Peritoneal carcinomatosis

Carcinomatosis - ib tug kab mob qog hlav, uas muab ntau yam metastases thiab tsim nyob rau hauv lub parenchyma los yog ib tug serous week hloov khoom nruab nrog. Qhov no lub sij hawm yog siv nyob rau hauv kev sib raug zoo rau cov kab mob ntawm serous week. Ib variation ntawm tus kab mob no yog ib tug peritoneal carcinomatosis - nyias translucent serous membrane yuav tsum vov lub internal nto ntawm lub hauv nruab nrog cev thiab cov plab phab ntsa.

Carcinomatosis peritoneal kab noj hniav: soj ntsuam daim duab

Feem ntau, tus kab mob yog nrog los ntawm nws kim heev serous effusion nyob rau hauv cov kab noj hniav, uas yog ib tug ntau yam switching millet, hauj lwm ua ke thiab tsim loj hlav. Tsim kom muaj tus kab mob no raug ntawm ntau ntau yam ntawm phem hlav ntawm lub digestive system xws li pais plab mob cancer, nyuv thiab qhov quav, tiam sis feem ntau ntawm nws cov tsos yam ntxwv rau ntawm zes qe menyuam cancer. Thaum tebchaws pais plab mob cancer, carcinomatosis lub peritoneum nrog nws nyob rau hauv 30-40% ntawm cov neeg ntawm kev khiav hauj lwm cov kab mob, thiab yog ib tug ntawm lub ntsiab ua rau ntawm kev tuag ntawm cov neeg mob. Cov theem nrab ciaj sia taus ntawm cov neeg mob no yog 5 lub hlis, 34% ntawm cov resected recurrences tsim nyob rau hauv kev rho tawm. Cov neeg mob uas ntawm zes qe menyuam cancer thaum lub sij hawm ntawm mob formulation nyob rau hauv 70% ntawm cov neeg muaj twb peritoneal carcinomatosis.

Cov tsos mob ntawm peritoneal carcinomatosis

Lub ntsiab lwm cov tsos mob ntawm tus kab mob no muaj xws li: mob plab mog, thiab nws nce, ntuav, xeev siab thiab poob phaus.

Peritoneal carcinomatosis yog ib theem kab mob nyob rau hauv nws tus kheej zoo nkaus li heev tsis tshua muaj. Feem ntau thawj kab mob tiv thaiv uas nws tshwm sim yog: adenocarcinoma ntawm lub plab, zes qe menyuam los yog txiav. Nyob rau hauv tas li ntawd, peritoneal txhab tshwm sim nyob rau hauv leukemia, sarcoma, carcinoid hlav thiab lymphomas.

Pom ntawm qhov mob yog nqa tawm los ntawm tebchaws ntsis lymphocytosis thiab zoo cytology, coj rau kev tsom xam ascites. Nyob rau hauv tas li ntawd, cov tseem koob me. Kev kho mob ntawm tus kab mob yog hais feem ntau rau cov thawj kab mob. Nyob rau hauv lub xub ntiag ntawm diffuse ntaub ntawv ntawm peritoneal carcinomatosis pluag raug. Yog hais tias lub qhov txhab muaj ib cov chaw, thiab hom mob cancer yog rhiab heev rau cov kws khomob, nrog rau cov kev pab los ntawm radical phais kho tus neeg mob tsis.

Heev feem ntau nyob rau hauv lub keeb kwm yav dhau ntawm lub ntsws cancer, pleural Mesothelioma thiab ob lub mis mob cancer kev mob ntsws carcinomatosis. Tsis tas li ntawd tus mob no yuav tshwm sim los ntawm tej peev xwm metastasize rau mob ntsws thiab pleura, qog.

Phem txhab ntawm hauv nruab nrog cev, uas muaj xws li cov peritoneal carcinomatosis, yog ib tug pab pawg neeg mob cov kab mob, uas yog xam tau tias yog ib qhov chaw mesothelia. Cov pab pawg neeg ntawm cov kab mob no kuj muaj xws li: peritoneal Mesothelioma, papillary serous membrane thiab thawj peritoneal adenocarcinoma. Ib tug nyiam qhov chaw ntawm localization ntawm phem txhab ntawm lub plab mog yog cov chaw ntawm cov kev mus ncig thiab txo plab hnyuv peristalsis.

Tam sim no, rau kev kho mob carcinomatosis plab mog raws li xyaum ua tej yam kuaj ntau yam niaj hnub hom kev kawm, uas koom nrog cov kev siv ntawm cov tshiab chemotherapeutic agents, angiogenesis inhibitors, immunotherapy nrog tshuaj thiab Lak-hlwb radioimmunotherapy siv polymerase xa systems noob antisense txoj kev kho siv kab delivering tshuab . A pheej coj tej kev tshawb fawb yog photodynamic txoj kev kho (PDT) raws li raws li ib qho kev ywj txoj kev, thiab nyob rau hauv ua ke nrog nrog cov kws khomob thiab kev phais.