Squamous carcinoma ntawm lub ncauj tsev menyuam: raug, kev kho mob

Raws li statistics, ncauj tsev menyuam neoplasia (CIN), piv txwv li mob cancer, yog ib tug thawj coj nyob rau hauv tus qauv ntawm cov mob cancer. Feem ntau cov feem ntau, tus degeneration ntawm cov ntaub so ntswg qub nyob rau hauv lub qog yog pom nyob rau hauv lub ncauj tsev menyuam. Qhov no yog vim lub epithelium. Vim hais tias squamous carcinoma ntawm lub ncauj tsev menyuam yog hais txog cov ntaub ntawv ntawm cov mob cancer kab mob, kev nws kuaj pom thaum ntxov. Nrog lub advent ntawm tshwj xeeb kuaj cov kev pab cuam muaj peev xwm yuav nrhiav tau tsis tsuas yog nyob rau thawj zaug theem ntawm lub qog, tab sis kuj lub xeev ua ntej atypia. Early mob thiab kev kho mob ntawm ncauj tsev menyuam ua rau nws tau mus cawm ib tug ntau ntawm cov poj niam. Yog li ntawd pathology forecast rau hnub no yog tsawg disastrous.

Squamous carcinoma ntawm lub ncauj tsev menyuam - yog dab tsi?

Lub tsev me nyuam mob cancer yog pom tias yuav tsum muaj ib tug kub lub ntsiab lus tsis tau tsuas yog rau cov kws kho mob, tab sis kuj rau txhua txhua tus poj niam. Txij li thaum pib active kev tiv thaiv ntawm tus kab mob thiab nws tus mob, pib paub txog qhov enormous scale ntawm tus kab mob no. Feem ntau tus mob cancer tsev me nyuam squamous. Qhov no hom ntawm qog paub tias atypical ntsiab tshwm sim los ntawm tsis paub qab hau multilayered epithelium uas kab lub ectocervix. Nyob rau hauv lwm yam lus, qhov no hom ntawm cancer yog nyob rau hauv lub qhov chaw uas lub ncauj tsev menyuam nkag mus rau hauv qhov chaw mos.

Nyob rau hauv hnub no lub ntiaj teb no tus kab mob no muaj feem xyuam rau ib qho ntawm feem ntau oncological pathologies. Ektotserviksa cov xwm txheej ntawm cancer yog 15 ntawm 100,000 tus pejxeem. Dua li ntawm qhov ib xyoos ib zaug nce nyob rau hauv lub neej no los ntawm tus kab mob no, tus kab mob raug nyhav los txhim kho. Yog hais tias ua ntej lawm cov mob cancer yog squamous lub tsev me nyuam thiaj paub hais tias yog nyob rau hauv lub xeem rau theem ntawm cov kev kho mob yog tam sim no pib lwm txij li thaum ib zaug nyob predisposing yam.

Zoo li tag nrho cov gynecological cancer kab mob, ncauj tsev menyuam neoplasia ntev lub sij hawm twb tsis muaj kev soj ntsuam ces. Nws yog yog li ntawd ib qho tseem ceeb them sai sai mus rau lub slightest kev hloov tshwm sim nyob rau hauv lub cev, raws li zoo raws li periodic ntsib mus rau lub gynecologist.

Ua rau lub tsev me nyuam mob cancer

Cov tsos ntawm squamous neoplasia txuam nrog sib txawv etiological yam. Nyob rau hauv kev no siv rau kev ua txhaum ntawm lub endocrine system. Nws yog ntseeg hais tias muaj yog ib tug ncaj qha kev sib raug zoo ntawm gynecological cancer pathology thiab hormonal lub xeev ntawm cov poj niam lub cev. Feem ntau cov nrhiav kom tau ntawm ncauj tsev menyuam yog ib qho kev nce rau hauv cov tshuaj no ntau. Cov tshuaj hormones yog ua los ntawm lub zes qe menyuam. Nce los yog yuav txo tau lawv theem yog tswj los ntawm cov hypothalamus. Muab qhov kev sib raug zoo ntawm tus kab mob nrog endocrine ntshawv siab, lub nram qab no yog paub ua lub tsev me nyuam mob cancer poppies:

1. Long-term siv contraceptives. Feem ntau cov contraceptives yog muaj li ntawm estrogens. Yog li ntawd, nyob rau hauv lub siv ntawm COCs yog tsim nyog los ntawm lub sij hawm rau lub sij hawm mus ntsib ib tug kws kho mob los mus txiav txim rau cov theem ntawm cov tshuaj hormones.
2. Kev kho mob nrog "tamoxifen" thiab nws cov analogues. Lub medicament siv nyob rau hauv cov kev kho mob cancer ntawm lub mis. Cuaj kaum, cov tshuaj yuav tsum tau siv nrog huab ceev faj, txij li thaum nws tseem yog ib tug lawm.
3. thyroid (hypothyroidism), rog thiab cov kab mob. Cov xeev kuj pab mus rau theem ntawm cov tshuaj no thiab cov kev loj hlob ntawm lub tsev me nyuam mob cancer.

