Kankere ea letlalo la squamous

Kankere ea squamous cell ke mofuta oa bobeli oa kankere o tsebahalang haholo United States.

Mefuta e meng e tloaelehileng ea mofetše oa letlalo ke:

• Kankere ea basal cell
• Melanoma

Kankere ea letlalo la squamous e ama letlalo, letlalo le kaholimo.

Kankere ea lisele tsa squamous e ka hlaha letlalong le sa senyeheng. E ka hlaha hape letlalong le lemetseng kapa le ruruhileng. Mefuta e mengata ea mofetše oa lisele tsa squamous e hlaha letlalong le pepesetsoang ke letsatsi kapa mahlaseli a mang a mahlaseli a kotsi.

Mofuta oa pele oa mofets'e oa squamous cell o bitsoa Bowen disease (kapa squamous cell carcinoma in situ). Mofuta ona ha o namele lisele tse haufi, hobane o ntse o le karolong e ka ntle ea letlalo.

Actinic keratosis ke leqeba la letlalo le ka pele le ka fetohang kankere ea lisele tsa squamous. (Leqeba ke sebaka se nang le bothata letlalong.)

Keratoacanthoma ke mofuta o bonolo oa mofetše oa sele o holang ka potlako.

Likotsi tsa mofetše oa lisele tsa squamous li kenyelletsa:

• Ho ba le letlalo le 'mala o khanyang, mahlo a maputsoa kapa a botala, kapa moriri o mosootho kapa o mofubelu.
• Nako e telele, letsatsi le letsatsi (joalo ka batho ba sebetsang kantle).
• Boholo ba ho chesoa ke letsatsi qalong ea bophelo.
• Botsofali.
• Ho ba le x-ray e ngata.
• Ho hlahisa lik'hemik'hale, tse kang arsenic.
• Sesole sa 'mele se fokolisitsoeng, haholoholo ho batho ba kentseng setho.

Kankere ea squamous cell hangata e hlaha sefahlehong, litsebeng, molaleng, matsohong kapa matsohong. E ka etsahala libakeng tse ling.

Letšoao le ka sehloohong ke bump e hōlang e kanna ea ba le bokaholimo bo bobebe, bo makhakhapha le matheba a mafubelu a bataletseng.

Foromo ea pele-pele (squamous cell carcinoma in situ) e ka hlaha e le sekhechana se khubelu, se khubelu le se sefubelu se seholo se ka bang kholo ho feta lisenthimithara tse 2,5.

Leqeba le sa foleng e ka ba sesupo sa mofetše oa lisele tsa squamous. Phetoho efe kapa efe nthong e teng, mole, kapa letlalo le leng e ka ba sesupo sa mofetše oa letlalo.

Ngaka ea hau e tla hlahloba letlalo la hau le ho sheba boholo, sebōpeho, 'mala le ponahalo ea libaka tse belaetsang.

Haeba ngaka ea hau e nahana hore o kanna oa ba le mofetše oa letlalo, karolo ea letlalo e tla tlosoa. Sena se bitsoa biopsy ea letlalo. Sampole e romelloa labong ho ea hlahlojoa ka microscope.

Ho tlameha ho etsoa biopsy ea letlalo ho netefatsa mofetše oa letlalo la squamous kapa mofetše oa letlalo.

Kalafo e ipapisitse le boholo le sebaka sa mofetše oa letlalo, hore na o namme hakae, le bophelo ba hau ka kakaretso. Mefuta e meng ea mofetše oa letlalo la squamous ho ka ba thata ho e phekola.

Kalafo e ka kenyelletsa:

• Excision: Ho seha mofets'e oa letlalo le ho kopanya letlalo hammoho.
• Pheko le motlakase: Ho hlakola lisele tsa mofets'e le ho sebelisa motlakase ho bolaea tse setseng. E sebelisetsoa ho alafa mofetše o seng o moholo haholo kapa o tebileng.
• Cryosurgery: Ho hatsetsa lisele tsa mofetše tse li bolaeang. Sena se sebelisetsoa mofets'e o monyane hape o ikhethileng (eseng o tebileng haholo).
• Meriana: Litlolo tsa letlalo tse nang le imiquimod kapa 5-fluorouracil bakeng sa mofets'e oa squamous cell feela.
• Ho buuoa ke Mohs: Ho tlosa letlalo 'me u le shebe hang-hang ka tlas'a microscope, ebe u tlosa letlalo ho fihlela ho se na matšoao a kankere, hangata a sebelisetsoang kankere ea letlalo ka nko, litsebeng le libakeng tse ling tsa sefahleho.
• Phekolo ea Photodynamic: Kalafo e sebelisang khanya e ka sebelisoa ho alafa mofetše o ka ntle.
• Phekolo ea radiation: e ka sebelisoa haeba mofets'e oa squamous cell o nametse lithong kapa lymph node kapa haeba mofets'e o ke ke oa phekoloa ka ho buuoa.

U ka fokotsa khatello ea maikutlo ea bokuli ka ho kenela sehlopha sa ts'ehetso ea mofets'e. Ho arolelana le ba bang ba nang le liphihlelo tse tšoanang le mathata ho ka u thusa hore u se ke ua ikutloa u le mong.

Hore na motho o sebetsa hantle hakae ho latela lintho tse ngata, ho kenyeletsoa le hore na mofetše o fumanoe kapele hakae, hore na o hokae, le hore na o na le sesole sa 'mele se fokolang kapa che. Bongata ba mofetše ona oa phekoloa ha o phekoloa kapele.

