I-teratoma enobungozi ye-mediastinum

I-teratoma luhlobo lomhlaza oluqulathe enye okanye nangaphezulu kwezi zahlulo zithathu zeeseli ezifumaneka kusana olusakhulayo (umbungu). Ezi seli zibizwa ngokuba ziiseli zentsholongwane. I-teratoma yinto enye ye-germ cell tumor.

I-mediastinum ibekwe ngaphakathi ngaphambili kwesifuba kwindawo eyahlula imiphunga. Intliziyo, imithambo yegazi emikhulu, i-windpipe, i-thymus gland kunye ne-esophagus ziyafumaneka apho.

I-teratoma ebulalayo yangaphakathi yenzeka kakhulu kubafana abakwiminyaka engama-20 okanye engama-30. Uninzi lweetatomas ezinobungozi lunokusasazeka emzimbeni wonke, kwaye zisasazeke ngexesha lokuchongwa.

Umhlaza wegazi uhlala unxulunyaniswa neli thumba, kubandakanya:

• Ileukemia eyi-myelogenous (AML)
• I-Myelodysplastic syndromes (iqela leengxaki zomongo wethambo)

Iimpawu zingabandakanya:

• Intlungu yesifuba okanye uxinzelelo
• Khohlela
• Ukudinwa
• Ukubanomda wokunyamezela umthambo
• Ukuqhawukelwa ngumphefumlo

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu. Uviwo lunokuveza ukuvaleka kwemithambo engena embindini wesifuba ngenxa yokunyuka koxinzelelo kwindawo yesifuba.

Ezi mvavanyo zilandelayo zinceda ukufumanisa ithumba:

• I-x-ray yesifuba
• I-CT, iMRI, ukuskena kwe-PET kwesifuba, isisu kunye nesinqe
• Ukucinga ngenyukliya
• Uvavanyo lwegazi ukujonga i-beta-HCG, i-alpha fetoprotein (AFP), kunye ne-lactate dehydrogenase (LDH)
• I-Mediastinoscopy kunye ne-biopsy

I-Chemotherapy isetyenziselwa ukunyanga ithumba. Indibaniselwano yamayeza (ihlala i-cisplatin, etoposide, kunye ne-bleomycin) iqhele ukusetyenziswa.

Emva kokuba i-chemotherapy igqityiwe, ii-CT scan zithathwa kwakhona ukujonga ukuba ngaba likho na ithumba elihleliyo. Unyango lunokucetyiswa ukuba kukho umngcipheko wokuba umhlaza uza kukhula ubuyele kuloo ndawo okanye ukuba kukho nawuphi na umhlaza oshiye ngasemva.

Maninzi amaqela enkxaso afumanekayo kubantu abanomhlaza. Nxibelelana noMbutho woMhlaza waseMelika-www.cancer.org.

Imbonakalo ixhomekeke kubukhulu beethumba kunye nendawo kunye nobudala besigulana.

Umhlaza unokusasazeka emzimbeni wonke kwaye kunokubakho iingxaki zoqhaqho okanye ezinxulumene nekhemotherapy.

Tsalela umnikezeli wakho ukuba uneempawu zetatoma ebulalayo.

Idymoid cyst - enobungozi; I-Nonseminomatous germ cell tumor - i-teratoma; Teratoma engekakhuli; Ii-GCT - i-teratoma; I-Teratoma-eyongezelelweyo

• I-Teratoma-iskena seMRI
• I-teratoma enobungozi

I-Cheng GS, iVarghese TK, iPaki DR. Amathumba aphakathi kunye nee-cysts. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 83.

U-Putnam JB. Umlenze, udonga lwesifuba, i-pleura, kunye ne-mediastinum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 57.