Prɔblɛm de wit di tɛstikul dɛn? Lɛ wi tɔk bɔt Embryonal Carcinoma

Yu dɔn notis smɔl chenj na yu tɛstikul i nɔ tu te yet, ɔ yu dɔn gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Yu go dɔn fil bak se yu de ebi smɔl ɔ yu nɔ fil fayn. I nɔ fayn fɔ lɛ wi nɔ pe atɛnshɔn to dɛn tin ya, nɔto so? Bikɔs dis kin bi sayn dɛm fɔ wan sik wae sɔmtɛm wi nɔr kin tɔk bɔt bɔrku, bɔt i rili impɔtant fɔ no bɔt. Wi go tok abaut dis kain kondishon tide.

Wetin na Embryonal Carcinoma?

Fɔ tɔk am simpul wan, Embryonal Carcinoma na wan kayn kansa we kin kam na di tɛstikul, we kin agresiv smɔl ɛn i kin skata kwik kwik wan. Dɛn kɔl am jem sɛl tɔmɔ. Naw yu go de wɔnda wetin na dɛn jem sɛl ya. jεm sεl dεm na, nכmal wan, di fכs sεl dεm we dεn fכ bi ful machכ sεl dεm. כltu, insay dis kes fכ Embryonal Carcinoma, dεn jεm sεl dεm ya kin bigin fכ sheb εn bכku kwik kwik wan we dεn nכ de kכntrכl. If na so i bi, wan bad bad tɔŋ de fɔm insay yu tɛstikul.

dכkta dεm de klas dεn εmbriyo kכrεs dεm ya as nכn-seminomatous jεm sεl tכmכro dεm. Naw yu kin de wɔnda wetin na non-seminomas . Fɔ tɔk am simpul wan, ɔda kayn jem sɛl kansa de we dɛn kɔl sɛminomas. כltu, dεn nכn-sεminoma dεm ya (embryonal carcinomas na εgzampl fכ dis) de gro fast εn spre kwik kwik wan to כda pat dεm na di bכdi.

Aw dis sik kin kɔmɔn?

Aw kɔmɔn tin na di Embryonal Carcinoma? Infakt, we yu tink bɔt ɔl di kansa dɛn we kin apin na di tɛstikul, dɛn wan ya nɔ kin bɔku. Dat min se dis nɔto sik we de ambɔg ɔlman. pan di kes dεm we dεn no se dεn gεt tεstikul kεnsar, dεn kin si jεm sεl tכmכro dεm, pure embryonal carcinoma, we na כnli Embryonal Carcinoma, insay wan rili sכm nכmba, we na lεk tu pasεnt (%2).

Bɔt, i impɔtant fɔ no dis. lεk 85 pasεnt (85%) pan di miks jεm sεl tכmכro dεm we de apin na di tεstikul dεm kin gεt εmbriyo kansa. miks jεm sεl tכmכro dεm na tכmכro dεm we de divεlכp frכm wan kכmbaynshכn fכ sεvεra kayn tכmכro dεm we nכ de fכ sεminoma.

Na sכm tεm, dis kכndyushכn we dεn kכl Embryonal Carcinoma kin bigin bak na כda כgan dεm na uman dεm lεk di ovaria dεm. di εmbrayo kansa we de divεlכp na di ovaria dεm na wan tכmכro we rili rεs fכ ovarian jεm sεl tכmכro. I nɔ mata usay i bigin, dis kayn kansa kin gro ɛn spre kwik kwik wan.

Wetin na di sayn dɛm fɔ Embryonal Carcinoma?

Okay, naw lɛ wi si us simptom dɛm de na dis kɔndishɔn fɔ Embryonal Carcinoma. If yu gɛt ɛni wan pan dɛn tin ya, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm.

