā sarcomas i hoʻokaʻawale ʻole ʻia; Maʻi ʻaʻai Uterine - sarcoma; Sarcoma uterine kūponoʻole; Nā kūpale Müllerian hui malignant; Adenosarcoma - uterine

ʻO Boggess JF, Kilgore JE, Tran A-Q. Maʻi ʻaʻai Uterine. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 85.

Howitt BE, Nucci MR, Quade BJ. Nā tumors mesenchymal Uterine. I: Crum CP, Nucci MR, Howitt BE, Granter SR, Parast MM, Boyd TK, hua. Palekana Gynecologic a me nā Pathology Obstetric. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap 20.

Pūnaewele ʻo National Cancer Institute. Mālama Uterine sarcoma (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/uterine/hp/uterine-sarcoma-treatment-pdq. Hoʻohou i Kēkēmapa 19, 2019. Loaʻa iā ʻOkakopa 19, 2020.