He aha kēia mau puʻupuʻu ʻē e hana ʻia ana i loko o nā puʻupaʻa? E aʻo kākou e pili ana i (Renal Oncocytoma) ma ke ʻano maʻalahi!

Ua lohe paha ʻoe e hiki ke ulu nā ʻano puʻupuʻu like ʻole i loko o nā puʻupaʻa? I kekahi manawa ua ʻike ʻia kēia mau mea ma ke kūlana, ʻoiai e hana ana i kekahi mau hoʻokolohua ʻē aʻe. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano puʻupuʻu e ulu ana i loko o nā puʻupaʻa, akā ʻaʻole pinepine ia he maʻi kanesa, ʻo ia hoʻi, he puʻupuʻu `(benign)`. Ua kapa ʻia kēia ʻo `(Renal Oncocytoma)`. Mai makaʻu, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, me ka maʻalahi loa.

He aha kēia (Renal Oncocytoma)?

I ka ʻōlelo maʻalahi, ʻo ka Renal Oncocytoma kahi puʻupuʻu maikaʻi e ulu ana i loko o kekahi a i ʻole nā ​​​​​​puʻupaʻa ʻelua. E noʻonoʻo e like me kahi pōpō liʻiliʻi. I kekahi manawa ʻaʻole kēia mau puʻupuʻu e hōʻike i kekahi mau hōʻailona a ʻaʻole pono ka mālama ʻana. ʻO ka hapa nui o ka manawa, ʻike nā kauka iā lākou ma ka hanana, ʻoiai e hana ana i nā hoʻokolohua diagnostic no kekahi maʻi ʻē aʻe. No ka laʻana, ua hana ʻia ka makuakāne o kou hoaaloha i kahi CT scan no nā pilikia ʻōpū a ua ʻike ʻia he puʻupuʻu liʻiliʻi i loko o kona puʻupaʻa.

He aha ke ʻano o nā huaʻōlelo ʻelua?

Inā mākou e wehewehe i ke ʻano o ka huaʻōlelo `(Renal Oncocytoma)`, penei:

• ʻO ke ʻano o "(Renal)" ma ka ʻōlelo Latina, ʻo ia hoʻi "pili i ka puʻupaʻa." Hoʻohana ʻia kēia huaʻōlelo no nā mea e pili ana i ko kākou mau puʻupaʻa.
• ʻO ke ʻano o ka ``(Oncocytoma)`` he puʻupuʻu i hana ʻia mai kahi ʻano kūikawā o ke kelepona i kapa ʻia ʻo ``(oncocytes)`` i ka ʻepekema lapaʻau. No laila, i ka hui ʻia ʻana o kēia mau mea ʻelua, ʻo ia hoʻi he puʻupuʻu i hana ʻia mai nā kelepona oncocyte i loko o ka puʻupaʻa. Maopopo iā ʻoe?

Pehea ka maʻamau o kēia (Renal Oncocytoma)?

Ma kahi o 7% o nā puʻupaʻa he Renal Oncocytoma. ʻO ia hoʻi, ma kahi o 7 o kēlā me kēia 100 mau puʻupaʻa he ʻano kēia. Hiki i kekahi poʻe, ma kahi o 13% o ka poʻe me Renal Oncocytoma, ke loaʻa i nā puʻupaʻa he nui ma nā puʻupaʻa ʻelua. Ua kapa ʻia kēia ʻano ʻo Renal Oncocytoma.

ʻO wai ka mea i ʻoi aku ka pilikia o ka hoʻomohala ʻana i ka Renal Oncocytoma?

Hiki i kēia mau puʻupuʻu, i kapa ʻia ʻo "Renal Oncocytoma", ke ulu maoli i loko o kekahi. Eia nō naʻe, ua ʻike ʻia he kiʻekiʻe iki ka likelika o ka ulu ʻana iā lākou i nā kāne a me nā poʻe ma luna o 60 mau makahiki .

Eia kekahi, ʻo kekahi mau kūlana hoʻoilina, e like me ka `(Birt-Hogg-Dubé syndrome), hiki ke hana i ka `(Renal Oncocytoma).` ʻO kēia kūlana hoʻoilina, `(Birt-Hogg-Dubé syndrome),` e hoʻonui i ka pilikia o ka hoʻomohala ʻana i nā cysts kidney, nā tumors non-cancerous, e like me `(Renal Oncocytoma),` a me ke kanesa o ka puʻupaʻa.

Hiki i kēia puʻupuʻu (Renal Oncocytoma) ke lilo i mea ʻino?

