Peritoneal carcinomatosis

Carcinomatosis - chotupa zilonda, amene amapereka metastases angapo ndi kukhala mu parenchyma kapena serous nembanemba limba. Mawu amenewa ntchito poyerekezera ndi matenda a nembanemba serous. kusintha imodzi mwa matenda ndi peritoneal carcinomatosis - woonda translucent serous Kakhungu kuphimba nkhope mkati ziwalo mkati ndi khoma m'mimba.

Carcinomatosis peritoneal M'mimbamo: matenda chithunzi

Childs, matenda limodzi ndi yaikulu serous effusion mu M'mimbamo, ndilo angapo kusinthitsa mapira, kuphatikiza ndi kupanga zotupa zazikulu. Mapangidwe matenda ankaikira mitundu yosiyanasiyana ya zotupa zilonda za dongosolo m'mimba monga chapamimba khansa, m'matumbo rectum, koma ambiri a chikuoneka khalidwe khansa yamchiberekero. Pamene kupeza khansa chapamimba, carcinomatosis ndi peritoneum silipita iye 30-40% ya milandu zikugwira ntchito matenda, ndipo ndi imodzi mwa ntchito zomwe chachikulu cha kufa kwa wodwala. Kupulumuka apakatikati wa odwalawo 5 miyezi, 34% recurrences resected kukhala payekha. Odwala khansa yamchiberekero pa nthawi ya chiphunzitso matenda mu 70% milandu kale peritoneal carcinomatosis.

Zizindikiro za carcinomatosis peritoneal

Waukulu zizindikiro kunja matenda monga: ululu m'mimba, ndi kuwonjezeka ake, kusanza ndi kuwonda.

Peritoneal carcinomatosis ndi matenda sekondale palokha limapezeka kawirikawiri. The matenda ambiri pulayimale ndi kumachitika ndi: adenocarcinoma za m'mimba, n'kuwasanganiza kapena kapamba. Komanso, zotupa peritoneal zimachitika khansa, sarcoma, zotupa carcinoid ndi lymphomas.

Umboni ndi matenda ikuchitika ndi kupeza lymphocytosis lochepa zabwino cytology, anatengedwa kusanthula ascites. Komanso, kuthekera la singano biopsy. Chithandizo cha matenda kwenikweni kwa matenda choyambirira. Pamaso pa mitundu akakufunsani za peritoneal carcinomatosis osauka madokotala ananena zawo. Ngati zotupa ali ndi malo osiyana, ndi khansa amakhudzidwa kwambiri ndi mankhwala amphamvu, mothandizidwa ndi opaleshoni kwakukulu kuchiza wodwala kwalephera.

Nthawi zambiri mu maziko a khansa ya m'mapapo, pleural Mesothelioma ndi khansa ya m'mawere akufotokozera m'mapapo carcinomatosis. Komanso chikhalidwe ichi bwino zimayamba ndi metastasize aliyense angathe kuti m'mapapo ndi pleura, chotupa.

zotupa zilonda za ziwalo, kuphatikizapo carcinomatosis peritoneal, ndi gulu la matenda aakulu, amene ankaona gwero mesothelia. Gulu la matenda amenewa ali m'gulu: peritoneal Mesothelioma, papillary serous Kakhungu ndi zapulaimale peritoneal adenocarcinoma. A malo ankakonda kutanthauzira a zotupa zilonda za m'mimba madera a zoyendayenda ndi kuchepetsa peristalsis matumbo.

Panopa, mankhwala carcinomatosis pamimba monga kuyesera anayesedwa njira zosiyanasiyana ano, zomwe zimagwiritsa ntchito wothandizila latsopano chemotherapeutic, angiogenesis zoletsa, immunotherapy ndi chitetezo ndi LAK-maselo radioimmunotherapy ntchito polymerase kuwalanditsa machitidwe jini antisense mankhwala ntchito tizilombo machitidwe kuwalanditsa . A malangizo zingamuthandize maphunziro amenewa ndi photodynamic mankhwala (PDT) monga njira wodziimira ndi osakaniza ndi mankhwala amphamvu ndi opaleshoni.