Koj puas tau hnov txog 'Germ Cell Tumor'? Tej zaum lub npe yuav zoo li ntshai me ntsis, tab sis tsis txhob txhawj. Hnub no peb yuav tham txog nws hauv txoj kev yooj yim uas koj nkag siab tau. Vim tias nws tseem ceeb heev uas yuav tsum paub txog cov no, tshwj xeeb tshaj yog vim qee zaum lawv tuaj yeem loj hlob rau cov menyuam yaus thiab cov tub ntxhais hluas.
Cov qog nqaij hlav ntawm cov noob caj noob ces no yog dab tsi?
Hais yooj yim xwb, cov qog nqaij hlav ntawm cov noob caj ces yog cov qog nqaij hlav uas tsim los ntawm peb cov qe menyuam, hu ua 'germ cells'. Lo lus "germ" txhais tau tias "kom tawg paj" lossis "kom loj hlob." Tam sim no, rau ib tug ntxhais, cov qe menyuam no yuav dhau los ua 'qe'. Rau ib tug tub, cov no yuav dhau los ua 'sperm'. Yog li, cov qog nqaij hlav ntawm cov noob caj ces no feem ntau yuav tsim nyob rau hauv thaj chaw uas cov qe tsim, uas yog 'ovaries', thiab qhov chaw uas cov noob caj ces tsim, uas yog 'testicles'.
Txawm li cas los xij, qee zaum cov qog no tuaj yeem tsim nyob rau lwm qhov ntawm lub cev tsis suav nrog cov zes qe menyuam thiab noob qes. Piv txwv li, lawv tuaj yeem tsim nyob rau hauv qhov chaw xws li lub plab, hauv siab, nraub qaum qis, pob txha tw, thiab lub hlwb. Cov qog uas tsim nyob rau lwm qhov chaw zoo li no hu ua cov qog extragonadal . Ntawd yog, cov qog uas tsim sab nraum cov qog tsim menyuam.
Qhov tseem ceeb tshaj plaws, cov qog nqaij hlav no feem ntau pom muaj nyob rau hauv cov menyuam yaus, cov hluas, thiab cov tub ntxhais hluas .
Puas muaj hom qog nqaij hlav ntawm cov noob caj noob ces?
Yog, muaj ob hom qog nqaij hlav ntawm cov noob caj noob ces. Qee hom tuaj yeem ua rau mob qog nqaij hlav , uas txhais tau tias lawv yog mob qog nqaij hlav. Lwm hom yog mob qog nqaij hlav tsis muaj mob . Ob hom qog nqaij hlav tuaj yeem loj hlob. Txawm li cas los xij, tsuas yog cov qog nqaij hlav ntawm cov noob caj noob ces uas muaj mob qog nqaij hlav thiaj li kis mus rau lwm qhov ntawm lub cev. Thaum lawv kis mus rau lwm qhov (metastasized), lawv tuaj yeem ua rau peb cov kab mob sab hauv puas tsuaj thiab nyuaj kho me ntsis.
Tam sim no cia peb saib seb cov hom qog nqaij hlav tseem ceeb yog dab tsi:
Teratoma
Cov no yog ib hom txiv hmab txiv ntoo tshwj xeeb heev. Cov txiv hmab txiv ntoo no muaj cov nqaij xws li cov hniav, cov plaub hau, cov leeg, thiab cov pob txha. Xav txog nws zoo li cov txiv hmab txiv ntoo uas muaj ntau yam sib txawv. Cov no tuaj yeem 'paub tab' lossis 'tsis paub tab'.
- Cov teratomas uas laus lawm , qee zaum hu ua dermoid cysts , yog hom qog nqaij hlav ntawm cov qe menyuam uas feem ntau tshwm sim hauv cov zes qe menyuam. Feem ntau, lawv tsis yog mob qog noj ntshav.
- Cov teratomas uas tsis loj hlob feem ntau yog mob qog noj ntshav, thiab lawv loj hlob sai heev.
Cov Qog Nqaij Hauv Lub Hnab Yolk los yog Cov Qog Nqaij Hauv Lub Sinus Endodermal
Cov noob no muaj cov cell uas zoo ib yam li cov cell hauv lub embryo uas tseem tab tom loj hlob.Cov no yog cov qog nqaij hlav phem thiab tuaj yeem kis tau sai heev rau cov qog ntshav thiab lwm yam kabmob. Cov qog nqaij hlav hauv cov qe qe yog hom qog nqaij hlav qog nqaij hlav uas feem ntau tshwm sim rau cov menyuam yaus.