Nyob rau hauv tas li ntawd, muaj lwm yam pab yam. Cov lawv: mob qhov chaw mos mob, rho menyuam, ib tug loj tus naj npawb ntawm me nyuam thiab yug me nyuam, thiab lawv tsis tiav qhaj ntawv. Lub tsev me nyuam squamous cell carcinoma feem ntau tshwm sim tiv thaiv ib tug tom qab ntawm pathologies xws li polyps, yaig, leukopenia thiab erythroplakia dysplasia. Nyob rau hauv xyoo tsis ntev los, tus kab mob txuam nrog HPV hom 16 thiab 18. Cov soj ntsuam ntawm los rau hauv lub xaus, vim hais tias qhov no yav yog pom nyob rau hauv yuav luag tag nrho cov neeg kev txom nyem los ntawm lub tsev me nyuam neoplasia.

Hom ntawm squamous cell carcinoma

Muab qhov xwm ntawm tus epithelial hlwb uas yauv atypia, qhia ob peb hom ncauj tsev menyuam neoplasia:

1. Adenocarcinoma. Qhov no hom yog tsis tshua muaj heev lwm tus.
2. Keratinizing squamous carcinoma ntawm lub ncauj tsev menyuam. Tsiag ntawv los ntawm tsim ntawm keratin granules rau epithelial nto. Diagnostic feature ntawm tus kab mob no yog suav hais tias "cancer pearls." Smears varied nyob rau hauv tsos, loj jagged hlwb.
3. Tsis tshua muaj qib qog. Nws yog tsis yooj yim sua los mus txiav txim uas cellular ntsiab tau undergone atypia. Qhov no embodiment yog li no unfavorable.
4. Neorogovevayuschy squamous lub tsev me nyuam mob cancer. Yus muaj los ntawm ib tug tsis muaj keratin. Lub smear pom loj kheej kheej lub cev uas muaj eosinophilic cytoplasm.

Lub degree ntawm ncauj tsev menyuam neoplasia

Thaum nrhiav kom tau ntawm neoplasia (CIN) yog tsim nyog los ua kev cai ib daim ntawv ntsuam xyuas kom paub seb cov twg nws kis. Xav txoj kev loj hlob ntawm atypical hlwb, 4 theem kab mob. Lub division rau hauv degrees tso cai rau koj mus xaiv kom tsim nyog kev kho mob thiab txiav txim seb raug. Theem 0 hais txog rau cov uas tsis yog-tus mob cancer, uas yog, qhov txawv txav hlwb yog muaj nyob rau ntawm qhov chaw ntawm lub epithelium, tab sis ho tsis txeem mus rau hauv sab hauv ntawm lub tsev me nyuam cov ntaub so ntswg. Thawj degree - mob prorosla tob ob peb hli. Los ntawm qhov no yog meant tias lub tsim tus squamous cell lub tsev me nyuam mob cancer, mus tshaj cov kev txwv ntawm lub cev. Nyob rau hauv lub thib ob theem neoplasia ncua mus rau parameter los yog sab qaum kev ib ntawm qhov chaw mos. Qhov thib peb degree yog tsiag ntawv los ntawm cov tsos ntawm cov mob cancer hlwb nyob rau hauv lub phab ntsa ntawm lub plab mog. Tsis tas li ntawd yeej raug tus sab ib feem ntawm qhov chaw mos, lub regional lymph node. Nyob rau hauv kauj ruam 4 nyaij mus rau ib tug mob zais zis los sis txoj hnyuv. Muaj nyob deb metastases.