He pilikia kēia i loaʻa i nā kānaka he nui. ʻO ka manawa kūpono o kēia mau puʻupuʻu, i kapa ʻia ʻo "Renal Oncocytoma", e lilo i maʻi kanesa he haʻahaʻa loa . ʻO ia hoʻi, he "benign" lākou.

Eia nō naʻe, he mea kākaʻikahi loa, ʻo ia hoʻi, i nā hihia kākaʻikahi loa, ua ʻike ʻia kekahi poʻe me ka `(Renal Oncocytoma)` ʻaʻohe mōʻaukala mua o ke kanesa he mau hunaola kanesa i pālahalaha i ke akepaʻa a i ʻole nā ​​iwi (metastatic cancer). ʻO ke ʻano kēia ua lilo kā lākou oncocytoma i kanesa. Akā, ke ʻōlelo hou nei au, he mea kākaʻikahi loa kēia . No laila, mai makaʻu pono ʻole.

He aha ka ʻokoʻa ma waena o Renal Oncocytoma a me Renal Cell Carcinoma?

Eia nā mea āu e pono ai e makaʻala. ʻO kēia puʻupuʻu, i kapa ʻia ʻo `(Renal Oncocytoma), ke nānā mākou iā ia ma waho, ʻo ia hoʻi, ke nānā mākou iā ia me ka `(CT scan)` a i ʻole `(MRI)`, ua like loa ke ʻano me `(Renal Cell Carcinoma),` ʻo ia ke ʻano maʻamau o ka maʻi puʻupaʻa.

ʻO ka mea pōʻino, he mea paʻakikī ke ʻike maopopo mai kēia mau `(nā hoʻāʻo kiʻi)` wale nō inā he `(benign)` kahi puʻupuʻu, ʻo ia hoʻi, ʻaʻole ia he maʻi kanesa, a i ʻole `(malignant)`, ʻo ia hoʻi he maʻi kanesa. ʻO ia ke kumu e ʻōlelo pinepine ai nā kauka i ke ʻoki kino e wehe i ka puʻupuʻu. A laila, lawe ʻia kahi ʻāpana o ka puʻupuʻu a nānā ʻia `(biopsy)` e hōʻoia inā he `(Renal Oncocytoma)`, a he maʻi puʻupaʻa paha.

He aha ka ʻokoʻa ma waena o nā cysts a me nā tumors?

Aia nā ʻano like a me nā ʻokoʻa ma waena o nā mea ʻelua. E nānā kākou i ke ʻano o lāua.

• He mau ʻeke liʻiliʻi nā cysts e loaʻa ai ka wai, ka ea, a i ʻole nā ​​mea paʻa. ʻAʻole ka hapa nui o nā cysts he maʻi kanesa.
• ʻO nā ʻōpū paʻa o nā ʻiʻo (Tumors) . Hiki i ka ʻōpū ke lilo i maʻi kanesa a ʻaʻole paha. ʻO ka ʻōpū Renal Oncocytoma he ʻōpū, akā i ka hapa nui o ka manawa ʻaʻole ia he maʻi kanesa.

He aha ke kumu o ka Renal Oncocytoma?

ʻAʻole ʻike ʻia ke kumu kikoʻī o ka hapa nui o nā puʻupaʻa, e like me ka renal oncocytoma . Manaʻo kekahi poʻe loea lapaʻau ʻo kekahi mau hoʻololi genetic e hana ʻia ma hope o ko kākou hānau ʻana e hoʻolilo i kekahi poʻe i mea maʻalahi i ka hoʻomohala ʻana i kēia mau puʻupaʻa. Ke noiʻi ʻia nei kēia.

He maʻi hoʻoilina anei (Renal Oncocytoma)?

I loko o kekahi mau ʻohana, hiki i kahi loli gene i hoʻoilina ʻia a i ʻole ka mutation ke hoʻonui i ka pilikia o ka loaʻa ʻana o nā oncocytomas renal he nui i nā puʻupaʻa ʻelua. ʻO nā kūlana e like me ka tuberous sclerosis complex a me ka Birt-Hogg-Dubé syndrome hiki ke hana i nā puʻupuʻu ma nā ʻāpana like ʻole o ke kino, me nā puʻupaʻa. Inā loaʻa i kekahi o kou ʻohana kēia mau kūlana, he mea nui e haʻi i kāu kauka.

He aha nā hōʻailona o (Renal Oncocytoma)?

