He aha ka Teratoma?

Anter

• Hōʻike Overview
• Nā ʻano teratomas
• Nā ʻōuli o ka teratoma
• Sacrococcygeal (tailbone) teratoma
• Ovarian teratoma
• Teratoma testicular
• ʻO Teratoma ke kumu
• ʻO ke kumumanaʻo māhoe
• ʻO Teratomas a me ka maʻi ʻaʻai
• Sacrococcygeal (tailbone) teratoma
• Ovarian teratoma
• Teratoma testicular
• Nānā i nā teratomas
• Terrocoma Sacrococcygeal (SCT)
• Ovarian teratoma
• Teratoma testicular
• Lapaʻau Teratoma
• Terrocoma Sacrococcygeal (SCT)
• Ovarian teratoma
• Teratoma testicular
• ʻO ka nānā aku

Hōʻike Overview

ʻO kahi teratoma kahi ʻano laha ʻole o ka tumo i hiki ke piha i nā aʻa a me nā ʻola i hoʻomohala piha ʻia, e like me ka lauoho, nā niho, nā mākala, a me ka iwi. Kū pinepine nā Teratomas i ka tailbone, nā ovaries, a me nā testicle, akā hiki ke hana ma nā wahi ʻē aʻe o ke kino.

Hiki ke ʻike ʻia ʻo Teratomas i nā keiki hānau hou, nā keiki, a i ʻole nā ​​mākua. ʻOi aku ka maʻamau o lākou i nā wahine. ʻO ke ʻano maʻamau o Teratomas i nā keiki hānau hou, akā koi ʻia paha i ka hemo ʻana o kahi ʻoki.

Nā ʻano teratomas

Ua wehewehe ʻia ʻo Teratomas ma ke ʻano oʻo a makua ʻole paha.

• ʻO nā teratomas makua he maʻa mau (ʻaʻole maʻi maʻi maʻi). Akā ulu aʻe paha lākou ma hope o ka hemo ʻana i ka lāʻau.
• ʻO nā teratomas makua ʻole e ulu a lilo i maʻi ʻaʻai maʻi kolohe.

Hoʻonohonoho hou ʻia nā teratoma makua e like me:

• cystic: hoʻopuni ʻia i loko o kāna ʻeke i loaʻa i ka wai
• paʻa: i hana ʻia me nā kiko, akā ʻaʻole i hoʻopili ʻia iā ʻoe iho
• hui: i loko o nā ʻāpana paʻa a me nā cystic

Kāhea ʻia nā teratomas cystic makua ʻo dermoid cista.

Nā ʻōuli o ka teratoma

ʻAʻohe o Teratomas i hōʻailona ma ka mua. Ke hoʻomohala nā ʻōuli, hiki iā lākou ke ʻokoʻa ke kaukaʻi i kahi o ka teratoma. ʻO nā wahi maʻamau no nā teratomas ka tailbone (coccyx), nā ovaries, a me nā testicle.

ʻO nā hōʻailona a me nā ʻōuli maʻamau i nā teratoma he nui:

• ʻeha
• pehu a kahe ʻana
• nā pae kiʻekiʻe haʻahaʻa o alpha-feroprotein (AFP), kahi māka no nā tumors
• nā pae haʻahaʻa haʻahaʻa o ka hormone beta-human chorionic gonadotropin (BhCG)

Eia kekahi mau ʻōuli kikoʻī i ke ʻano o ka teratoma:

Sacrococcygeal (tailbone) teratoma

ʻO kahi sacrococcygeal teratoma (SCT) kahi mea e hoʻomohala i ka coccyx a i ʻole ka tailbone. ʻO ia ka tumo maʻamau i loaʻa i nā keiki hānau hou a me nā keiki, akā mau ka laha ʻole o ka nui. Loaʻa ia ma kahi o 1 i kēlā me kēia 35,000 a 40,000 pēpē.

Hiki i kēia mau teratoma ke ulu ma waho a ma loko paha o ke kino i ka wahi tailbone. Ma waho aʻe o kahi nui i ʻike ʻia, hoʻopili ʻia nā ʻōuli me:

• kōpaʻa
• abdominal eha
• urination ʻeha
• pehu i loko o ka ʻāina pubic
• nāwaliwali wāwae

ʻIke pinepine ʻia lākou i nā kaikamahine pēpē ma mua o nā keikikāne. I hoʻokahi makahiki 2015 hoʻopaʻa haʻawina o nā mea maʻi i mālama ʻia no SCT ma kahi haukapila Thailand mai 1998 a 2012, ua hoʻohālikelike ka wahine i ke kāne.

