Basal cell daim tawv nqaij cancer: Cov tsos mob, kuaj, kev kho mob

Nyob rau hauv xyoo tsis ntev los, cancer feem ntau ua lub ntsiab ua rau ntawm lub high school lub neej no tus nqi ntawm cov pejxeem. Cancer hlwb yuav cuam tshuam kiag li tej cov ntaub so ntswg nyob rau hauv tib neeg lub cev, yuav ua tau rau ib tug ntau yam ntawm pathological dab. Cia peb xav txog nyob rau hauv kom meej li cas yuav muab ib tug basal cell daim tawv nqaij cancer, dab tsi ua rau nws thiab yuav nws yuav kho ntawm tus kab mob no.

Yuav ua li cas yog no hom ntawm cancer

Qhov no hom ntawm cancer tseem hu ua basal cell carcinoma. Feem ntau cov feem ntau nws muaj nyob rau hauv lub ntsej muag, caj dab los yog lub qhov ntswg. Nws prefers ntaus tus txiv neej pejxeem ntau tshaj li 40 xyoo. Nws pom hais tias cov neeg sawv cev ntawm lub Mongoloid haiv neeg thiab lub Negro yog tsis raug rau no hom ntawm cancer.

Lub npe "basal cell carcinoma" los ntawm qhov tseeb hais tias lub cancer hlwb pib lawv txoj kev loj hlob los ntawm lub basal txheej ntawm daim tawv nqaij, uas yog nyob tob tshaj feem ntau.

Ua rau daim tawv nqaij cancer

Thaum lub tam sim no lub sij hawm nws twb tsis tau qoos daws qhov teeb meem ntawm histogenesis (teem dab ua rau lub tsim) ntawm tus kab mob. Muaj ntau cov ntawm cov tswv yim hais tias lub basal cell daim tawv nqaij cancer npaj los ntawm epithelial hlwb pluripotent. Ntau yam tej zaum yuav tshwm sim nyob rau hauv txawv kev qhia. Ntawm no yog ib co ntawm cov yog vim li cas uas, raws li feem ntau cov kws txawj, tej zaum yuav ntxias txoj kev loj hlob ntawm no pathology:

• Caj predisposition.
• Kev txawv txav nyob rau hauv lub cev.
• Sab nraud raug phiv yam.
• Kev loj hlob tawm tsam lub backdrop ntawm actinic keratosis, radiodermatita, lupus, psoriasis.

Basal cell carcinoma ntawm daim tawv nqaij (tus yees duab qhia tau hais tias nws) tshwm sim feem ntau nyob rau hauv lub epidermis thiab hauv paus plaub hau. Nws hlob maj mam thiab tsis tshua metastasizes. Ib txhia kws kho mob xav txog Bazalii tsis nyiam cancer los yog benign qog, thiab cov pob loj hlob nrog mestnodestruktivnym.

Heev feem ntau nyob rau hauv tus ntawm muaj zog carcinogens, xws li X-rays, basal cell daim tawv nqaij cancer puv rau hauv Karz.

provocateurs ntawm basal cell carcinoma

muaj tej yam kab mob no ntau ntau:

1. Cov loj tshaj plaws yog ib tug provocateur ultraviolet irradiation.
2. Txiv neej yog txivneej los pojniam. Nws pom hais tias nws cov neeg sawv cev yog cov ntau ntau lam tau lam ua rau tus kab mob no.
3. Lub xub ntiag ntawm lub teeb daim tawv nqaij. Nws pom hais tias cov neeg uas tsaus nti daim tawv nqaij tsis raug kev txom nyem los ntawm tus kab mob no.
4. Cov ntsuam ntawm daim tawv nqaij kom tau txais sunburn.
5. Ua hauj lwm nyob rau hauv lub qhib hnub rau ib ntev lub sij hawm. Raws li nce qhov ncaj ntawm lub zaus ntawm tus kab mob no yuav tsub kom. Feem ntau cov feem ntau tsim basal cell carcinoma ntawm daim tawv nqaij los yog lub caj dab.
6. Ib tug loj concentration ntawm arsenic nyob rau hauv cov dej haus. Cov neeg uas tau ua hauj lwm nrog cov khoom no, muaj teeb meem.
7. Polycyclic Aromatic resins kuj ua rau txoj kev loj hlob ntawm tus kab mob. Tej zaum lawv yuav muaj nyob rau hauv thee ib, shale, dub.
8. Long-term siv immunosuppressants.
9. Ib txhia niam txiv cov kab mob, xws li albinism thiab xeroderma pigmentosum.
10. Mob ulcers.
11. Thermal kub yus.
12. Ionizing tawg.

