Yu no bɔt Jaynt Sɛl Tumɔ (GCT)? Lɛ wi tɔk bɔt am!

Yu dɔn ɛva fil pen we nɔ de mek yu fil pen, we yu swel smɔl, ɔ yu an 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 smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. If na so i bi, i go fayn fɔ mek yu wɔri smɔl. Bikɔs i kin bi wan sayn fɔ wan kɔndishɔn we wi go tɔk bɔt tide we dɛn kɔl ‘Giant Cell Tumor (GCT)’. Nɔ wɔri, wi go tɔk bɔt dis ditayli.

Wetin rili na Jaynt Sɛl Tumɔ (GCT)?

Fɔ tɔk am simpul wan, ``Giant Cell Tumor (GCT)`` na tכmכro we nכ de kεnsar (εn bכku tεm we nכ de bכn) . Dɛn kin fɔm na di ɛnd dɛn pan di lɔng bon dɛn na yu bɔdi. spεshal wan, dεn kin fכnshכn mכst na di bכtכm pat pan yu thigh bon ``femur`` כ di tכp pat pan yu shin bon ``tibia``, we de rawnd di kכn . Bɔt dɛn kin fɔm bak na say dɛn lɛk di hip, di sholda, di an, ɛn di telbon. dεn kכl dεn tin ya bak ``Osteoclastomas``.

Dis kכndyushכn we dεn kכl `(GCT)` na rili rεs . I kin apin pan lɛk wan to tu pipul dɛn pan ɛvri ɔndrɛd tawzin. כltu, pan di tכmכro dεm we nכ gεt kεnsar we de stat na di bon dεm, `(GCT)` de mek bitwin 15% εn 21% pan כl di kes dεm.

sכmtεm dεn big sεl tכmכro dεm ya nכ de divεlכp na di bon dεm, bכt na di sכft tisu dεm we de rawnd di joyn dεm. afta dat dεn kכl dεm ``Tenosynovial jayant sεl tכmכro dεm''.

di imכtant tin na dat pan כl we dεn `(Giant Cell Tumors)` ya nכto kεnsar, dεn kin gro kwik kwik wan εn pwεl di hεlty tisu dεm we de rawnd . Dɔn bak, dɛn gɛt ay chans fɔ `(rikɔr)` ivin afta dɛn dɔn trit dɛn. Na dat mek i impɔtant fɔ go to dɔktɔ kwik kwik wan if yu notis ɛni sayn fɔ se yu gɛt tumbu lɛk dis.

Wetin na di sayn dɛm fɔ dis? Si if yu get dis tu...

Di men ɛn kɔmɔn sayn fɔ wan jayant sɛl tɔŋ (GCT) na pen . Pan ɔl we di pen kin smɔl fɔs, i kin bɔku as di tumbu de gro. Imajin, yu wek wan mɔnin ɛn fil smɔl pen nia yu ni. Fɔs, yu nɔ kin pe atɛnshɔn to am. Bɔt afta sɔm tɛm, di pen kin bɔku, ɛn we yu tɔch am, i kin tan lɛk se na smɔl swɛlin. Na da tɛm de yu kin fred smɔl, nɔto so?

Bɔku ɔda sayn dɛn de we kin sho se yu gɛt dis sik:

• Wan lump ɔ swɛlin we yu kin notis na di an kin si na da say de.
• di inability fכ muv di joyn fayn fayn wan usay di tכmכro de min se di muvmεnt fכ di joyn de sכm.
• Jɔyn pen , mɔ we yu de muv di jɔyn.
• De swɛl .
• Di tumbu kin mek di bon dɛn wik ɛn mek dɛn brok .

If yu gɛt wan ɔ mɔ pan dɛn sik ya, duya go to dɔktɔ.

Wetin mek sɔntin lɛk dis kin apin? Wetin na di rizin?

Infakt, di wan dɛn we de stɔdi bɔt mɛrɛsin stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek big big sɛl tɔŋ dɛn. Bɔt dɛn dɔn si se sɔm pipul dɛn we gɛt dis sik kin gɛt sɔm chenj dɛn (muteshɔn) na dɛn jin. Bɔt naw, pipul dɛn biliv se dis nɔto sɔntin we yu gɛt frɔm yu mama ɛn papa, ɔ we yu de liv yu layf ɔ we yu de liv yu layf .

Ɛnitin de we kin mek pɔsin gɛt prɔblɛm?

Yes, ɔnda sɔm sikɔstɛms di chans fɔ divɛlɔp dis `(GCT)` kin go ɔp smɔl:

• If yu gɛt wan sik we dɛn kɔl `(Hyperparathyroidism)` (we yu de mek tumɔs paratayroyd ɔmon), `(GCT)` kin divɛlɔp na bɔku say dɛn na yu bɔdi.
• na sכm tεm, pipul dεm we gεt wan bon sik we dεn kכl ``Paget in sik na di bon'' kin gεt dεn jayant sεl tכmכro dεm ya bak.

