Yu kin gɛt tumor lɛk dis bak na yu ovaries? (Ovarian Germ Cell Tumors) Lɛ wi tɔk bɔt dis!

Yu dɔn ɛva yɛri se difrɛn kayn tumbu dɛn de we kin kam na di ovaria? Sɔm pan dɛn nɔ denja, bɔt sɔm pan dɛn na sɔntin we wi fɔ wɔri bɔt. Tide wi go tɔk bɔt wan spɛshal kayn tumbu we de divɛlɔp na uman dɛn ovaria. dεn kכl dεn tin ya ‘Ovarian Jεm Sεl Tכmכro dεm’. Pan ɔl we di nem kɔmplikt smɔl, lɛ wi ɔndastand am simpul wan.

wetin na dεn ‘Ovarian Germ Cell Tumors’ ya we de apin na di ovaria dεm?

Fɔ tɔk am simpul wan, dis kayn tɔŋ de kɔmɔt frɔm di jem sɛl dɛn we de insay uman in ovaria. as yu no, di ovaria na tu pan di imכtant כgan dεm na di uman in riprodaktiv sistεm. Dis na di wan dɛn we de mek eg we yu de bɔn pikin. so, di jεm sεl dεm we de insay dεn ovaria dεm ya na dεn wan dεm we leta bi eg. Bɔt sɔntɛnde, sɔm pan dɛn sɛl ya kin kam togɛda ɛn mek wan tumbu we nɔmal. na dat wi kin kכl 'jεm sεl tכmכro'.

כl di tεm dεm, dεn sist dεm ya de divεlכp na wan ovary nכmכ, bכt sכm tεm, dεn kin si dεm na di tu ovaria dεm.

di impɔtant tin na dat di mכtalman in jεm sεl tכmכro dεm na benign . Dat min se dɛn nɔ gɛt kansa. Bɔt, na smɔl tɛm nɔmɔ, dɛn kin bi bad bad sik . If dat apin, dɛn tumbu ya kin skata ɛn pwɛl di tisu we gɛt wɛlbɔdi. dis kansa jεm sεl tכmכro dεm na wan kayn ovarian kεnsar we rili rεs.

di kayn ‘jεm sεl tכmכro dεm' de?

Yɛs, difrɛn kayn nɛt dɛn de bak. Lɛ wi si wetin na di men kayn dɛn we dɛn kin si:

• Mature teratoma (dermoid cyst): Dis na di mכst kכmכn, benign tכp fכ jεm sεl tכmכro. Dɛn kin apin to pipul dɛn we dɔn pas 20 ia, twɛnti, ɔ tati ia. Sɔntɛnde dɛn kin kɔl dɛn teratoma bikɔs dɛn kin gɛt ia ɔ tit. Bɔt nɔ wɔri, dɛn nɔto kansa.
• Disjεrminoma: Dis na di kayn mכst kכmכn kayn malign jεm sεl tכmכro. Bɔt dɛn se 70% pan dɛn pipul ya nɔ de fɛt. Dɛn kin rili trit dɛn bak. Bɔrku tɛm dɛn kin divɛlɔp pan pipul dɛm wae ol twɛnti ɛn tati ia.
• Immature teratoma: Dis na wan kayn kansa (malignant) tumor we de gro sloslo . i kin kכmכt frכm di ovary to כda pat dεm na di bכdi (mεtastas). Bɔrku tɛm, i kin apun pan pipul dɛm wae ol 20 ia ɔr smɔl pas dat.
• di yכl sak tכmכro dεm (dεn kכl dεm bak εndodamal sayn tכmכro dεm): dεn wan ya bak na malignant.Wan kayn tumbu. Dɛn tin ya kin gro kwik kwik wan ɛn kin skata kwik kwik wan. Dɛn kin bɔrku pan pipul dɛm wae ol 20 ia ɔr pas dat. Dɛn kin apin bak pan yɔŋ pikin dɛn we nɔ bigin fɔ gɛt mɔnt yet (lɛk 40%).
• Miks jεm sεl tכmכro dεm: Dis na malign tכmכro dεm. Dɛn kin gɛt wan ɔ mɔ ɔda kayn tumbu dɛn. Bɔrku tɛm, dɛn kin bi wan kɔmbaynshɔn fɔ disjɛminoma ɛn yɔlɔk sak tɔŋ dɛm.

apat frכm dεn men tכp dεm ya, sεvεra כda kayn jεm sεl tכmכro dεm de we rili rεs:

• Kansa we de na di εmbrayo
• Choriocarcinoma we gɛt di sik
• Poliembryoma we de na di bɔdi

Aw dis sik kin kɔmɔn?

di ovarian jεm sεl tכmכro dεm na di tכmכro we kכmכn pas כl pan uman dεm we dεn ej fכ bכn εn we dεn yכng. fכ egzampl, 70% pan di ovarian tכmכro dεm na uman dεm we ol bitwin 10 εn 30 ia na dis kayn. Bɔt dɛn nɔ kin bɔku pan uman dɛn we dɔn pas 40 ia.

di gud nyus na dat, lεk 95% pan dεn jεm sεl tכmכro dεm na bεnεn, machכ tεratomas . di jεm sεl tכmכro dεm de mek כnli 2% to 3% pan di ovarian kεnsar dεm.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw yu no am?

dis jεm sεl tכmכro dεm kin at fכ no insay di fכs stej dεm. Tכmכro dεm we nכ de bכn n כ kin mek yu gεt εni simptom te dεn big. Di malign tumor dɛn nɔ kin sho di sayn dɛn te di kansa dɔn skata.

So, e fayn fɔ pe atɛnshɔn to dɛn sayn ya:

• Bɛlɛ pen, nɔ kin fil fayn, ɔ pen we dɛn prɛs am. (Dis kin bigin wantɛm wantɛm ɛn i kin rili bad.)
• bכdi we fulכp, sכmtεm na di bכdi nכmכ de big we כda pat dεm na di bכdi de tכn.
• Di chenj dɛn we kin apin na di bɔdi we de wok , lɛk dayarɛa ɔ kɔnstipɛshɔn.
• Chenj we yu de it , lɛk we yu nɔ want fɔ it.
• blɔd we de kɔmɔt na di vagina we nɔ de kɔmɔt ɔltɛm , we min se i de blɔd ausayd we i dɔn gɛt mɔnt ɔ afta i dɔn pas we i dɔn menɔpauz.

Dɛn nɛt ya kin mek sɔm ɔmon dɛn, we kin mek sɔm chenj dɛn na yu bɔdi. Fɔ ɛgzampul:

• di simptom dεm we yu bεlε kwik lεk fכ taya, nכs, εn di bεlε we de tεnd.
• Early puberty , bɔt dis na tin we nɔ kin apin so ɔltɛm.

Wetin mek dɛn ‘jɛm sɛl tɔŋ ya’ kin fɔm?

di ovarian jεm sεl tכmכro dεm de kכz fכ di mכtεshכn dεm na di sεks sεl dεm, כ riprodaktiv sεl dεm , we de kam togεda fכ mek tכmכro. Masta sabi pipul dɛn stil de du risach bɔt wetin mek dis kin apin ɛn udat kin gɛt dɛn.

pan ɔl we dɛn sist ya kin kam pan ɛnibɔdi we gɛt ovaria, dɛn kin si dɛn mɔ pan uman dɛn we dɔn ol fɔ bɔn pikin ɛn we yɔŋ.

Us prɔblɛm dɛn dis kin mek?

Tritmɛnt rili impɔtant bikɔs, ivin if di tumbu nɔ fayn , i kin brok ɔ mek di ovarian tɔn . Di mɔ di tumbu big, na di mɔ dis kin apin.

If yu pul di tumbu, dat kin mek dɛn nɔ gɛt dɛn prɔblɛm ya.

Aw dɔktɔ dɛn kin no bɔt dis?

Afta yu dɔn aks bɔt yu sik, yu dɔktɔ go du sɔm tɛst dɛn. di tin we impɔtant pas ɔl na fɔ chɛk yu bɛlɛ fɔ chɛk fɔ si if yu bɛlɛ, yu bɛlɛ, ɛn yu vagina gɛt lumps ɔ ɔda tin dɛn we nɔ fayn. Yu kin nid bak fɔ mek dɛn du skan ɛn tɛst yu blɔd.

• Imej tɛst: If dɛn tink se ovarian jem sɛl tumor, dɔktɔ dɛn go fɔs du transvaginal ultrasound . Dis kin luk insay yu bɛlɛ fɔ si if ɛni tumbu de. Apat frɔm dat, dɛn kin du CT skan (Computed Tomography - CT scan) ɔ MRI (Magnetic Resonance Imaging - MRI) bak fɔ ɛp fɔ no di sik. Dɛn skan ya kin sho mɔ ditil pas ɔltra saund.
• Blɔd tɛst: Yu kin gɛt blɔd tɛst we dɛn kɔl sɛrum tumor marker test . Dis kin chɛk di lɛvɛl we sɔm tin dɛn de na yu bɔdi. if tin dεm lεk alfa-fetoprotein (AFP) , lactate dehydrogenase (LDH) , כ human chorionic gonadotropin (HCG) na di bכdi kin bi sayn fכ ovarian jεm sεl tכmכro.

Fɔ mek di dɔktɔ no di sik kɔrɛkt wan, i go nid fɔ pul di tumbu ɔ di wan ol ovari we afɛkt fɔ mek dɛn chɛk am. Patɔlɔjis , we na dɔktɔ we spɛshal pan tisu analisis, go chɛk dɛn sɛl ya na lab fɔ no us kayn tumbu i bi ɛn if i bad ɔ i nɔ gɛt wan prɔblɛm.

If na kansa, wetin na in ‘stej’?

If tumor na malignant , dɔktɔ dɛn go klas di kansa as pat pan di diagnosis. Dɛn kɔl dis stej . Dɛn go yuz skan lɛk CT skan ɔ PET skan (positron emission tomography scan) fɔ mɛzhɔ di saiz fɔ di tɔŋ ɛn fɔ no usay i de. Dis infɔmeshɔn go ɛp yu dɔktɔ fɔ disayd us kayn tritmɛnt yu nid ɛn wetin go kɔmɔt frɔm di tritmɛnt.

Jɛnɛral wan, di mɔ di ‘stej’ de dɔŋ, na di mɔ di chans fɔ mɛn di kansa go bɔku.

di stej dεm fכ di kεnsar ovarian jεm sεl tכmכro dεm na dεn wan ya:

• Stej 1: Di kansa de na yu ovaries nɔmɔ.
• Stej 2: Di kansa dɔn spre to ɔda tisu dɛn na yu bɛlɛ, lɛk di fallopian tyub ɔ di uterus.
• Stej 3: Di kansa dɔn spre to di limf no dɛm ɔ to di layn na yu pelvik ɔgan ɔ bɛlɛ ( peritoneum ), bɔt i nɔ spre pas di bɛlɛ.
• Stej 4 (metastatic cancer): Di kansa dɔn spre to yu liva ɔ splin, ɔ to tisu ɛn ɔgan dɛn we de na do na yu bɛlɛ, lɛk yu lɔng.

Wetin na di tritmɛnt dɛm fɔ dis?

Bɔku pan di jεm sɛl tכmכro dεm kin trit εn kכl. Di tritmɛnt plan we yu go gɛt go dipen pan di saiz fɔ di tumbu ɛn if i bad (dangerous) ɔ benign (benign).

Bɔt if yu dɔn rich di ej fɔ bɔn pikin, yu dɔktɔ go tray fɔ kip yu ovaria dɛn as i ebul fɔ mek yu nɔ ebul fɔ bɔn pikin.

Tritmεnt fכ benign ovarian jεm sεl tכmכro dεm

Dɔktɔ dɛn go ɔpreshɔn fɔ pul di tumbu dɛn we nɔ fayn. sכmtεm, dεn kin nid fכ pul di כl ovari ( oophorectomy ) כ pat pan di ovary ( ovarian cystectomy ) fכ pul di tכmכro kכmplit wan. Dɛn kin se bak fɔ mek dɛn du ɔpreshɔn we dɛn opin ( laparotomy ) ɔ wan kayn ɔpreshɔn we nɔ de mek pɔsin fil bad ɛn we dɛn kin yuz smɔl smɔl say dɛn we dɛn kɔt ( laparoscopy ).

I nɔ kin izi fɔ mek di benign tumor dɛn gro bak afta dɛn dɔn pul dɛn.

Tritmεnt fכ malign ovarian jεm sεl tכmכro dεm

Di tritmɛnt dipen pan di kayn tumbu ɛn di stej we di kansa de. Di tritmɛnt dɛn we dɛn kin yuz na:

• Ɔpreshɔn: Yu dɔktɔ kin se yu fɔ pul wan ɔ ɔl tu pan yu ovaria ɔ fallopian tyub ( oophorectomy ). If di kansa dɔn skata pas di ovaria ɛn di fallopian tyub, yu kin gɛt bak di tɔtal hysterectomy, we kin pul yu uterus ɛn yu sɛviks .
• Kimotɛrapi: Insay kemotɛrapi, yu dɔktɔ kin gi yu mɛrɛsin insay yu veins, bɔku tɛm na infushɔn . Di mɛrɛsin dɛn we dɛn kin yuz fɔ kimotɛrapi kin kil di kansa sɛl dɛn ɛn stɔp dɛn fɔ mek dɛn nɔ bɔku. Yu kin gɛt kemotɛrapi fɔ sɔm wik ɔ mɔnt.

Aw di tin kin bi afta dɛn dɔn trit am? (Autluk) .

Benign we nɔ gɛt wan bɔtdi rizulyt fכ tritmεnt fכ ovarian jεm sεl tכmכro dεm rili gud. Dɛn fayn fayn tɔŋ ya nɔ kin kam bak afta dɛn dɔn pul dɛn.

di autkam fכ di malign jεm sεl tכmכro dεm de difrεn dipכnt pan di kayn tכmכro εn di stej we di kεnsar de. Di wan dɛn we de stɔdi bɔt kansa kin no dis bay we dɛn kin kɔl ɔmɔs pipul dɛn we gɛt wan patikyula kansa de alayv fayv ia afta dɛn dɔn no se dɛn gɛt am. Dɛn kɔl dis di fayv ia sɔvayv rɛt.

fכ egzampl, if di kεnsar nכ bin spre pas di ovaria, di rεt we de liv de bitwin 94% εn 98%. fכ kansa dεm we dεn spre pas di כrijinal sayt, di fayv ia rεt we de liv na bכt 73%. Insay dis tɛm, yu dɔktɔ go de wach yu gud gud wan ɛn trit yu if di kansa kam bak .

Yu tink se dɛn kin mɛn dis ‘jɛm sɛl kansa’ ɔltogɛda?

I dipen bak pan di kayn ɛn stej we di tumbu de. fכ egzampl, dεn kin trit di εli stej dysgerminoma wit kεmothεrapi, wit di kכlεshכn rεt we de nia 100%. Di kayn we we siriɔs pasmak, lɛk di yolk sak tumor, nɔ kin wɛl ɔl, bɔt tritmɛnt kin kɔntrol aw di tumbu de gro ɛn di kansa fɔ skata.

Yu dɔktɔ kin ɛksplen to yu aw yu go si (inklud di pɔsibiliti fɔ mɛn) fɔ ovarian jem sɛl kansa, i go dipen pan wetin yu dɔn no.

Yu tink se we de fɔ mek dɛn tin ya nɔ apin?

Dɛn nɔ kin ebul fɔ stɔp di tכmכro dεm na di jεm sεl. Bɔt yu kin ɛp yu dɔktɔ fɔ wach yu wɛlbɔdi ɛn fɔ no if yu gɛt kansa bay we yu de go fɔ chɛk yu ɔltɛm .

Ustɛm a fɔ go to dɔktɔ?

If yu ɔ yu pikin gɛt sayn dɛn fɔ ovarian jem sɛl tumor , go to dɔktɔ wantɛm wantɛm . Sɔm jεm sεl tכmכro dεm de gro kwik kwik wan. If yu no dɛn kwik ɛn gɛt tritmɛnt kwik kwik wan, dat kin rili mek yu gɛt mɔ chans fɔ wɛl.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

If yu kam fɔ no se yu gɛt ovarian jem sɛl tumor, na sɔm kwɛstyɔn dɛn ya fɔ aks yu dɔktɔ:

• Dis tumbu na malignant ɔ benign?
• Us ɔda tɛst dɛn a nid fɔ du fɔ disayd us kayn tritmɛnt a nid?
• Us kayn tritmɛnt yu kin advays?
• Wetin a kin ɛkspɛkt afta dɛn dɔn trit mi?
• Yu tink se di tin we dɛn go no bɔt mi sik ɔ di tritmɛnt we a go gɛt go afɛkt di we aw a go ebul fɔ bɔn pikin?

Tek mɛsej na os

If yu ɔ yu pikin gɛt sayn dɛn fɔ ovarian jem sɛl tumor , go to dɔktɔ wantɛm wantɛm.. Bɔrku tɛm, dɛn tin ya nɔr kin denja (benign). Ɔpreshɔn kin mek dɛn nɔ gɛt prɔblɛm dɛn lɛk we big tumbu kin brok ɔ tɔn. Na smɔl tɛm nɔmɔ, if di tumbu na bad bad tin, if yu no di sik kwik kwik wan ɛn trit yu, dat kin rili mek yu gɛt mɔ chans fɔ wɛl. Ivin if yu nɔ gɛt ɛni sayn, tɔk to yu dɔktɔ bɔt fɔ mek dɛn chɛk yu ɔltɛm fɔ wach yu riprodaktiv wɛlbɔdi ɛn ɔgan dɛn.

` Ovarian sist, jεm sεl tכmכro, ovarian kεnsar, uman dεm hεlth, teratoma, dysgerminoma, kεnsar simptom dεm