Ingabe ikhona inkinga ngamasende? Ake sixoxe nge-Embryonal Carcinoma

Uke waphawula ushintsho oluncane esithweni sakho sangasese, noma iqhubu noma ukuvuvukala okungavamile? Kungenzeka ukuthi uke wazizwa unesisindo esincane noma ukungakhululeki. Akuyona into enhle ukungazinaki lezi zinto, akunjalo? Ngoba lezi zingaba izimpawu zesifo esingakhulumi ngaso kakhulu ngezinye izikhathi, kodwa kubaluleke kakhulu ukuqaphela. Sizokhuluma ngesimo esinjalo namuhla.

Kuyini i-Embryonal Carcinoma?

Kalula nje, i-Embryonal Carcinoma uhlobo lomdlavuza oluvela emasendeni, olunolaka kakhulu futhi lusakazeka ngokushesha. Lubizwa ngokuthi i-germ cell tumor. Manje ungase uzibuze ukuthi ayini lawa maseli e-germ. Amaseli e-germ, ngokuvamile, angamaseli okuqala okufanele abe amaseli esidoda avuthiwe ngokugcwele. Kodwa-ke, kulesi simo se-Embryonal Carcinoma, lawa maseli e-germ aqala ukuhlukana futhi aphindaphindeke ngokushesha kakhulu ngaphandle kokulawula. Kulesi simo, kwakheka isimila esibi ngaphakathi kwe-testicle yakho.

Odokotela bahlukanisa la ma-carcinoma e-embryonal njengama -tumor e-germ cell angewona ama-seminomatous. Manje ungase uzibuze ukuthi yimaphi ama-non-seminomas . Kalula nje, kukhona olunye uhlobo lomdlavuza we-germ cell olubizwa ngokuthi ama-seminomas. Kodwa-ke, lawa ma-non-seminomas (ama-embryonal carcinoma ayisibonelo salokhu) akhula ngokushesha futhi asakazeka ngokushesha kwezinye izingxenye zomzimba.

Sivame kangakanani lesi simo?

Ivame kangakanani i-Embryonal Carcinoma? Eqinisweni, uma ucabanga ngayo yonke imidlavuza eyenzeka emasendeni, lena ayivamile kangako. Okusho ukuthi, lesi akusona isifo esithinta wonke umuntu. Ezimweni zomdlavuza wamasende otholakale utholakale, izimila zegciwane, i-pure embryonal carcinomas, okuyi-Embryonal Carcinoma kuphela, zibonakala ngenani elincane kakhulu, cishe amaphesenti amabili (%2).

Kodwa-ke, kubalulekile ukwazi lokhu. Cishe amaphesenti angama-85 (85%) ezimila ze-germ cell ezixubile ezenzeka emasendeni zingase zibe ne-embryonal carcinoma. Izimila ze-germ cell ezixubile ziyizimila ezikhula ngokuhlanganiswa kwezinhlobo eziningana zezimila ezingezona eze-seminoma.

Akuvamile kakhulu, lesi simo, esibizwa ngokuthi i-Embryonal Carcinoma, singaqala nakwezinye izitho zomzimba kwabesifazane, njengezitho zokuzala. I-Embryonal carcinoma, ekhula ezitho zokuzala, uhlobo olungavamile kakhulu lwesimila se-ovarian germ cell. Kungakhathaliseki ukuthi siqala kuphi, lolu hlobo lomdlavuza cishe luzokhula futhi lusakazeke ngokushesha.

Ziyini izimpawu ze-Embryonal Carcinoma?

Kulungile, manje ake sibone ukuthi yiziphi izimpawu ezikhona kulesi simo se-Embryonal Carcinoma. Uma unanoma yikuphi kwalokhu, kungcono ukufuna iseluleko sezokwelapha ngokushesha.

