ʻO Acral Lentiginous Melanoma

Anter

• Acral lentiginous melanoma nā ʻōuli
• ʻO ke kumu Aental lentiginous melanoma
• Nā pae mua
• Pae kiʻekiʻe
• Kāohi
• Outlook

He aha ka melanoma acent lentiginous?

ʻO Acral lentiginous melanoma (ALM) kahi ʻano melanoma malignant. ʻO ka melanoma malignant kahi ʻano o ka maʻi ʻaʻai i kū ʻia i ka wā e lilo nā ʻili ʻili i kapa ʻia he melanocytes e lilo i maʻi maʻi.

Loaʻa i nā melanocytes kou kala o ka ʻili (ʻike ʻia ʻo melanin a i ʻole pigment). I kēia ʻano melanoma, pili ka huaʻōlelo "acral" i ka hanana o ka melanoma ma nā palma a me nā kapuaʻi.

ʻO ka huaʻōlelo "lentiginous" ʻo ia hoʻi, ʻoi aku ka ʻeleʻele o ke kiko o ka melanoma ma mua o ka ʻili a puni. He palena ʻoi kona ma waena o ka ʻili ʻeleʻele a me ka ʻili māmā e hoʻopuni ana iā ia. ʻO kēia ʻokoʻa i ke kala kekahi o nā hōʻailona i ʻike nui ʻia o kēia ʻano melanoma.

ʻO ALM ka ʻano melanoma maʻa mau i ka poʻe me ka ʻili ʻeleʻele a me nā kūpuna ʻĀkia. Eia nō naʻe, hiki ke ʻike ʻia i nā ʻano ʻili āpau. He paʻakikī paha ke ʻike ʻia ʻo ALM i ka wā mua, ke liʻiliʻi ka pā o ka ʻili ʻeleʻele a like me he mea lā ma mua o kahi kiko a ʻeha paha. Pono ka ʻike mua a me ka mālama ʻana.

Acral lentiginous melanoma nā ʻōuli

ʻO ka ʻōuli ʻike nui ʻia o ka ALM he wahi ʻeleʻele ia o ka ʻili i hoʻopuni ʻia e ka ʻili i koe i kou kala ʻili maʻamau. Aia kahi palena maopopo ma waena o ka ʻili ʻeleʻele a me ka ʻili māmā e hoʻopuni iā ​​ia. E ʻike maʻamau ʻoe i kahi e like me kēia ma a puni paha o kou mau lima a me kou mau wāwae, a i ʻole nā ​​moena kui.

ʻAʻole pouli ʻeleʻele a pouli paha nā wahi ALM. Hiki i kekahi mau kiko ke ʻulaʻula a ʻalani paha i ke kala - kapa ʻia kēia mau mea he amelanotic (a i ʻole non-pigment).

Aia he mau hōʻailona ʻelima i hiki iā ʻoe ke nānā no ka hoʻoholo inā kānalua paha kahi wahi no ka melanoma (ʻokoʻa i kahi mole non-cancerous). Maʻalahi e hoʻomanaʻo i kēia mau ʻanuʻu e ka acronym ABCDE:

• Asymmetry: ʻAʻole like nā ʻāpana ʻelua o ke kiko me kēlā me kēia, ʻo ia hoʻi he ʻokoʻa ka nui a i ʻole ke ʻano. ʻO nā mole non-cancerous he poepoe ke ʻano a i ʻole ka like a me ke ʻano ma nā ʻaoʻao ʻelua.
• Palena ʻole o ka palena: Pākuʻi ʻole ʻia ka palena a puni kahi. Loaʻa i nā mole non-cancerous nā palena i pololei, wehewehe pono ʻia, a paʻa.
• ʻOkoʻa kala: Hana ʻia ka wahi i nā wahi o nā waihoʻoluʻu he nui o ka brown, polū, ʻeleʻele, a me nā kala like ʻole. ʻO nā moles non-cancerous he hoʻokahi wale nō kala (ʻeleʻele maʻamau).
• Nui anawaena: ʻOi aku ka nui o ke kiko ma mua o ka hapahā o ka ʻīniha (0.25 iniha, a i ʻole 6 milimita) a puni. ʻOi aku ka liʻiliʻi o nā mole non-cancerous.
• Ke hoʻololi nei: Ua piʻi a nui aʻe nā kala a ʻoi paha o nā kala ma mua o ka wā i puka mua ai i kou ʻili. ʻAʻole ulu a hoʻololi ʻole nā ​​mole non-cancerous i ke kala ma ke ʻano he wahi melanoma.

