Aia kekahi pilikia me nā testicles? E kamaʻilio kākou e pili ana i ka Embryonal Carcinoma

Ua ʻike anei ʻoe i kahi loli iki i loko o kou testicle, a i ʻole kahi puʻupuʻu a pehu paha? Ua manaʻo paha ʻoe i kahi kaumaha iki a ʻoluʻolu ʻole paha. ʻAʻole ia he manaʻo maikaʻi e hoʻowahāwahā i kēia mau mea, ʻeā? No ka mea, hiki i kēia ke lilo i mau hōʻailona o kahi maʻi a mākou e kamaʻilio nui ʻole ai i kekahi manawa, akā he mea nui loa ia e makaʻala. E kamaʻilio mākou e pili ana i ia ʻano i kēia lā.

He aha ka Embryonal Carcinoma?

I ka ʻōlelo maʻalahi, ʻo Embryonal Carcinoma kahi ʻano maʻi kanesa e ulu ana i loko o nā testicles, kahi ʻoi aku ka ikaika a pālahalaha koke. Ua kapa ʻia ʻo ia he tumor germ cell. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau cell germ. ʻO nā cell Germ, ma ke ʻano maʻamau, nā cell mua i manaʻo ʻia e lilo i mau cell sperm oʻo piha. Eia nō naʻe, i kēia hihia o Embryonal Carcinoma, hoʻomaka kēia mau cell germ e māhele a hoʻonui koke me ka ʻole o ke kaohi. I kēia hihia, hana ʻia kahi tumor malignant i loko o kāu testicle.

Hoʻokaʻawale nā ​​kauka i kēia mau carcinoma embryonal ma ke ʻano he mau ʻōpū germ cell non-seminomatous. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o nā non-seminomas . I ka ʻōlelo maʻalahi, aia kekahi ʻano maʻi kanesa germ cell i kapa ʻia ʻo seminomas. Eia nō naʻe, ʻoi aku ka wikiwiki o kēia mau non-seminomas (ʻo nā carcinoma embryonal kahi laʻana o kēia) a ulu wikiwiki a laha i nā ʻāpana ʻē aʻe o ke kino.

Pehea ka maʻamau o kēia ʻano?

Pehea ka maʻamau o ka Embryonal Carcinoma? ʻO kaʻoiaʻiʻo, ke noʻonoʻo ʻoe i nā maʻi kanesa āpau e kū mai ana i loko o nā testicles, ʻaʻole kēia he maʻi maʻamau. ʻO ia hoʻi, ʻaʻole kēia he maʻi e hoʻopilikia i nā mea āpau. No nā hihia o ka maʻi kanesa testicular i ʻike ʻia, ʻike ʻia nā ʻōpū germ cell, nā carcinomas embryonal maʻemaʻe, ʻo ia wale nō ʻo Embryonal Carcinoma, ma kahi helu liʻiliʻi loa, ma kahi o ʻelua pakeneka (%2).

Eia nō naʻe, he mea nui e ʻike i kēia. Ma kahi o 85 pakeneka (85%) o nā ʻōpū germ cell i hui pū ʻia e kū mai ana i loko o nā testicles e loaʻa paha ka embryonal carcinoma. ʻO nā ʻōpū germ cell i hui pū ʻia he mau ʻōpū e ulu ana mai ka hui pū ʻana o kekahi mau ʻano ʻōpū non-seminoma.

He mea kākaʻikahi loa, hiki i kēia ʻano maʻi, i kapa ʻia ʻo Embryonal Carcinoma, ke hoʻomaka i nā ʻōpū ʻē aʻe o nā wahine, e like me nā ovaries. ʻO ka Embryonal carcinoma, ka mea e ulu ana i loko o nā ovaries, he ʻano kakaʻikahi loa ia o ka ovarian germ cell tumor. Ma hea kahi e hoʻomaka ai, hiki i kēia ʻano maʻi kanesa ke ulu a pālahalaha koke.

He aha nā hōʻailona o ka Embryonal Carcinoma?

ʻAe, e nānā kākou i nā hōʻailona e kū nei i kēia maʻi o ka Embryonal Carcinoma. Inā loaʻa iā ʻoe kekahi o kēia mau mea, ʻoi aku ka maikaʻi o ka ʻimi koke ʻana i ke kōkua lapaʻau.