• Fɔ fil lɛk se wan pan yu tɛstikul dɛn dɔn swel.
• Lump ɔ lump we kin fil at fɔ tɔch na di tɛstikul, wit ɔ nɔ gɛt pen.
• Fɔ fil se yu gɛt ebi ɛn nɔ fil fayn na di skrotum.

Apat frɔm dɛn sayn ya, if di kansa dɔn spre pas di tɛstikul, dat na, to ɔda pat dɛn na di bɔdi, ɔda sayn dɛn kin apin. Dɛn na:

• Lɔw bak pen.
• Flank pen we de mek pɔsin fil pen.
• I nɔ izi fɔ blo (dyspnea).
• Kɔf, sɔm tɛm dɛn de kɔf blɔd (ɛmoptaysis).

If yu si sɔntin lɛk dis, yu nɔ tink se yu fɔ go to dɔktɔ we yu nɔ de te?

Wetin mek di Embryonal Carcinoma kin kam?

di εmbrayo kansa de divεlכp we di jεm sεl dεm we wi bin dכn tכk bכt bigin fכ sheb εn bכku kwik kwik wan εn we dεn nכ de kכntro. As tɛm de go, dɛn sɛl ya kin jɔyn togɛda fɔ mek wan tumbu. Bɔku tɛm dɛn kansa ya kin gro kwik kwik wan ɛn i kin pas pas di tɛstikul.

Bɔt, dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek dɛn jem sɛl ya kin bigin fɔ biev dis abnɔmal wan fɔs. כltu, dεn biliv se dεn abnכmal jεm sεl dεm ya de fכm we wi stil de na di bεlε, dat na we di εmbrayo de divεlכp.

Udat de pan big risk fɔ dis sik? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Okay, so wetin na di risk fכ divεlכp dis kכndyushכn we dεn kכl Embryonal Carcinoma? Mek wi tek wan luk.

• Ej: Dɛn kin no dis sik mɔ pan yɔŋ pipul dɛn we ol bitwin 25 ɛn 35 ia .
• Ras: Testicular jem cell tumors de mɔs pan wayt man dɛm we nɔto Hispanik we de liv na Amɛrika ɛn Yurop.
• Famili istri: If sɔmbɔdi na yu fambul we de nia yu, lɛk yu papa ɔ brɔda, dɔn gɛt dis kayn kansa we gɛt jem sɛl, yu kin gɛt smɔl prɔblɛm bak.
• Sɔm mɛdikal kɔndishɔn dɛm: Fɔ ɛgzampul, pipul dɛm wae gɛt sik dɛm lɛk ɔndasɛnd tɛstikul (cryptorchidism) ɛn Klinefelter syndrome kin gɛt mɔ risk.

Aw dɛn kin no se pɔsin gɛt Embryonal Carcinoma?

We yu go to dɔktɔ, i go aks yu fɔs bɔt di sayn dɛm we yu gɛt ɛn if ɛnibɔdi na yu famili dɔn gɛt dis sik. Dɔn, dɛn go chɛk yu fɔ si if ɛni lumps ɔ swɛlin de na yu tɛstikul. Dɛn go chɛk bak fɔ ɛni limf no dɛm we dɔn swel na yu bɛlɛ. Dis na bikɔs di limf no dɛm we swel kin bi sayn fɔ se di kansa dɔn skata.

Apat frɔm dat, dɛn kin du dɛn tɛst ya fɔ no if yu gɛt dis sik kɔrɛkt wan:

• Imej tɛst: Bɔku tɛm na ɔltra saund fɔ ɔl tu di tɛstikul dɛn na di fɔs tɛst. If dis sho sayn dɛm fɔ kansa, dɛn kin du CT skan (kɔmpyuta tomografi skan), ɛkstrem rayt, ɔ MRI (magnetic resonance imaging) skan fɔ si aw fa di kansa dɔn skata na di bɔdi.
• Sεrum tכmכro mak tεst: Dis min fכ tek sεmpl fכ yu blכd εn luk fכ sכm tכmכro mak dεm we gεt fכ du wit tεstikul kεnsar. εgzampl dεm na alfa-fεtoprotein (AFP) εn hכman kכriכnik gonadotropin (HCG). sכmtεm dεn kin si dis na di bכdi wit εmbrayo kansa, bכt nכto כltεm.
• Inguinal orchiectomy and biopsy: Dis min se dɛn kin du ɔpreshɔn fɔ pul di wan ol tɛstikul we gɛt kansa ɛn chɛk in sɛl dɛn ɔnda maykroskɔp. dis na we i pכsibul fכ kכnfכm if na εmbriyo kansa. Bɔku tɛm, bayɔpsi kin jɔs tek smɔl pat pan di tisu. Bɔt we i kam pan tɛstikul kansa, if dɛn tek da kayn smɔl pat de, dɛn kin pul di wan ol tɛstikul bikɔs di kansa sɛl dɛn kin skata mɔ.

Stej dεm fכ di εmbrayonal kansa

We dɛn no se yu gɛt di sik, yu dɔktɔ go no bak di stej we yu gɛt kansa. Dis na aw di kansa dɔn skata ɛn aw i siriɔs. Di stej fɔ yu kansa na di bɛst tin fɔ no if yu go wɛl ɔ nɔ go wɛl. bכku tεm, di εmbrayo kansa we i de fכs, i kin kכl kכmplit wan. Bɔt bikɔs i kin skata kwik kwik wan, lɛk 40 pasɛnt (40%) pan di kansa dɔn ɔlrɛdi skata (metastasized) to fa fa pat dɛn na di bɔdi bay di tɛm we dɔktɔ dɛn no se i gɛt am.

di men stej dεm fכ di Embryonal Carcinoma na:

• Stej I: Di kansa de na yu tɛstikul nɔmɔ.
• Stej II: Di kansa dɔn spre to di limf no dɛm we de biɛn yu bɛlɛ (retroperitoneum).
• Stej III: .di kansa dεn dכn spre pas di limf no dεm na di rεtropεritoneum, כ to di כgan dεm we de fa na di bכdi. di εmbrayo kansa kin spre bכku tεm na di lכng dεm. Bɔt i kin go bak na di liva, di bren, ɔ di bon dɛn.

Wetin na di tritmɛnt dɛm fɔ dis?

di men tritmɛnt fɔ di εmbrayo kansa na ɔpreshɔn fɔ pul di kansa ɛn kemotɛrapi. Di tritmɛnt we yu go gɛt go dipen pan bɔku tin, lɛk di stej we yu gɛt kansa, yu jenɛral wɛlbɔdi, ɛn us kayn tritmɛnt yu lɛk.

Bɔku men we dɛn de fɔ trit pɔsin:

• Radical inguinal orchiectomy: Insay dis prɔsidyu, yu dɔktɔ kin pul yu tɛstikul we gɛt kansa kpatakpata. Dɛn kin sidɔm di blɔd vesel dɛn ɛn di limf tisu dɛn we de rawnd fɔ mek di kansa nɔ go skata.
• Retroperitoneal lymph node dissection (RPLND): If di εmbrayo kansa dεn dכn spre to di limf no dεm na di bak pat na yu bכdi, כ if risk de fכ spre, yu dכkta kin כpכt dεn limf no dεm de bak.
• Kεmotɛrapi: di εmbrayo kansa kin rεspכnd fayn to kεmothεrapi. Dis min se yu fɔ gi yu bɔdi mɛrɛsin dɛn we go kil di kansa sɛl dɛn. Afta dɛn dɔn du di ɔpreshɔn, dɛn kin gi yu kemotɛrapi fɔ kil ɛni kansa sɛl we lɛf. Sɔntɛnde, we di kansa dɔn go fa fawe, dɔktɔ dɛn kin disayd fɔ gi yu kemotɛrapi bifo dɛn du yu ɔpreshɔn.

