Koj puas mob pob txha los yog mob qog? Cia peb tham txog Chondrosarcoma!

Koj puas muaj mob ntev lossis mob pob txha lossis pob qij txha hauv koj lub cev, tshwj xeeb tshaj yog hauv koj txhais caj npab, ceg, lub duav, lossis hauv siab? Qhov mob no puas qee zaum zoo li hnyav zuj zus thaum hmo ntuj? Yog tias yog, tsab xov xwm no yuav tseem ceeb heev rau koj. Hnub no peb yuav tham txog ib hom mob qog nqaij hlav uas tsis tshua muaj, tab sis tsim nyog paub txog. Ntawd yog chondrosarcoma.

Chondrosarcoma yog dab tsi?

Hais yooj yim xwb, Chondrosarcoma yog ib hom mob qog noj ntshav uas tshwm sim hauv cov pob txha mos hauv peb lub cev. Koj puas paub cov pob txha mos yog dab tsi? Cov pob txha mos yog cov nqaij mos uas yoog tau thiab muaj zog uas nyob ib puag ncig peb cov pob qij txha thiab tiv thaiv cov pob txha kom tsis txhob sib txhuam. Nws zoo li roj hmab. Cov pob txha mos no tiv thaiv peb cov pob qij txha thiab pab cov pob txha loj hlob.

Yog li, tus mob qog nqaij hlav chondrosarcoma no tuaj yeem tshwm sim txhua qhov chaw hauv peb lub cev uas muaj pob txha mos. Tab sis feem ntau nws pom nyob rau hauv:

• Hauv cov leeg thiab cov leeg ntawm lub xub pwg nyom.
• Nyob rau hauv ob txhais ceg.
• Hauv lub duav.
• Hauv cov tav ntawm lub hauv siab.
• Cov pob txha nyob hauv nruab nrab ntawm lub hauv siab (sternum).

Qee zaum, txawm tias cov qog nqaij pob txha uas tsis yog mob qog noj ntshav (benign) yav dhau los tuaj yeem ua mob qog noj ntshav thiab hloov mus ua chondrosarcoma.

Qhov no yog ib qho mob qog noj ntshav uas tsis tshua muaj . Raws li cov ntaub ntawv hauv Tebchaws Meskas, nws tshwm sim rau kwv yees li ib tus neeg hauv 200,000 tus neeg. Txawm hais tias nws tuaj yeem tshwm sim rau txhua lub hnub nyoog, nws feem ntau tshwm sim rau cov neeg hnub nyoog ntawm 40 thiab 75. Lub hnub nyoog nruab nrab ntawm kev kuaj mob yog nyob ib puag ncig 51. Kev kho mob tseem ceeb rau qhov no yog phais kom tshem tawm cov pob txha mos thiab pob txha qog noj ntshav. Cov kws kho mob qee zaum hu qhov mob no ua sarcoma.

Puas muaj hom chondrosarcoma?

Yog, muaj ntau hom mob chondrosarcoma sib txawv. Cov mob qog nqaij hlav no uas tsim nyob rau hauv cov pob txha mos raug faib ua pawg raws li cov hlwb uas ua rau mob qog nqaij hlav. Cia peb saib cov hom tseem ceeb.

Cov kab mob Chondrosarcoma ib txwm muaj

Qhov no yog hom mob qog nqaij hlav uas feem ntau pom . Nws suav txog ntau dua 85% ntawm tag nrho cov mob chondrosarcomas. Feem ntau nws tshwm sim rau cov neeg hnub nyoog ntawm 50 thiab 70 xyoo. Feem ntau nws tshwm sim hauv pob txha femur, humerus, thiab pelvis. Hom qog nqaij hlav no loj hlob qeeb heev thiab tsis tshua muaj feem yuav kis mus rau lwm qhov chaw.

Chondrosarcoma uas tsis sib txawv

Hom no suav txog li 10% ntawm tag nrho cov mob chondrosarcomas. Nws feem ntau tshwm sim rau cov neeg hnub nyoog tshaj 60 xyoo. Nws loj hlob sai dua li lwm hom. Cov qog nqaij hlav loj hlob sai no feem ntau tshwm sim hauv pob txha caj npab sab saud (humerus), pob txha ncej puab (femur), lossis pob txha hauv lub duav.