Germinoma
Qhov no kuj yog ib hom qog nqaij hlav. Nws tuaj yeem loj hlob hauv ob qho tib si zes qe menyuam lossis noob qes. Txawm li cas los xij, nws feem ntau pom muaj nyob rau hauv lub hlwb thiab tus txha caj qaum (lub paj hlwb hauv nruab nrab). Thaum nws loj hlob hauv zes qe menyuam, nws hu ua dysgerminoma , thiab thaum nws loj hlob hauv noob qes, nws hu ua seminoma .
Mob Cancer ntawm Lub Cev Embryonal
Qhov no yog ib qho mob qog nqaij hlav uas tsis tshua muaj, uas yog los ntawm cov qe ntshav dawb. Qee zaum nws tuaj yeem tshwm sim nws tus kheej, tab sis feem ntau nws pom ua ke nrog lwm hom qog nqaij hlav, ua rau muaj qog nqaij hlav sib xyaw .
Polyembryoma
Cov qog no muaj cov ntu uas zoo li cov menyuam hauv plab. Qhov no kuj yog ib hom qog mob qog uas tsis tshua muaj, loj hlob sai. Feem ntau, cov qog no tsim ua ke nrog lwm cov qog ntawm cov noob caj noob ces.
Choriocarcinoma
Cov qog no yog tsim los ntawm cov hlwb uas tsim lub placenta thaum cev xeeb tub. Raws li koj paub, lub placenta yog lub cev uas pab niam thiab menyuam sib pauv cov as-ham. Choriocarcinoma kuj yog ib qho qog mob qog nqaij hlav uas tsis tshua muaj. Txawm hais tias nws tuaj yeem loj hlob hauv lub zes qe menyuam lossis noob qes, nws feem ntau loj hlob hauv lub tsev menyuam. Qhov tshwj xeeb txog nws yog tias nws tuaj yeem kis mus rau tus menyuam hauv plab thiab leej niam.
Cov Qog Mob Sib Xyaws ntawm Cov Qog Mob
Cov no yog cov qog nqaij hlav uas tsim thaum ob lossis ntau hom qog nqaij hlav qog nqaij hlav los ua ke. Qhov tseeb, ntau cov qog nqaij hlav qog nqaij hlav tau sib xyaw ua ke zoo li no.
Qhov txawv ntawm cov qog nqaij hlav seminoma thiab cov qog nqaij hlav non-seminoma yog dab tsi?
Cov qog nqaij hlav ntawm cov noob qes hauv cov txiv neej, tshwj xeeb yog mob qog nqaij hlav noob qes, muab faib ua ob hom: seminomas thiab non-seminomas . Ob hom no yog cov qog nqaij hlav qog nqaij hlav.
- Seminomas: Cov no feem ntau loj hlob thiab kis qeeb dua li cov uas tsis yog seminomas.
- Cov qog nqaij hlav uas tsis yog seminomas: Cov no loj hlob thiab kis tau sai dua li cov qog nqaij hlav seminomas. Cov qog nqaij hlav hauv lub hnab qe, cov qog nqaij hlav hauv lub qe embryonal cell carcinomas, cov qog nqaij hlav choriocarcinomas, thiab cov qog nqaij hlav teratomas yog cov uas koom nrog pawg no ntawm cov qog nqaij hlav uas tsis yog seminomas.
Cov qog nqaij hlav ntawm cov noob caj noob ces no muaj ntau npaum li cas?
Cov qog nqaij hlav ntawm cov noob caj ces tsis tshua muaj rau cov menyuam yaus. Lawv suav txog li 3.5% ntawm tag nrho cov qog nqaij hlav hauv cov menyuam yaus. Txawm li cas los xij, lawv pom ntau dua rau cov tub ntxhais hluas thiab cov hluas. Lawv suav txog li 13.9% ntawm tag nrho cov qog nqaij hlav hauv cov neeg hnub nyoog ntawm 15 thiab 19 xyoo.
Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej no?
