Pseudomyxoma peritoneum: Ua, Cov tsos mob, kuaj thiab kho mob

Pseudomyxoma peritoneum yog ib tug pathology uas yog cov yam ntxwv ntawm tsub zuj zuj ntawm hnoos qeev, nws thiaj li niaj reorganization.

Ua li cas nws txhais li cas?

Ib tug lub sij hawm coined los zaum rau Werth nyob rau hauv 1884. Keeb xeeb thov kom tus neeg mob ntawm ob txhab, hlwv provoked txhob. Thaum lub sij hawm, peb pom tawm hais tias pseudomyxoma peritoneum ua xaav nyob rau hauv cov kab noj hniav ntawm tshuaj pom nyob rau hauv lub appendix, uas, nyob rau hauv lem, provokes ib tug txhob urinary txaus los gall.

Zaum tau pom tias colonization ntawm hnoos qeev yog vim txawj so thaum ntev ncab los yog txo nws cov phab ntsa thickness, raws li zoo raws li phais pab: tshem ib tug cyst los yog appendix.

Thiab nyob rau hauv lub tshuab kuaj kab?

Thaum kawm cov kab noj hniav ntawm ib tug siab magnification nws yuav pom tias pseudomyxoma peritoneum sau serous thawj yeeb tshuaj, mus rau hauv uas cuam tshuam hnoos qeev. Qhov no ua mob, vim uas cov phab ntsa hauv lub deformation tshwm sim:

• thooj;
• kua;
• wrinkling.

Nyob rau hauv tej rooj plaub, tus nto ua ib tug velvet-li, thaum nyob rau hauv ib txhia qhov chaw muaj hemorrhage. Thaum txoj kev loj hlob ntawm pathology tshwm sim soldering plab hnyuv loops, omentum thiab lub plab. Lub cev tsis tau tsim nyog rau ib txwm hauj lwm ntawm kev mus ncig.

Kawm cov cheeb tsam nyob rau hauv ib tug tshuab kuaj kab mob, koj yuav pom tias nyob rau hauv lub hlwb nyob qhov twg cov hnoos qeev muaj ib tug ntaub txheej, ib feem ntawm uas yog txhob ntxeem tau. Epithelium nyob rau hauv cov hloov hlwb yuav ua tau:

• nyhav;
• flattened.

Muaj pes tsawg leeg nws thiaj li kab mob cuam tshuam lub hlwb yog hloov, nws yog txiav txim los ntawm cov theem ntawm tus kab mob. Thaum lub mob ntawm "pseudomyxoma peritoneum" nyob rau hauv cov kua nplaum hlwb tshwm sim:

• lymphocytes;
• fibroblasts;
• multi-core giants;
• polymorphic leukocytes;
• histiocytes;
• columnar epithelium.

Cov yav tas txoj kev yog implanted nyob rau hauv lub peritoneum. Nws penetrates mus rau hauv lub cev los ntawm cov perforation. Nws yog vim lub loj hlob ntawm lub epithelium, thiab twb muaj nyob rau hauv qeb ntawm neoplastic kab mob pseudomyxoma peritoneum, uas nws cov tsos mob yog feem ntau pom tseeb. Cov txheej txheem hais sluggishly, kev txhawb los ntawm hnoos qeev, yog xav tau inflammatory.

Ib tug mob - nws yog txaus ntshai?

Tumor paim peritoneum ntawm ob hom:

• thawj;
• theem nrab.

Ntawm phem tshuaj ntau fixes nws metastatic, uas tseem tsis tau yog. Raws li rau lub thawj, ces mus rau lawv yog cov pseudomyxoma peritoneum. Cov tsos mob ntawm tus kab mob no rau thawj lub sij hawm, nws yog invisible. Nrog rau txoj kev loj hlob ntawm tus kab mob kis hlwb tshwm sim nyob rau hauv lub peritoneal nto tsis muaj cuam tshuam rau lub nyob ib sab nruab nrog cev. Qhov no yog ib tug tseem ceeb feature ntawm lub piav cancer. Txoj kev hais tawm kis tus kab mob hlwb - diffuse.

Nyob rau hauv cov ntaub ntawv uas, tsuas yog thaum lub caj pas yog amazed thiab lwm yam ntaub, hais thiaj paub hais tias pseudomyxoma peritoneum, uas forecast yog unfavorable. Qhov no yog kev lom zem ntau vim lub fact tias cov pathology yog feem ntau ntes tau nyob rau hauv lub keeb kwm yav dhau ntawm twb yav tas los cai cancer nyob rau hauv lwm yam kabmob.

diagnostics

Mob "pseudomyxoma peritoneum" yog feem ntau muab tso rau laparotomy. Muab nws rau nram qab no cov tsos mob:

• mob plab (feem ntau yog npub);
• kom tau qhov ntim ntawm lub plab rau tsis muaj khees vim li cas.

Qhov no tshwm sim vim tsub zuj zuj nyob rau hauv cov ntaub so ntswg ntawm lub cev.

distinguished:

• tsawg puas tsuaj;
• psevdomiksoglobulez.

Yuav ua li cas no tshwm sim?

Feem ntau, tus kab mob manifests nws tus kheej nyob rau hauv lub keeb kwm yav dhau cyst rupture. Qhov no yog vim lub fact tias ib tug txhob yog allergic mus rau hauv lub plab kab noj hniav, tsis tsuas slime, tab sis kuj ntawm lub epithelium. Nws hlwb muaj peev xwm yuav tsum tau implanted nyob rau hauv cov ntaub so ntswg nyob rau hauv uas lawv nrhiav tau lawv tus kheej. Thaum lub sij hawm, lub degenerate chaw kuj pib ua hnoos qeev.