Nws hu ua 'dedifferentiated' vim tias qee cov cell pib ua cov cell chondrosarcoma ib txwm muaj, tab sis tom qab ntawd qee qhov ntawm cov qog hloov mus ua cov cell sarcoma qib siab. Cov sarcomas qib siab yog cov qog nqaij hlav uas loj hlob thiab kis tau sai. Piv txwv li suav nrog osteosarcoma, fibrosarcoma, thiab undifferentiated pleomorphic sarcoma.

Kev Kho Mob Chondrosarcoma ntawm Cell Clear

Qhov no suav txog li 2% ntawm tag nrho cov mob chondrosarcomas. Feem ntau nws tshwm sim rau cov neeg hnub nyoog ntawm 30 thiab 50 xyoo, tab sis kuj tuaj yeem tshwm sim rau cov neeg hauv lawv cov hnub nyoog nees nkaum xyoo. Nws feem ntau tshwm sim hauv tes lossis taw, ze ntawm pob qij txha. Nws loj hlob qeeb qeeb thiab tsis tshua kis mus rau lwm qhov ntawm lub cev.

Mesenchymal Chondrosarcoma

Hom mob no feem ntau tshwm sim rau cov tub ntxhais hluas hnub nyoog ntawm 19 thiab 30 xyoo. Feem ntau nws tshwm sim hauv tus txha nraub qaum, tav, lossis lub puab tsaig. Hom mob no loj hlob sai dua li lwm hom mob thiab yuav kis tau thiab rov tshwm sim dua tom qab kho.

Mob qog nqaij hlav myxoid chondrosarcoma sab nraud yog ib hom mob qog nqaij hlav mesenchymal. Nws tshwm sim hauv cov nqaij mos, tsis yog pob txha lossis pob txha mos, ntawm sab caj npab thiab ceg.

Cov tsos mob ntawm Chondrosarcoma yog dab tsi?

Vim tias feem ntau cov qog nqaij hlav chondrosarcoma loj hlob qeeb qeeb, nws yuav siv sijhawm ntau lub hlis kom cov tsos mob tshwm sim. Cov tsos mob feem ntau yog:

• Mob pob txha hauv ib qho ntawm lub cev uas tuaj thiab mus, tshwj xeeb tshaj yog thaum hmo ntuj.
• Ib lub pob los yog ib lub qog uas zoo li ib lub pob nyob hauv pob txha, xws li ib sab caj npab, ceg, lossis tav.
• Qaug zog .
• Kev poob phaus yam tsis txhob txwm ua.

Tab sis nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov qhov no: Mob qog nqaij hlav pob txha tsis tshua muaj. Ntau cov tsos mob ntawm chondrosarcoma zoo ib yam li cov mob uas tsis hnyav heev. Yog li ntawd, tsuas yog vim koj muaj ib lub qog hauv koj ceg tsis tas txhais tau tias nws yog mob qog nqaij hlav pob txha.

Txawm li cas los xij, yog tias koj muaj ib lub qog uas tsis ploj mus ntev tshaj ob lub lis piam, lossis yog tias koj xav tias nkees heev txhua lub sijhawm, koj yuav tsum mus ntsib kws kho mob . Nws yuav tshuaj xyuas koj txoj kev noj qab haus huv tag nrho thiab txiav txim siab qhov ua rau muaj cov tsos mob no.

Dab tsi yog cov ua rau mob Chondrosarcoma?

Cov kws tshawb nrhiav tseem tsis tau paub meej tias yog vim li cas tus mob no, tab sis lawv pom tias nws muaj feem cuam tshuam nrog qee yam kab mob caj ces. Cov no suav nrog:

• Li Fraumeni syndrome:Cov neeg uas muaj tus mob no feem ntau yuav muaj mob qog nqaij hlav, suav nrog chondrosarcoma.
• Maffucci syndrome thiab Ollier's disease: Cov kab mob no ua rau cov qog nqaij hlav uas tsis yog mob qog noj ntshav tsim nyob rau hauv cov pob txha mos, pob txha, thiab daim tawv nqaij.
• Cov pob txha osteochondromas uas los ntawm noob caj: Cov no yog ntau cov qog nqaij hlav uas tsis yog mob qog noj ntshav uas tsim nyob rau hauv cov pob txha. Lawv tuaj yeem cuam tshuam rau kev loj hlob ntawm cov pob txha.

