Vulvar cancer - ua rau, tsos mob, kuaj mob thiab kho

Mob qog noj ntshav ntawm qhov chaw mos yog ib qho mob qog nqaij hlav uas tsis tshua pom tshwm sim ntawm qhov chaw mos ntawm tus poj niam: labia thiab clitoris. Qhov kev pheej hmoo ntawm nws txoj kev loj hlob nce ntxiv tom qab 60 xyoo. Thaum xub thawj, tus kab mob yog asymptomatic. Yog tias koj muaj cov tsos mob ntawm kev ntxhov siab, koj yuav tsum tau mus ntsib kws kho mob sai. Vim li cas thiaj tseem ceeb? Dab tsi tsim nyog paub?

1. Mob qog noj ntshav vulvar yog dab tsi?

Cancer ntawm qhov chaw mos uas txawv txav thiab tsis tu ncua qog cell proliferation muab tau los ntawm vulvar epithelial hlwb yog ib yam kab mob tsawg. Nws suav rau ob peb feem pua ​​​​ntawm tag nrho cov mob neoplasms nyob rau hauv qhov chaw mos.

Cov kab mob ntawm daim tawv nqaij ntawm qhov chaw mos no yog tshwm sim los ntawm kev loj hlob ntau dhau los yog thinning ntawm lub epithelium. Nws suav nrog:

• squamous cell hyperplasia: HPV DNA feem ntau pom muaj nyob hauv nws cov hlwb. Squamous cell carcinoma yog qhov mob qog noj ntshav ntau tshaj plaws ntawm qhov chaw mos thiab tshwm sim ntau dua 90% ntawm cov neeg mob.
• tsawg zaus lichen sclerosus.

2. Cov tsos mob ntawm mob qog noj ntshav vulvar

Cancer ntawm qhov chaw mos tuaj yeem tsim asymptomatic, nws kuj tseem tuaj yeem nrog cov tsos mob xws li:

• khaus
• bakery,
• tsis xis nyob
• kev mob

Ob txhais tes ntawm qhov chaw mos zoo li cas? Nyob ntawm theem ntawm tus kab mob, kev kuaj mob yog nqa tawm mob, drip pob zeb los yog cauliflower loj hlob.

3. Ua rau mob qog noj ntshav vulvar

Feem ntau cov mob precancerous ntawm qhov chaw mos tshwm sim vim muaj kab mob. Tus kab mob HPV (type 16). Cov pab pawg thib ob ntawm qhov chaw mos neoplasms suav nrog cov kab mob tsis cuam tshuam nrog HPV thiab tshwm sim ntawm cov av ntawm substrate. mob inflammatory hloov.

Ntau heev yam txaus ntshai tau mob qog noj ntshav vulvar. Lawv tuaj yeem pab txhawb ob qho tib si rau kev txhim kho cov txheej txheem kab mob thiab kev nrawm ntawm nws cov chav kawm.

Yeej nws yog hnub nyoog. Feem ntau cov qog nqaij hlav qog nqaij hlav hauv cov poj niam muaj hnub nyoog tshaj 60 xyoo, txawm hais tias tus kab mob no kuj tau kuaj pom hauv cov poj niam hluas. Feem ntau ntawm cov mob cancer ntawm qhov chaw mos tshwm sim hauv cov poj niam hnub nyoog 70-80 xyoo.

Lwm qhov kev pheej hmoo yog kab mob sib kis. Keeb kwm ntawm tus kab mob herpes simplex virus (HSV) hom 2, tshwj xeeb tshaj yog human papillomavirus (HPV) hom 16 thiab 18, thiab syphilis lossis inguinal granuloma nyob rau hauv cov poj niamtab sis kuj muaj kab mob chlamydial. Kev sib raug zoo ntawm tus kab mob HPV thiab kev loj hlob ntawm mob qog noj ntshav vulvar, uas tshwm sim ntau zaus hauv cov neeg mob hluas uas haus luam yeeb thiab muaj coob tus neeg koom nrog kev sib deev, tau lees paub.

