Teratoma e kotsi ea mediastinum

Teratoma ke mofuta oa mofets'e o nang le karolo e le 'ngoe kapa tse' maloa tsa lisele tse fumanoeng lesea le ntseng le hola. Lisele tsena li bitsoa lisele tsa kokoana-hloko. Teratoma ke mofuta o mong oa hlahala ea sele ea kokoana-hloko.

Mediastinum e kahare ho sefuba se sebakeng se arohanyang matšoafo. Pelo, methapo e meholo ea mali, lephaka, thymus gland, le 'metso li fumanoa moo.

Malignant mediastinal teratoma e etsahala khafetsa ho bahlankana ba lilemong tsa bo-20 kapa 30. Matšoao a mangata a kotsi a ka hasana hohle 'meleng,' me a se a nametse nakong ea tlhahlobo.

Kankere ea mali hangata e amahanngoa le hlahala ena, ho kenyelletsa:

• Lefuemia e matla ea 'mele (AML)
• Myelodysplastic syndromes (sehlopha sa mathata a moko oa masapo)

Matšoao a ka kenyelletsa:

• Bohloko ba sefubeng kapa khatello
• Khohlela
• Mokhathala
• Bokhoni bo fokolang ba ho mamella boikoetliso
• Phefumoloho e khutšoanyane

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a botse ka matšoao. Tlhahlobo e ka senola ho thijoa ha methapo e kenang bohareng ba sefuba ka lebaka la khatello e eketsehileng sebakeng sa sefuba.

Liteko tse latelang li thusa ho fumana hlahala:

• X-ray sefubeng
• CT, MRI, PET e lekola sefuba, mpa le noka
• Litšoantšo tsa nyutlelie
• Liteko tsa mali ho hlahloba beta-HCG, alpha fetoprotein (AFP), le lactate dehydrogenase (LDH)
• Mediastinoscopy le biopsy

Chemotherapy e sebelisetsoa ho phekola hlahala. Motsoako oa meriana (hangata cisplatin, etoposide, le bleomycin) e sebelisoa hangata.

Kamora chemotherapy e phethehile, litlhahlobo tsa CT li nkuoa hape ho bona hore na ho na le hlahala e setseng. Phekolo e ka buelloa haeba ho na le kotsi ea hore mofetše o ka hola hape sebakeng seo kapa haeba mofetše o fehle o tlohetsoe.

Ho na le lihlopha tse ngata tsa tšehetso tse fumanehang bakeng sa batho ba nang le mofetše. Ikopanye le American Cancer Society - www.cancer.org.

Ponahalo e latela boholo ba hlahala le sebaka le lilemo tsa mokuli.

Kankere e ka namela 'meleng oohle mme ho ka ba le mathata a ho buuoa kapa a amanang le chemotherapy.

Bitsa mofani oa hau haeba u e-na le matšoao a teratoma e kotsi.

Dermoid cyst - e kotsi; Hlahala ea seleng ea likokoana le metso e mehlano - teratoma; Immatatatoma; Li-GCT - teratoma; Teratoma - extragonadal

• Teratoma - Sesebelisoa sa MRI
• Teratoma e kotsi

Cheng GS, Varghese TK, Phakeng DR. Lihlahala tse mahareng le li-cysts. Ka: Broaddus VC, Mason RJ, Ernst JD, et al, li-eds. Buka ea Bongaka ea Phefumoloho ea Murray le Nadel. La 6th. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 83.

Putnam JB. Lung, lebota la sefuba, pleura le mediastinum. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Buka ea Sabiston ea Ngaka ea ho Buoa. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 57.