Adenocarcinoma m'mimba

Gastric adenocarcinoma ndi chotupa chachikulu chochokera ku glandular epithelium, chomwe chimapanga mapepala a papillary, tubular kapena acinar. Nthawi zina maselo amtundu amaoneka ngati chovala chamkati kapena m'mimba mwa epithelium. Nthaŵi zambiri, zosiyanasiyana zimatsimikiziridwa mu chikhalidwe chake cha matenda osiyanasiyana.

Adenocarcinoma ya m'mimba imaphatikizidwira m'gulu lalikulu la khansa ya mmimba. Izi zimaphatikizapo zotupa, zomwe zimadziwika ndi kutetezedwa mosiyana siyana - kupanga mphamvu zopanga mapepala. Gastric adenocarcinoma ali ndi zochepa zazing'onozi, zomwe nthawi zina zimakhala zovuta kudziwa.

Atypia ya maselo amagazi, monga lamulo, amakula malinga ndi kuchepa kwa luso la mapangidwe. Adenocarcinoma m'mimba nthawi zina samabala ntchentche. Mwina pangakhale phokoso laling'ono la ntchentche mu lumen ya glands kapena m'maofesi apulogalamu. Nthawi zina, adenocarcinoma ya m'mimba imaphatikizapo ndi kutchulidwa koti mumcosal secretion. Mu zotupa zoterezi zingakhale kunja kwa maselo (mu stroma) ndi kupanga "nyanja" (cavities) ndi maselo oyandama khansa (ophatikizidwa ngati mawonekedwe a glands kapena magulu). Mtundu uwu wa chitetezo, monga lamulo, umawonedwa ndi zosiyana kwambiri ndi ntchentche zam'mimba.

Mtundu wina wa kusungunuka ndikutengeka kwa maselo a khansa mu cytoplasm ya ntchentche. Panthaŵi imodzimodziyo, imayambitsa malo awo, ndi "maselo" a kansa. Mtundu uwu wachinsinsi ndi chikhalidwe cha zotupa zochepa. Nthaŵi zambiri, pali kuphatikiza kwa mankhwala osakaniza opanga ma piritsila.

Adenocarcinoma ikhoza kukhala tubular, papillary, mucous. Palinso khansa ya selo-selo.

Chotupa chokhacho chimakhala ndi maofesi ambirimbiri omwe ali ndi matalala ozunguliridwa ndizungulira kapena ozunguliridwa ndi fibrotic stroma. Maselo ammimba ali ndi cubic kapena mawonekedwe a makilogalamu, amatha kugwedezeka chifukwa cha kuwonjezeka kwa ziwalo zowonjezera za ntchentche.

Mapangidwe a papillary amaimiridwa ndi mbali zazifupi kapena zochepa zofanana ndi za epithelium zomwe zimakhala ndi zolimba. Nthaŵi zambiri, kumera kwa epithelium kumapezeka m'machubu kapena m'magulu amodzi monga mawonekedwe a papillae. Pazochitika zonsezi n'zotheka kudziwa kuphwanya kwathunthu kwa thunthu.

Chotupa cha mucosal chimadziwika ndi kusungidwa mumtundu wambiri wa ntchentche, zomwe, monga lamulo, zimawoneka ndi maso.

Adenocarcinoma m'mimba: mankhwala

Kusankhidwa kwa chithandizo kumachitika malinga ndi siteji ndi malo a mapangidwe otupa.

Nthawi zambiri zimakhudzana ndi moyo wa wodwalayo, kotero kuti opaleshoni am'chotseretu kuchotsa kwathunthu m'mimba kapena m'mimba ndi mimba (ngati chotupa chiri pamtunda wake). Ngati mapangidwewa ali m'bwalo la m'munsi, n'zotheka kusunga gawo lachitatu la limba.

Pofuna kupititsa patsogolo njira yothandizira opaleshoni komanso kuthekera kwa kuchiritsa wodwala, radiotherapy kapena chemotherapy maphunziro akhoza kuonjezeredwa pambuyo atatha. Malingana ndi zotsatira za maphunziro a zachipatala, radiotherapy (radiotherapy) ndi mankhwala a chemotherapy amachititsa kuti pakhale wodwala kuchiritsa komanso kuchepetsa kubwezeretsedwa kwa chotupa.

Gawo lachitatu (lachitatu) la khansa ya m'mimba limatha kuchiritsidwa ndi vuto lalikulu. Komabe, njira zothandizira ndizotheka. Zikatero, monga lamulo, mankhwala a chemotherapy amaperekedwa.