Tsis tas li ntawd pom tias ntev hnub raug (raug tshav ntuj) nyob rau hauv thaum yau tej zaum tom qab ua rau dab tsi yuav tsim hepatocellular carcinoma.

kev faib ntawm basal cell carcinoma

Yog hais tias peb xav txog qhov histology, qhov no pathology yog dej num raws li undifferentiated thiab kev hloov cancer. Tus thawj qeb muaj xws li:

• khoom basalts;
• xim;
• morfeapodobnuyu;
• nto.

Txawv muab faib mus rau hauv:

• keratoticheskuyu basalts;
• cystic;
• adenoidnuju.

Raws li thoob ntiaj teb ib suam, muaj cov nram qab no kev xaiv rau daim tawv nqaij cancer:

1. Khoom basal cell carcinoma. Qhov no daim ntawv tshwm sim feem ntau thiab nruab nrab yog strands thiab hlwb, uas yog nyob compactly. Basaloid hlwb nyob rau hauv tib lub sij hawm tsis muaj tseeb ib thaj tsam, nyob rau hauv qhov chaw, lawv muaj peev xwm yuav nrog sib hloov thiab cystic kab noj hniav.
2. Pigmented basal cell carcinoma ntawm daim tawv nqaij (tus yees duab koj yuav pom nws nyob rau hauv tsab xov xwm) yog yus muaj los ntawm diffuse pigmentation vim melanin cov ntsiab lus.
3. Ces dag cov qog nqaij hlav feem ntau ntaub ntawv ntau yam foci. Relapse yuav tshwm sim tom qab kev kho mob rau caws pliav ciam teb rau lwm.
4. Sklerodermopodobny yog tsiag ntawv los ntawm muaj zog loj hlob ntawm lub connective ntaub so ntswg, uas, raws li nws twb nyob ruaj nrees strands ntawm basal epithelial hlwb. Lawv muaj peev xwm txeem sib sib zog nqus rau hauv, cia rau lub subcutaneous cov ntaub so ntswg.
5. Kab mob qog hlav nrog glandular ntau yam zoo, kuj hu ua adenoid. Nws yog distinguished tsis tau tsuas yog los ntawm muaj chaw loj loj, tab sis nqaim epithelial strands, uas muaj xws li ob peb kab ntawm hlwb txoj kev alveolar los yog tubular qauv.
6. Basal cell carcinoma ntawm daim tawv nqaij ntawm txoj cai lub plhu nrog tsiloidnoy ntau yam zoo. Yus muaj cornified txhab uas tej thaj chaw uas yog surrounded by hlwb zoo xws li cov pos.
7. Cancer nrog sebaceous ntau yam yog tsis tshua muaj.
8. Fibroepithelial hom - ib tug tsis tshua muaj heev zoo ntawm basal cell carcinoma. Feem ntau faib nyob rau hauv lub lumbar cheeb tsam thiab sacrum. Clinically yuav zoo li fibropapillomu.

Hom basal cell carcinoma rau ntawm cov zaub hom

Muaj yog ib tug faib ntawm tus kab mob no thiab lub hom zaub. Muaj cov nram qab no hom ntawm nws:

1. Nodular basal cell carcinoma, peptic rwj. Xav txog qhov no basal cell daim tawv nqaij cancer. Thawj zaug rau theem (yees duab tshaj tawm) rau ntawm tsiag ntawv los ntawm cov tsos ntawm tus hau, nyob rau hauv lub ces kaum ntawm lub qhov ncauj. Ntawm daim tawv nqaij nyob ib ncig ntawm liab los yog reddish xim nrog ib tug matte los yog glossy nto. Tom qab ib co sij hawm lub pob cyuam yog hloov dua siab tshiab rau hauv ib lub rwj nrog ib tug greasy kov. Tej lub sij hawm tom qab ntawd, nws zoo nkaus li rau ntawm qhov chaw ntawm vascular daim phiaj, ulcers them nrog ib tug ua kiav txhab, thiab cov npoo tsim foob. Maj mam tus rwj pib los ntshav thiab loj hlob mus rau hauv lub tob khaubncaws sab nraud povtseg ntawm daim tawv nqaij, tab sis tsis tsim metastases.
2. Yog hais tias qhov chaw ntawm lub rwj zarubtsovyvaetsya, thiab nyob rau ntawm cov npoo ntawm cov kev loj hlob ntxiv, peb yuav tau tham txog atrophic cicatricial basal cell carcinoma.
3. Perforating basal cell carcinoma muaj feem ntau nyob rau hauv qhov chaw uas nquag raug rau kev raug mob. Heev uas zoo sib xws rau nodular-ulcerative daim ntawv no, tab sis muaj ib tug ntau dua tus nqi.
4. Warty daim ntawv ntawm mob cancer nyob rau hauv lawv cov tsos tsa zaub paj.
5. Nodular hom - yog ib tug hluas nodule uas tsim upwards thiab protrudes saum toj no qhov chaw ntawm daim tawv nqaij.

Tsuas yog tom qab yuav tsum tau txiav txim los ntawm tus duab thiab hom ntawm tus kab mob, tus kws kho mob yuav txiav txim seb yuav ua li cas los kho basal. Hais txog tej self-tshuaj, ntawm chav kawm, muaj peev xwm tsis xam tau tias yog.

symptomatology ntawm tus kab mob

Heev feem ntau, yog hais tias muaj yog ib tug basal cell carcinoma ntawm daim tawv nqaij, thawj zaug rau theem (yees duab pov thawj) yuav siv sij hawm qhov chaw nkaus tsis muaj cov tsos mob. Nyob rau hauv tsawg zaus, muaj tej zaum yuav ib tug los ntshav.

Cov neeg mob yuav txaus siab hais tias daim tawv nqaij nyob ib tug me me lub rwj, uas maj mam tsub kom nyob rau hauv loj, tiam sis nws yog kiag li tsis mob, tej zaum khaus.

Basal cell carcinoma soj ntsuam ces yog nyob ntawm seb tus duab ntawm lub qog thiab nws qhov chaw nyob. Feem ntau yog cov nodular basal cell carcinoma. Nws yog ib tug hemispherical los ua ke nrog ib tug du nto liab xim nyob rau hauv qhov chaw uas yog ib tug me me so. Ntawm hlob maj mam thiab tsa ib lub hlaws.

Thaum tus nto zoo cancer zoo nkaus li cov quav hniav nrog ntse hau, thiab tau tsa ceg ceraceous ci iab ntug. Nws txoj kab uas hla tej zaum yuav tsum yog los ntawm 1 mus rau 30 mm. Nws hlob heev maj mam.

Yog hais tias lub basal cell carcinoma ntawm daim tawv nqaij caws pliav daim ntawv, nws zoo li ib tug ca caws pliav grayish-liab, me ntsis Indented rau hauv daim tawv nqaij. Lub npoo yog tsa thiab pearly ntxoov ntxoo. Nyob rau ciam teb muaj lub yaig ntawm kev kawm ntawv uas tau kev pab los ntawm ib tug liab-xim av ua kiav txhab. Thaum lub sij hawm daim ntawv no ntawm cancer muaj tej lub sij hawm thaum yeej los ntawm cirrhosis thiab yaig heev me ntsis los yog tsis-existent.

Ulcers daim ntawv ntawm basal cell carcinoma yus muaj los ntawm kev puas tsuaj ntawm nqaij mos mos thiab cov pob txha, uas yog nyob ze rau qhov mob. Ulcers yog irregularly zoo li tus, lawv hauv qab yog them nrog ib tug ua kiav txhab ntawm grey-xim dub, nws yog feem ntau tsa, thiab tsa sawv.

Los ntawm txoj kev, nws muaj raws li thiab basal cell daim tawv nqaij cancer nyob rau hauv miv (thawj ntau yam). Nyob rau hauv lub cev ntawm cov tsiaj nyob rau tib lub sij hawm uas koj yuav saib tau ib tug ntau ntawm basaliomas, dua li muaj puas siab puas ntsws uas qhia tej yam tsis zoo, dua li tsim skeletal pathology. Qhov no zoo ntawm cancer yog yus muaj los ntawm qeeb txoj kev loj hlob, lub qhov tob ntawm lub lesion thiab txoj kev pheej hmoo ntawm relapse yuav yog nyob ntawm seb nws loj, qhov chaw, cell yam ntxwv, lub xeev ntawm kev tiv thaiv.

Nyob rau hauv tib neeg, qhov loj tshaj kev nyab xeeb yog basal cell daim tawv nqaij cancer. Kev kho mob nyob rau hauv cov ntaub ntawv no yuav tsum tau es nyuab. Pathology yog feem ntau ib ncig ntawm lub ntsej muag, daim tawv nqaij nyob ib ncig ntawm lub qhov muag thiab qhov ntswg.

Skleropodobnaya daim ntawv basalioma kuj poses ib tug zoo txaus ntshai rau tib neeg. Tab sis pigmented basal cell daim tawv nqaij cancer muaj ib tug dej siab raug. Qhov no daim ntawv ntawm kev kho mob lends nws tus kheej zoo.

Yuav ua li cas Kuv yuav kuaj tus kab mob

Nyob rau hauv thiaj li yuav ua ib tug muaj tseeb mob, nws yog tej zaum txaus tej mus saib cov neeg mob. Soj ntsuam ces ntawm no hom ntawm cancer yog heev yam ntxwv thiab diagnostic teeb meem tsis tshwm sim. Nyob rau saum npoo, feem ntau tus kws kho mob no nkaus xwb los yog ntau foci mikroerozy uas sab saum toj txheej yog yooj yim detachable tev.

Cov neeg mob feem ntau thaum nws detects cov teeb meem kho los ntawm ib tug dermatologist, tab sis kev kho mob nyob rau hauv cov ntaub ntawv no yuav tsum nrog cov oncologist. Yog hais tias peb tsom xam cov smear skarifikat nrog erosive chaw, nws yog yuav luag 100% ntawm cov neeg siv kom paub meej tias qhov mob.

Yog hais tias lub cytological thiab histological xeem ua kom muaj kev tsis ntseeg, tus neeg mob ua ib tug me ntawm lub qog.

Nws yog ib qho tseem ceeb kom paub qhov txawv qhov mob ntawm basal lupus, melanoma, psoriasis los yog keratosis. Tom qab tag nrho cov xeem yog hais tias tus mob yog paub tseeb hais tias, tus kws kho mob xaiv ib tug kho yog nruj me ntsis tus neeg. Nyob rau hauv no kab mob yog tsis muaj kev vaj huam sib kho mob ntawm tag nrho cov neeg kho.

pathology txoj kev kho

Tom qab lub paub tseeb hais tias mob ntawm "basal cell daim tawv nqaij cancer", kev kho mob yuav tsum tau pib tam sim ntawd. Cov feem ntau siv txoj kev soj ntsuam nrog no pathology:

• electrocoagulation thiab curettage;
• cryotherapy;
• tawg txoj kev kho;
• MOZ txoj kev uas muaj nyob rau hauv excising hlav nrog intraoperative microscopy ntawm frozen kab rov tav slices yuav tsum tau los mus txiav txim rau qhov nyiaj ntawm cov dabtsi ntsiv lub lag luam.

Qhov kev xaiv ntawm txoj kev kho mob nyob nkaus rau qhov chaw ntawm lub qog, nws loj, nta thiab tam sim no raws li txoj cai ntawm tus neeg mob. Dermatologists feem ntau nyiam thaum pib ntawm txoj kev kho rau siv electrocoagulation. Tab sis nws yuav tsum nco ntsoov hais tias qhov no txoj kev kho mob yog zoo yog hais tias muaj yog me me hlav, thiab lawv muaj nyob rau hauv uas tsis yog-tej qhov chaw.

