Koj puas muaj tej yam kev hloov pauv no ntawm koj daim tawv nqaij? Cia peb kawm txog Squamous Cell Carcinoma!

Koj puas tau txhawj txog ib lub pob tshiab, ib qho mob uas yuav tsis kho, lossis ib qho liab, tawv nqaij tawv? Tej zaum koj tsis xav ntau txog nws. Tab sis, cov kev hloov pauv ntawm daim tawv nqaij no qee zaum tuaj yeem yog ib qho cim ntawm qee yam loj dua. Hnub no peb yuav tham txog ib hom mob qog nqaij hlav ntawm daim tawv nqaij. Nws hu ua squamous cell carcinoma, lossis SCC.

Kab mob squamous cell carcinoma (SCC) yog dab tsi? Cia peb nkag siab yooj yim!

Zoo, tam sim no cia peb saib seb squamous cell carcinoma yog dab tsi. Hais yooj yim, nws yog ib hom mob qog nqaij tawv. Nws pib nyob rau hauv txheej sab nraud ntawm peb daim tawv nqaij, epidermis, hu ua squamous cells. Yog hais kom meej, nws yog hom mob qog nqaij tawv thib ob uas pom ntau tshaj plaws. Thawj yog basal cell carcinoma.

Feem ntau, cov mob qog nqaij hlav squamous cell no tshwm sim hauv cov cheeb tsam ntawm peb lub cev uas raug tshav ntuj ntau tshaj plaws. Xav txog cov chaw zoo li koj lub taub hau, caj npab, thiab ceg. Txawm li cas los xij, qee zaum cov mob qog nqaij hlav no kuj tuaj yeem tshwm sim hauv cov cheeb tsam ntawm lub cev uas muaj cov ntaub so ntswg. Ntawd yog, hauv cov chaw zoo li sab hauv ntawm lub qhov ncauj, lub ntsws, thiab lub qhov quav.

Cov hom mob qog noj ntshav no yog hom twg?

Muaj ntau hom mob squamous cell carcinoma tseem ceeb, nyob ntawm seb nws nyob qhov twg hauv lub cev thiab nws tau kis mus deb npaum li cas.

• Cutaneous: Hom mob qog noj ntshav no tuaj yeem nyob rau hauv situ (nyob rau sab saud ntawm daim tawv nqaij) lossis nws tuaj yeem kis mus dhau sab saud ntawm daim tawv nqaij.
• Metastatic: Qhov no yog thaum tus mob qog nqaij hlav kis mus dhau ntawm daim tawv nqaij mus rau lwm qhov ntawm lub cev.

Leej twg muaj feem yuav mob qog nqaij hlav squamous cell carcinoma ntau dua?

Txhua tus neeg yeej muaj peev xwm mob qog noj ntshav no tau. Txawm li cas los xij, qee tus neeg muaj feem yuav mob qog noj ntshav ntau dua me ntsis. Saib seb cov lus tseeb no puas siv tau rau koj:

• Yog tias koj daim tawv nqaij tau raug puas tsuaj los ntawm kev raug tshav ntuj ntev txij li thaum yau lossis vim raug tshav ntuj.
• Yog tias koj muaj daim tawv nqaij dawb heev, qhov muag xiav lossis ntsuab, thiab plaub hau daj lossis liab.
• Yog koj muaj hnub nyoog 65 xyoo lossis laus dua.
• Yog tias koj lub cev tiv thaiv kab mob tsis muaj zog (piv txwv li, ib tus neeg uas tau hloov pauv lub cev).
• Yog tias koj tau raug rau qee yam tshuaj lom neeg (piv txwv li pa luam yeeb, arsenic).

Cov txiv neej muaj feem yuav mob qog noj ntshav no ob npaug ntau dua li cov poj niam. Txawm hais tias nws feem ntau tshwm sim ntawm cov neeg hnub nyoog tshaj 50 xyoo, qhov tshwm sim tau nce ntxiv ntawm cov neeg hnub nyoog qis dua 50 xyoo.

Muaj kev tshaj tawm tias muaj ntau tshaj ib lab tus tib neeg nyob hauv Tebchaws Meskas ib leeg muaj mob qog nqaij hlav squamous cell carcinoma txhua xyoo. Kuj tseem muaj kev tshaj tawm tias cov neeg uas muaj tus kab mob no tau nce ntxiv txog li 200% hauv 30 xyoo dhau los. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Cov tsos mob ntawm tus mob squamous cell carcinoma yog dab tsi? Koj paub nws li cas?