Mefuta e meng ea mofetše oa lisele tsa squamous e ka khutla. Ho boetse ho na le kotsi ea hore mofetše oa letlalo la squamous letlalo o ka namela likarolong tse ling tsa 'mele.

Bitsa kopano le mofani oa tlhokomelo ea bophelo haeba u na le leqeba kapa letheba letlalong le fetohang ho:

• Ponahalo
• Mala
• Boholo
• Metsoako

Bitsa mofani oa hau haeba letheba le ba bohloko kapa le ruruha kapa le qala ho tsoa mali kapa ho hlohlona.

American Cancer Society e khothaletsa mofani hore a hlahlobe letlalo la hau selemo se seng le se seng haeba o le lilemo tse fetang 40 le lilemo tse ling le tse ling tse 3 haeba o le lilemo li 20 ho isa ho 40. Haeba u kile ua ba le mofetše oa letlalo, u lokela ho ea tlhahlobong khafetsa e le hore ngaka e hlahlobe letlalo la hao.

U lokela ho itlhahloba letlalo hang ka khoeli. Sebelisa seipone sa letsoho bakeng sa libaka tseo ho leng thata ho li bona.Bitsa ngaka ea hau haeba u hlokomela ntho efe kapa efe e sa tloaelehang.

Mokhoa o motle oa ho thibela mofetše oa letlalo ke ho fokotsa ho pepesehela khanya ea letsatsi. Kamehla sebelisa setlolo se sireletsang letlalo letsatsing:

• Sebelisa setlolo se sireletsang letlalo letsatsing ka tšireletso ea letsatsi (SPF) ea bonyane 30, leha o ea kantle ka nakoana.
• Sebelisa setlolo se sireletsang letlalo letsatsing libakeng tsohle tse pepesitsoeng, ho kenyeletsoa le litsebe le maoto.
• Batla setlolo se sireletsang letlalo letsatsing se thibelang khanya ea UVA le UVB ka bobeli.
• Sebelisa setlolo se sireletsang metsi se sireletsang metsi letsatsing.
• Sebelisa setlolo se sireletsang letlalo letsatsing bonyane metsotso e 30 pele u tsoa. Latela litaelo tsa liphutheloana mabapi le ho etsa kopo makhetlo a mangata. Etsa bonnete ba ho etsa kopo hape kamora ho sesa kapa ho fufuleloa.
• Sebelisa setlolo se sireletsang letlalo letsatsing mariha le matsatsing a koahetsoeng ke maru hape.

Mehato e meng ea ho u thusa ho qoba ho pepesehela letsatsi haholo:

• Leseli la ultraviolet le matla haholo lipakeng tsa hora ea leshome le hora ea bone thapama. Kahoo leka ho qoba letsatsi nakong ea lihora tsena.
• Sireletsa letlalo ka ho roala likatiba tse sephara, lihempe tse matsoho a malelele, mese e melelele kapa borikhoe. U ka reka liaparo tse sireletsang letsatsi.
• Qoba bokaholimo bo khanyang haholoanyane, joalo ka metsi, lehlabathe, konkreite le libaka tse pentiloeng bosoeu.
• Ha bophahamo bo phahame, letlalo la hao le chesa kapele.
• Se ke oa sebelisa mabone a letsatsi le libethe tsa letlalo. Ho qeta metsotso e 15 ho isa ho e 20 u salon ho le kotsi joaloka letsatsi leo u le qetileng u le letsatsing.

Kankere - letlalo - squamous sele; Kankere ea letlalo - squamous cell; Kankere ea letlalo ea Nonmelanoma - sele e squamous; NMSC - sele e squamous; Kankere ea letlalo la squamous cell; Squamous cell carcinoma ea letlalo

• Lefu la Bowen letsohong
• Keratoacanthoma
• Keratoacanthoma
• Kankere ea letlalo, squamous cell - haufi
• Kankere ea letlalo - squamous cell matsohong
• Squamous cell carcinoma - e hlasela
• Cheilitis - sebapali
• Kankere ea squamous cell

Habif TP. Lihlahala tsa letlalo tsa nonmelanoma tse mpe le tse kotsi. Ka: Habif TP, e hlophisitsoeng. Clinical Dermatology: Tataiso ea Mmala ho Phumano le Phekolo. La 6th. Philadelphia, PA: Elsevier; 2016: khaolo ea 21.

Webosaete ea National Cancer Institute. Kalafo ea mofets'e oa letlalo (PDQ®) - Health Professional Version. www.cancer.gov/types/skin/hp/skin-treatment-pdq#section/_222. E ntlafalitsoe ka la 17 Tšitoe 2019. E fihlile ka la 24 Pherekhong 2020.

Webosaete ea National Comprehensive Cancer Network. Litaelo tsa NCCN Clinical Practice in Oncology (NCCN Guidelines): Basal cell cancer. Mofuta oa 1.2020. www.nccn.org/professionals/physician_gls/pdf/nmsc.pdf. E ntlafalitsoe ka la 24 Mphalane, 2019. E fihlile ka la 24 Pherekhong 2020.

Sesole sa Ts'ireletso sa US, Bibbins-Domingo K, Grossman DC, et al. Ho hlahloba kankere ea letlalo: Polelo ea khothaletso ea Sesole sa Ts'ireletso ea US. JAMA. 2016; 316: (4) 429-435. PMID: 27458948 www.ncbi.nlm.nih.gov/pubmed/27458948.