E hoʻomaka paha ka papa o kahi o ALM i ka laumania a lilo i puʻupuʻu a ʻoi paha i ka wā e ulu ana. Inā hoʻomaka kahi tumo e ulu aʻe mai nā hunaola ʻili maʻi ʻaʻai, e lilo ka ʻili i nui bulbous, discolored, a ʻino hoʻi i ka hoʻopā.

Hiki iā ALM ke hōʻike a puni i kou manamanalima a me nā manamanalima. Ke kū kēia, ua kapa ʻia ʻo subungual melanoma. Hiki iā ʻoe ke ʻike i ka loli maʻamau i kou kui a me nā kiko a i ʻole nā ​​laina o ka discoloration e hoʻonui ana i ka cuticle a me ka ʻili kahi e hui ai ke kui. Kapa ʻia kēia inoa ʻo Hutchinson's sign. Ke ulu nei kahi o ALM, hoʻomaka paha kou kui e haki a haki paha, keu hoʻi ke neʻe i nā pae hope.

ʻO ke kumu Aental lentiginous melanoma

Hana ʻo ALM no ka mea he malignant nā melanocytes i kou ʻili. E ulu a ulu ka Tumo a hiki i kona hemo ʻana.

ʻAʻole like me nā ʻano melanoma ʻē aʻe, pili ʻole ka melanoma acent lentiginous me ka nui o ka puka ʻana o ka lā. Manaʻo ʻia he kōkua nā hoʻololi kūpuna i ka ulu ʻana o ka melanoma acent lentiginous.

Acral lentiginous melanoma lapaʻau | Hoʻomaʻo a me ka hoʻokele

Nā pae mua

Inā kū mau kāu ALM i ka wā mua a ua liʻiliʻi ia, hiki i kāu kauka ke ʻokiʻoki i kahi o ALM mai kou ʻili i kahi hana ʻoki kino wikiwiki. E ʻoki hoʻi kāu kauka i kekahi ʻili a puni ka wahi. ʻEhia ka nui o ka ʻili e pono e hemo ʻia ma ka mānoanoa Breslow o ka melanoma, e ana ana i ka hohonu o ka hoʻouka ʻana o ka melanoma. Hoʻoholo ʻia kēia me microscopically.

Pae kiʻekiʻe

Inā loaʻa ka hohonu o ka hoʻouka kaua o kāu ALM, pono e hemo i nā lymph nodes. Pono paha e hoʻonui i nā helu. Inā loaʻa nā hōʻike o ka hoʻolaha ākea, e like me nā mea ʻē aʻe, pono ʻoe i ka lāʻau me ka pale maʻi. ʻO ka Immunotherapy me nā lāʻau biologic e kuhikuhi i nā mea loaʻa ma ka hikoko.

Kāohi

Inā hoʻomaka ʻoe e ʻike i nā hōʻailona o ALM ma ka hoʻohana ʻana i ka rula ABCDE, e ʻike i kāu kauka i ka wā hiki loa i hiki iā lākou ke lawe i kahi biopsy o ia wahi a hoʻoholo inā he maʻi kōkō kahi. E like me ke ʻano o ke kanesa a i ʻole melanoma, ke kuhi mua ʻana hiki ke kōkua i ka hoʻomaʻamaʻa maʻalahi ʻana a me ka hopena o kou olakino liʻiliʻi.

Outlook

Ma nā pae holomua hou aku, hiki i ka ALM ke paʻakikī e mālama a mālama. Kākaʻikahi ʻo ALM a ʻaʻole make pinepine, akā ʻo kahi hihia holomua e alakaʻi i nā ʻāpana o kou mau lima a i ʻole nā ​​wāwae e pono e ʻoki ʻia i mea e hōʻoki ai i ka maʻi ʻaʻai mai kahi mamao loa.

Inā ʻike koke ʻia ʻoe a ʻimi i ka lāʻau e hōʻoki ai iā ALM mai ka ulu a hoʻolaha ʻana, hiki ke maikaʻi ka nānā ʻana iā ALM.