Muaj qee kis, cov kws kho mob uas kawm txog kev hloov pauv caj ces hauv chondrosarcoma xav tias kev hloov pauv chromosomal uas tsis tau txais los yog qee qhov kev hloov pauv caj ces yuav ua rau cov hlwb pob txha mos hloov pauv.

Cov teeb meem ntawm tus mob no yog dab tsi?

Cov hom mob uas loj sai, xws li Mesenchymal Chondrosarcoma lossis Dedifferentiated Chondrosarcoma, tuaj yeem ua rau tuag taus vim tias lawv tuaj yeem kis tau sai thiab cuam tshuam rau lwm qhov ntawm lub cev.

Yuav kuaj mob Chondrosarcoma li cas?

Tus kws kho mob yuav nug koj cov lus nug txog koj cov tsos mob. Piv txwv li:

• Koj thawj zaug pom cov tsos mob no thaum twg?
• Puas yog lawv tau los ua ntau dua thiab ntau dua?
• Lawv cuam tshuam li cas rau koj lub neej txhua hnub?

Tom qab ntawd nws yuav kuaj lub cev thiab kuj tseem yuav xaj kom kuaj duab lossis kuaj nqaij.

Kev kuaj duab

Cov kws kho mob siv cov kev kuaj duab zoo li no los kuaj mob chondrosarcoma:

• Kev kuaj mob X-ray.
• Kev luam theej duab CT (Computed tomography (CT) scan)
• Kev thaij duab MRI (Magnetic resonance imaging (MRI) scan)
• Kev luam theej duab PET (Positron emission tomography (PET) scan)
• Kev kuaj pob txha.

Kev kuaj mob

Koj tus kws kho mob yuav xa koj mus rau tus kws kho pob txha, tus kws phais uas kuaj mob thiab kho cov kab mob xws li mob qog nqaij hlav, kom kuaj xyuas qhov chaw mos. Nyob ntawd, tus kws kho mob yuav muab ib daim nqaij ntawm lub qog uas koj xav tias muaj mob thiab kuaj nws hauv lub tshuab microscope. Muaj ntau hom kev kuaj qhov chaw mos:

• Kev rho tawm los ntawm koob me me: Qhov no suav nrog kev rho tawm cov qauv nqaij siv koob thiab koob txhaj tshuaj.
• Kev phais biopsy: Lub qog raug txiav qhib thiab coj mus kuaj cov ntaub so ntswg.
• Kev rho tawm cov nqaij me me (excisional biopsy): Tag nrho cov qog nqaij hlav lossis ib feem ntawm cov ntaub so ntswg raug tshem tawm.

Tus kws kho mob kuaj xyuas cov ntaub so ntswg no seb puas muaj cov qe ntshav dawb. Yog tias cov qe ntshav dawb yog qog ntshav, nws kuj yuav txiav txim siab seb hom qog ntshav thiab qib qog ntshav yog dab tsi.

Cov qib ntawm Chondrosarcoma yog dab tsi?

Qib ntawm ib qho qog yog qhov ntsuas seb qhov qog yuav loj hlob thiab kis tau sai npaum li cas. Chondrosarcoma raug muab qib los ntawm 1 (I) txog 3 (III):

• Qib qis (qib I) chondrosarcomas: Cov no kuj hu ua atypical cartilaginous tumors. Cov no yog cov qog nqaij hlav qeeb tshaj plaws thiab muaj feem tsawg tshaj plaws los kis mus rau lwm qhov.
• Qib Nruab Nrab (qib II) chondrosarcomas: Cov no yuav kis tau yooj yim dua.
• Qib Siab (qib III) chondrosarcomas: Cov no yog cov uas yuav kis tau yooj yim tshaj plaws .

Cov kev kho mob rau Chondrosarcoma yog dab tsi?