Aw layf go bi wit dis sityueshɔn? (Autluk) .

Di stej fɔ di kansa gɛt di big impak pan aw yu go ebul fɔ wɛl (prognosis / outlook). Wan stɔdi we dɛn jɔs du sho se pas 98% (98%) pan di pipul dɛn we dɛn trit fɔ Stej I kansa bin stil de alayv afta fayv ia. כlmost 80% (80%) pan di pipul dεm we gεt Stej III Embryonal Carcinoma bin stil de alayv afta fayv ia.

Mɛmba se ilɛksɛf yu du di tritmɛnt fayn, dɔktɔ dɛn go kɔntinyu fɔ wach yu bikɔs di kansa kin kam bak.

insay di kes fכ εmbrayo kansa, if di kεnsar de kכnfyus na di tεstikul, 20% (20%) chans de fכ mek i kam bak. Bɔt if di kansa dɔn skata to di skrotum ɔ limf no dɛm, di chans fɔ mek i kam bak kin pas 50% (50%).

Yu tink se dɛn kin ebul fɔ protɛkt di Embryonal Carcinoma?

fɔ tɔk tru, .no we nɔ de fɔ mek di εmbrayo nɔ gɛt kansa. Bɔt di bɛst tin we yu kin du na fɔ go to dɔktɔ jɔs afta yu notis ɛni chenj na yu tɛstikul. Nɔto ɔl chenj na kansa, bɔt i impɔtant fɔ no fɔ tru.

Aw a kin kia fɔ misɛf?

If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis tritmɛnt, tɔk to yu dɔktɔ bɔt am. Fɔ ɛgzampul, bɔku pipul dɛn kin fred fɔ pul dɛn tɛstikul, dɛn kin tink se i go afɛkt dɛn mami ɛn dadi biznɛs ɛn di ebul we dɛn ebul fɔ bɔn pikin. Bɔt fɔ tru, di tɛstikul we lɛf de mek inof tɛstostɛron, we rili impɔtant fɔ yu bɔdi. So yu nɔ go gɛt ɛni prɔblɛm fɔ du mami ɛn dadi biznɛs ɔ fɔ pul yu bɔdi. I go mɔs bi se yu go ebul fɔ bɔn pikin dɛn.

If yu de wɔri bɔt aw yu luk, yu kin gɛt prɔstɛtik tɛstikul bak. Dɔn bak, if yu want fɔ mek yu nɔ ebul fɔ bɔn pikin, yu kin tɔk to yu dɔktɔ bɔt aw fɔ bank swɛt .

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go to yu dɔktɔ, nɔ fɔgɛt fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us stej mi kansa de insay?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Us rizulyt a kin ɛkspɛkt afta tritmɛnt?
• Wetin na di chans fɔ mek dis kansa wɛl ɔltogɛda wit tritmɛnt?
• A nid fɔ bank mi sperm bifo a bigin fɔ trit?

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

εmbrayonal kansa na wan kayn tεstikul kεnsar we de agresiv εn we de gro fast fast, bכt bכku tεm i kin rεspכnd fayn to tritmεnt lεk כpεrayshכn εn kεmothεrapi. I kin mɛn mɔ if dɛn no am kwik kwik wan. Yu dɔktɔ go advays yu bɔt di tritmɛnt we go fayn fɔ yu, i go dipen pan di stej we yu kansa gɛt.

So, if yu notis ɛnitin we nɔ kɔmɔn ɔ difrɛn na yu tɛstikul, nɔ de te ɛn go to dɔktɔ wantɛm wantɛm fɔ mek dɛn chɛk am. Dat na di big ɛp we yu go ebul fɔ du fɔ yusɛf. Nɔ wɔri, sɔlv de fɔ ɔltin.

` εmbrayonal kεnsar, tεstikul kεnsar, jεm sεl tכmכro, tεstikul kεnsar, kεnsar simptom dεm, kεnsar tritmεnt, man dεm hεlth