Ovarian teratoma

ʻO kahi hōʻailona o ovarian teratoma ka ʻeha nui i ka pelvis a i ʻole ka ʻōpū. Hele mai kēia mai kahi kaomi wili i ka ovary (ovarian torsion) i hoʻokumu ʻia e ka ulu nui.

I kekahi manawa hiki i ka ovarian teratoma ke hele pū me kahi kūlana laha ʻole i ʻike ʻia ʻo NMDA encephalitis. Hiki i kēia ke hana i nā poʻo poʻo nui a me nā hōʻailona psychiatric me ka huikau a me ka psychosis.

Teratoma testicular

ʻO ka hōʻailona nui o ka testicular teratoma kahi puʻupuʻu a huʻu paha i ka testicle. Akā ʻaʻole paha e hōʻike ʻia kahi ʻōuli.

ʻO ka teratoma testicular ka mea maʻamau ma waena o nā makahiki o 20 a 30, ʻoiai hiki ke hana i kēlā me kēia makahiki.

ʻO Teratoma ke kumu

Loaʻa nā Teratomas mai ka hopena i ka hana ulu o ke kino, e pili ana i ke ala e ʻokoʻa a hana ai i kāu mau hunaola.

Kū aʻe ʻo Teratomas i loko o nā hunaola o kou kino, i hana ʻia i ke kakahiaka nui i ka ulu ʻana o ka ʻōpū.

Ua lilo kekahi o kēia mau hunaola germ germ i kou mau hunaola sperm- a me hua hua hua. Akā hiki ke ʻike ʻia nā hunaola germ ma kahi ʻē o ke kino, keu hoʻi i ka mahele o ka tailbone a me ka mediastinum (kahi membrane e hoʻokaʻawale ana i nā akemāmā).

ʻO nā hunaola kele kekahi ʻano o ke kele i ʻike ʻia ʻo pluripotent. ʻO ia ka mea hiki iā lākou ke hoʻokaʻawale i kekahi ʻano o ke kelepona loea i hiki ke loaʻa i loko o kou kino.

Hōʻike kekahi kumumanaʻo o teratomas i ke kumu i hoʻomaka ʻia i loko o kēia mau hunaola germ primordial. Kāhea ʻia kēia ʻo ke kumumanaʻo parthenogenic a i kēia manawa ka ʻike maʻamau.

Hōʻike ia pehea e ʻike ʻia ai nā teratomas me ka lauoho, waki, nā niho, a hiki ke hōʻike ʻia me he fetus kokoke i hana ʻia. ʻO ka wahi o nā teratomas e hoʻopaʻapaʻa nei no ko lākou kumu i nā hunaola germ primitive.

ʻO ke kumumanaʻo māhoe

I ka poʻe, hiki ke ʻike ʻia kahi ʻano teratoma kakaikahi loa, i kapa ʻia ʻo fetus in fetu (fetus ma loko o kahi fetus).

Hiki i kēia teratoma ke loaʻa ke ʻano o kahi fetus malformed. Hana ʻia ia i nā meaola ola. Akā me ka ʻole o ke kākoʻo o kahi placenta a me kahi ʻeke amniotic, ʻaʻohe manawa kūpono o ka ʻōpū i hoʻomohala ʻole ʻia.

Hōʻike kekahi kumumanaʻo i ka fetus i ka hoʻololi teratoma ma ke ʻano he koena o kahi māhoe i hiki ʻole ke ulu i loko o ka ʻōpū, a ua hoʻopuni ʻia e ke kino o ke keiki e ola nei.

ʻO kahi kumumanaʻo kūʻē e wehewehe i ka fetus ma hoʻololi ma ke ʻano he cyst dermoid hoʻomohala hou aʻe. Akā makemake ka pae kiʻekiʻe o ka hoʻomohala i ke kumumanaʻo māhoe.