Yog koj pom ib qho ntawm cov kev hloov pauv no ntawm koj daim tawv nqaij, ceev faj. Cov no yuav yog cov cim qhia ntawm squamous cell carcinoma:

• Ib lub pob tawv nqaij uas ntxhib, siab, lossis loj hlob tuaj. Qhov no yuav ua rau tawv nqaij tawv thiab los ntshav .
• Ib lub pob uas tsa siab tshaj daim tawv nqaij ib puag ncig thiab zoo li ib qho chaw nqaim hauv nruab nrab.
• Ib qho qhov txhab uas tsis kho lossis ib qho qhov txhab uas kho thiab rov tshwm sim dua.
• Ib qho chaw tiaj tus, tawv nqaij dawb, thiab liab ntawm daim tawv nqaij uas yuav loj ib nti (kwv yees li 2.5 centimeters) lossis loj dua .

Muaj lwm yam cim dab tsi uas qhia tau qhov no?

Muaj qee cov cim qhia ntxiv uas qhia tau tias nws yog mob qog nqaij hlav squamous cell:

• Ib lub pob los yog cov noob loj hlob rau ntawm daim tawv nqaij. Nws yuav qhuav, khaus , tawv nqaij tawg, lossis muaj xim txawv ntawm daim tawv nqaij ib puag ncig. Qhov mob no kuj hu ua "Actinic Keratosis" (Actinic Keratosis).
• Yog koj muaj qhov mob ntawm koj daim di ncauj qis, daim tawv nqaij ntawd tsis muaj xim, qhuav, thiab tawg . Tej zaum yuav zoo li kub hnyiab thaum koj tawm mus rau hauv lub hnub. Qhov no kuj hu ua '(Cheilitis)'.
• Yog koj muaj cov pob dawb los yog cov xim tsis zoo hauv koj lub qhov ncauj, ntawm koj tus nplaig, cov pos hniav, lossis sab plhu , qhov mob no hu ua "Leukoplakia".

Tus mob qog noj ntshav no feem ntau tshwm sim qhov twg hauv lub cev?

Txawm hais tias squamous cell carcinoma tuaj yeem tsim nyob txhua qhov chaw ntawm lub cev, nws feem ntau pom muaj nyob rau hauv cov cheeb tsam no:

• Nyob rau ntawm daim tawv nqaij
• Qhov Ncauj, tus nplaig thiab caj pas (tseem hu ua "Oral Carcinoma")
• Lub ntsej muag, daim di ncauj, qhov ntswg, pob ntseg, plaub muag, thiab pob txha taub hau
• Mob qog nqaij hlav ntawm txoj hlab pas (tseem hu ua Mob qog nqaij hlav ntawm txoj hlab pas lossis Mob qog nqaij hlav ntawm txoj hlab pas)
• Tes, ceg
• Thaj chaw ntawm lub qhov quav

Vim li cas tus mob squamous cell carcinoma no thiaj tshwm sim? Ua rau muaj qhov teeb meem no yog dab tsi?

Qhov ua rau mob qog noj ntshav no yog kev hloov pauv hauv ib lub noob hu ua '(p53 gene)' hauv peb cov hlwb. Qhov ua rau muaj qhov kev hloov pauv '(p53 gene)' no yog kev raug rau cov teeb ci ultraviolet (UV rays) los ntawm lub hnub thiab cov txheej txheem dag xws li '(tanning beds)' uas ua rau daim tawv nqaij raug rau cov teeb ci UV.

Hais yooj yim xwb, qhov '(p53 gene)' no yog qhov uas tswj kev faib peb cov cell thiab kev tsim cov cell tshiab. Qhov no zoo li mob qog noj ntshav.Nws zoo li ib yam khoom uas tiv thaiv cov qog nqaij hlav. Yog li, thaum cov noob caj noob ces no hloov pauv, cov cell pib faib ntau dhau yam tsis muaj kev tswj hwm. Thaum ntawd yog thaum tej yam xws li cov qog nqaij hlav qog nqaij hlav thiab cov qog nqaij hlav tsim.

Tus mob qog no puas yuav kis mus thoob plaws lub cev?

Cutaneous Squamous Cell Carcinoma yog ib hom mob qog nqaij hlav ntawm daim tawv nqaij uas tsis tshua muaj neeg kis mus rau lwm qhov ntawm lub cev. Txawm tias nws kis mus rau lwm qhov ntawm lub cev los xij, nws qeeb qeeb. Txawm li cas los xij, nws tuaj yeem ua rau tuag taus yog tias tsis kho. Yog li ntawd, yog tias koj pom muaj kev hloov pauv hauv koj daim tawv nqaij, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob sai li sai tau.