• Ke manaʻo nei ua pehu kekahi o kou mau testicle.
• He puʻu a puʻupuʻu paha i paʻakikī ke hoʻopā aku, me ka ʻeha a i ʻole me ka ʻole o ka ʻeha.
• Ka manaʻo kaumaha a me ka ʻeha ʻole ma ka scrotum.

Ma waho aʻe o kēia mau hōʻailona, ​​​​inā ua pālahalaha ke kanesa ma ʻō aku o ka testicle, ʻo ia hoʻi, i nā ʻāpana ʻē aʻe o ke kino, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe. ʻO lākou kēia:

• ʻEha hope haʻahaʻa.
• ʻEha ʻaoʻao.
• Ka paʻakikī o ka hanu ʻana (dyspnea).
• ʻUmi ʻana, i kekahi manawa ʻumi koko (hemoptysis).

Inā ʻike ʻoe i kekahi mea e like me kēia, ʻaʻole anei ʻoe e pono e ʻike koke i ke kauka?

No ke aha e ulu ai ka Embryonal Carcinoma?

Hoʻomaka ka maʻi kanesa embryonal i ka wā e hoʻomaka ai nā pūnaewele germ i ʻōlelo ʻia ma mua e māhele a hoʻonui koke a me ke kāohi ʻole ʻia. I ka hala ʻana o ka manawa, hui pū kēia mau pūnaewele e hana i kahi puʻupuʻu. Hoʻoulu pinepine kēia mau maʻi kanesa a laha ma waho o ka testicle.

Eia nō naʻe, ʻaʻole maopopo loa i nā kauka ke kumu e hoʻomaka ai kēia mau cell germ e hana i kēia ʻano ʻē ma kahi mua. Eia nō naʻe, manaʻoʻiʻo lākou e hana ʻia kēia mau cell germ ʻē i ka wā e noho ana mākou i loko o ka ʻōpū, ʻo ia hoʻi, i ka wā o ka ulu ʻana o ka embryonic.

ʻO wai ka mea i ʻoi aku ka pilikia no kēia maʻi? (Nā kumu pilikia)

ʻAe, he aha nā mea pilikia no ka hoʻomohala ʻana i kēia maʻi i kapa ʻia ʻo Embryonal Carcinoma? E nānā kākou.

• Makahiki: ʻIke pinepine ʻia kēia maʻi i nā poʻe ʻōpio ma waena o 25 a me 35 mau makahiki .
• Lāhui: ʻO nā ʻōʻō germ cell testicular ka mea maʻamau i waena o nā kāne keʻokeʻo ʻaʻole Hispanic e noho ana ma ʻAmelika Hui Pū ʻIa a me ʻEulopa.
• Moʻolelo ʻohana: Inā loaʻa kekahi o kou ʻohana pili, e like me ka makuakāne a i ʻole ke kaikunāne, i kēia ʻano maʻi ʻaʻai germ cell, hiki paha iā ʻoe ke piʻi iki aʻe ka pilikia.
• ʻO kekahi mau kūlana olakino: No ka laʻana, ʻo ka poʻe me nā kūlana e like me nā testicles i iho ʻole i lalo (cryptorchidism) a me ka maʻi Klinefelter e piʻi aʻe paha ka pilikia.

Pehea e ʻike ʻia ai ka maʻi ʻaʻai embryonal?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a inā paha ua loaʻa i kekahi o kou ʻohana kēia maʻi. A laila, e nānā lākou iā ʻoe e ʻike inā he mau puʻupuʻu a pehu paha i loko o kou mau testicles. E nānā pū lākou no kekahi mau lymph node pehu i loko o kou ʻōpū. ʻO kēia no ka mea hiki i nā lymph node pehu ke lilo i hōʻailona ua laha ka maʻi ʻaʻai.

Eia kekahi, ua hana ʻia nā hoʻokolohua ma lalo nei e hōʻoia pololei i kēia maʻi:

