Sarcoma ea lisele tsa batho ba baholo

Soft tissue sarcoma (STS) ke mofetše o hlahang meleng e bonolo ea 'mele. Lisele tse bonolo li hokela, li tšehetsa kapa li lika-liketsa likarolo tse ling tsa 'mele. Ho batho ba baholo, STS ha e fumanehe hangata.

Ho na le mefuta e mengata e fapaneng ea mofetše oa linama tse bonolo. Mofuta oa sarcoma o ipapisitse le lisele tseo e li etsang ka:

• Mesifa
• Litendon
• Mafura
• Methapo ea mali
• Likepe tsa Lymph
• Metsing
• Lisele tsa manonyeletso le likarolo tse haufi

Kankere e ka hlaha kae kapa kae, empa e atile haholo ho:

• Hlooho
• Molala
• Lihlomo
• Maoto
• Kutu
• Mpa

Ha ho tsejoe hore na lisarcomas tse ngata li bakoa ke eng. Empa ho na le mabaka a mang a kotsi:

• Tse ling tsa mafu a futsitsoeng, joalo ka lefu la Li-Fraumeni
• Phekolo ea mahlaseli a kankere e meng
• Ho ipapisa le lik'hemik'hale tse ling, tse kang vinyl chloride kapa likokoana-hloko tse itseng
• Ho ba le ho ruruha matsohong kapa maotong nako e telele (lymphedema)

Qalong, hangata ha ho na matšoao. Ha mofetše o ntse o hola, o ka baka hlama kapa ho ruruha ho tsoelang pele ho hola ha nako e ntse e tsamaea. Boholo ba makhopho HA SE kankere.

Matšoao a mang a kenyelletsa:

• Bohloko, haeba bo hatella methapong, setho, methapo ea mali kapa mesifa
• Thibelo kapa ho tsoa mali ka mpeng kapa mala
• Mathata a phefumolohang

Mofani oa hao oa tlhokomelo ea bophelo o tla u botsa ka nalane ea hau ea bongaka mme a etse tlhahlobo ea 'mele. Liteko tse ling li ka kenyelletsa:

• Li-X-ray
• CT scan
• MRI
• Scan ea PET

Haeba mofani oa hau a belaella kankere, o kanna oa ba le biopsy ho hlahloba mofetše. Ka biopsy, mofani oa hau o bokella sampole ea lisele ho e hlahloba ka laborateng.

Biopsy e tla bonts'a hore na mofetše o teng ebe e thusa ho bonts'a hore na e hola kapele hakae. Mofani oa hau a ka kopa liteko tse ling ho hlahisa mofetše. Staging e ka bolela hore na mofetše o kae le hore na o hasane.

Phekolo ke kalafo e atileng haholo ho STS.

• Qalong, hlahala le lisele tse phetseng hantle li a tlosoa.
• Ka linako tse ling, lisele tse nyane feela li hloka ho tlosoa. Ka linako tse ling, sebaka se pharaletseng sa lisele se tlameha ho tlosoa.
• Ka mofetše o tsoetseng pele o hlahang letsohong kapa leotong, ho buuoa ho ka lateloa ke radiation kapa chemotherapy. Ke ka seoelo leoto le ka hlokang ho khaoloa.

Hape o kanna oa ba le radiation kapa chemotherapy:

• E sebelisoa pele ho ts'ebetso ho thusa ho fokotsa hlahala ho etsa hore ho be bonolo ho tlosa mofetše
• E sebelisoa kamora ho buuoa ho bolaea lisele tsa mofets'e tse setseng

Chemotherapy e ka sebelisoa ho thusa ho bolaea mofets'e o nang le metastasized. Sena se bolela hore e nametse libakeng tse fapaneng tsa 'mele.

Kankere e ama maikutlo a hau ka uena le bophelo ba hau. U ka fokotsa khatello ea maikutlo ea bokuli ka ho kenela sehlopha sa ts'ehetso ea mofets'e. Ho arolelana le ba bang ba bileng le liphihlelo le mathata a tšoanang ho ka u thusa hore u ikutloe u le mong.

Kopa mofani oa thepa ea hau ho u thusa ho fumana sehlopha sa ts'ehetso bakeng sa batho ba fumanoeng ba na le STS.

Pono ea batho bao kankere ea bona e alafshoang kapele e ntle haholo. Boholo ba batho ba pholohang lilemo tse 5 ba ka lebella ho hloka kankere nakong ea lilemo tse 10.

Mathata a kenyelletsa litla-morao tsa ho buuoa, chemotherapy, kapa radiation.

Bona mofani oa hau mabapi le kotola efe kapa efe e holang ka boholo kapa e bohloko.

Lebaka la boholo ba li-STS ha le tsejoe ebile ha ho na mokhoa oa ho le thibela. Ho tseba maemo a hau a kotsi le ho bolella mofani oa hau ha u qala ho bona matšoao ho ka eketsa menyetla ea ho pholoha mofetše oa mofuta ona.

STS; Leiomyosarcoma; Hemangiosarcoma; Sarcoma ea Kaposi; Lymphangiosarcoma; Snooma ea synovial; Neurofibrosarcoma; Liposarcoma; Fibrosarcoma; Histiocytoma e kotsi; Dermatofibrosarcoma; Angiosarcoma

Contreras CM, Heslin MJ. Sarcoma e bonolo. 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 31.

Webosaete ea National Cancer Institute. Kalafo ea batho ba baholo e bonolo ea kalafo ea sarcoma (PDQ) - mofuta oa litsebi tsa bophelo bo botle. www.cancer.gov/types/soft-tissue-sarcoma/hp/adult-soft-tissue-treatment-pdq#section/all. E ntlafalitsoe ka la 15 Pherekhong 2021. E fihlile ka la 19 Hlakola, 2021.

Van Tine BA. Li-Sarcomas tsa lisele tse bonolo. Ka: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, bahlophisi. Abeloff's Clinical Oncology. La 6th. Philadelphia, PA: Elsevier; 2020: khaolo ea 90.