Amancinci, unyango, kunye nokuxhamla kwe-Sertoli-Leydig Cell Tumors
Ziziphi izilonda ze-Sertoli-Leydig ze-ovary?
Inkcazo kunye neNzeka
Izilonda zeSeltoli-Leydig (i-SLCTs), ezibizwa ngokuba yi-Sertoli-stromal cell tumors ziqhelekanga kwaye zenza malunga ne-0.5% yazo zonke izicubu ze-ovari. Ngokuqhelekileyo, ezi zicubu zichaphazela abafazi abangaphantsi kweminyaka engama-30, nangona zivakaliswe kuzo zonke izigaba. Ezi zicubu zinokuthi zibenobungozi (ezingekho komhlaza) okanye ezibi (ezingekho komhlaza.)
IHormone Ukuvelisa izidumbu
I-SLCT ingavelisa ama-hormone, ngokuqhelekileyo amahomoni amabhinqa. Nangona kunjalo, malunga neyesithathu kwimeko, abafazi bahlakulela iimpawu ze-androgen (i-hormone yamadoda) ngaphezulu kweproduction, inkqubo eyaziwa ngokuba yi-masculinization. Xa oko kwenzeka, i-tumor iyaziwa ngokuthi "androblastoma" okanye "i-arrhenoblastoma." La magama asebenza kuphela kwiimeko apho iimvumi zingaphezu kwamahomoni angamadoda.
Izibonakaliso zamasimini ziquka ukungabikho kwexesha lokuya esikhathini, ukungabikho kokuveliswa kwesifuba okanye ukunyuka kwebele, ukunyuka kwama-acne, ukukhula kweenwele ezingaphezu kwesibindi kunye nesifuba, iindawo zesikhokelo somntu, ukuqiniswa kwezwi kunye nokwandiswa kwe-clitoris. Nangona inqabile, ukuphuma kwintsholongwane engavamile kungenzeka.
Iincinci
Ezi zicubu zihlelwe ngamacandelo amane, ngokusekelwe kwindlela abajonga ngayo ngaphantsi kwe-microscope. Ezi zinto ziyi-grade bundu kunye nomzekelo othile okanye ukubonakala okubonakalayo yonyango:
1. Ukwahluke kakuhle (ibanga 1)
2.
Ukwahlukana ngokukhawuleza (ibakala lesi-2)
3. Uhluke ngokungafani (ibakala lesi-3)
4. Umzekelo weRetiform (umboniso obonakalayo phantsi kwe-microscope)
Ngenhlanhla, ngaphezu kwe-97% ye-SLCTs ibanga lesi-1 . Ngamanye amagama, afumaneka kakhulu kunene kwiimeko ezininzi.
Unyango
Ukutshatyalaliswa kokutshintshwa kwe-ovary echaphazelekayo yonyango oluqhelekileyo - kwaye ngokuqhelekileyo lonke unyango oluyimfuneko.
Kungenxa yokuba ngaphezu kwe-75% yezi zifo zifunyenwe ekuqaleni (ibanga I) kunye ne-ovary eyodwa kuphela.
Ukuba umhlaza ufunyenwe kwisigaba esiphezulu kakhulu , i-chemotherapy kunye ne-radiation emva kokucinywa kokukhishwa kwee-ovari kunokucetyiswa. Kwakhona, utyando lukhulu kakhulu, kubandakanywa nokususwa kwesibeleko, zombini amaqanda kunye naziphi na ezinye izicubu ezibonakalayo kwi-lymph nodes okanye ngaphakathi kwesigxina esiswini.
Nangona kunjalo, khumbula ukuba ngenxa yokungabikho kwalolu hlobo lomhlaza ophezulu, akukho zikhokelo zenkxaso zophando malunga neentlobo ezifanelekileyo zonyango kunye nonyango lwe-chemotherapy .
Prognosis
Ngokuqhelekileyo, ukunyanzeliswa (ukujonga ixesha elide) kunye namathuba okunyanga kuxhomekeke kwisigaba kunye nebanga le-tumor. Ngenkcazo, zonke izicubu ezithe zagqitha ngaphaya kwe-ovary zibhekwa njengezibi (okanye umdlavuza).
Ukuphindaphinda
Ukuphindaphinda kudibaniswa nezinto ezimbini : ukuphuka okanye ukuvuza kwe-tumor phambi okanye ngexesha lotyando, kwaye ukuba loo ntokazi inemifanekiso engabonakaliyo ye-retiform ekhankanywe ngasentla. Ngokuqhelekileyo, xa i-SLCTs ibuyeka, i-recur kungekudala emva kokonyango - eqinisweni, phantse i-two-thirds recur kunyaka wokuqala emva kokonyango. Emva kweminyaka emihlanu, izinga lokuphindaphinda lihla ku-6%. Ukuba sekuyiminyaka emihlanu kwaye awuzange uphinde uphinde, ungathatha loo nto njengesigqibo esihle sokuba uya kuhlala ukhululekile kulolu hlobo lomhlaza.
Ukujamelana
Ukujamelana ne-tumori ye-ovari kunzima ngokwaneleyo-kodwa xa uselula uvakalelwa ngakumbi. Yiba ngummeli wakho ekunyamekeleni kwakho, kwaye ubuze imibuzo eninzi. . Buza malunga naziphi na izilingo zekliniki yomhlaza wesibeleko. Izilonda ze-Sertoli-Leydig ziqhelekanga ukuze ungabi neqela lokuxhasa kuluntu lwakho, kodwa uluntu oluninzi oluxhasayo lwe-ovarian lufumaneka kwi-intanethi kwezi zicubu ezincinci. Cela uncedo. Vumela abantu bakuxhase. Gcina ukhumbule ukuba esinye sezipho ezingcono kakhulu onokubanika abanye kukuvuma nokubonisa ukubonga ngezinto owanikwa zona.
Imithombo:
Gershenson, D. Iingcingo zesisu ezixhambileyo ze-ovary: Izilonda zeeselto-stromal cell. Isemgangathweno. Ukuhlaziywa 09/04/15. http://www.uptodate.com/contents/sex-cord-stromal-tumors-of-ovary-sertoli-stromal-cell-tumors
Isizwe seZiko lezeMpilo. MedlinePlus. Izilonda zeseli zikaSertoli Lydig. Ukuhlaziywa 05/29/14. http://breastcancer.about.com/lw/Health-Medicine/Conditions-and-diseases/How-Breast-Cancer-May-Affect-Body-Image.htm