Hoʻokumu wale ʻo Fetus in fetu i nā māhoe ʻo lāua ʻelua:

• loaʻa i kā lākou ʻeke o ka wai amniotic (diamniotic)
• kaʻana like i ka placenta (monochorionic) like

ʻO ka fetus in fetu teratoma e ʻike pinepine ʻia i ka wā kamaliʻi. Hiki iā ia ke hana i nā keiki o kēlā me kēia ʻano. I kēia mau teratomas i loaʻa ma mua o ke keiki a hiki i 18 mau makahiki o ka makahiki.

Loaʻa ka hapa nui o nā fetus i ka hoʻonohonoho teratomas i kahi hanana lolo. Akā he 91 pākēneka he kolamu iwi kuamoʻo, a he 82.5 pākēneka me nā wana o ka lālā.

ʻO Teratomas a me ka maʻi ʻaʻai

Hoʻomanaʻo e hoʻokaʻawale ʻia nā teratomas ma ke ʻano mākua (maʻamau maʻa mau) a makua ʻole paha (cancerous paha). Pili ka likelike o ka maʻi ʻaʻai i kahi i loaʻa ai ka teratoma.

Sacrococcygeal (tailbone) teratoma

ʻAʻole kahakaha nā SCT o ka manawa. Akā ʻo nā mea maikaʻi paha e pono e hemo no ka nui o lākou, a me ka hiki ke ulu hou. ʻOiai he kakaikahi, sacrococcygeal teratoma ka mea pinepine i loaʻa i nā keiki hānau hou.

Ovarian teratoma

ʻO ka hapa nui o nā ovat teratomas. ʻO ka teratoma ovarian makua ka i ʻike ʻia ma ke ʻano he dermoid cyst.

ʻO nā teratomas ovarian makua he maʻi maʻi. ʻIke mau ʻia lākou i nā wahine i ko lākou mau makahiki hānau.

Kākaʻikahi ka poʻe kino ʻole (malignant) ovarian teratomas. ʻIke mau ʻia lākou i nā kaikamahine a me nā wahine ʻōpio a hiki i ka makahiki 20.

Teratoma testicular

ʻElua ʻano ākea o ka testicular teratoma: pre- and post-puberty. ʻO ka pre-puberty a i ʻole nā ​​pediatric teratomas he mākua a noncancerous.

Kūpilikiʻi nā Postat puberty (makua) testicular teratomas. Ma kahi o ʻelua hapakolu o nā kāne i ʻike ʻia me ka teratoma makua e hōʻike ana i kahi kūlana kiʻekiʻe o ka metastasis (hoʻolaha) o ka maʻi ʻaʻai.

Nānā i nā teratomas

Pili ka ʻike a me ka loaʻa ʻana i ka teratoma.

Terrocoma Sacrococcygeal (SCT)

ʻIke ʻia kekahi manawa i nā teratomas sacrococcygeal nui i nā scan ultrasound o ka fetus. ʻIke pinepine ʻia lākou i ka wā hānau.

ʻO ka hōʻailona maʻamau kahi pehu ma ka tailbone, kahi e nānā ai ka poʻe hānau hānau i nā keiki hānau hou.

Hiki paha i kāu kauka ke hoʻohana i ka X-ray o ka pelvis, ultrasound, a me ka CT scans e kōkua i ke kuhi ʻana i kahi teratoma. Hiki ke kōkua i nā hōʻoia koko.

Ovarian teratoma

ʻO nā teratomas ovarian makua (dermoid cist) ʻaʻole i hōʻike mau ʻia i nā ʻōuli. ʻIke pinepine ʻia lākou i ka wā o nā loiloi gynecologic maʻamau.

I kekahi manawa kumu nā cerm dermoid nunui e wili i ka ovary (ovarian torsion), kahi e hopena ai i ka ʻeha o ka ʻōpū a pelvic paha.

Teratoma testicular

ʻIke pinepine ʻia nā teratomas testicular i ka nānā ʻia ʻana o nā testicle no ka ʻeha mai kahi trauma. Ulu koke kēia mau teratoma a ʻaʻole paha e hōʻike i kahi mau hōʻailona ma ka mua.

Hoʻokumu pinepine nā teratoma testicular benign a malignant hoʻi i ka ʻeha testicular.