Yu tink se dis kin mek pɔsin denja? Wetin na di prɔblɛm dɛn we kin apin?

pan tap we dεn tכmכro dεm ya nכto kεnsar, sכmtεm, dat na, rili rεli, dεn jayant sεl tכmכro dεm kin ``spred`` to di lכng dεm . Bɔt i nɔ tan lɛk we kansa kin skata, ɛn ivin if i kin skata dis we, bɔku tɛm i nɔ kin mek pɔsin in layf de pan denja.

Ivin mכr rεli, insay lεk 4% pan di pipul dεm we gεt GCT, dεn tכmכro dεm ya kin bi kεnsar (malignant) . So, yu dɔktɔ go de wach yu sik ɔltɛm fɔ si if ɛni denja chenj de na di tumbu. Dis na di rizin we mek i impɔtant fɔ go to yu dɔktɔ ɔltɛm ɛn gɛt advays.

Aw dɔktɔ dɛn kin fɛn dis?

Fɔ no if yu gɛt jayant sɛl tumor (GCT) , dɛn kin du bayɔpsi . Dis min se dɛn kin tek smɔl smɔl tisu frɔm di tumbu ɛn chɛk am ɔnda maykroskɔp. Na wan dɔktɔ we de mɛn sik dɛn, we na dɔktɔ we spɛshal pan tisu, kin du dis tɛst. i go chεk fכ si if di sεl dεm na "jaynt sεl dεm," כ gεt di kכntribyushכn dεm fכ GCT.

pan tap dat, dεn kin du imej tεst dεm lεk dis fכ luk di tכmכro we de insay yu bכdi:

• X-ray : Chɛk aw di bon dɛn de.
• CT scan : Si di sayz ɛn shep fɔ di tɔŋ ditayli.
• MRI : I de egzamin di sכft tisu dεm, bon mכro, εn כda tin dεm.
• Bɔn skan : Chɛk fɔ prɔblɛm ɔdasay na di bon dɛn.
• PET skan : Fɔ si if sayn dɛn de we de sho se di tumbu de tɔn to kansa.

Dɛn kin du ɔl dɛn tɛst ya fɔ mek yu ɔndastand yu sik gud gud wan ɛn fɔ no di bɛst tritmɛnt.

Okay, naw wetin na di tritmɛnt dɛm fɔ dis?

Bɔku tɛm dɛn kin trit jayant sɛl tumbu dɛn wit ɔpreshɔn . di dכkta de pul di tכmכro na di bon (curettage). Dɔn, dɛn kin put bon graft na di ɛmti ples.di bon de mek di bon strכng bay we dεn graft (wan pat pan bon we dεn tek frכm כda ples כ atifishal tin). Sɔntɛnde, if di tumbu rili big, dɛn kin gɛt fɔ pul di wan ol bon we gɛt di tumbu. if dat, dεn kin put atifishal jכint כ bon ``prosthεsis`` insay in ples.

Bɔt if ɔpreshɔn nɔ ebul fɔ pul di tumbu ɔltogɛda, ɔ if ɔpreshɔn de pan denja, tritmɛnt dɛn de we nɔ gɛt ɔpreshɔn. Dɛn tin ya na:

• Denosumab (Denosumab - Xgeva®) : Dis na wan kayn mɛrɛsin we dɛn kɔl monoklɔnal antibodi. I de mek di tumbu smɔl ɛn mek di bon we de rawnd am strɔng.
• Embolization : Dis involv fכ blok di bכdi vεsul dεm we de gi bכdi to di tכmכro. Dis kin mek di tumbu nɔ gɛt blɔd ɛn mek i day smɔl smɔl.
• Ablashɔn tɛrapi : Dis kin yuz sɔntin lɛk maykrowev ɛnaji fɔ pwɛl di tɔŋ.
• Rεdyushכn tεrapi : Dis de yuz εks-ray we gεt hכy εnεji fכ shrink di tכmכro εn pwεl di sεl dεm.

Yu dɔktɔ go disayd us tritmɛnt go fayn fɔ yu.

Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?

Di tɛm we yu go tek fɔ mek yu wɛl, dipen pan di tritmɛnt we yu bin gɛt. If dɛn bin du ɔpreshɔn pan yu, yu go nid fɔ wɛr bandej fɔ sɔm wiks we di wund de wɛl. Yu kin nid bak fɔ yuz stik dɛn insay da tɛm de. If yu gɛt prɔstɛtik divays, yu go nid fɔ wok wit pɔsin we de mɛn yu bɔdi fɔ yus to am.

Yu dɔktɔ go ɛksplen ɔl dis to yu, so natin nɔ de fɔ wɔri bɔt.

No we nɔ de fɔ mek dis nɔ apin? Wetin na di bɛnifit fɔ no bifo tɛm?

