Adenoma of mate shwanu: zvinokonzera, zviratidzo uye kurapwa

Havafungi apo mate shwanu. Kunyange aigara anoita mabasa ayo uye haakonzeri kusanzwa, hazvina kuteerera zvikuru. Adenoma of mate mumasero zvingasiyana dzavo histological uye morphological marongerwo. Ivo, kufanana nemamwe growths vari nyanyisa uye benign. Benign mapundu kuva nani zvishoma nezvishoma, uye haaratidzi pachavo kusagadzikana kana zvimwe zviratidzo. Nyanyisa mapundu anokura nokukurumidza, zvinopa screenings pedyo nhengo uye munyama, nokuwondisa uye uso kukuvara tsinga.

tsananguro

Aripiko mate shwanu? Chokutanga zvinokosha kuziva kuti ichi peya alveolar serous muviri, raiva pasi ganda uye pasi pakatarisana nzeve. chikuru basa Its ndiye secretion uye kuunganidza mate. The yakawanda emura yavaibvisa uye potassium chlorides, uyewo amylase. Zvinoita mumuromo acidic svikiro ane ph kuvatumwa 6. Nokuti zuva zvose mumasero zvinogona govera kusvika hafu ity mate.

Mate shwanu adenoma - a benign, zvenguva kana nyanyisa neoplasms, izvo aumba zviduku kana guru mate mumasero. Pakati ose neoplastic pezvakaitwa ari chikamu mate mumasero pamusana inenge imwe muzana. Iri panzvimbo yakakwirira nhamba. Changes anogona kutanga chero zera, asi kazhinji izvi zvinoitika pakati uye kukwegura (Makore 40-60), vakadzi kaviri kakawanda kupfuura vanhu.

Neoplasms havatani malignancy, dzokororo uye metastasis, naizvozvo, zviri inofarirwa vanachiremba vemazino uye kunanzvana vanovhiya.

zvikonzero

Sei pane adenoma pamusoro mate shwanu, kusvikira pakuguma harizivikanwi. In zvokurapa kubvuma kuti chimiro namamota anogona nechokuita kunotevera munharaunda yatangira kana anogumbura zvirwere, uyewo mumps (mumps). Asi kwete varwere vose vaiva nhoroondo yakafanana kacho.

Dzimwe nyanzvi pakuti mhaka mate shwanu anomera kungava vachiberekwa dystopia munyama. Uyewo, regai kunodudzwa oncogenic nemavhairasi izvi zvakafanana Epstein - Barr utachiona, cytomegalovirus (zvikurukuru 16, 18, 31 uye 32 fung kirasi) uye herpes simplex utachiwana.

Asi hazvisi zvose nguva apo zvingaita kuva mate shwanu adenoma. Zvikonzero inofanira kutsvaka muchimiro upenyu hwomunhu (kutsenga fodya kana kushandisa zvinodhaka), inogara uye basa (kunyanya zuva dzokupisa, kakawanda nokufumura musoro uye mutsipa nemwaranzi kurapa pamusoro thymus kana thyroid chirwere). Zvinonzi vaidavira kuti zvokurwara chokuita rakawedzera remafuta akawandisa, kushaya mavhitaminzi ari kudya uye hormone zvirwere.

Zvinofungidzirwa kuti pane vashandi pangozi vari huni, simbi uye makemikari indasitiri (deposition weheavy metal munyu) nevezvimwewo.

TNM kupatsanura

Zvivanakire ari chirwere uye nekuramba adenoma pamusoro mate shwanu inoshandiswa kupatsanura dzakawanda kuti hwezvekukurukurirana tsanangudzo pavaipfuura muitiro:

1. T (bundu) - mota size:
   - T0 - kuziva adenomas kugona;
   - T1 - neoplasms dhayamita pe2 cm;
   - T2 - dhayamita 4 cm asi kwete mhiri shwanu migumo;
   - T3 - kupedza of 4 kusvika 6 cm chiso tsinga haina akarova;
   - T4 - dhayamita vanopfuura 6 cm kupararira pedyo rinenge zvinokanganisawo cranial tsinga.
2. N (nodes) - remunharaunda node nodes:
   - N0 - hapana metastases;
   - n1 - akarovana raiva pedyo nebundu kuzvimba 3 cm;
   - N2 - akarova akawanda nodes, bundu saizi - kubva 3 kusvika 6 cm;
   - N3 - akaparadza nodes zhinji, kuti dhayamita yamamota - vanopfuura 6 cm.
3. M (metastasis) - metastases:
   - M0 - No metastases kure;
   - M1 - pane metastases kure vari.

ino akakwanisa husava nechirwere uye fungidziro chirwere chacho. Uye alphanumeric remitemo runoita kurishandisa chero nyika munyika.

morphological kupatsanura

Adenoma pakati ari parotid shwanu iri pakubhadhara anoverengeka, zvakasiyana mu histological uye morphological marongerwo:

1. Epithelial bundu. Inogona kuva kubva munyama ose nezviduku mate mumasero. Dzinoratidzwa kukura epithelium iri lumen pakati ducts muchimiro papillae, kribroznyh uye tubular ezvirevo.
2. Monomorphic adenoma. Benign mapundu rinoumbwa glandular tishu. Anovandudza kucherechedzwa, kunyanya varume vakuru. It ane rwakapoteredza kana denderedzwa chimiro kwakavharwa nenyama kusachinja-chinja.
3. Adenolymphoma anotevera pamusoro Morphology monomorphic adenoma, asi mukati omumuviri chinewo node.
4. Sebaceous adenoma - iri zvakajeka bundu rakaumbwa anoverengeka cheap car insurance cystic sebaceous masero. Inogona kuva chero zera. Nyarara, ane yellowish ruvara. Pashure Kubviswa haana kupa metastasis.
5. Canalicular adenoma rinoumbwa prismatic epithelial masero, izvo inounganidzwa mwanda. Avhareji yezera varwere kwakadai bundu - makore 65. Kuwedzera mate shwanu adenoma hakuchinji yepamusoro muromo uye dama.
6. Basal muchitokisi adenoma. Benign rinoumbwa basal muchitokisi. Kazhinji, duku zvakasimba chena fundo. Hazvina recur uye maligneziruetsya.
7. Pleomorphic adenoma of mate mumasero vanogona kukura zvikuru kukura, nemumakomo uye batana. Kazhinji benign, asi ari akazotevera mumatanho kuonekwe ari akaipa masero. Inside pacharo rine mvura uye fibroblasts. Amenable kuti kuvhiya kurapwa, asi nokuda napedyo kune chiso etsinga vanovhiya kungava nezvinetso.

zviratidzo

Benign adenoma of parotid shwanu hwapedyo zvikuru zvishoma nezvishoma, dzimwe nguva kwemakore. It haakonzeri chero kuzviitira manzwiro, asi inogona kuita kuti munhu ane nguva asymmetrical. Ichi ndicho chikonzero kuenda kwachiremba. Pashure Kubviswa anomera akadaro anogona recur muna 6 muzana Muzviitiko. Kana bundu iri pedyo pharyngeal Scion parotid shwanu, zvinogona kukonzera kutyorwa pakuparadza, kurwadziwa nzeve uye lockjaw kutsenga netsandanyama.

sei munhu zvenguva adenoma pamusoro mate shwanu? Zviratidzo zvacho zvakafanana uye panguva imwe chete ari benign uye nyanyisa anomera. It kunoratidzwa nokukurumidza infiltrative kukura, izvozvo anoparadza zvinyama vakavakomberedza. Inogona recur uye kupa metastases kure kune mumapapu uye mapfupa.

Nyanyisa mapundu kuitika zvose vakazvimiririra uye pashure akaipa kusanduka benign anomera. Kukura nokukurumidza kupinda munzvimbo dzakapoteredza tishu. The ganda pamusoro bundu mutsvuku, inopisa uye kuoma. Zvinogona ulcerated. Hwokuratidza marwadzo, nenyonganiso ari masticatory tsandanyama, kuwedzera pedyo node nodes nokuvapo metastases.

Diagnostics

Mate shwanu mapundu kuwanikwa zvikuru nyore. Kuti aite izvi, unofanira kuongorora chiremba wemazino wako uye oncologist, kuunganidza zvichemo azive nhoroondo chirwere. Cherechedzai inofanira kubhadharwa kuti Morphology pakati bundu, ayo kukura, kusachinja-chinja uye kufamba.

Kubva paku kuferefeta akatakurwa dehenya radiography, Ultrasound mate mumasero ptyalography (tarisa shwanu ductal patency) uye sialostsintigrafiya (nokuti kuziva miedzo metastases kure). The nzira yakavimbika zvikuru anonzi kuponjesa shwanu achiteverwa smears uye zvinyama biopsy nokuda histological uye pathological kudzidza.

Kujekesa kuwanda kwacho angada CT mate shwanu, chipfuva X-ray kana mapfupa nomumwe.

Mabatirwo Benign anomera

Kana murwere chirwere benign mapundu pamusoro mate omumuviri, iye yakananga inoenda kuna chiremba. Kwaita refu dzakabudirira unyanzvi kuti "husking" mhando iyi anomera. A duku incision pamusoro Kamudzira pakati njodzi shwanu adenoma iri vanounganidzwa uye kubviswa. Chiremba panguva iyoyowo kuedza kwete kukuvadza zviri bundu. chipingaidzo kwakadaro anonzi "ekskholeatsiya".

Nokubviswa zvinyama kunodiwa kupa panguva macro- uye nemaziso kuongororwa kuzosimbisa chirwere. The chiso tsinga hakumbofi abvisa, sezvazvakanyorwa kashoma rova. Kana bundu ikabuda iri submandibular omumuviri, zviri hwaputswa uye itsva kukura, uye simbi.

Mabatirwo nyanyisa anomera

kurapwa Complex kwakabatanidzwa chinoda akaipa mate shwanu adenoma. Sei Kuvhiya rinoitwa? Kunyange asati kupindira zvakafanira basa nzira wegamma-kurapa kuderedza kukura bundu, uyewo kudzivisa kwaita kwematunhu uye kure metastases. Kuvhiya rinoitwa zvakananga pashure mwedzi pashure radiotherapy.

Vamwe vanyori vanokurudzira kuita kubviswa yakazara parotid omumuviri, pamwe mapazi chiso etsinga mune rimwe kusatombofunga, pamwe extirpation pakati remunharaunda node nodes. Kana rokuongorora akawana kuti bundu yakura pfupa rezasi shaya, chikamu ichi vanofanirawo resect. Asi pamberi oparesheni zvaanofanira kufunga sei vanounganidzira vamwe mafupa.

In chakakomba kacho inokurudzirwa palliative radiotherapy chete, sezvo bundu hakusi kuti kubviswa nokuda zvakare anongoremberera tishu.

mataridzikiro

For benign mapundu pashure kuvhiya kurapwa fungidziro upenyu uye utano zvakanaka. The ndingangokuvara dzokororo zviri pasi, chete nehafu muzana. Nyanyisa mapundu kuitikawo chaizvo zvisingafadzi.. Kurapa murwere anogona muzana chete maviri dzokushungurudzwa, uye kunyange ipapo ngozi kuti bundu anoonekazve. Metastasis kune dzimwe nhengo inowanikwa zvinenge hafu Muzviitiko.