• Nā hoʻāʻo kiʻi: ʻO ka ultrasound o nā testicles ʻelua ka hoʻāʻo mua. Inā hōʻike kēia i nā hōʻailona o ka maʻi kanesa, hiki ke hana ʻia kahi CT scan (computed tomography scan), X-ray, a i ʻole MRI (magnetic resonance imaging) scan e ʻike i ka mamao o ka laha ʻana o ke kanesa i loko o ke kino.
• Nā hoʻāʻo hōʻailona puʻupuʻu serum: Pili kēia i ka lawe ʻana i kahi hāpana o kou koko a me ka ʻimi ʻana i kekahi mau hōʻailona puʻupuʻu e pili ana i ka maʻi kanesa testicular. ʻO nā laʻana e komo pū me ka alpha-fetoprotein (AFP) a me ka human chorionic gonadotropin (HCG). Hiki ke ʻike ʻia kēia mau mea i loko o ke koko me ka embryonal carcinoma, akā ʻaʻole mau.
• ʻO ka orchiectomy inguinal a me ka biopsy: Pili kēia i ka wehe ʻana i ka testicle cancerous holoʻokoʻa a me ka nānā ʻana i kāna mau cell ma lalo o kahi microscope. ʻO kēia ka manawa e hiki ai ke hōʻoia inā he embryonal carcinoma. ʻO ka maʻamau, lawe wale ka biopsy i kahi ʻāpana liʻiliʻi o ka ʻiʻo. Eia nō naʻe, i ke ʻano o ka maʻi kanesa testicular, inā lawe ʻia kēlā ʻāpana liʻiliʻi, wehe ʻia ka testicle holoʻokoʻa no ka mea ʻoi aku ka nui o ka laha ʻana o nā cell cancer.

Nā Pae o ka Embryonal Carcinoma

Ke ʻike ʻia ʻoe, e hoʻoholo pū kāu kauka i ke kahua o kou maʻi ʻaʻai. ʻO kēia ka mamao o ka laha ʻana o ke kanesa a me kona koʻikoʻi. ʻO ke kahua o kou kanesa ka mea e wānana maikaʻi loa ai inā e ho'ōla ʻia ʻoe a ʻaʻole paha. Hiki ke ho'ōla loa ʻia ka carcinoma embryonal i kona mau wā mua. Eia naʻe, no ka mea, ua laha koke ia, ma kahi o 40 pakeneka (40%) o ke kanesa ua laha mua (metastasized) i nā ʻāpana mamao o ke kino i ka manawa e ʻike ai nā kauka.

ʻO nā pae nui o ka Embryonal Carcinoma:

• Pae I: Aia ke kanesa i loko o kou testicle wale nō.
• Pae II: Ua pālahalaha ke kanesa i nā lymph nodes ma hope o kou ʻōpū (retroperitoneum).
• Pae III:Ua pālahalaha ke kanesa ma ʻō aku o nā lymph nodes ma ka retroperitoneum, a i ʻole i nā ʻōpū mamao loa o ke kino. Hoʻolaha pinepine ka Embryonal carcinoma i nā māmā. Eia nō naʻe, hiki iā ia ke pālahalaha i ke akepaʻa, ka lolo, a i ʻole nā ​​iwi.

He aha nā lāʻau lapaʻau no kēia?

ʻO nā lāʻau lapaʻau nui no ka maʻi kanesa embryonal he ʻoki kino e wehe i ke kanesa a me ka chemotherapy. ʻO ka lāʻau lapaʻau āu e loaʻa ai e hilinaʻi ʻia ma nā kumu he nui, e like me ke kahua o kou kanesa, kou olakino laulā, a me ke ʻano o ka lāʻau lapaʻau āu e makemake ai.

Aia kekahi mau ʻano lapaʻau nui:

• ʻO ka radical inguinal orchiectomy: Ma kēia kaʻina hana, wehe loa kāu kauka i kāu testicle kanesa. Hoʻopaʻa ʻia nā kīʻaha koko a puni a me nā ʻiʻo lymph e pale i ka laha ʻana o ke kanesa.
• ʻO ka dissection node lymph retroperitoneal (RPLND): Inā ua pālahalaha ka carcinoma embryonal i nā lymph nodes ma ke kua o kou ʻōpū, a inā he pilikia o ka laha ʻana, hiki i kāu kauka ke wehe i kēlā mau lymph nodes ma ke ʻoki ʻana.
• Kemoterapi: ʻO ka maʻamau, pane maikaʻi ka maʻi kanesa embryonal i ka chemotherapy. Pili kēia i ka hāʻawi ʻana i kou kino i nā lāʻau lapaʻau e hiki ke pepehi i nā hunaola kanesa. Ma hope o ke ʻoki ʻana, hiki ke hāʻawi ʻia iā ʻoe ka chemotherapy e pepehi i nā hunaola kanesa i koe. I kekahi manawa, i nā hihia holomua kahi i pālahalaha ai ke kanesa a puni, hoʻoholo nā kauka e hāʻawi iā ʻoe i ka chemotherapy ma mua o ke ʻoki ʻana.

