Granulosa Cell Tumor (GCT), akisikuru bi a ɛba wɔ awotwaa mu no ho nkyerɛkyerɛmu tiawa

So wo brayɛ nna abɛyɛ nea ɛnkɔ so daa mpofirim? Anaasɛ wote nka sɛ wo yafunu ase ayɛ wo hyew na emu yɛ duru ara kwa? Ɛtɔ da bi a yɛsusu sɛ yeinom yɛ nneɛma a ɛyɛ daa, nanso ɛnnɛ yɛreka nteaseɛ bi a ebia ɛbɛhaw yɛn kakra ho asɛm. Eyi yɛ tebea bi a wɔfrɛ no Granulosa Cell Tumor (GCT). Mma wo ho nnsuro sɛ wote saa din yi a, ɛho hia paa sɛ wobɛhunu yei.

Sɛ yɛbɛka no tiawa a, dɛn ne Granulosa Cell Tumor (GCT)?

Granulosa Cell Tumor (GCT) yɛ akisikuru bi a ɛba mmea awotwaa mu. Sɛnea wunim no, awotwaa no yɛ yɛn mmea awo nhyehyɛe no fã a ɛho hia yiye. Wɔ nkesua a wɔyɛ akyi no, saa mmadwoa yi nso ma mmea nkwaadɔm abien a wɔfrɛ no estrogen ne progesterone.

Ade titiriw a ɛwɔ GCT akisikuru yi mu ne sɛ ɛma estrogen hormone no dɔɔso dodo . Eyi nti na nsakrae ne sɛnkyerɛnne ahorow da adi wɔ nipadua no mu no. Ɛwom sɛ saa akisikuru yi tumi nyin wɔ mfe biara mu de, nanso wɔtaa hu no bɛyɛ mfe 50.

So saa akisikuru yi yɛ nea ɛyɛ hu?

Yiw, Granulosa Cell Tumor yɛ akisikuru bi a ɛtaa hyɛ ɔyare bɔne kuw no mu. Nanso ade a ɛho hia sen biara a ɛsɛ sɛ wokae wɔ ha ne sɛ saa akisikuru yi mu dodow no ara nyin nkakrankakra paa . Esiane eyi nti, hokwan pii wɔ hɔ sɛ wobehu wɔn wɔ mfiase no. Sɛ wohu wɔn ntɛm a, nea efi ayaresa mu ba nso ye paa. Enti ɛho nhia sɛ wohaw wo ho.

So nsonsonoe wɔ GCT ahorow a ɛba nnipa a wɔn mfe akɔ anim ne mmerante ne mmabaa mu?

Yiw, nsonsonoe kakra wɔ mu. Wɔtaa hu saa tebea yi wɔ mmea a wɔn mfe akɔ anim mu. Ayarefo a wɔahu sɛ wɔanya bi no mu 95% yɛ mmea a wɔn mfe akɔ anim a wɔanyin yiye.

Nanso, sɛ saa akisikuru yi ba aberante a onnii mfe 30 mu a, ebetumi ayɛ nea wɔfrɛ no Juvenile GCT . Ɛtɔ mmere bi a, Mmofra GCT yi tumi nyin ntɛmntɛm kakra sen nea ɛba mpanyimfo mu no, na ebia ɛbɛyɛ mmerɛw kakra sɛ ɛbɛsan aba bio wɔ mfe kakraa bi akyi wɔ ayaresa akyi.

Dɛn na ɛma GCT bi ba?

Abenfo da so ara nnim nea ɛde eyi ba ankasa, nanso mpɛn pii no, nsakrae bi a ɛba awosu mu nkwaadɔm bi a wɔfrɛ no FOXL2 mu na ɛde saa akisikuru yi ba., kyerɛ sɛ, wohu nsakrae bi. Dwumadi titiriw a saa awosu mu abɔde yi yɛ ne sɛ ɛbɛboa ma granulosa nkwammoaa anyin yiye. Enti sɛ nsakrae ba saa awosu mu abɔde yi mu a, nkwammoaa no tumi nyin wɔ ɔkwan a ɛnteɛ so na ɛyɛ akisikuru te sɛ eyi.

So wowɔ saa sɛnkyerɛnne ahorow yi nso?

GCT ho sɛnkyerɛnne titiriw ne estrogen dodow a ɛkɔ soro wɔ nipadua no mu. Nsɛnkyerɛnne a efi eyi mu ba no betumi ayɛ soronko a egyina mfe a woadi so.