Feem ntau, koj yuav tsum tau phais kom tshem tawm cov chondrosarcoma. Hom kev phais uas koj yuav ua yuav nyob ntawm koj tus mob. Qhov no suav nrog hom chondrosarcoma uas koj muaj, qhov chaw uas cov qog nyob, thiab nws qib (nws kis tau sai npaum li cas). Muaj ntau hom kev phais rau chondrosarcoma:

• Curettage: Hauv cov txheej txheem no, tus kws kho mob khawb cov nqaij mob qog nqaij hlav tawm ntawm pob txha thiab ntxig cov khoom siv pob txha rau hauv qhov chaw.
• Kev phais kom tsis txhob muaj ceg: Ntawm no, tus kws kho mob yuav tshem tawm cov qog thiab cov pob txha thiab cov leeg nqaij ib puag ncig. Tom qab ntawd, yuav phais kho dua tshiab los hloov cov pob txha thiab cov nqaij uas raug tshem tawm.

Tsis tshua muaj sijhawm, koj tus kws kho pob txha yuav pom zoo kom phais kom tshem ib feem ntawm koj txhais caj npab lossis ceg (amputation). Hauv qhov no, lawv kuj tseem yuav pom zoo kom siv ceg cuav. Hauv txhua qhov xwm txheej, koj yuav xav tau kev kho lub cev kom txhim kho koj lub zog, kev sib npaug, thiab kev txav mus los.

Yog tias koj muaj ib hom chondrosarcoma uas tsis tshua muaj, xws li dedifferentiated lossis mesenchymal chondrosarcoma, koj yuav raug muab chemotherapy lossis radiation therapy kom txo qhov mob ua ntej phais thiab rhuav tshem cov hlwb qog nqaij hlav uas tseem tshuav tom qab phais.

Puas tiv thaiv tau Chondrosarcoma?

Tsis yog tiag tiag, cov no tsis tuaj yeem tiv thaiv tau. Ib qho laj thawj yog tias cov kws tshawb fawb tseem tsis tau paub meej tias vim li cas lawv thiaj li tshwm sim. Tab sis kev tshawb fawb qhia tau tias cov neeg uas muaj qee yam mob caj ces muaj feem yuav mob chondrosarcoma ntau dua. Yog li ntawd, nrog koj tus kws kho mob tham txog keeb kwm kev kho mob ntawm koj tsev neeg. Nws tuaj yeem soj ntsuam koj qhov kev pheej hmoo thiab pom zoo cov kauj ruam los saib xyuas koj txoj kev noj qab haus huv.

Kuv yuav cia siab li cas rau qhov xwm txheej no?

Vim muaj ntau hom chondrosarcoma, cov txiaj ntsig xav tau (kev kwv yees) sib txawv nyob ntawm hom. Nug koj tus kws kho mob seb koj tuaj yeem xav li cas raws li koj tus mob tshwj xeeb. Nws yuav zoo siab piav qhia qhov no rau koj.

Puas kho tau Chondrosarcoma?

Muaj tej lub sij hawm, cov qog nqaij hlav chondrosarcoma me me uas loj qeeb qeeb tuaj yeem kho tau tag nrho los ntawm kev phais tshem tawm lawv. Nyob ntawm hom chondrosarcoma, kev ntxiv tshuaj chemotherapy kuj tseem yuav pab kho tau tus kab mob.

Tus nqi kho mob rau Chondrosarcoma yog dab tsi?

Cov feem pua ​​​​​​ntawm kev ciaj sia rau chondrosarcoma sib txawv nyob ntawm hom qog thiab seb qhov qog puas tau kis mus rau lwm qhov ntawm lub cev. Zuag qhia tag nrho, 79% ntawm cov neeg uas muaj chondrosarcoma tseem muaj sia nyob tsib xyoos tom qab kuaj pom.

Thaum xav txog cov feem pua ​​no, nco ntsoov ob peb yam:

• Cov feem pua ​​rov zoo yog kwv yees xwb, tsis yog kwv yees ua ntej . Lawv yog kwv yees raws li kev paub ntawm lwm tus, thiab koj qhov xwm txheej yuav txawv ntau heev.
• Cov kev kwv yees no yog raws li qhov tau tshwm sim yav dhau los . Piv txwv li, cov feem pua ​​​​​​no yog raws li qhov tau tshwm sim rau cov neeg uas tau tsim chondrosarcoma ntawm xyoo 2012 thiab 2018.
• Cov feem pua ​​​​​​ntawm kev ciaj sia nyob tsis qhia koj tias koj yuav muaj sia nyob ntev npaum li cas .