Txawm hais tias leej twg los xij tuaj yeem tsim cov qog nqaij hlav ntawm cov noob caj noob ces,Cov menyuam mos, cov menyuam yaus me, cov hluas, thiab cov hluas yog cov uas muaj feem yuav mob tshaj plaws. Qhov tshwm sim ntawm cov kab mob no sib txawv raws li hnub nyoog. Piv txwv li, lawv feem ntau tshwm sim txij li thaum yau mus txog li 4 xyoos, tom qab ntawd txo qis me ntsis, thiab tom qab ntawd nce ntxiv dua thaum hluas.
- Cov qog nqaij hlav ntawm cov qe menyuam: Cov no feem ntau tshwm sim rau cov ntxhais hnub nyoog ntawm 10 thiab 14 xyoo. Txawm li cas los xij, lawv kuj tuaj yeem tshwm sim rau cov neeg hauv lawv cov hnub nyoog 20 thiab 30 xyoo. Mature teratoma (feem ntau tsis yog mob qog noj ntshav) yog hom qog nqaij hlav ntawm cov qe menyuam uas kuaj pom feem ntau.
- Cov qog nqaij hlav noob qes: Hom no suav txog 75% ntawm cov qog nqaij hlav noob qes hauv cov menyuam yaus, thiab 90% ntawm tag nrho cov qog nqaij hlav noob qes. Lawv feem ntau tshwm sim rau cov menyuam yaus hnub nyoog qis dua 4 xyoos thiab rau cov txiv neej hnub nyoog ntawm 15 thiab 35 xyoos.
- Cov qog nqaij hlav ntawm cov noob caj noob ces sab nraud ntawm lub gonadal: Cov qog nqaij hlav no suav txog 40% txog 50% ntawm tag nrho cov qog nqaij hlav ntawm cov noob caj noob ces uas kuaj pom hauv cov menyuam yaus hnub nyoog qis dua 4 xyoos. Txawm li cas los xij, lawv kuj tuaj yeem tshwm sim rau cov menyuam yaus thiab cov hluas. Hauv cov menyuam mos thiab cov menyuam yaus me, lawv feem ntau pom nyob rau hauv sacrum lossis coccyx. Hauv cov hluas thiab cov hluas, lawv feem ntau pom nyob rau hauv mediastinum.
- Cov qog nqaij hlav ntawm lub hlwb: Txawm hais tias cov no tsis tshua muaj, feem ntau lawv raug kuaj pom rau cov neeg hnub nyoog ntawm 11 thiab 30 xyoo.
Cov tsos mob ntawm cov qog nqaij hlav ntawm cov noob caj noob ces yog dab tsi?
Cov tsos mob ntawm tus mob qog no sib txawv nyob ntawm qhov loj ntawm tus mob thiab nws qhov chaw nyob rau ntawm lub cev.
Cov tsos mob ntawm cov cysts ntawm zes qe menyuam
Cov qog nqaij hlav uas loj hlob hauv lub zes qe menyuam tsis tas li ua rau muaj tsos mob. Piv txwv li, cov teratoma uas loj hlob lawm yuav tsis ua rau muaj tsos mob kom txog thaum nws loj txaus ua rau mob plab. Feem ntau lawv pom thaum lub sijhawm ultrasound scan los nrhiav qhov ua rau mob plab qis.
Cov tsos mob yuav zoo li no:
- Tsis xis nyob lossis mob hauv plab qis.
- Hnov mob ib lub pob hauv lub zes qe menyuam.
- Kev o, o.
- Mob plab (zoo li mob appendicitis ).
- Kev los ntshav ntawm qhov chaw mos tsis tu ncua.
- Xeev siab.
Cov tsos mob ntawm cov cyst testicular
Cov tsos mob ntawm cov qog nqaij hlav noob qes uas tsim nyob rau hauv lub noob qes zoo ib yam li cov mob qog nqaij hlav noob qes.
Cov yam ntxwv yog raws li nram no:
- Ib lub pob tawv, khov kho hauv lub noob qes uas maj mam loj tuaj (tej zaum yuav mob lossis tsis mob).
- Xav tias mob los yog hnyav hauv lub scrotum.
- Mob plab los yog mob qhov ncauj.
- Cov duab txawv txawv ntawm lub noob qes.
- Mob nraub qaum.
