Iintlobo ezingaqhelekanga zeCarcer Skin Do not Get Their Attention
Uninzi lweengcali zijonga ukuba umdlavuza wesikhumba ube yindlala eUnited States, kunye neziganeko ezingaphezu kwezigidi eziyi-1.3 ezixilongwa rhoqo ngonyaka kwaye zikhuphuka. Iintlobo ezintathu eziqhelekileyo - iselal cell , cell squamous , kunye ne- melanoma - akhawunti ngenxa yobuninzi bomhlaza wengqondo , kodwa kukho iintlobo ezininzi zomhlaza wengqumbo ongenakudla ngokungaqhelekanga.
Nazi ezinye iintsholongwane ezinhlanu ezingaqhelekanga ezivela esikhumbeni okanye zichaphazele isikhumba ngokungathanga ngqo:
I-T-cell Lymphoma
I-T-cell lymphoma (CTCL) ye-Cutaneous yilapha iqela leesifo somdlavuza ovela kwihlobo legazi elimhlophe elibizwa ngokuba yi-T-cell lymphocyte eliba ngumhlaza kwaye lichaphazela ulusu. E-United States, kukho ama-1,500 amatyala amatsha ka-CTCL ngonyaka. Amadoda aphindwe kabini njengabasetyhini abachaphazelekayo, kwaye abaninzi abantu bafunyaniswa emva kweminyaka engama-50.
Kwiintlobo ezininzi ze-CTCL (umzekelo, i- mycosis fungoides , uhlobo oluqhelekileyo), iimpawu ziqala ngokubonakala kweplates, ezibomvu izilwanyana esikhumbeni; kubantu abanobumnyama, abo bangabonakala njengamabala okukhanya okanye amnyama kakhulu. Iintlanzi zibuhlungu kakhulu, kwaye zinokuba zomile kwaye zime. Ezinye iindawo zesikhumba zinokuphakanyiswa kwaye zikhuni (ezibizwa ngokuba ngamacwecwe). Kamva, izicubu ziyakhula. Ezinye izikhumba zesikhumba ziyancipha kwaye zinyuka, zikhokelela ekusulelekeni.
Kukho iindidi ezahlukahlukeneyo zamachiza e-chemotherapy, i-immunotherapy (umzekelo, i- interferon ), kunye neziyobisi ezijoliswe (umzekelo, denileukin diftitox okanye i-Ontak) ngoku ikhoyo ukunyanga i-CTCL.
Merkel Cell Carcinoma
I-Merkel cell carcinoma (MCC) yintlobo engaqhelekanga, enobudlova yomhlaza wesikhumba owenzayo okanye nje phantsi kwesikhumba.
Ama-1,500 amatsha amatyala e-MCC ayafumaneka kwi-United States ngamnye ngonyaka. Uninzi lwezigulane ezixilongwa nge-MCC zikhoksiki kunye nangaphezulu kweminyaka engama-50 (ubudala obuphakathi kweminyaka eyi-69).
Izilonda ze-MCC zibonakala ziqinileyo, zingenazintlungu ezingaphantsi kwesikhumba. Zibomvu, i-pinki, okanye i-blue-violet ngombala, kwaye zivame ukufumaneka kwiindawo ezibonakalayo zelanga ezifana nentloko (ngokukodwa ejikeleze iliso kunye nekhosidi), intamo, iingalo kunye nemilenze.
Izinyango zokwelapha ziquka ukuhlinzwa, unyango lwe-radiation kunye ne-chemotherapy.
Kaposi Sarcoma
I-Kaposi sarcoma (KS) ngumdlavuza ovela kwiiseli ezenza i-lymph okanye imithwalo yegazi. I-KS ibangelwa iKapasi sarcoma herpesvirus (KSHV). Ingxaki yesistim ekhuselekileyo yokhuseleko lwe-immune efaka isandla kwi-KS isifo kwi-virus yesifo sengculazi (i-HIV), intsholongwane ebangela i-AIDS, kodwa ukutshintshwa kwabamkeliyo yinye iqela elithintekayo.
Iiseli ezingaqhelekanga ze-KS zenza iifom ebomvu, ebomvu, okanye ebomvu okanye izibonda ekhumbeni. Kwezinye iimeko, i-KS ibangela ukuvuvukala okubuhlungu, ngakumbi kwimilenze, kwindawo yokucoca, okanye isikhumba ekhangele amehlo. I-KS inokubangela iingxaki ezinzulu, okanye zibe nobungozi bokuphila xa izilonda zisemaphakeni, isibindi, okanye umgudu wokutya.
Uphulo luye lwaphucula kakhulu kwiminyaka emva nje kwaye ngoku luquka unyango olukhuselekileyo lwe-antiretroviral (HAART) ukunyanga izigulane ze-AIDS kunye ne-KS, kunye nama-spicy creams, ukuchithwa kokugonywa, i-cryotherapy (iqhwa nge-nitrogen yamanzi) kunye ne-chemotherapy.
I-Sebaceous Gland Carcinoma
I-Sebaceous gland carcinoma (i-SGC) ngumdla ongaqhelekanga, onomdla ovela kwiingqungquthela zeoli ekhumbeni. Phantse i-75% yamatyala afunyaniswa ngamehlo, kunye nesayithi eliqhelekileyo liyikhosidi ephezulu, nangona ifunyenwe kwenye indawo entloko okanye entanyeni, kwisiqu okanye kwindawo yesini. I-cell secinceous carcinomas zidla ngokufumaneka kubasetyhini abangaphezu kweminyaka engama-70 ubudala. I-SGC ihlala ikhula ngokukhawuleza kwaye isasazeka kwezinye iindawo zomzimba kwi-1 kuzo zonke iimeko ezi-5.
Unyango olukhoyo luquka ukuhlinzwa kunye neyeza.
Dermatofibrosarcoma Protuberans
I-Dermatofibrosarcoma protuberans (i-DFSP) uhlobo oluqhelekanga lwesifo esiqhekezayo esiqala njengengqungquthela elukhuni, sikhula ngokukhawuleza, kwaye siyasasazeka kwezinye iindawo zomzimba.
Yibangelwa ukuguqulwa kwemfuzo okubangelwa ukwanda kwe-molecule ebizwa ngokuba yi-platelet-derived growth factor. Ezi zicubu zivame ukufunyanwa kwi-dermis (uluhlu lwangaphakathi lweziqulatho ezibini zetekisi ezenza ulusu) lweengalo okanye i-trunk yomzimba.
Izinyango zokwelapha ziquka ukuhlinzwa, unyango lwe-radiation , kunye neyeza elitsha elithi imatinib (Gleevec). Nangona kunjalo, i-DFSP ayisoloko ichongwa okanye ingaphathwa kakubi, ngoko qi niseka ukuba ufumane i-dermatologist okanye enye ingcali onamava aphatha i-DFSP.
Ukubambisa kwangaphambili
Isiqhelo sokuzihlola ngokwasemzimbeni yindlela efanelekileyo yokufumana ezi ngqayi zesikhumba ezinqabileyo kwixesha lazo, izigaba ezingapheliyo. Ukuba ubona naluphi na olutsha, utshintsho, okanye ngezinye izilonda zesikhumba ezingaqhelekanga, qhagamshelana nodokotela wakho ngokukhawuleza.
Imithombo:
American Cancer Society. (Meyi 2016). Yintoni i-Merkel Cell Carcinoma?
"Izikhokelo zeeKliniki zoLwazi kwi-Oncology: i-Dermatofibrosarcoma Protuberans." v.1.2009. INational Cancer Network Network. 1 Meyi 2009.
"I-Mycosis Fungoides kunye neTyzary Syndrome Treatment." American Cancer Society. 1 Meyi 2009.
"Yintoni i-Kaposi sarcoma?" American Cancer Society. 1 Meyi 2009.