E nānā kāu kauka i kāu mau hōʻike e manaʻo ai no ke atrophy. Hiki i kahi nuipaʻa paʻa ke hōʻailona o ka hōʻino. Hoʻohana ʻia nā hoʻokolohua koko e hoʻāʻo no nā pae kiʻekiʻe o nā hormones BhCG ​​a me AFP. Hiki i ke kiʻi kiʻi ultrasound ke kōkua e ʻike i ka holomua o ka teratoma.

E nānā inā ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino, e noi ke kauka i nā kukuna X o kou umauma a me kou ʻōpū. Hoʻohana ʻia nā hoʻokolohua koko e nānā i nā māka tumo.

Lapaʻau Teratoma

Terrocoma Sacrococcygeal (SCT)

Inā ʻike ʻia kahi teratoma i ka pae fetal, e nānā pono kāu kauka i kou hāpai ʻana.

Inā mau ka liʻiliʻi o ka teratoma, e hoʻolālā ʻia kahi hānau ʻōiwi maʻamau. Akā inā nui ka tumo a i ʻole ʻoi aku ka nui o ka wai amniotic, e hoʻolālā paha kāu kauka no ka hoʻouna mua cesarean.

I nā hanana kakaʻikahi, pono ka ʻoki fetal e wehe i ka SCT ma mua o ka hopena o nā pilikia hoʻoweliweli ola.

ʻO nā SCT i ʻike ʻia ma ka wā hānau a ma hope paha e hemo ʻia e ke kaha. Pono lākou e kiaʻi pono ʻia, no ka mea aia kahi ulu hou i loko o ʻekolu mau makahiki.

Inā malignant ka teratoma, hoʻohana pū ʻia ka chemotherapy me ke ʻoki. Nā helu ola me ka chemotherapy hou.

Ovarian teratoma

ʻO nā teratomas ovarian makua (dermoid cist) e hemo pinepine ʻia e ke kahakaha laparoscopic, inā liʻiliʻi ka cyst. Hoʻopili kēia i kahi ʻoki liʻiliʻi i loko o ka ʻōpū e hoʻokomo i kahi ākea a me kahi mea hana ʻoki liʻiliʻi.

ʻO kahi pilikia liʻiliʻi o ka hemo ʻana o ka laparoscopic ka hiki i ka cyst ke lilo i punctured a me ka liu ʻana i ka waxy material. Hiki i kēia ke hopena i kahi pane hoʻoweliweli i ʻike ʻia ma ke ʻano he kemika peritonitis.

I kekahi mau hihia pono e hemo i kahi ʻāpana a i ʻole ka ovary āpau. E hoʻomau ka ovulation a me ka menstruation mai ka ovary ʻē aʻe.

I ka 25 pākēneka o nā hihia, loaʻa nā cist dermoid i nā ovaries ʻelua. Hoʻonui kēia i kou makaʻu i ka lilo ʻana o ka momona.

Loaʻa pinepine ʻia nā teratomas ovarian immature i nā kaikamahine a hiki i ko lākou 20 mau makahiki. ʻOiai inā ua ʻike ʻia kēia mau teratomas i kahi pae holomua, ua hoʻōla ʻia ka hapa nui o nā hihia e ka hui pū ʻana o ka ʻoki a me ka chemotherapy.

Teratoma testicular

ʻO ka hemo ʻana o ka testicle ka maʻamau o ka mālama mua ʻana no kēia teratoma ke maʻi ʻaʻai.

ʻAʻole maikaʻi loa ka Chemotherapy no ka testicular teratoma. I kekahi manawa aia ka huikau o teratoma a me nā maʻi ʻaʻai ʻē aʻe e koi ana i ka chemotherapy.

ʻO ka hemo ʻana o kahi testicle e hoʻopili i kou olakino moekolohe, nā helu sperm, a me ka momona. Loaʻa pinepine ma mua o hoʻokahi lapaʻau i loaʻa, no laila e kūkākūkā i nā koho me kāu kauka.

ʻO ka nānā aku

Kākaʻikahi ʻo Teratomas a maʻa mau. Ua hoʻomaikaʻi ʻia nā hana no nā teratomas maʻi ʻaʻai i loko o nā makahiki i hala aku nei, no laila hiki ke hoʻōla ʻia ka hapa nui o nā hihia. ʻO ka hoʻomaopopo ʻana iā ʻoe iho i nā koho a ʻike ʻana i kahi ʻoihana loea kou hōʻoia maikaʻi loa o kahi hopena kūleʻa.