Feem ntau, qhov mob ntawm "pseudomyxoma peritoneum" txhais tau tias tus kab mob no yog phem. Pathology yuav mus rau qhov chaw, tsis txhob ua rau ib tug ua txhaum cai ntawm cov hauj lwm ntawm sab hauv nruab nrog cev thiab tshuab. Pseudomyxoma mobile, nws yog yus muaj los ntawm "tuav syndrome". Niaj hnub no, tsuas siv tau txoj kev ntawm diagnosing tus kab mob - phais nyob rau hauv uas cov ntaub so ntswg kuaj tau. pathology kabke yog muab los ntawm ib tug me.

Dab tsi tshwm sim?

Koj yuav tsum tsum npaj los xyuas kom meej tias cov mob "pseudomyxoma peritoneum" kev kho mob - phais. Lwm txoj kev zoo rau lub tshwj kom txhob pathology tsis tau yees ua tsis yog. Yog hais tias ib tug benign qog, nws yuav tau txiav, muab qhov twg cov ntaub so ntswg tseem noj qab nyob zoo.

Thaum degeneration kab mob tsuas tau txais ib tug phem feem ntawm ib tug kho, uas txaus siab rau mus rau radical tshem tawm. Cov raug yog unfavorable. Tag nrho rov qab yuav tsum nyob rau hauv cov ntaub ntawv ntawm ib tug benign qog ntawm tus txheej txheem, tab sis tom qab lwm txawm phais yog tsis muaj peev xwm kiag li thaiv lub dab ntau lawm thiab tsub zuj zuj ntawm slime.

Cov kws kho mob tsis yog ib txwm tau kom meej seb puas muaj yog twb malignancy. Qhov no yog qhia nyob rau hauv lub histological txoj kev tshawb no, uas tej zaum yuav qhia cov tsis tuaj kawm ntawv ntawm cov kev mob hlwb nyob rau hauv cov ntaub so ntswg coj mus kuaj noj, tab sis pab tsis tau raws li ib tug guarantee hais tias nyob rau hauv lub cev muaj tsis muaj leej twg nyob rau tag nrho.

Thaum tus mob "pseudomyxoma peritoneum" kev kho mob yog xaiv, piv txwv tias yog tias cov mob no twb malignancy. Qhov no yog vim lub high zaus ntawm rov, ntxeem tau.

Yuav ua li cas?

Ua ntej koj yuav to taub li cas cov mob "pseudomyxoma peritoneum" (dhau theem) tej yam tshwm sim ntawm tus kab mob, koj thawj yuav tsum tau hais, tawg txoj kev kho thiab tshuaj tsom inefficiency nyob rau hauv sib ntaus tawm tsam tus kab mob.

Thaum lub caij tam sim no, tsis invented ib tug tshwj xeeb kho tus kab mob no. Cias tshem hnoos qeev tsom tsis txhij vim hais tias hlwb infiltrate lub epithelium, txuas ntxiv mus ua nws.

Nws yog ntseeg hais tias zoo tau yuav tiav tau los ntawm radiotherapy, thaum muaj raug ntawm cov cuam tshuam ntaub so ntswg nrog platinum, kub isotopes.

Tsis muaj qhov tseeb kev kho mob ntawm cov mob neeg tuag nyob rau ib los yog ob lub xyoos. Nyob rau hauv tej rooj plaub, tus kab mob yog nrog los ntawm ib tug fistula nyob rau hauv daim tawv nqaij.

ib qho tseem ceeb nuances

Txheeb cais hais tias pseudomyxoma peritoneum tshwm sim nyob rau hauv kwv yees li 1% ntawm cov neeg mob, yog li ntawd, nws yog dej num raws li tsis tshua muaj heev. Nws txaus ntshai yog thaum tsev, atypical txoj kev loj hlob, thiab neeg pluag raug.

Nyob rau hauv tej rooj plaub, txoj kev loj hlob ntawm pathology tshwm sim tiv thaiv appendicular mucin. Cov tsos mob Muab ntawm Oncology - plob tsis so tswj thaiv.

Tus kab mob yog tsiag ntawv los ntawm cov nram qab no hom ntawm mucin:

• Dawb.
• Deposits. Faib loj, me me. Lawv yog cov zoo nkauj kaw ntom nti ua haum rau lub peritoneal nto. Deposits tshwm sim nyob rau hauv inflammatory dab thiab yog tam sim no mesothelial hlwb. Nyob rau hauv tej rooj plaub, muaj fibroblasts, cov hlab ntsha. Tab sis tsis yog-yas hlwb nyob rau hauv feem ntau tus neeg mob yuav tsis tsum pom.
• Pas dej da. Cov masses yog feem ntau raws li ib tug plhaub kollagenizovannuyu cov ntaub so ntswg. Nyob rau hauv science kev kawm ntawv, xws li splitting lub mucin.

Leej twg mus ntseeg?

Nyob rau hauv xyoo tsis ntev los, ob peb Israeli tsev kho mob los xyuas kom meej kom tiav kho mob cancer. Feem ntau, xws cov koom haum tsis txhob muab official lus cog tseg, tab sis ua catchy tawm, muab kev cia siab rau cov neeg mob thiab lawv cov txheeb ze.

Nco ntsoov hais tias koj yuav tsum xaiv kev kho mob hauv tsev, yav tas los muaj ua tib zoo kawm cov ntaub ntawv, raws li tau zoo raws li cov lus teb ntawm cov neeg uas ua tau mus muaj kev kho mob. Ua zoo dev tom ntawm unscrupulous cov kws kho mob thiab cov neeg pluag kev pab cuam.