Lymphoma ea Liteko
Ke eng e nang le lymphoma ea testicular le e fapaneng joang le mefuta e meng ea lymphoma e seng ea Hodgkin?
Kakaretso
Lymphoma e ka ama litlhahlobo ka litsela tse seng kae. Lymphoma e ka 'na ea qala lipapaling, moo ho thoeng ke primary testicular lymphoma, kapa lymphoma e ka' na ea akarelletsa li-testes e le karolo ea mafu a atileng a akarelletsang libaka tse ling tse ngata.
Ho ata
Litlhapi hase sebaka se tloaelehileng sa lymphoma.
Ha e le hantle, li-testes li atisa ho ameha haholo ke kankere e 'ngoe e bitsoang li-cell cell tumor. Batho ba ka tlaase ho 5% ba nang le kankere litlhahlobo ba na le lymphoma. Leha ho le joalo, ho batho ba fetang lilemo tse 50, leha ho le joalo, lymphoma ke kankere e tloaelehileng ka ho fetisisa ea li-testes joaloka li-tumor tsa lisele tsa kokoana-hloko nakong ena ea lihlopha tse sa tloaelehang.
Mefuta
Hangata li-lymphoma tsa testes ke mofuta oa non-Hodgkin's lymphoma (NHL) . Mofuta o tloaelehileng ka ho fetisisa o fetisa B-cell lymphoma e kholo . Mefuta e meng ke immunoblastic lymphoma, Burkitt lymphoma (ka bana), le follicular lymphoma .
Ho na le mantsoe a seng makae ao u ka o utloang haeba u fumanoa u na le testicular lymphoma. E 'ngoe ke " pontšo ea extranodal ." Primary extranodal lymphoma e bolela feela hore lymphoma e fumanoa pele (e hlahile) ka ntle ho tsamaiso ea lymphatic, ka mantsoe a mang, e fumanoa lipapaling pele ho e-na le lymph node, spleen, bone bone kapa thymus.
Li-testes (hammoho le tsamaiso ea methapo ea bohareng) li boetse li bitsoa libaka tse halalelang .
Lisosa
Ha ho tsejoe hore na sesosa sa testicular lymphoma ke eng, empa ho na le mabaka a 'maloa a kotsing bakeng sa bao e seng Hodgkin lymphoma . Ho na le botsoalle le tšoaetso ea kokoana-hloko, haholo-holo EBV (kokoana-hloko ea Epstein-Barr e bakang mono) , CMV (kokoana-hloko ea cytomegalovirus) , parvovirus B19 (kokoana-hloko e bakang "mafu a mahlano", lefuba le tloaelehileng le amanang le tšoaetso ea kokoana-hloko) HIV.
Matšoao le Matšoao
Letšoao le tloaelehileng ke ho atolosoa ha e 'ngoe ea liteko tse peli. Hangata ho na le bohloko bo fokolang kapa bo seng bo amanang le sena. Testis e ka 'na ea ikutloa e le boima. Haeba lymphoma e hasane likarolong tse ling tsa 'mele, ho na le matšoao a amanang le likarolo tse amehang. Ho ka 'na ha e-ba le e le' ngoe kapa tse ling tsa B-matšoao a lymphoma - feberu, ho lahleheloa ke boima kapa ho rohakana bosiu.
Tsejoa
Sehlopha se atolositsoeng se ka ba le lisosa tse ngata, 'me ngaka ea hau e ka tseba habonolo maemo a tloaelehileng le a bonolo. Haeba ho na le ts'oaetso ea hlahala, e tla hlahlojoa ka ultrasound kapa CT ea testes e le teko ea pele. Litlhahlobo tse ling tsa mali bakeng sa li-marker tumor li etsoa e le ho khetholla lihlahala tsa kokoana-hloko ea kokoana-hloko, mofuta o tloaelehileng oa kankere ea testis. Tsela e molemo ka ho fetisisa ea ho fumana mofuta o nepahetseng oa hlahala ke ho tlosa testis ka ho buuoa e bonolo. Hangata tlhahlobo ea lintlheng kapa ea biopsi ha e buellehe ka lebaka la kotsi ea ho hlajoa ke "maling" - ho jala lisele tsa kankere ho potoloha sebaka seo nale e kenngoa teng. Matšoao a lihlahisoa a tlosoa ka nako eo a nkoa ka tlas'a microscope, 'me ho fumanoa lefu la ho qetela.