Cov tsos mob ntawm cov qog nqaij hlav tshwm sim rau lwm qhov chaw (extragonadal)
Ib lub pob nyob rau hauv koj tus menyuam lub pob tw lossis hauv nruab nrab ntawm lawv lub hauv siabYog tias muaj, tej zaum nws yog teratoma. Lwm cov tsos mob sib txawv nyob ntawm qhov chaw ntawm lub qog.
- Ua pa nyuaj (yog tias muaj feem cuam tshuam nrog lub ntsws).
- Tsis muaj zog ntawm ob txhais ceg (yog tias nyob rau sab nraub qaum qis).
- Nyuaj siab tso zis thiab tso quav (yog tias qhov teeb meem cuam tshuam nrog lub duav).
- Tus me nyuam muaj mob o thiab mob hnyav lossis mob tsis tu ncua hauv plab.
Qee cov qog nqaij hlav ntawm cov noob qes tso tawm cov tshuaj hormones rau kev yug me nyuam. Qhov no tuaj yeem ua rau cov menyuam yaus pom cov cim ntawm kev laus ntxov lossis muaj kev loj hlob tsis zoo ntawm kev sib deev. Cov ntxhais yuav muaj mis, cov plaub hau ntawm qhov chaw mos, thiab kev coj khaub ncaws ntxov. Cov tub hluas yuav muaj mis (gynecomastia).
Dab tsi ua rau cov qog nqaij hlav no?
Feem ntau, cov qe menyuam no yog tsim los thaum lub cev xeeb tub loj hlob tuaj. Cov qe no ces yuav mus rau hauv lub zes qe menyuam lossis noob qes ntawm lub cev xeeb tub, qhov chaw uas lawv yuav dhau los ua qe menyuam lossis noob qes.
Tiam sis, hauv cov qog nqaij hlav ntawm cov noob qes, cov qe no tsis loj hlob mus ua qe lossis noob qes tag nrho. Hloov chaw, cov qe no faib ua ntau yam tsis zoo thiab tsim cov qog nqaij hlav hauv cov zes qe menyuam lossis noob qes. Hauv cov 'qog nqaij hlav extragonadal' uas peb tau tham txog ua ntej, cov qe no mus rau qhov chaw txawv txawv hauv lub cev - qhov chaw xws li lub hauv siab, lub hlwb, lub plab, nraub qaum qis, lub pob tw - thiab tsim cov qog nqaij hlav nyob ntawd.
Qhov tseeb, cov kws tshawb nrhiav tseem tsis tau paub meej tias vim li cas cov kab mob no thiaj li ua li no.
Cov yam ua rau muaj kev pheej hmoo yog dab tsi?
Tej zaum koj yuav muaj feem yuav mob qog nqaij hlav ntawm cov noob caj noob ces yog tias ib tug neeg hauv koj tsev neeg tau muaj mob no ua ntej, lossis yog tias koj muaj tej yam mob.
Cov no yog cov xwm txheej zoo li no:
- Muaj cov noob qes tsis tau kho thiab tsis nqes los ( cryptorchidism ).
- Ib yam mob hu ua Turner syndrome .
- Ib yam mob hu ua Klinefelter syndrome .
Cov no yog cov mob caj ces lossis kev loj hlob uas cov kws kho mob txheeb xyuas.
Yuav kuaj mob qog nqaij hlav li cas? (Kev kuaj mob)
Koj tus kws kho mob yuav xub kuaj koj lub cev thiab nug txog koj cov tsos mob. Tom qab ntawd, lawv yuav ua ib lossis ntau qhov kev kuaj hauv qab no kom paub tseeb tias koj puas muaj qog nqaij hlav hauv cov noob caj noob ces:
- Kev thaij duab CT: Qhov no suav nrog kev thaij ntau daim duab X-ray ntawm sab hauv koj lub cev thiab siv lub khoos phis tawj los tsim cov duab peb-seem ('3D') ntawm cov pob txha thiab cov nqaij mos. Kev thaij duab CT ntawm lub hauv siab, lub plab, lossis lub duav tuaj yeem pab nrhiav qhov mob qog.
- MRI: Qhov no siv lub hlau nplaum thiab cov nthwv dej xov tooj cua los tsim ib daim duab hauv computer ntawm cov pob txha thiab cov nqaij mos ntawm lub cev. Ib yam li CT scan, MRI tuaj yeem qhia qhov chaw ntawm lub qog.