Yog hais tias koj xav mus histological xeem, nws resorted mus rau txoj kev excision. Nws yog feem ntau siv nyob rau hauv lub xub ntiag ntawm hlav nrog ib tug phem kawg thiab muab tso rau hauv txaus ntshai qhov chaw, xws li nyob rau hauv lub ntsej muag los yog lub taub hau. Nrog nws yog tau kom tau ib tug zoo kom hniav zoo nkauj tshwm sim.

Tawg txoj kev kho nyob rau hauv lub xub ntiag ntawm basal cell carcinoma yog tsis tshua muaj siv, tab sis yog muab hlais tawm lawm yog tsis tau, ces nws tsuas yog irreplaceable. Cov kws kho mob lees paub hais tias nws yog zoo. Tsis raug ua tsis tau, thiab nrog ib tug high degree ntawm malignancy. Nws yuav tsum tau ceev faj ntawm hluav taws xob nyob rau hauv txoj kev kho yau cov neeg mob raws li high school uas muaj feem yuav tsim tawg hob dermatitis thiab phem hlav.

Yog hais tias peb xav txog cov qauv ntawm cov Mosa, nws tso cai rau koj los khaws cia noj nqaij. Qhov no txoj kev yog zoo nyob rau hauv recurrent hlav, loj loj thiab tej qhov chaw. Yog hais tias koj yuav tsum excision ntawm lub daim tawv muag, nws kuj resorted mus rau txoj kev ntawm txoj kev kho.

Yog hais tias ib tug mob qog rau ntawm daim tawv nqaij tsim heev ntev los no, nws yog preferable siv ib tug nyob ze-kom pom tseeb X-ray txoj kev kho. Nyob rau hauv loj heev zaum nws yog tag nrho nrog rau kev phais.

Thoob plaws qog cryoablation txoj kev, i.e. nws tshem tawm nrog kua nitrogen. Qhov no txoj kev yuav siv sij hawm ib tug me ntsis lub sij hawm thiab kiag li tsis mob rau tus neeg mob. Muaj, li cas los xij, ib tug drawback: ib tug zoo tshwm sim muaj peev xwm muab tau tsuas yog hais tias tus mob yog nyob superficially thiab tsis cuam tshuam rau ntxaum khaubncaws sab nraud povtseg ntawm daim tawv nqaij.

Thaum qhov chaw ntawm basal cell carcinoma ntawm lub ntsej muag feem ntau chaw uasi mus rau nws tshem tawm los ntawm laser. Nws yog muaj kev ruaj ntseg thiab tsis mob, tom qab cov kev pab, feem ntau yog luv luv-term kev ncaj ncees thiab zoo heev kom hniav zoo nkauj nyhuv.

Yog hais tias muaj yog ib tug basal cell carcinoma ntawm tus nto hom, tshuaj pleev kho mob kua "Fluorouracil". Tsis ntev los no ua kev tshawb fawb rau cov hauj lwm zoo ntawm cov tshuaj no tshuaj mus rau hauv lub lesion. Yog hais tias lub cancer yog nyob rau hauv daim tawv nqaij nws zoo nkaus li thawj zaug thiab muaj ib tug me me qhov chaw, cov kev siv ntawm interferon tshuaj.

Phais kho mob ntawm basal cell carcinoma

Phais tshem tawm ntawm basal cell carcinoma zoo nyob rau hauv cov thawj theem ntawm kev kho mob. Thiab yog hais tias muaj yog ib tug relapse, los yog qog txoj kev loj hlob tshwm sim nyob rau hauv kev kawm ntawm lub caws pliav. Thaum lub sij hawm lub lag luam lub qog tau muab tshem tawm, tab sis qhov no txoj kev kho mob yog undesirable rau siv yog hais tias muaj yog txhab rau lub ntsej muag.

Lub lag luam yog ua nyob rau hauv lub zos tshuaj loog, lub qog yog muab tshem tawm mus rau lub ciam teb nrog noj qab nyob zoo lub hlwb rau kev ntseeg tau txawm me ntsis kov lawv.

Qhov yuav tshwm ntawm basal cell daim tawv nqaij cancer

Hom ntawm daim tawv nqaij cancer, muaj ntau ntau, thiab nyob rau hauv no, thaum kawg thiab raug ntawm pathologies zaum kuj yuav sib txawv. Yog hais tias peb tham txog lub txim ntawm kev basal cell carcinoma, nws yog tsim nyog los noj mus rau hauv tus account uas lub qog feem ntau muaj ib tug compact arrangement, penetrates sab hauv thiab tsis tshua muaj feem xyuam rau cov lymph node.