• Ukuzizwa sengathi elinye lamasende akho livuvukele.
• Iqhubu noma iqhubu elizwakala lilukhuni uma lithintwa esithendeni, noma ngabe ubuhlungu noma cha.
• Ukuzwa isisindo nokungakhululeki esikhumbeni.

Ngaphezu kwalezi zimpawu, uma umdlavuza ususakazekele ngale kwe-testicle, okungukuthi, kwezinye izingxenye zomzimba, kungase kuvele ezinye izimpawu. Lezi yizi:

• Ubuhlungu emhlane ophansi.
• Ubuhlungu besifuba.
• Ubunzima bokuphefumula (ukuphelelwa umoya).
• Ukukhwehlela, ngezinye izikhathi ukukhwehlela igazi (i-hemoptysis).

Uma ubona into efana nale, akufanele yini ubonane nodokotela ngokushesha?

Kungani i-Embryonal Carcinoma ikhula?

I-embryonal carcinoma iqala lapho amangqamuzana egciwane okukhulunywe ngawo ngaphambili eqala ukuhlukana futhi aphindaphindeke ngokushesha nangokungalawuleki. Ngokuhamba kwesikhathi, lawa maseli ayahlangana ukuze akhe isimila. Lawa ma-cancer avame ukukhula ngokushesha futhi asakazeke ngale kwe-testicle.

Kodwa-ke, odokotela abasazi kahle ukuthi kungani la maseli egciwane eqala ukuziphatha ngendlela engavamile kwasekuqaleni. Kodwa-ke, bakholelwa ukuthi la maseli egciwane angavamile akheka sisesesibelethweni, okungukuthi, ngesikhathi sokukhula kombungu.

Ubani osengozini enkulu yalesi simo? (Izici Eziyingozi)

Kulungile, yiziphi izici eziyingozi zokuthuthukisa lesi simo esibizwa ngokuthi i-Embryonal Carcinoma? Ake sibheke.

• Ubudala: Lesi sifo sivame ukutholakala kubantu abasha abaneminyaka ephakathi kuka-25 no-35 .
• Uhlanga: Izimila zegciwane lamasende zivame kakhulu phakathi kwamadoda amhlophe angewona amaHispanic ahlala e-United States naseYurophu.
• Umlando womndeni: Uma othile emndenini wakho oseduze, njengobaba noma umfowenu, eke waba nalolu hlobo lomdlavuza wamangqamuzana egciwane, ungase ube sengozini encane yokutheleleka.
• Izimo ezithile zezokwelapha: Isibonelo, abantu abanezimo ezifana nama-testicles angavuvukalanga (cryptorchidism) kanye ne-Klinefelter syndrome bangase babe sengozini enkulu.

I-Embryonal Carcinoma itholakala kanjani?

Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho nokuthi ngabe kukhona yini emndenini wakho oke waba nalesi sifo. Ngemuva kwalokho, bazokuhlola ukuze babone ukuthi kukhona yini amaqhubu noma ukuvuvukala emasendeni akho. Bazohlola futhi noma yimaphi amaqhubu e-lymph avuvukele esiswini sakho. Lokhu kungenxa yokuthi amaqhubu e-lymph avuvukile angaba uphawu lokuthi umdlavuza ususakazekile.

Ngaphezu kwalokho, kwenziwa izivivinyo ezilandelayo ukuze kutholakale lesi sifo ngokunembile:

• Ukuhlolwa kwezithombe: Ukuhlolwa kwe-ultrasound kwamasende womabili kuvame ukuba ukuhlolwa kokuqala. Uma lokhu kubonisa izimpawu zomdlavuza, kungenziwa i-CT scan (i-computed tomography scan), i-X-ray, noma i-MRI (magnetic resonance imaging) ukuze kubonwe ukuthi umdlavuza ususakazeke kangakanani emzimbeni.
• Ukuhlolwa kwezimpawu zesimila egazini: Lokhu kuhilela ukuthatha isampula yegazi lakho nokubheka izimpawu ezithile zesimila ezihlobene nomdlavuza wesimila. Izibonelo zifaka phakathi i-alpha-fetoprotein (AFP) kanye ne-human chorionic gonadotropin (HCG). Lokhu ngezinye izikhathi kungabonakala egazini nge-embryonal carcinoma, kodwa hhayi njalo.
• Ukususwa kwe-Inguinal orchiectomy kanye ne-biopsy: Lokhu kuhilela ukususa ngokuhlinzwa lonke i-testicle elinomdlavuza kanye nokuhlola amaseli alo ngaphansi kwe-microscope. Yilapho kungenzeka khona ukuqinisekisa ukuthi ngabe yi-embryonal carcinoma. Ngokuvamile, i-biopsy ithatha ingxenye encane yezicubu kuphela. Kodwa-ke, esimweni somdlavuza we-testicular, uma kuthathwa ingxenye encane enjalo, lonke i-testicle liyasuswa ngoba amaseli omdlavuza anamathuba amaningi okusabalala.

Izigaba ze-Embryonal Carcinoma

Uma uxilongwa, udokotela wakho uzophinde anqume isigaba somdlavuza wakho. Lesi yisigaba somdlavuza osusabalele ngaso nokuthi uyingozi kangakanani. Isigaba somdlavuza wakho yisona sibonakaliso esihle kakhulu sokuthi uzolapheka noma cha. I-embryonal carcinoma ezigabeni zayo zokuqala ivame ukwelapheka ngokuphelele. Kodwa-ke, ngoba isabalala ngokushesha okukhulu, cishe amaphesenti angama-40 (40%) omdlavuza usuvele usakazeke (wasakazeka) ezingxenyeni ezikude zomzimba ngesikhathi odokotela bewuxilonga.

Izigaba eziyinhloko ze-Embryonal Carcinoma yilezi:

• Isigaba I: Umdlavuza usesinqeni sakho kuphela.
• Isigaba II: Umdlavuza ususakazekele kuma-lymph node ngemuva kwesisu sakho (i-retroperitoneum).
• Isigaba III:Umdlavuza ususakazeke ngale kwama-lymph node ku-retroperitoneum, noma ezithweni ezikude emzimbeni. I-embryonal carcinoma ivame ukusabalala iye emaphashini. Kodwa-ke, ingasabalala nasesibindini, ebuchosheni, noma emathanjeni.

Yiziphi izindlela zokwelapha lokhu?

Izindlela zokwelapha eziyinhloko ze-embryonal carcinoma ukuhlinzwa ukuze kususwe umdlavuza kanye ne-chemotherapy. Ukwelashwa okutholayo kuzoncika ezintweni eziningi, njengesigaba somdlavuza wakho, impilo yakho jikelele, kanye nohlobo lokwelashwa oluthandayo.

Kunezindlela eziningana zokwelapha eziyinhloko:

• Ukuhlinzwa kwe-Radical inguinal orchiectomy: Kule nqubo, udokotela wakho ususa ngokuphelele isende lakho elinomdlavuza. Imithambo yegazi ezungezile kanye nezicubu ze-lymph zivalwe ukuze kuvinjelwe ukusabalala komdlavuza.
• Ukuhlukaniswa kwama-lymph node e-Retroperitoneal (RPLND): Uma i-carcinoma yombungu isakazekele kuma-lymph node ngemuva kwesisu sakho, noma uma kunengozi yokusabalala, udokotela wakho angase futhi asuse lawo ma-lymph node ngokuhlinzwa.
• Ukwelashwa ngamakhemikhali: I-embryonal carcinoma ivame ukusabela kahle kumakhemikhali. Lokhu kuhilela ukunikeza umzimba wakho imithi engabulala amangqamuzana omdlavuza. Ngemva kokuhlinzwa, ungase unikezwe i-chemotherapy yokubulala noma yimaphi amangqamuzana omdlavuza asele. Ngezinye izikhathi, ezimweni ezisezingeni eliphezulu lapho umdlavuza ususakazeke kabanzi, odokotela banquma ukukunikeza i-chemotherapy ngaphambi kokuhlinzwa.

Impilo izoba njani ngalesi simo? (I-Outlook)

Isigaba somdlavuza sinomthelela omkhulu ekutheni uzokwazi ukululama kahle kangakanani (ukubikezela / umbono). Ucwaningo lwamuva lubonise ukuthi abantu abangaphezu kuka-98% (98%) abelashelwa umdlavuza weSigaba I babesaphila ngemva kweminyaka emihlanu. Cishe u-80% (80%) wabantu abaneSigaba III se-Embryonal Carcinoma babesaphila ngemva kweminyaka emihlanu.

Khumbula, noma ngabe usabela kahle ekwelashweni, odokotela bazoqhubeka nokukuqapha ngoba umdlavuza ungase ubuye.

Uma kwenzeka i-embryonal carcinoma, uma umdlavuza utholakala kuphela e-testicle, kunethuba elingu-20% (20%) lokuphinda uvele. Kodwa-ke, uma umdlavuza ususakazekele esikhumbeni noma kuma-lymph node, ithuba lokuphinda uvele lingaba ngaphezu kuka-50% (50%).

Ingabe i-Embryonal Carcinoma ingavinjelwa?

ngokuthembakala,Ayikho indlela yokuvimbela umdlavuza we-embryonal ukuthi ungakhuli. Kodwa-ke, into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha nje lapho ubona noma yiziphi izinguquko emasendeni akho. Akuzona zonke izinguquko eziwumdlavuza, kodwa kubalulekile ukwazi ngokuqinisekile.

Ngizinakekela kanjani?

Uma unemibuzo noma ukukhathazeka ngalokhu kwelashwa, khuluma nodokotela wakho ngakho. Isibonelo, abantu abaningi besaba ukususwa kwesende, becabanga ukuthi kuzothinta impilo yabo yocansi kanye nekhono lokuba nabantwana. Kodwa empeleni, isende elisele likhiqiza i-testosterone eyanele, ebalulekile emzimbeni wakho. Ngakho ngeke ube nezinkinga zokwenza ucansi noma ukukhipha isidoda. Cishe uzokwazi ukuba nabantwana.

Uma ukhathazekile ngokubukeka kwakho, ungathola nesende lokufakelwa. Futhi, uma ufuna ukugcina ukuzala kwakho, ungakhuluma nodokotela wakho mayelana nokugcinwa kwesidoda .

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubona udokotela wakho, ungakhohlwa ukubuza imibuzo efana nale:

• Umdlavuza wami ukusiphi isigaba?
• Yiziphi izindlela zokwelapha enginazo?
• Yimiphi imiphumela engingayilindela ngemva kokwelashwa?
• Angakanani amathuba okuthi lo mdlavuza uzophulukiswa ngokuphelele ngokwelashwa?
• Ingabe ngidinga ukugcina isidoda sami ngaphambi kokuqala ukwelashwa?

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

I-embryonal carcinoma uhlobo lomdlavuza wamasende olunolaka kakhulu nolukhula ngokushesha, kodwa luvame ukusabela kahle ekwelashweni okufana nokuhlinzwa kanye ne-chemotherapy. Luyelaphaka ikakhulukazi uma lutholakala kusenesikhathi. Udokotela wakho uzokweluleka ngokwelashwa okufanele kakhulu kuwe, kuye ngesigaba somdlavuza wakho.

Ngakho-ke, uma ubona noma yini engavamile noma ehlukile emasendeni akho, ungalibali bese ubona udokotela ngokushesha ukuze ayohlolwa. Lelo usizo olukhulu ongalwenza. Ungakhathazeki, kunezixazululo zakho konke.

I - carcinoma yombungu, umdlavuza wamasende, isimila seseli legciwane, umdlavuza wamasende, izimpawu zomdlavuza, ukwelashwa komdlavuza, impilo yamadoda