- Kev Siv Ultrasound:Qhov no siv cov suab nthwv dej los tsim cov duab ntawm sab hauv lub cev. Kev kuaj ultrasound qhia tau tias lub qog nqaij tawv npaum li cas thiab muaj kua ntau npaum li cas ('cystic'). Cov ntaub ntawv no pab txiav txim siab seb lub qog nqaij tawv puas yog lub qog nqaij hlav lossis tsuas yog kua ('cyst').
- Kev kuaj PET: Qhov no siv cov tshuaj tshwj xeeb (ib qho 'tracer') los nrhiav cov cheeb tsam ntawm cov hlwb qog noj ntshav hauv lub cev. Kev kuaj PET kuj tseem tuaj yeem pom seb cov qog noj ntshav puas tau kis mus rau lwm qhov.
- Kev tshuaj xyuas pob txha: Qhov no suav nrog kev txhaj tshuaj ib yam xim tshwj xeeb rau hauv lub cev, cia nws nqus mus rau hauv cov pob txha, thiab tom qab ntawd thaij duab X-ray. Cov xim no pab qhia txog qhov tsis zoo thiab tuaj yeem pab txiav txim siab seb puas muaj qog nqaij hlav kis mus rau cov pob txha.
- Kev kuaj ntshav: Koj tus kws kho mob yuav coj cov ntshav mus kuaj seb puas muaj cov enzymes, proteins, lossis cov tshuaj hormones hauv koj cov ntshav. Cov theem siab ntawm cov khoom xws li human chorionic gonadotropin (hCG) , alpha-fetoprotein (AFP) , thiab lactate dehydrogenase tuaj yeem yog ib qho cim ntawm qee hom qog nqaij hlav ntawm cov noob qes.
- Kev kuaj mob: Qhov no suav nrog kev muab ib daim nqaij me me los ntawm lub qog thiab xa mus rau chav kuaj mob kom kuaj. Tus kws kho mob pathologist , tus kws kho mob uas tshwj xeeb hauv kev tshuaj xyuas cov nqaij, yuav tshuaj xyuas cov qauv hauv qab lub tshuab microscope kom paub tseeb tias nws puas yog lub qog ntawm cov noob caj noob ces.
Tseem Ceeb: Yog tias koj lub qog yuav yog mob qog noj ntshav, koj tus kws kho mob yuav txiav txim siab tshem tawm tag nrho cov noob qes. Piv txwv li, cov txheej txheem ib txwm rau kev kuaj mob qog noj ntshav testicular yog tshem tawm tag nrho noob qes ( radical inguinal orchiectomy ). Kev tshem tawm noob qes tso cai rau koj tus kws kho mob tshuaj xyuas cov ntaub so ntswg thiab ua phais ua kev kho mob.
Yuav kho cov qog nqaij hlav ntawm cov noob caj noob ces li cas?
Muaj ntau txoj kev kho mob. Koj tus kws kho mob yuav txiav txim siab seb yuav kho qhov twg zoo tshaj plaws raws li hom qog, qhov loj, qhov chaw ntawm lub qog, thiab koj txoj kev noj qab haus huv tag nrho.
- Kev Phais Mob: Kev phais mob yog txoj kev kho mob tseem ceeb rau cov qog nqaij hlav ntawm cov noob qes. Yog tias muaj qog nqaij hlav ntawm zes qe menyuam, tsuas yog tshem tawm cov qog nqaij hlav xwb ( ovarian cystectomy ), lossis tshem tawm tag nrho cov zes qe menyuam thiab cov raj fallopian ( salpingo-oophorectomy ). Yog tias muaj mob qog nqaij hlav ntawm noob qes, cov noob qes uas muaj cov qog nqaij hlav ntawd yuav raug tshem tawm.
- Kev Kho Mob Siv Tshuaj Kho Mob: Qhov no suav nrog kev muab tshuaj rau koj kom tua cov hlwb qog noj ntshav lossis tiv thaiv lawv kom tsis txhob faib. Yog tias koj tus kws kho mob tsis tuaj yeem tshem tawm cov qog noj ntshav, lossis yog tias nws tau kis mus rau lwm qhov ntawm koj lub cev, koj yuav raug muab tshuaj kho mob siv tshuaj kho mob siv tshuaj kho mob siv tshuaj kho mob siv tshuaj kho mob siv rau feem ntau hom qog noj ntshav hauv cov noob caj noob ces.Ib txoj kev kho mob zoo heev.