Pehea lā ke ola me kēia kūlana? (Outlook)

ʻO ke kahua o ke kanesa ka hopena nui loa i ka maikaʻi o kou hiki ke ho'ōla (prognosis / outlook). Ua hōʻike ʻia kahi noiʻi hou aku nei ua ʻoi aku ma mua o 98% (98%) o ka poʻe i mālama ʻia no ke kanesa Stage I e ola ana ma hope o ʻelima mau makahiki. Ma kahi o 80% (80%) o ka poʻe me Stage III Embryonal Carcinoma e ola ana ma hope o ʻelima mau makahiki.

E hoʻomanaʻo, ʻoiai inā pane maikaʻi ʻoe i ka lāʻau lapaʻau, e hoʻomau nā kauka i ka nānā ʻana iā ʻoe no ka mea e hoʻi hou mai paha ke kanesa.

I ke ʻano o ka maʻi kanesa embryonal, inā ua kaupalena ʻia ke kanesa i ka testicle, aia kahi manawa kūpono o 20% (20%) o ka hoʻi hou ʻana. Eia nō naʻe, inā ua pālahalaha ke kanesa i ka scrotum a i ʻole nā ​​​​​​kikowaena lymph, hiki ke ʻoi aku ka manawa o ka hoʻi hou ʻana ma mua o 50% (50%).

Hiki ke pale ʻia ka maʻi ʻaʻai pēpē?

i ka ʻoiaʻiʻo,ʻAʻohe ala e pale aku ai i ka ulu ʻana o ka maʻi kanesa embryonal. Eia nō naʻe, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke ʻike koke i ke kauka ke ʻike ʻoe i kekahi mau loli i loko o kāu mau testicles. ʻAʻole nā ​​loli āpau he maʻi kanesa, akā he mea nui e ʻike pono.

Pehea wau e mālama ai iaʻu iho?

Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana iā lākou. No ka laʻana, nui ka poʻe e makaʻu nei i ka wehe ʻia ʻana o kahi testicle, me ka manaʻo e hoʻopilikia ia i ko lākou ola moekolohe a me ka hiki ke loaʻa nā keiki. Akā ʻo ka ʻoiaʻiʻo, ʻo ka testicle i koe e hana i ka testosterone lawa, he mea nui ia no kou kino. No laila, ʻaʻole ʻoe e loaʻa i nā pilikia i ka moekolohe a i ʻole ka ejaculation. E hiki paha iā ʻoe ke loaʻa nā keiki.

Inā ʻoe e hopohopo nei e pili ana i kou helehelena, hiki iā ʻoe ke kiʻi i kahi testicle prosthetic. Eia kekahi, inā makemake ʻoe e mālama i kou momona, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ka waihona sperm .

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke ʻike ʻoe i kāu kauka, mai poina e nīnau i nā nīnau e like me kēia:

• I ke kahua hea koʻu maʻi ʻaʻai?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• He aha nā hopena e hiki iaʻu ke manaʻo ma hope o ka mālama ʻana?
• He aha nā manawa kūpono e ho'ōla loa ʻia ai kēia maʻi kanesa me ka lāʻau lapaʻau?
• Pono anei iaʻu e hoʻopaʻa i kaʻu sperm ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO ka maʻi kanesa testicular ka embryonal he ʻano maʻi kanesa testicular ʻoi aku ka ikaika a me ka ulu wikiwiki, akā pane pinepine ia i nā lāʻau lapaʻau e like me ke ʻoki kino a me ka chemotherapy. He mea hiki ke ho'ōla ʻia inā ʻike mua ʻia. E aʻo aku kāu kauka iā ʻoe i ka lāʻau lapaʻau kūpono loa nāu, ma muli o ke kahua o kou maʻi kanesa.

No laila, inā ʻike ʻoe i kekahi mea ʻē a ʻokoʻa paha i loko o kou mau testicles, mai hoʻokaʻulua a e ʻike koke i ke kauka e nānā iā ia. ʻO ia ke kōkua nui loa hiki iā ʻoe ke hana nou iho. Mai hopohopo, aia nā hopena no nā mea āpau.

ʻO ka maʻi ʻōpū, ka maʻi ʻaʻai testicular, ka puʻupuʻu germ cell, ka maʻi ʻaʻai testicular, nā hōʻailona o ke kanesa, ka mālama ʻana i ke kanesa, ke olakino o nā kāne