E noʻonoʻo, ʻekolu o kēlā me kēia ʻehā kānaka me ka `(Renal Oncocytoma)` ʻaʻole lākou e ʻike i kekahi mau hōʻailona ! ʻO ia hoʻi, ʻaʻole lākou i ʻike ua loaʻa iā lākou.

Eia nō naʻe, inā loaʻa nā hōʻailona, ​​hiki iā lākou ke like loa me nā hōʻailona o ke kanesa puʻupaʻa. Eia kekahi mau laʻana:

• Koko i loko o kou mimi (hematuria). ʻAʻole pono kēia e ʻulaʻula i ka manawa hoʻokahi, hiki i kekahi manawa ke poni a ʻeleʻele paha.
• ʻO ka ʻeha ʻaoʻao he ʻeha ia e puka mai ana mai ka ʻaoʻao o ka ʻōpū . Hiki i kēia ʻeha ke mau a hele mai a hele aku.
• He puʻupuʻu e like me he mea lā hiki ke paʻa i ka lima ma ka ʻaoʻao o ka puʻupaʻa i hoʻopilikia ʻia. Eia naʻe, ʻaʻole nā ​​​​kānaka a pau e ʻike i kēia.

Pehea e ʻike ʻia ai ka Renal Oncocytoma?

ʻO ka hapa pinepine, ʻike nā kauka i ka `(Renal Oncocytoma)` ma ka ulia ka nānā ʻana i nā `(nā hoʻāʻo kiʻi)`, e like me `(kidney ultrasounds)`, `(MRIs)`, a i ʻole `(CT scans)`, e nānā i nā pilikia ʻē aʻe, e like me nā pōhaku puʻupaʻa.

E like me kaʻu i ʻōlelo ai ma mua, ʻo nā puʻupuʻu kanesa e like me `(Renal Oncocytoma)` a me `(Renal Cell Carcinoma)` ke nānā like nei ma `(nā scan kiʻi). Ma muli o kēia, he paʻakikī i nā kauka ke haʻi koke inā he puʻupuʻu ʻaʻole kanesa a he kanesa paha ko ke kanaka. ʻO ke ala wale nō e hana ai i kahi hōʻoia pololei, ʻo ia ka hana ʻana i kahi `(biopsy)`, kahi e nānā ai i nā cell o ka puʻupuʻu. Hana pinepine ʻia kēia `(biopsy)` ma hope o ke ʻoki ʻana e wehe i ka puʻupuʻu.

Eia kekahi laʻana, ma kahi o 45% o nā puʻupaʻa i ʻike ʻia he ʻaʻole he kanesa ke biopsied. No laila, inā he liʻiliʻi kou puʻupuʻu (ʻoi aku ka liʻiliʻi ma mua o 3-4 kenimika) a ʻaʻole ia e hoʻopilikia, hiki i kāu kauka ke ʻōlelo aku i ka "nānā ikaika" ma kahi o ke ʻoki kino. I loko o kēia wā "nānā ikaika", pono ʻoe e loaʻa i nā "scan kiʻi" maʻamau e ʻike inā e ulu ana ka puʻupuʻu a i ʻole e loli ana ma kekahi ʻano e hiki ai ke lilo i kanesa.

Pono anei e wehe ʻia nā puʻupaʻa ʻaʻole i pili i ka maʻi ʻaʻai?

Inā ʻaʻole e ulu ana ka puʻupuʻu a i ʻole e hoʻoulu ana i kekahi pilikia, ʻaʻole pono paha e mālama ʻia . Eia nō naʻe, inā he kānalua e pili ana i ka hōʻailona, ​​​​inā e ulu wikiwiki ana ka puʻupuʻu, a inā he mau hōʻailona kāu, hiki i kāu kauka ke ʻōlelo i ke ʻoki ʻana.

Hiki i ke ʻoki kino ke wehe wale i ka puʻupuʻu (partially nephrectomy) a i ʻole ka puʻupaʻa holoʻokoʻa (radical nephrectomy). Na ke kauka e hoʻoholo i ke ʻano o ke ʻoki kino e hana ai ma muli o ka nui a me kahi o ka puʻupuʻu. Inā paha e wehe ʻia kekahi o kou mau puʻupaʻa, hiki nō iā ʻoe ke ola i kahi ola maʻamau a hana me kekahi puʻupaʻa. ʻAʻohe mea e hopohopo ai.

He aha ka manaʻo no kekahi me (Renal Oncocytoma)?