Yuav kuaj mob qog noj ntshav no li cas? (Kev kuaj mob)

Koj tus kws kho mob yuav xub kuaj xyuas thaj chaw uas koj cov tsos mob nyob. Qhov no txhais tau tias qhov loj me, cov duab, thiab qhov chaw ntawm lub pob lossis qhov txhab. Tsis tas li ntawd, lawv yuav nug cov lus nug kom paub ntau ntxiv txog koj keeb kwm kev kho mob thiab cov tsos mob. Piv txwv li:

• "Koj thawj zaug pom lub pob/qhov txhab no thaum twg?"
• "Puas yog qhov loj ntawm qhov no tau hloov tom qab koj pom nws thawj zaug?"
• "Qhov no puas mob? Puas khaus?"

Cov kev kuaj mob twg thiaj lees paub qhov no?

Tom qab kuaj mob tas, yuav muaj kev kuaj ntxiv kom paub tseeb tias muaj tus kab mob no:

• Kev kuaj tawv nqaij: Qhov no suav nrog kev rho ib daim nqaij me me los ntawm thaj chaw uas raug mob thiab kuaj xyuas nws hauv qab lub tshuab microscope.
• Kev kuaj duab (piv txwv li, CT scan lossis MRI): Cov no yog siv los saib qhov loj ntawm tus mob qog nqaij hlav hauv qab daim tawv nqaij thiab seb nws puas tau kis mus rau lwm qhov ntawm lub cev, tshwj xeeb tshaj yog cov qog ntshav.

Cov theem ntawm squamous cell carcinoma yog dab tsi?

Koj tus kws kho mob yuav muab ib theem ntawm tus kab mob rau koj los txiav txim siab seb tus mob qog nqaij hlav tau kis mus deb npaum li cas hauv koj lub cev. Theem no yuav txiav txim siab txoj kev kho mob zoo tshaj plaws rau koj. Muaj tsib theem tseem ceeb ntawm tus mob squamous cell carcinoma:

• Theem 0: Tus mob qog nqaij hlav tsuas yog nyob rau hauv txheej sab saud ntawm daim tawv nqaij (epidermis). Qhov no kuj hu ua Squamous cell carcinoma in situ.
• Theem I (1): Tus mob qog nqaij hlav nyob rau hauv cov txheej sab saud thiab nruab nrab ntawm daim tawv nqaij (Epidermis thiab Dermis).
• Theem II (2): Tus mob qog nqaij hlav nyob rau hauv cov txheej sab saud thiab nruab nrab ntawm daim tawv nqaij thiab tau kis mus rau cov hlab ntsha lossis cov txheej tob tshaj plaws ntawm daim tawv nqaij (Epidermis, Dermis thiab Subcutis).
• Theem III (3): Tus mob qog noj ntshav tau kis mus dhau ntawm daim tawv nqaij mus rau cov qog ntshav hauv lub cev.
• Theem IV (4): Tus mob qog noj ntshav tau kis mus rau lwm qhov ntawm lub cev thiab cov kabmob xws li lub siab, lub ntsws, thiab lub hlwb.

Yuav kho tus mob squamous cell carcinoma li cas?

Lub hom phiaj tseem ceeb ntawm kev kho mob yog tshem tawm tus mob qog noj ntshav ntawm lub cev. Hom kev kho mob uas koj tau txais yuav nyob ntawm cov yam xws li qhov loj me, cov duab, thiab qhov chaw ntawm tus mob qog noj ntshav. Nov yog qee qhov kev kho mob uas siv ntau tshaj plaws:

• Cryosurgery: Khov thiab rhuav tshem cov hlwb qog noj ntshav.
• Kev Kho Mob Siv Duab (PDT):Mob qog noj ntshav raug tshem tawm ntawm daim tawv nqaij siv cov khoom siv uas rhiab rau lub teeb thiab lub teeb xiav.
• Curettage thiab Electrodesiccation: Lub qog nqaij hlav raug khawb tawm nrog lub cuab yeej zoo li diav hu ua curette thiab tom qab ntawd hlawv nrog hluav taws xob.
• Kev rho tawm: Kev phais yog ua los txiav cov qog nqaij hlav tawm ntawm daim tawv nqaij thiab tom qab ntawd xaws daim tawv nqaij rov qab ua ke.
• Kev phais mob Mohs: Qhov no suav nrog kev tshem tawm cov txheej tawv nqaij uas raug mob los ntawm mob qog noj ntshav. Qhov no feem ntau ua rau mob qog noj ntshav uas tshwm sim ntawm lub ntsej muag.
• Kev Kho Mob Chemotherapy Hauv Lub Cev: Cov tshuaj muaj zog raug muab los tua cov hlwb qog noj ntshav hauv lub cev.