• Ebia abeawa kumaa bi bɛda ne mpanyin afe so ho sɛnkyerɛnne adi wɔ ne mmofraase.
• Wɔ mmea a wɔn mfe akɔ anim mu no , sɛnkyerɛnne ahorow a edidi so yi abu so.

Sɛ wɔansa a, nsɛnnennen bɛn na ebetumi aba?

Sɛ wɔansa tebea yi wɔ bere ano a, asiane a ɛwɔ hɔ sɛ wobenya akwahosan ho haw afoforo no kɔ soro bere a estrogen dodow a ɛwɔ nipadua no mu no kɔ so yɛ kɛse no.

Ɔkwan bɛn so na nnuruyɛfo hu yare yi?

Sɛ woka atifi hɔ sɛnkyerɛnne ahorow no kyerɛ wo duruyɛfo a, ɔbɛhwehwɛ wo mu na wahyɛ sɛ wɔnyɛ nhwehwɛmu mpɛn pii de si tebea no so dua.

• Mfoninitwa: Ebia eyi bɛhwehwɛ CT scan , MRI scan , anaasɛ, nea ɛtaa ba no , transvaginal ultrasound , a ɛyɛ scan a wɔfa awotwaa mu.
• Mogya mu Nhwehwɛmu: Saa nhwehwɛmu ahorow yi hwɛ sɛ ebia akisikuru agyiraehyɛde ahorow bi te sɛ Inhibin a GCT ahorow na ɛyɛ no. Wɔsan nso hwehwɛ tebea afoforo mu.

Dɛn ne ayaresa a wobetumi apaw?

GCT ayaresa a edi kan ne titiriw ne oprehyɛn.Ɛha yi, oduruyɛfo a ɔyɛ oprehyɛn no bɔ mmɔden sɛ obeyi akisikuru no pii sɛnea obetumi a ɔrensɛe ntini a ɛte apɔw.

Sɛ woyɛ abofra, wonyɛ nhyehyɛe sɛ wobɛwo mma, anaasɛ woagyae brayɛ akyi a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oophorectomy , a nea ɛka ho ne sɛ wobeyi awotwaa a akisikuru no wom no nyinaa afi hɔ. Wɔ tebea horow bi mu no, ebia ɛho behia nso sɛ wotwa awotwaa no .

Kokoram no fã a wobehu (staging) .

Wɔ oprehyɛn akyi no, wɔasi "stage" no gyinae sɛ wɔbɛhwɛ sɛ kokoram no atrɛw anaa.

• Ɔfã 1: Akisikuru no wɔ awotwaa no mu na ɛntrɛwee.
• Afã 2 kosi 4: Kokoram no atrɛw (atrɛw) akɔ nipadua no afã afoforo.

Ɛdenam akisikuru no kɛse ne asiane a ɛwɔ hɔ sɛ ɛbɛsan aba so no, wobetumi akamfo ayaresa afoforo akyerɛ de aka oprehyɛn ho.

• Nnuru a wɔde sa yare
• Hormone ayaresa
• Mframa a wɔde sa yare

Dɛn na ɛba wɔ ayaresa akyi?

Sɛ woyi akisikuru no wie a, ɛho behia sɛ wohwɛ wo so bere tenten, efisɛ ɛtɔ mmere bi a saa akisikuru yi betumi asan aba bio wɔ mfe pii akyi mpo . Enti, wo duruyɛfo no bɛhwɛ wo bere ne bere mu ahwɛ sɛ akisikuru no nsan mmae anaa.

• Pelvic nhwehwɛmu
• Mogya mu nhwehwɛmu a wɔyɛ de hu kokoram agyiraehyɛde ahorow
• Wɔde nneɛma te sɛ scan ahorow di dwuma ma eyi.

So ebetumi aba sɛ obi ho bɛtɔ wo koraa afi tebea yi mu?

Yiw, akyinnye biara nni ho. Wobetumi asa Granulosa Cell Tumor koraa, titiriw sɛ wohu ntɛm na wɔyɛ oprehyɛn yi a.

Sɛ wohu kokoram no bere a atrɛw akɔ nipadua no afã afoforo akyi a, hokwan a ɛwɔ hɔ sɛ wɔbɛsa no so bɛtew. Ɛno nti na yɛhyɛ nyansa sɛ sɛ wowɔ GCT ho sɛnkyerɛnne ahorow a, kɔ oduruyɛfo nkyɛn a ɛnkyɛ .