ʻAʻole nui ka hopena o nā oncocytomas renal ʻaʻole kanesa, ʻo ia hoʻi, benign, i kou ola maʻamau a hana. He haʻahaʻa loa ka manawa e lilo ai kahi oncocytoma i kanesa. ʻAʻole paha e hoʻi hou mai nā oncocytomas i wehe ʻia ma ke ʻoki ʻana.

Eia nō naʻe, inā he maʻi hoʻoilina kou (e like me ka maʻi Birt-Hogg-Dubé) e hoʻoulu ai i nā ʻōpū o loko, a laila ʻokoʻa iki paha ke kūlana. I ia mau hihia, he mea nui e kamaʻilio me kāu kauka a hana i nā nānā maʻamau.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike pono i ke kauka:

• Inā he koko kou i loko o kou mimi.
• Inā he ʻeha mau kou ma kou ʻaoʻao a i ʻole kahi puʻupuʻu āu e ʻike ai ma kou lima.
• ʻAʻohe pilikia inā loaʻa iā ʻoe ke kuni me ke kumu ʻole, a inā paha e manaʻo ana ʻoe e emi ana kou kaumaha.

ʻAʻole pili kēia mau hōʻailona i ka `(Renal Oncocytoma)`, akā hiki nō hoʻi ke lilo i mau hōʻailona o nā maʻi puʻupaʻa ʻē aʻe. No laila, ʻoi aku ka maikaʻi o ka ʻimi koke ʻana i ke kōkua lapaʻau.

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

Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau penei:

• No ke aha i loaʻa ai iaʻu kēia `(Renal Oncocytoma)`?
• Pono anei au e hana i ke ʻoki kino? A i ʻole hiki iaʻu ke hana i ka "nānā ikaika"?
• Aia anei au i ka pilikia o ka loaʻa ʻana o ka maʻi kanesa?
• Pono anei au e hopohopo e pili ana i nā pilikia?
• Pono anei iaʻu e hana i kekahi mau hoʻololi i koʻu nohona?

Mai makaʻu e nīnau i kēia mau nīnau. He mea nui loa e loaʻa iā ʻoe kahi ʻike maikaʻi o kou kūlana.

E nānā kākou i ka ʻokoʻa ma waena o (Renal Oncocytoma) a me (Chromophobe Renal Cell Carcinoma)

ʻO Chromophobe Renal Cell Carcinoma kahi ʻano maʻi puʻupaʻa kakaikahi loa. Hoʻomohala ia i loko o nā ʻōmole liʻiliʻi (tubules) i loko o kou mau puʻupaʻa e kōkua i ka wehe ʻana i nā huahana ʻōpala mai kou koko. Hoʻokuʻu ʻia kēia mau huahana ʻōpala ma o kāu ʻōnaehana mimi. Ma kahi o 5% o nā maʻi puʻupaʻa he ʻano chromophobe.

ʻOi aku ka nui o ka poʻe me ka maʻi Birt-Hogg-Dubé i ka loaʻa ʻana o nā puʻupaʻa. Loaʻa iā lākou ka pilikia nui o ka loaʻa ʻana o nā puʻupaʻa ʻaʻole kanesa (Renal Oncocytoma) a me nā puʻupaʻa kanesa (Chromophobe Renal Cell Carcinoma). Hiki ke hoʻoholo ʻia ke ʻano kikoʻī o ka puʻupaʻa ma o ke ʻoki ʻana a me ka biopsy.

No laila, he aha kā mākou e pono ai e hoʻomanaʻo mai kēia mau mea a pau?

ʻO ka Renal oncocytoma kahi ʻano puʻupuʻu ʻaʻole kanesa e ulu pinepine ana i loko o nā puʻupaʻa a ʻaʻole ia e hōʻike i kekahi mau hōʻailona. ʻIke pinepine nā kauka iā ia i ka wā o nā hoʻokolohua ʻē aʻe. No ka mea ua like ia me ka renal cell carcinoma, kahi ʻano maʻi puʻupaʻa, pono paha ke ʻoki ʻana e wehe i ka puʻupuʻu. ʻO ka biopsy wale nō ke ala e ʻike pono ai inā he renal oncocytoma a he maʻi puʻupaʻa paha kāu. Mai hopohopo, akā inā he mau hopohopo kāu, e ʻike i ke kauka. ʻO ka ʻike mua ʻana a me ka hoʻokele kūpono he mea nui ia.

ʻO nā cysts puʻupaʻa, renal oncocytoma, ʻaʻole maʻi kanesa, ka maʻi kanesa puʻupaʻa, nā hōʻailona, ​​biopsy, ʻoki puʻupaʻa