Cov tshuaj twg muab rau tus mob qog noj ntshav no?

Qee zaum, yog tias tus mob qog noj ntshav tau kis mus rau lwm qhov me ntsis, lossis yog tias kev phais kom tshem tawm tus mob qog noj ntshav tsis yog qhov kev xaiv zoo rau koj, koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj.

• Cov tshuaj pleev tawv nqaij uas muaj "Imiquimod" lossis "5-Fluorouracil" yog siv rau cov mob squamous cell carcinoma hauv txheej sab saud ntawm daim tawv nqaij (epidermis).
• Kev kho mob hu ua "Cemiplimab-rwlc (Libtayo®)" yog muab rau cov mob squamous cell carcinomas uas mob hnyav heev.
• Kev kho mob hu ua "Pembrolizumab (Keytruda®)" yog muab rau cov qog nqaij hlav squamous cell carcinoma uas tsis tuaj yeem phais kho tau.

Puas muaj tej yam tshwm sim tsis zoo rau cov kev kho mob no?

Qhov kev mob tshwm sim feem ntau yog kev hloov pauv ntawm cov tsos ntawm daim tawv nqaij tom qab tshem tawm mob qog noj ntshav, xws li caws pliav.

Yog koj noj tshuaj immunotherapy, nrog koj tus kws kho mob tham txog cov kev mob tshwm sim ntawm cov tshuaj ntawd.

Kuv yuav zoo sai npaum li cas tom qab kho tas?

Lub sijhawm uas koj lub cev yuav kho tom qab kev kho mob sib txawv ntawm ib tus neeg mus rau ib tus neeg. Nws nyob ntawm cov yam xws li qhov loj me, cov duab, thiab qhov chaw ntawm tus mob qog noj ntshav. Feem ntau, feem ntau cov neeg yuav rov zoo li qub hauv ob mus rau plaub lub lis piam tom qab kev kho mob kom tshem tawm tus mob qog noj ntshav. Ob peb lub lis piam tom qab kev kho mob, koj tus kws kho mob yuav kuaj koj dua kom paub tseeb tias koj lub cev kho tau zoo thiab kev kho mob ua haujlwm.

Qhov no tiv thaiv kab mob qog nqaij hlav squamous li cas?

Txawm hais tias nws tsis tuaj yeem tiv thaiv koj tus kheej kom tag nrho los ntawm txhua hom mob qog nqaij hlav squamous cell, muaj tej yam koj ua tau los txo koj qhov kev pheej hmoo:

• Tsis txhob raug tshav ntuj ntau dhau.
• Tsis txhob siv cov txaj pw tanning.
• Ib txwm hnav tsom iav dub, kaus mom, thiab khaub ncaws uas muaj UPF tiv thaiv thaum nyob sab nraum zoov. Tsis tas li ntawd, siv tshuaj pleev thaiv hnub.
• Tsum haus luam yeeb.
• Tsis txhob raug cov tshuaj lom neeg yam tsis muaj cov khoom siv tiv thaiv.

Qhov tseem ceeb tshaj plaws yog tias yog koj pom muaj kev hloov pauv tshiab rau koj daim tawv nqaij, ib lub pob, lossis ib qho qhov txhab uas tsis kho, lossis yog koj muaj kev tsis ntseeg txog nws, mus ntsib kws kho mob lossis kws kho tawv nqaij tam sim ntawd.

Yuav ua li cas yog tias kuv muaj mob qog nqaij hlav squamous cell carcinoma?

Feem ntau, cov qog nqaij hlav squamous cell carcinomaYog tias kuaj pom thaum ntxov, yuav muaj kev kwv yees zoo thiab muaj feem ntau yuav ciaj sia. Kev kuaj pom thiab kho thaum ntxov tuaj yeem tiv thaiv kom tus mob qog noj ntshav tsis txhob loj hlob thiab ua puas rau lwm qhov ntawm lub cev.