Yog tias koj muaj lus nug lossis kev txhawj xeeb txog qhov nqi kho mob txhais li cas rau koj tus mob, nug koj tus kws kho mob kom piav qhia seb qhov kev kwv yees ntawd siv rau koj tus mob li cas.

Yog tias kuv muaj Chondrosarcoma, kuv yuav saib xyuas kuv tus kheej li cas?

Kev nyob nrog chondrosarcoma feem ntau pib nrog kev rov zoo los ntawm kev kho mob. Chondrosarcoma feem ntau kho nrog kev phais. Qee zaum, ib ceg lossis ib feem ntawm ib ceg yuav tsum tau tshem tawm kom tshem tawm qhov mob qog noj ntshav. Tom qab rov zoo los ntawm kev phais, yog tias koj siv ceg cuav, koj yuav tsum pib qhov kev pab cuam kho kom rov zoo li qub kom koj tau siv rau nws.

Tej zaum koj kuj tseem yuav xav tau kev pab hloov kho rau qhov kev hloov pauv hauv koj lub neej txhua hnub lossis kev hloov pauv ntawm koj qhov tsos. Koj tus kws kho mob yuav muab cov lus qhia txog kev kho mob lub cev, kev ua haujlwm lossis kev puas siab puas ntsws uas tuaj yeem pab koj tswj cov teeb meem no.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Nug koj tus kws kho mob txog kev hloov pauv ntawm lub cev uas yuav qhia tau tias muaj mob qog noj ntshav rov qab los, thiab thaum twg yuav tsum hu rau koj tus kws kho mob yog tias lawv tshwm sim.

Kuv yuav tsum nug tus kws kho mob li cas txog kuv qhov kev kuaj mob?

Nov yog qee cov lus nug uas koj tuaj yeem nug koj tus kws kho mob:

• Kuv muaj hom Chondrosarcoma twg?
• Koj pom zoo kom muaj kev kho mob dab tsi?
• Vim li cas koj thiaj pom zoo kom kho qhov ntawd?
• Cov kev mob tshwm sim ntawm kev kho mob yog dab tsi?
• Cov txiaj ntsig ntawm cov kev kho mob no yog dab tsi?
• Yog tias kuv noj cov kev kho mob uas tau pom zoo, kuv tus mob chondrosarcoma puas tuaj yeem rov qab los?

Qhov txawv ntawm Chondrosarcoma thiab Osteosarcoma yog dab tsi?

Osteosarcoma pib hauv cov pob txha thiab feem ntau tshwm sim rau cov menyuam yaus. Chondrosarcoma pib hauv cov pob txha mos thiab feem ntau tshwm sim rau cov neeg laus. Cov kws kho mob tsuas yog tuaj yeem phais rau chondrosarcoma, tab sis rau osteosarcoma, lawv siv ob qho tib si chemotherapy thiab phais.

Thaum kawg, ib zaj lus tseem ceeb

Kev kuaj pom tus mob qog nqaij hlav pob txha no, hu ua chondrosarcoma, tuaj yeem yog thawj kauj ruam hauv kev taug kev ntev ntawm kev rov zoo. Txoj kev taug kev ntawd feem ntau pib nrog kev phais kom tshem tawm cov qog nqaij hlav, ua raws li kev kho kom rov zoo los ntawm kev phais thiab lwm yam kev kho mob.

Txawm hais tias tus mob qog noj ntshav no kho tau zoo los xij, nws yuav hloov koj lub neej. Tej zaum koj yuav xav tau kev pab los daws cov teeb meem ntawm lub cev thiab lub siab. Tham nrog koj tus kws kho mob txog cov teeb meem uas koj tab tom ntsib. Koj tus kws kho mob thiab nws pab neeg nkag siab txog yam koj tab tom dhau los. Thaum koj pib txoj kev no, lawv yuav nrog koj txhua kauj ruam ntawm txoj kev. Tsis txhob tso tseg kev cia siab!

` Chondrosarcoma, mob qog nqaij hlav pob txha, mob qog nqaij hlav pob txha mos, mob pob qij txha, mob qog nqaij hlav pob txha, kev kho mob qog nqaij hlav, kev phais mob