Cov soj ntsuam daim duab ntawm lub tsev me nyuam mob cancer

Xav hais tias nws CIN nyuaj, raws li nws yog yuav luag tsis muaj cov yam ntxwv nta. Chiv, cancer tsis tshwm sim los yog muaj cov tsos mob xws li lus ua poj niam, mob nyob rau hauv lub plab mog thiab sab nraum qab, ntshiab tawm hauv qhov chaw mos. Ib tug yam ntxwv feature ntawm kev sib cuag tau xav hais tias los ntshav uas yog tshwm sim thaum lub sij hawm kev com. Tom qab ntawd cov tsos mob pom tias sab extremity edema, tsawg-qib kub ib ce. Thaum kawg theem ntawm ntaus cim poob phaus, tsis muaj zog, tsis qab los noj mov thiab o cov qog ntshav hauv nyob rau hauv lub puab tais.

Mob ntawm squamous cell lub tsev me nyuam mob cancer

Qhia txog squamous cell carcinoma yog nqa raws li cov ntaub ntawv ntawm kev tsis txaus siab, raws li tau zoo raws li kev soj ntsuam kuaj. Nws yog ib tug tshwj xeeb tsom xam, uas yog coj kua ntswg ntawm lub chaw mos thiab ncauj tsev me nyuam (PAP-test). Nrog rau qhov no txoj kev nws yog ua tau los mus txiav txim tsis tau tsuas yog mob cancer, tab sis kuj dysplasia - me me kev hloov nyob rau hauv lub cellular muaj pes tsawg leeg. Thaum equivocal colposcopy yog tau siv acetic acid thiab iodine (kom paub tias tej yam txawv qhov chaw ntawm lub epithelium). Yog hais tias cancer yog xav tias, ib tug me ntawm lub ncauj tsev menyuam uas yuav tsum tau. Lwm txoj kev tshawb no yog rau kev tsom xam qhov kev txiav txim ntawm HPV.

Lub tsev me nyuam mob cancer kho mob

squamous lub tsev me nyuam mob cancer kho mob muaj xws li kev phais tshem tawm ntawm lub qog, cov kws khomob thiab tawg txoj kev kho. Lub volume ntawm kev phais nyob ntawm lub sam thiaj, raws li zoo raws li lub hnub nyoog ntawm tus neeg mob. Thaum uas tsis yog-tus neoplasia, los yog 1 degree siv hysterectomy, tawm hauv lub zes qe menyuam. Qhov no lub lag luam yog muaj cov neeg mob uas muaj peev xwm ntawm conception. Yog hais tias tus neeg mob yog nyob rau hauv lawm, ces ua ib hysterectomy, tshem tawm ntawm appendages thiab ntau dua omentum. Xws li ib tug ntim lag luam yuav tsum tau vim hais tias ntawm qhov tseeb hais tias muaj yog ib tug uas yuav ntawm metastasis los yog mob tsis tshua mob heev. Kuj pom rau txoj kev kho nrog hormonal agents. Nyob rau hauv lub xeem kauj ruam yog nqa tawm tsuas symptomatic kev kho mob.

Squamous lub tsev me nyuam mob cancer: raug

Txawm tias lub siab lub neej no tus nqi, rov qab yog tau. Qhov no siv rau cov neeg mob uas neoplasia, thiaj paub hais tias nyob rau hauv thaum ntxov ua sawv. Tsib-xyoo ciaj sia taus tus nqi tom qab kev kho mob feem ntau 55%. Index hloov vim mob theem (ntawm 1 degree yog 78%, nrog 4 - 7.8%).

Kev tiv thaiv kom tsis txhob muaj mob cancer

Lub ntsiab tiv thaiv kev ntsuas yog mus xyuas lub gynecologist tsawg kawg yog 1 lub sij hawm ib xyoos twg. Nws tseem ceeb heev nyob rau hauv lub sij hawm los kho qhov chaw mos mob, tsis txhob siv neej qhov ncauj contraceptives rau ntau tshaj 5 xyoo, tseg seb puas muaj tus qib ntawm cov tshuaj hormones. Nyob rau hauv lub xub ntiag ntawm predisposing yam (lub tsev me nyuam yaig, polyp, leukoplakia) yuav tsum yauv mus ua colposcopy. Nyob rau hauv lub neej yav tom ntej, tus kws kho mob yuav txiav txim siab nyob rau hauv cov kev kho mob ntawm tom qab cov kab mob. Nyob rau hauv xyoo tsis ntev los, nws tsim kev tiv thaiv ntawm lub tsev me nyuam mob cancer - txhaj tshuaj tiv thaiv aimed ntawm HPV hom 16 thiab 18. Nws yog nyob rau hauv thaum tiav hluas. Ua ntej txhaj tshuaj tiv thaiv, koj yuav tsum tham nrog koj tus kws kho mob.