- Kev Kho Mob Hluav Taws Xob: Qhov no suav nrog kev siv cov duab hluav taws xob X-rays muaj zog heev los rhuav tshem cov hlwb qog noj ntshav. Qee hom qog nqaij hlav teb tau zoo rau kev kho mob hluav taws xob.
Puas kho tau tus mob qog nqaij hlav ntawm cov noob caj noob ces kom zoo?
Qhov kev kwv yees, lossis kev cia siab tias yuav kho tau, rau feem ntau cov qog nqaij hlav ntawm cov noob caj ces yog qhov zoo heev. Feem ntau cov kab mob kho tau yog tias cov qog nqaij hlav raug tshem tawm tag. Piv txwv li, mob qog nqaij hlav testicular muaj 95% feem pua ntawm kev ciaj sia tom qab kev kho mob. Cov qog nqaij hlav ntawm cov noob caj ces zes qe menyuam muaj 93% feem pua ntawm kev ciaj sia. Cov qog nqaij hlav ntawm cov noob caj ces hauv cov menyuam yaus muaj tus nqi kho tau ntawm 82% thiab 90%.
Txawm li cas los xij, cov txiaj ntsig no nyob ntawm ntau yam uas tshwj xeeb rau koj. Cov no suav nrog:
- koj lub hnub nyoog.
- Hom qog nqaij hlav ntawm cov qe menyuam.
- Qhov chaw thiab qhov loj ntawm lub qog.
- Qhov deb uas tus mob cancer tau kis mus.
- Qhov mob qog teb rau kev kho mob.
Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum nrog koj tus kws kho mob tham txog seb koj qhov kev kuaj mob yuav cuam tshuam li cas rau koj cov txiaj ntsig.
Cov lus nug tseem ceeb uas yuav tsum nug koj tus kws kho mob
Koj tuaj yeem nug cov lus nug no kom nkag siab zoo dua txog koj qhov kev kuaj mob:
- Kuv lub qog puas yog mob qog noj ntshav (malignant)?
- Kuv lub qog loj hlob sai npaum li cas (ua rau mob hnyav)?
- Tus mob cancer puas tau kis mus rau lwm qhov?
- Koj pom zoo kom muaj kev kho mob dab tsi?
- Tej yam tshwm sim ntawm kev kho mob yog dab tsi?
- Cov txiaj ntsig zoo li cas uas yuav muaj nrog txhua txoj kev kho mob?
- Kuv yuav tsum tau ua dab tsi los xyuas seb kev kho mob puas ua haujlwm zoo?
- Kuv yuav tsum tuaj ntsib kws kho mob ntau npaum li cas thiaj li tau saib xyuas kuv tus mob qog/kev teb rau kev kho mob?
Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)
Ib qho qog nqaij hlav ntawm cov noob caj noob ces yog ib qho qog nqaij hlav uas loj hlob los ntawm cov noob caj noob ces. Koj tus kws kho mob tuaj yeem piav qhia rau koj tias qhov kev kuaj mob no yuav cuam tshuam li cas rau koj lossis koj tus menyuam. Cov qog nqaij hlav ntawm cov noob caj noob ces nyuaj me ntsis. Koj cov tsos mob thiab koj qhov kev kwv yees nyob ntawm ntau yam, txhua yam uas koj tus kws kho mob yuav tham nrog koj.
Qhov xov xwm zoo yog tias feem ntau cov qog nqaij hlav hauv cov noob caj noob ces teb tau zoo rau kev kho mob. Ib yam li lwm yam qog nqaij hlav (tshwj xeeb tshaj yog cov qog nqaij hlav qog nqaij hlav), koj kuaj pom sai dua thiab pib kho mob, koj qhov tshwm sim yuav zoo dua. Yog li ntawd, yog tias koj muaj lub qog, o, lossis mob txawv txawv, nws yog qhov zoo los nrhiav kev pab kho mob es tsis txhob tsis quav ntsej nws.
Cov qog nqaij hlav ntawm cov qe menyuam, mob qog noj ntshav, teratoma, mob qog nqaij hlav ntawm lub hnab qe, germinoma, mob qog nqaij hlav ntawm lub zes qe menyuam, mob qog nqaij hlav ntawm lub noob qes











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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus