I-sarcoma yabantu abadala ethambileyo

Isoftoma ethambileyo yesarcoma (STS) ngumhlaza owenzeka kwinyama ethambileyo yomzimba. Izicubu ezithambileyo zidibanisa, zixhasa, okanye zirhangqe amanye amalungu omzimba. Kubantu abadala, i-STS inqabile.

Zininzi iintlobo ezahlukeneyo zomhlaza womzimba. Uhlobo lwe-sarcoma luxhomekeke kwizicubu ezenza ngalo:

• Imisipha
• Iitendon
• Amafutha
• Ivazi yegazi
• Iinqanawa zeLymph
• Imithambo-luvo
• Izicubu kumalungu nakwiindawo ezikufutshane

Umhlaza unokwenza phantse naphina, kodwa uqheleke koku:

• Intloko
• Intamo
• Izixhobo
• Imilenze
• Umboko
• Isisu

Ayaziwa ukuba yintoni ebangela uninzi lwee-sarcomas. Kodwa kukho umngcipheko othile:

• Ezinye izifo ezizuze njengelifa, ezinjenge-Li-Fraumeni syndrome
• Unyango ngemitha yolunye uhlobo lomhlaza
• Ukuboniswa kwimichiza ethile, enje nge-vinyl chloride okanye i-herbicides ethile
• Ukuba nokudumba ezingalweni okanye emilenzeni ixesha elide (i-lymphedema)

Kumanqanaba okuqala, kuhlala kungekho zimpawu. Njengoko umhlaza ukhula, kunokubangela iqhuma okanye ukudumba okuhlala kukhula ngokuhamba kwexesha. Uninzi lwamaqhuma ALUWONA umhlaza.

Ezinye iimpawu zibandakanya:

• Intlungu, ukuba icinezela kwi-nerve, ilungu, umthambo wegazi, okanye umsipha
• Ukuvaleka okanye ukopha esiswini okanye emathunjini
• Iingxaki zokuphefumla

Umboneleli wakho wezempilo uya kukubuza malunga nembali yakho yezonyango kwaye wenze uvavanyo lomzimba. Olunye uvavanyo lunokubandakanya:

• X-reyi
• Ukuskena i-CT
• IMRI
• Ukuskena iPET

Ukuba umboneleli wakho ukrokrela umhlaza, unokuba ne-biopsy ukujonga umhlaza. Kwi-biopsy, umboneleli wakho uqokelela isampulu yethishu ukuyivavanya elebhu.

I-biopsy iya kubonisa ukuba ngaba umhlaza ukhona kwaye uncede ubonise ukuba ukhula ngokukhawuleza kangakanani. Umboneleli wakho unokucela iimvavanyo ezingaphezulu kwinqanaba lomhlaza. Isiteji sinokuxela ukuba ungakanani umhlaza okhoyo nokuba sele usasazekile.

Utyando lolona nyango luqhelekileyo lwe-STS.

• Kumanqanaba okuqala, kususwe ithumba kunye nezinye izicwili ezisempilweni.
• Ngamanye amaxesha, isixa esincinci sezicubu kufuneka sisuswe. Ngamanye amaxesha, indawo ebanzi yeethishu kufuneka isuswe.
• Ngomhlaza ophucukileyo owenza ingalo okanye umlenze, utyando lunokulandelwa yimitha okanye yichemotherapy. Rhoqo, ilungu elinokufuna ukuba linqunyulwe.

Unokuba ne-radiation okanye i-chemotherapy:

• Isetyenziswe ngaphambi kotyando ukunceda ukunciphisa ithumba ukwenza kube lula ukususa umhlaza
• Isetyenziswe emva kotyando ukubulala nayiphi na iseli yomhlaza eseleyo

I-Chemotherapy ingasetyenziselwa ukunceda ukubulala umhlaza osele ugqibile. Oku kuthetha ukuba sele isasazekile kwiindawo ezahlukeneyo zomzimba.

Umhlaza uchaphazela indlela oziva ngayo ngawe kunye nobomi bakho. Ungaluphelisa uxinzelelo lokugula ngokujoyina iqela lokuxhasa umhlaza. Ukwabelana nabanye abanamava afanayo kunye neengxaki kunokukunceda uzive ulilolo.

Buza umboneleli wakho ukuba akuncede ufumane iqela lenkxaso kubantu abaye bafumanisa ukuba bane-STS.

Imbonakalo yabantu abanesifo somhlaza iphathwa kwangoko intle kakhulu. Uninzi lwabantu abaphila iminyaka emi-5 banokulindela ukuba bangabinomdlavuza kwiminyaka eli-10.

Iingxaki zibandakanya iziphumo ebezingalindelekanga ezivela kotyando, ichemotherapy, okanye imitha.

Jonga umboneleli wakho malunga nalo naliphi na iqhuma elikhula ngokobukhulu okanye elibuhlungu.

Isizathu se-STS ezininzi asaziwa kwaye akukho ndlela yakusithintela. Ukwazi umngcipheko wakho kunye nokuxelela umboneleli wakho xa uqala ukubona iimpawu kunokunyusa amathuba akho okusinda kolu hlobo lomhlaza.

STS; Ilayomyosarcoma; Hemangiosarcoma; I-Kaparc’s sarcoma; Lymphangiosarcoma; I-synoomaal sarcoma; Neurofibrosarcoma; Liposarcoma; Fibrosarcoma; I-histiocytoma enobungozi; Dermatofibrosarcoma; I-Angiosarcoma

I-Contreras CM, iHeslin MJ. I-sarcoma yethishu ethambileyo. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 31.

Kwiwebhusayithi yeZiko loMhlaza weSizwe. Unyango lwe-sarcoma yabantu abadala ethambileyo (PDQ) -uhlobo lobungcali kwezempilo. www.cancer.gov/types/soft-tissue-sarcoma/hp/adult-soft-tissue-treatment-pdq#section/all. Ukuhlaziywa ngoJanuwari 15, 2021. Kufumaneka ngoFebruwari19, 2021.

UVan Tine BA. I-Sarcomas yethishu ethambileyo. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, ii-eds. I-Oncology yeklinikhi yase-Abeloff. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahluko 90.