Liteko ha li se li fumaneha
Haeba kankere ea testicular e le lymphoma, ho hlokahala liteko tse ling pele phekolo e qala. Hangata sena se kenyelletsa lisebelisoa tsa CT tsa mpa le sefuba le tlhahlobo ea 'mele oa masapo .
Testicular lymphoma e ka boela ea ata ho cerebrospinal fluid (CSF) e phallang ka hare ho boko le mokokotlo oa mokokotlo. Ho khabisoa ha sethala sa mokokotlo (sefate sa mokokotlo) ho tlosa palo e nyane ea mokelikeli ona oa mokokotlo le ka morao 'me o leke lisele tsa lymphoma.
Litlhare
Phekolo ea kankere ea testicular hangata e kenyelletsa ho tlosa hlahala, empa ho hlokahala phekolo e eketsehileng ho thibela kankere ho khutlela ho e 'ngoe ea lihlooho tse ling, tsamaiso ea methapo e meholo le libaka tse ling tse ling tsa extranodal.
Ho buuoa - Ho tlosa sehlooho (orchiectomy) ke karolo ea pele ea phekolo 'me hangata ho etsoa e le karolo ea lefu lena.
Chemotherapy - Chemotherapy regimen CHOP hangata e fanoa hammoho le Rituxan. Lithethefatsi tse tsamaisong ena li akarelletsa Cytoxan (cyclophosphamide), Adriamycin (doxorubicin), Oncovin (vincristine), le prednisone.
Tlhahlobo e reretsoeng - Rituxan (rituximab) ke moriana oa monoclonal o atisang ho fanoa hammoho le chemotherapy. Mele ea rona e etsa li-antibodies ho loantša libaktheria le likokoana-hloko. Rituxan ha e le hantle e na le motho ea entsoeng ke motho ea entsoeng ho loantša lisele tsa lymphoma.
Mahlaseli - Mahlaseli a tloaelehileng a atisa ho etsoa sebakeng sa maqhubu, haholo-holo ho fokotsa menyetla ea kankere e ts'oanang hape le lihlopha tse ling.
Central nervous system prophylaxis - Central nervous system prophylaxis hangata e kenyelelitsoe e le karolo ea phekolo ho thibela lymphoma ena hore e se ke ea ata kapa ea pheta-pheta tsamaiso ea methapo ea bohareng.
Ho boloka Matla
Hangata litlhoko tse le 'ngoe feela tsa testicular li lokela ho tlosoa, empa chemotherapy ka bobeli le phekolo ea mahlaseli a kotsi e ka fella ka ho fokola. Ka lehlohonolo banki ea li-sperm ke kgetho e sebetsang bakeng sa banna ba bangata. Etsa bonnete ba hore u buisana le ngaka ea hau ka ho boloka tsoalo nakong ea phekolo ea kankere e le hore u tsebe likgetho tsohle tsa hau pele u qala kalafo.
Ho sebetsana ka katleho le tšehetso
Haeba u fumanoe u e-na le testicular lymphoma mohlomong u ikutloa u sithabetse. Kaha sena ke hlahala e tloaelehileng eo u ka ikutloang u le mong, 'me u ipotse hore na u ka bua le mang. Finyella lelapa le metsoalle. Nahana ka ho kopanya le sechaba sa kankere ka inthaneteng. Re phela nakong eo u ka fumanang ba bang ka testicular lymphoma ho pota lefatše lohle, 'me ba ka ba ba fumana ts'ehetso le batho ho fokotsa mehopolo ea 24/7. Lipatlisiso le ho ithuta ka lefu la hau , mme u nke karolo e mafolofolo tlhokomelong ea hau. Phekolo ea lefu lena e mabifi, empa ho fapana le mefuta e mengata ea kankere e fana ka monyetla o motle oa ho laola nako e telele lefu lena.
Lisebelisoa:
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Cheah, C., Wirth, A., le J. Saymour. Primary testicular lymphoma. Mali . 2014. 123 (4): 486-93.
Huang, Y., Zhang, Z., Tashkin, D., Feng, B., Straif, K., le M. Hashibe. Tlhahlobo ea lefu la matekoane le kankere: tlhahlobo. Kankere ea Epidemiology Biomarkers le Thibelo . 2015. 24 (1): 15-31.
Vitolo, U., Chiappella, A., Ferreri, A. le al. Tlhahlobo ea pele ea testicular e fokolang B-cell lymphoma e nang le rituximab-CHOPD, CNS prophylaxis, le contralateral testis radiation: liphello tsa ho qetela tsa liteko tsa machaba II. Journal of Clinical Oncology . 2011. 29 (20): 2766-72.
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