Dermoid cyst

Dermoid cyst belongs rau hauv qeb ntawm yeej muaj tseeb hlwv. Nws tshwm sim vim hais tias ntawm lub malformation. Lub npe ntawm no qhov chaw yog vim cov kev qauv ntawm cov cyst phab ntsa. Cov phab ntsa lined nrog lub epidermis ntawm lub qog nrog inclusions ntawm epidermal daim tawv nqaij appendages muab cov plaub hau hnab, hws thiab sebaceous qog.

Dermoid cyst yog ib tug congenital malformation, yog li ntawd npaj los ntawm ib tug heev cov tub ntxhais uas muaj hnub nyoog, tab sis kuj tshwm sim nyob rau hauv cov neeg laus. Qhov no tshiab txoj kev loj hlob muaj peev xwm tshwm sim nyob rau hauv ob qho tib si cov poj niam thiab cov txiv neej.

Dermoid cyst daim tawv nqaij zoo li ib tug loj uas. Nws yog ib yam ntawm cov qog tsim, muaj ib tug loj ntawm 4 cm thiab ntau npaug lawm. Palpation qhia ce. Qhov no subcutaneous kev kawm ntawv rooj noj nrog rau kev hwm mus nyob ib sab ntaub so ntswg. Laus rau lub qog nyob rau hauv lub cheeb tsam ntawm embryonic kaw ntawm lub slots, uas muaj xws li cov nasolabial folds, periorbital cheeb tsam, saum tawv taub hau thiab lub tuam tsev cheeb tsam.

Pathological Histology: Qhov no cyst yog hlua nrog lub epidermis ntawm daim tawv nqaij appendages, uas muaj feem ntau yuav siav. Lub cystic kab noj hniav yog muab sau rau hauv lub xub ntiag ntawm horny masses, txuam nrog ntawm lipid cov plaub hau. Nyob rau hauv tej rooj plaub, lawv pom cov pob txha thiab pob txha mos. Qha kab mob nrog rau papillary gidradenomoy, acanthoma adenoides cysticum, ekkrinnoy spiradenomoy, epidermal thiab cov plaub hau hlwv. Kuaj raws li kev soj ntsuam kev tshawb fawb ntawm cov kab mob thiab cov kev tshwm sim ntawm lub histological kev tshawb fawb. Dermoid cyst yog feem ntau kub lug. Ib tug qauv kev kho - phais excision.

Lwm loj version ntawm tus kab mob no yog lub dermoid ntawm zes qe menyuam cyst, txwv tsis pub lub npe hu ua ib tug paub tab teratoma. Nws yog ib qho ntawm zes qe menyuam qog muaj benign. Lub cyst muaj ib tug ntau yam ntawm lub cev nqaij. Qhov no tej zaum yuav ntawm daim tawv nqaij, pob txha, cov plaub hau bun, tshee cov ntaub so ntswg los yog nqaij rog. Lawv muab tso rau hauv lub jelly zoo li kua thiab puag ncig ib tug tuab capsule. Tag nrho nws cov ua yog tsis qoos taub. Nws yog tsim los uas txoj kev loj hlob ntawm ib tug cov ntaub ntawv ua txhaum cai tshwm sim txawm thaum lub sij hawm thaum lub sij hawm.

Qhov no mob hlob maj mam, tab sis tshee. Feem ntau cov feem ntau tus kab mob no yog kuaj nyob rau ntawm ib thaum ntxov lub hnub nyoog. Raws li lub zaus ntawm tshwm sim ntawm tus kab mob no nws tsis yog qhov chaw kawg ntawm cov lwm hom ntawm zes qe menyuam hlwv. Yog li, tus neeg mob ntawm nws tshwm sim mus txog 20% ntawm lwm yam hlav.

Cov tsos mob ntawm cov hlwv tshwm sim thaum lub qog nce mus txog ib tug loj ntau dua li 5 cm. Thaum lub sij hawm no, nws pib tso siab rau ib sab hauv nruab nrog cev, yuav ua tau rau ib tug heev mob, yuav tsum tau feeb meej nyob rau hauv lub qis rov qab thiab lub plab mog.

Rau cov mob ntawm cov kab mob siv xws txoj kev:

• gynecological xeem;
• xoo tomography;
• tuav ultrasound;
• cov ntshav mus kuaj;
• kawm hormonal poj niam.

Nyob rau hauv no mob yog feem ntau loj txim, xws li suppuration, Torsion ob txhais ceg cyst. Thaum xws li ib tug poj niam muaj kev txhawj xeeb txog cov teeb meem ntse pains, zoo heev nce kub. Nyob rau hauv xws li mob, koj yuav tsum tam sim ntawd sab laj ib tug kws kho mob.

Tsuas yog 1% ntawm tag nrho cov tau rebirth ntawm no zoo ntawm kev kawm ntawv nyob rau hauv cancer. Dermoid cyst zes qe menyuam kev kho mob uas tsim thaum lub sij hawm laparoscopic phais, yog muab tshem tawm los ntawm txoj kev tshwj xeeb cov cuab yeej thiab lub koob yees duab los ntawm qhov nyob rau hauv lub plab phab ntsa. Qhov no txoj kev yog tsawg kawg tus, ib qho yooj yim thiab tau zoo heev.

Cov ntawm zes qe menyuam hlwv no feem ntau ntes tau thaum lub sij hawm cev xeeb tub. Thaum lub sij hawm no tus neeg mob yuav tsum xyuas los ntawm ib tug gynecologist. Yog hais tias lub cyst yog me me thiab tsis tsim tsis xis nyob ze kabmob, tsis txhob kov nws. Nws twb tsis muaj ntxim rau cov me nyuam hauv plab kev loj hlob, ces nws yog feem ntau cov kev kho mob ntawm no mob yog ua tom qab yug tus me nyuam.