Bikɔs dɛn nɔ no di rayt tin we kin mek big big sɛl tɔŋ dɛn, naw, no we nɔ de fɔ mek dɛn nɔ gɛt . Bɔt di bɛst tin we yu go du na fɔ go to dɔktɔ jɔs lɛk aw yu notis di sayn dɛn . If yu notis se yu de fil pen, yu de swel, ɔ yu gɛt wan pan yu bon ɔ yu jɔyn dɛn, nɔ ignore am ɛn go to dɔktɔ wantɛm wantɛm. if dεn fכ n tכmכro dεm lεk `(GCT)` kwik, dεn kin izi fכ trit εn dεn nכ gεt bכku kכmplikεshכn.

If i pɔsibul, i go fayn fɔ go to dɔktɔ we spɛshal pan kansa we gɛt fɔ du wit bon, we na ɔtpidik ɔnkɔlɔjis .

So aw yu de liv wit dis sik? Yu fɔ go to dɔktɔ ɔltɛm?

Jaynt sɛl tɔŋ dɛn nɔ kin rili mek pɔsin in layf de pan denja. Bɔt dɛn kin pwɛl yu bon dɛn ɛn di tisu dɛn we de rawnd yu, na dat mek i impɔtant fɔ trit yu kwik kwik wan.

Di gud nyus na dat if dɛn du ɔpreshɔn fɔ pul ɔl di pat dɛn na di tumbu, dis sik kin wɛl kpatakpata. Bɔt GCT na wan kayn tumbu we nɔ gɛt bɛtɛ trɛnk ɛn i kin gro bak .

Afta yu dɔn gɛt tritmɛnt, yu dɔktɔ go de chɛk yu ɔltɛm fɔ si if dɛn gɛt fɔl-ap apɔntinmɛnt . Dis na fɔ chɛk if di tumbu dɔn kam bak. Bɔku tɛm, dɛn tumbu ya kin kam bak insay di fɔs tu to fayv ia afta dɛn dɔn du di ɔpreshɔn. Bɔt yu go nid fɔ de chɛk yu ɔltɛm ɔlsay na yu layf. Yu dɔktɔ go tɛl yu aw ɔltɛm yu fɔ kam fɔ dɛn chɛk-ap ya.

Ustɛm yu nid fɔ go to dɔktɔ bak?

If yu gɛt ɛni sayn fɔ sho se yu jayant sɛl tɔmɔs de kam bak, go to yu dɔktɔ wantɛm wantɛm. Yu fɔ no bɔt ɛni nyu bon ɔ jɔyn pen ɔ swel. Ivin if yu dɔktɔ de chɛk yu ɔltɛm, if yu notis ɛni chenj, i go fayn fɔ kɔl yu dɔktɔ wantɛm wantɛm we yu nɔ wet fɔ yu nɛks apɔntinmɛnt.

Wetin yu go lɛk fɔ aks di dɔktɔ?

We yu go to dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:

• Aw dis tumbu kin agresiv ?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Wetin na di bɛnifit ɛn bad bad tin dɛn we kin apin to ɛni wan pan dɛn tritmɛnt ya?
• Wetin na di chans fɔ mek dis big sɛl tɔmɔs kam bak afta dɛn dɔn trit am?
• Aw ɔltɛm a go gɛt fɔ kam fɔ fala-ap apɔntinmɛnt ?

If yu no di ansa to dɛn kwɛstyɔn ya, dat go ɛp yu fɔ ɔndastand de sik ɛn i go izi fɔ yu fɔ bia wit di tritmɛnt.

So, wetin na di impɔtant tin dɛn we wi nid fɔ mɛmba frɔm dis stori?

jכs biכs wan jayant sεl tכmכro (GCT) na "benign" nכ min se i nכ go kכz eni harm. If dɛn nɔ trit dɛn GCT ya, i kin mek yu bon dɛn pwɛl bad bad wan.

Di bɛst tin na dat yu kin pul dɛn wit ɔpreshɔn fɔ pul ɔl di trays dɛn we de na di tumbu. Bɔt dɛn `(GCT)` ya kin tranga smɔl ɛn dɛn kin gro bak. Na dat mek yu dɔktɔ go de wach yu gud gud wan afta yu dɔn gɛt tritmɛnt. If yu pul di tumbu we i stil smɔl, dat kin mek di bon dɛn nɔ pwɛl fɔ lɔng tɛm.

So, if yu gɛt ɛni wan pan dɛn sik ya, nɔ shem fɔ go to dɔktɔ ɛn gɛt advays. Fɔ trit yu kwik kwik wan na di bɛst we fɔ gɛt wɛlbɔdi!

` Jaynt Sεl Tכmכr, GCT, כsteoklastoma, benign tכmכro, bon tכmכro, bon pen, tכmכro tritmεnt