Tab sis, yog hais tias khiav yog ib daim ntawv ntawm mob cancer nyob rau hauv lub taub hau thiab lub caj dab, cov txheej txheem ntawm kev puas tsuaj ntawm cov ntaub so ntswg ntawm cov qhov chaw ntawm lub cev pib. Nws yuav mus txog txawm mus rau lub pob txha, cov leeg thiab tendons.

Ntawm tag nrho cov hom ntawm daim tawv nqaij cancer lub feem ntau cosmetically tsis kaj siab thiab qeeb-paced. Tab sis nws, xws li thermal kauj ruam yuav succumb mus rau kev phais. Yog li ntawd, yog tias koj tus kws kho tus kws kho mob pom zoo kom phais, tsis txhob ntshai, peb yuav tsum pom zoo. Txawm tias nws ugliness, lub piav hom ntawm daim tawv nqaij cancer muab cov neeg mob ib lub caij nyoog rov qab txawm nyob rau hauv lub feem ntau loj heev zaum.

tiv thaiv kev ntsuas

Cov neeg uas muaj ib zaug kev nyuaj siab nrog ib tug basal cell daim tawv nqaij cancer, yuav tsum noj nrog zoo saib xyuas rau cov kev tiv thaiv ntawm relapse. Tom qab kev kho mob, basal cell carcinoma yuav tsum ua raws li nrog tag nrho cov kws kho mob lub tswv yim pom zoo:

• Thaum lub sij hawm lub sij hawm ntawm hnub ci kev ua si, uas yog, nyob rau hauv lub caij ntuj sov, yog tsim nyog los txwv raug rau txoj kev nrog 11 teev thiab mus txog rau 17. Thaum lub sij hawm no, lub ultraviolet tawg yog feem ntau txhoj puab heev, li ntawd, nws yog tsim nyog yuav tsum tsis txhob nws cov teebmeem. Yog hais tias muaj yog ib tug yuav tsum tau mus tawm, nws yog tsim nyog los siv rau hauv daim tawv nqaij ib tug tshwj xeeb tshuaj pleev thaiv hnub thiab siv cov kaus mom thiab looj tsom iav dub.
• Yog tsis muaj cov khoom noj kom yog tsis yooj yim sua kom muaj koj tiv thaiv kab mob ntawm cov theem. Nws yog tsim nyog los txwv cov xov tooj ntawm cov tsiaj nqaijrog, nws tseem tau mus hloov cov nroj tsuag, piv txwv li ceev, legumes.
• Cov khoom noj yuav tsum tau ntau zaub thiab txiv hmab txiv ntoo.
• Yog hais tias daim tawv nqaij nti yog cov laus, nws yog tsim nyog los noj ntsuas kom tiv thaiv lawv raug mob.
• Tag nrho ulcers thiab qhov ncauj tawm ntawm daim tawv nqaij yuav tsum tau raug kho nyob rau hauv ib tug raws sijhawm. Yog hais tias lawv yuav kho tsis zoo, koj yuav tsum tham nrog koj tus kws kho mob.
• Yog hais tias koj ua hauj lwm yuav hu rau nrog roj, nws yuav tsum yog tshwj xeeb yog ceev faj kom nco ntsoov siv kev tiv thaiv.

Cancer ntawm yam zoo thiab yam yog ib tug txaus ntshai tus kab mob. Nws yog zoo dua tsis mus pub rau nws txoj kev loj hlob, tab sis nws tsis yog ib txwm nyob rau hauv peb lub hwj chim. Yog hais tias txawm zoo li no, koj yuav tsum tsis txhob muab thiab npaj rau qhov phem tshaj. Niaj hnub no cov tshuaj tau ua zoo kawm, thiab tej zaum kuj muaj cov txuj ci tseem ceeb nyob rau hauv lub feem ntau loj heev zaum.

Ua tib zoo hais txog koj kev kho mob, thiab ces tag nrho yuav tsum zoo.