Txawm tias koj tus kws kho mob tshem koj tus mob qog noj ntshav tawm los, nws muaj feem me me uas nws yuav rov qab los rau yav tom ntej. Yog li ntawd, nco ntsoov nrog koj tus kws kho mob sib txuas lus kom paub tseeb tias koj tsis muaj mob qog noj ntshav kiag li. Nws tseem ceeb heev rau kev tiv thaiv koj daim tawv nqaij ntawm cov teeb UV thaum koj tawm mus sab nraum zoov.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Hauv qhov xwm txheej zoo li no, koj yuav tsum mus ntsib kws kho mob:

• Yog tias koj pom ib yam dab tsi ntawm koj daim tawv nqaij, xws li lub qog tshiab, cim yug me nyuam, qhov txhab uas yuav tsis kho, lossis kev hloov pauv ntawm qhov chaw uas tau nyob ntawd ntev lawm .
• Yog koj xav kom kws kho mob tawv nqaij kuaj koj daim tawv nqaij txhua xyoo.
• Yog tias muaj cov kev mob tshwm sim lossis teeb meem xws li mob, los ntshav, lossis khaus ntsig txog kev kho mob rau mob qog noj ntshav squamous cell.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

• Kuv muaj mob qog nqaij hlav squamous cell carcinoma theem twg?
• "Kuv puas yuav tsum tau phais kom tshem tau tus mob qog noj ntshav ntawm kuv lub cev?"
• "Kuv puas yuav tsum mus ntsib kws kho mob tawv nqaij?"
• Puas muaj tej yam tshwm sim ntawm kev kho mob no?

Qhov txawv ntawm squamous cell carcinoma (SCC) thiab basal cell carcinoma (BCC) yog dab tsi?

Kab mob squamous cell carcinoma (SCC) thiab kab mob basal cell carcinoma (BCC) yog ob hom kab mob qog nqaij tawv. Ob qho tib si yog tshwm sim los ntawm kev raug tshav ntuj ntau dhau (ultraviolet rays). Ob qho tib si yog tshwm sim los ntawm kev tsim ntau dhau ntawm cov hlwb squamous lossis cov hlwb basal. Kab mob squamous cell carcinoma, zoo li kab mob basal cell carcinoma, tuaj yeem tshwm sim hauv daim tawv nqaij epidermis. Txawm li cas los xij, SCC yog qhov tshwj xeeb hauv qhov nws kuj tuaj yeem tshwm sim hauv thaj chaw uas muaj cov ntaub so ntswg, xws li sab hauv lub qhov ncauj, caj pas, ntsws, thiab chaw mos.

'Squamous cell carcinoma in situ' yog dab tsi?

Kab mob squamous cell carcinoma in situ kuj hu ua Bowen disease . Lo lus "in situ" txhais tau hais tias cov cell mob qog nqaij hlav tsuas yog nyob rau hauv txheej sab saud ntawm daim tawv nqaij (epidermis). Kab mob Bowen feem ntau pom muaj nyob rau ntawm daim tawv nqaij uas raug tshav ntuj. Txawm li cas los xij, nws qee zaum tuaj yeem tshwm sim hauv daim tawv nqaij nyob ib puag ncig lub qhov quav thiab qhov chaw mos, piv txwv li, ntawm lub qhov ncauj lossis lub qhov quav (tseem hu ua mob qog nqaij hlav vulvar).

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Nws yog ib qho ib txwm muaj uas yuav ntshai thaum koj pom ib lub pob tshiab ntawm koj daim tawv nqaij thiab pom tias nws yog mob qog noj ntshav. Txawm li cas los xij, kev kho mob rau squamous cell carcinoma tuaj yeem tshem tawm mob qog noj ntshav ntawm koj lub cev tau zoo. Qhov tseem ceeb tshaj plaws yog ua cov kauj ruam los tiv thaiv koj tus kheej ntawm lub hnub lub hnub ci UV. Yog tias koj pom muaj cov pob tshiab lossis kev hloov pauv ntawm koj daim tawv nqaij, tsis txhob nkim sijhawm thiab mus ntsib kws kho mob, coj lawv mus kuaj mob, thiab kho sai li sai tau yog tias tsim nyog. Koj txoj kev noj qab haus huv nyob hauv koj txhais tes!

` mob qog nqaij hlav squamous cell carcinoma, mob qog nqaij hlav ntawm daim tawv nqaij, scc, mob qog nqaij hlav ntawm daim tawv nqaij, cov kab mob ntawm daim tawv nqaij, cov tsos mob ntawm mob qog nqaij hlav, tshav ntuj