Lawv tsis muaj qab hau yam tseem ceeb ntawm caj cestshwj xeeb tshaj yog kev hloov pauv hauv cov noob p53. Ib qho kev hloov pauv hauv nws cov haujlwm tuaj yeem ua rau tsis muaj kev tswj hwm ntawm cov qog nqaij hlav txawv txav thiab, thaum kawg, mus rau kev loj hlob ntawm qog noj ntshav.

4. Kev kuaj mob ntawm qhov chaw mos

Qhov kev kwv yees rau mob qog noj ntshav vulvar nyob ntawm theem ntawm tus kab mob txheej txheem neoplastic. Txawm li cas los xij, nws yuav tsum tau hais qhia tias feem ntau tus kab mob no tsuas yog kuaj tau nyob rau theem siab. Qhov teeb meem yog qhov nyuaj los ntawm qhov tseeb tias tsis muaj kev tshuaj ntsuam xyuas rau kev tshawb pom ntxov ntawm qhov chaw mos.

Raws li twb tau hais lawm, nyob ntawm theem ntawm tus kab mob, kev kuaj mob qhia ulceration, infiltration lossis cauliflower loj hlob. Cov ncauj lus kom ntxaws ntxiv tom qab ntawd raug pom zoo.

Cov kev sim ntxiv ua rau cov neeg mob uas muaj mob qog noj ntshav vulvar muaj xws li:

• pap smear,
• vulvoscopy,
• transvaginal swb,
• radiography hauv siab,
• Ultrasound ntawm plab.

Txhua qhov kev hloov pauv hauv qhov chaw mos raug lees paub los ntawm kev kuaj histological ntawm cov qauv coj mus kuaj.

5. Kev Kho Mob Vulvar Cancer

Kev kho phais tuaj yeem ua raws li ob qho tib si excision ntawm qhov txhabradical tshem tawm ntawm qhov chaw mos. Lub ntim ntawm kev ua haujlwm yog nyob ntawm qhov loj ntawm cov qog, qhov chaw ntawm qhov tsom ntawm tus kab mob, qhov xwm txheej ntawm cov qog nqaij hlav thiab qhov dav dav ntawm tus poj niam.

Kev kho mob ntxiv yog kev kho hluav taws xob tom qab kev phais tshem tawm ntawm cov qog nqaij hlav metastatic. Nws kuj yog ib qho kev kho mob radical thaum phais tsis tau.

Ntawm qhov tod tes, chemotherapy yog siv ua ntej kev phais kom txo qhov loj ntawm cov qog thiab ua rau kom muaj feem yuav raug phais. Kev ywj pheej vulvar cancer chemotherapy Nws kuj tseem siv tau rau cov neeg mob rov qab los uas tsis teb rau cov tshuaj kho mob.

Hauv cov neeg mob uas phais lossis kev kho hluav taws xob yog contraindicated, kev kho mob palliative. Tom qab ntawd muab tshuaj chemotherapy kom tsis txhob kis tus kab mob.

Vulvar cancer metastasizes los ntawm lymphatic system. Tsis quav ntsej txog cov kev hloov pauv uas tau tshwm sim tuaj yeem ua rau kis tus kab mob mus rau cov ntaub so ntswg nyob sib ze thiab ua rau muaj kev hloov pauv hauv lwm lub cev. Yog tias kuaj pom ntxov ntawm qhov chaw mos, qhov no tsis cuam tshuam nrog metastases rau cov qog nqaij hlavqhov kev cia siab yog qhov zoo.

Koj puas xav tau tus kws kho mob qhov kev sab laj, e-tso ntawv lossis e-phau ntawv? Mus rau lub vev xaib abcZdrowie Nrhiav tus kws kho mob thiab teem caij ntsib neeg mob tam sim ntawd nrog cov kws tshaj lij los ntawm thoob plaws tebchaws Poland lossis teleportation.