Pancoast Cancer: akpatara, Mgbaàmà, Diagnosis na Ọgwụgwọ

Pancoast cancer - cancer na-metụtara nanị akụkụ ụfọdụ na elu uzo nke akpa ume. Site ya mgbaàmà yiri ụkwara nta, etuto, echinococcus, oyi baa, benign etuto ahụ na ndị ọzọ na pathologies.

Aha Pancoast etuto ahụ natara na nnọchite nke radiologist Henry K. Pancoast. Ọ bụ nke mbụ na nke ibe ya kọwara ọrịa na zuru ezu. Nke a mere na 1924.

Na mgbakwunye na ọrịa ọjọọ, yiri mgbaàmà nwere ike ime ka ụfọdụ mkpali oria na cancer, na-metụtara nanị akụkụ ụfọdụ na-ahụ n'elu nke akpa ume. Nke a na onu na-akpọ Pancoast syndrome.

The ịdị ngwa nke nsogbu Pancoast cancer bụ ike nke n'oge nchoputa na ya n'uche kpọmkwem ọnọdụ nke akpụ, mechiri emechi ọkpụkpụ Ọdịdị. Ọbụna na-enyemaka nke x-ụzarị rụrụ na ihe ndị kasị elu oncology clinics ná mmalite nkebi ọ bụghị mgbe niile kwere omume ngwa ngwa mata ọrịa.

Mere n'elu nke ọrịa cancer akpa ume

Ke ofụri ofụri, omume nke cancer Pancoast emetụta otu ihe mere dị ka ndị ọzọ ọrịa cancer akpa ume na ụdị. Gịnị bụ nke a? Isi ihe mere maka ya pụta ìhè bụ ndị na-abụghị ise siga: ifịk ma ọ bụ n'ezinụlọ. The ọrụ dị mkpa na-egwuri site na ọnụ ọgụgụ nke sịga na-ese siga kwa ụbọchị, àgwà nke na-emepụta sịga na-eji, na mkpokọta ahụmahụ nke ise siga. Ọ ga-kwuru na ọ bụrụ na nke odida nke ihe riri mmadụ na-abịa nke si n'ihe ize ndụ mpaghara nanị mgbe afọ iri.

Ịbịa a ọrịa nwere ike na-ndị na-adịghị ata ahụhụ site na a ahuhu n'ihi na ise siga. Pasent imeri cancer Pancoast n'ezinụlọ na-ese siga enwekwu na 1,7-2 ugboro. Ihe ize ndụ otu na-agụnye ụmụ na-eto eto na ndị mụrụ anya na-aṅụ sịga n'iru ha. -Aṅụ sịga na 85% nke ikpe ihe na-akpata nke n'elu omume nke ọrịa cancer akpa ume.

Ke adianade ise siga nwere ike ime ka cancer Pancoast gburugburu ebe obibi na ulo oru ihe. Na kọntaktị na ndị dị otú ahụ ihe dị ka ọgwụ ahụhụ, Asbestos, arọ ọla, arsenic, nickel ma ọ bụ chromium na-enwekwu pasent nke cancer ọrịa Pancoast.

Great na ọrụ dị iche iche na akpa ume ọrịa na akụkọ ihe mere eme: ụkwara nta, na-ebu-na-atụ nke oyi baa na bronchiectasis, - niile a na-enwekwu ohere nke a onye Pancoast akpụ.

Nke a na ọrịa na-emetụta ndị mmadụ ugboro ise ọzọ ọtụtụ ugboro karịa ndị inyom, mgbe ọ na-egosipụta onwe ya mgbe afọ 50. E gosipụtara na a pụrụ ịrịa cancer Pancoast na-ebugharị na genetically.

Ke ofụri ofụri, e nwere ọtụtụ isi ihe na-emetụta omume nke Pancoast cancer:

• afọ;
• ise siga;
• gburugburu ebe obibi na ọnọdụ na ebe;
• ọkachamara ọrụ na-ewu na chemical ụlọ ọrụ;
• si n'aka ruo n'aka.

cancer mgbaàmà

Ọtụtụ mgbe, ndị ọrịa na-achọ enyemaka n'ihi na elu nkebi nke ọrịa. Nsogbu a bụ yiri na enweghị mgbaàmà ná mmalite nkebi: onye ọrịa adịghị ụkwara, hemoptysis, na ọtụtụ ihe - na anya nkịtị ntụpọ n'ụdị bumps na ahu. Pain ná mmalite nkebi nke cancer na-adịghị egosi.

The naanị ịdọ aka ná ntị ihe ịrịba ama na 1st na 2nd nkebi nke cancer na-adịghị ike, mgbe nile ike ọgwụgwụ, na ọnwụ nke arọ.

Ọrịamkpokọta na Pancoast Horner

Na n'ihu N'ezie nke ọrịa e bụ ngosipụta nke ọrịamkpokọta na Pancoast Horner, ma iche iche na na Nchikota na onye ọ bụla ọzọ. Nke a mkpa ịmata.

Pancoast syndrome-egosipụta ihe ndị na-esonụ mgbaàmà:

• oké ajọ ihe mgbu na n'akụkụ nke akpụ orunótu - na ubu ebe, ke N'ezie nke ulnar akwara na n'okpuru ubu;
• na-adịghị ike na ogwe aka uru na otụk n'akụkụ nke ahụ, paresthesia, nkụnwụ nke mkpịsị aka, atrophy nke uru ahụ nke aka na ụkwụ;
• olu mgbanwe - ntoputa nke hoarseness, ụkwara.

Mgbe ọ gụrụ akpụ ọmịiko emep uta eri na-egosipụta Horner si syndrome:

• drooping nke elu nkuchianaya (ptosis);
• anhidrosis elu aka na ụkwụ na ihu na otụk ọzọ akpụ;
• constriction nke nwa akwụkwọ (miosis) na retraction nke nwa anya (etnoftalm).

Ọtụtụ mgbe, cancer na-esonyere Pancoast elu vena cava syndrome akpụ na a nsogbu na ya. Nke a syndrome na-esonyere ndị na-esonụ mgbaàmà:

• mgbu;
• ụkwara;
• iku ume ọkụ ọkụ;
• isi ọwụwa, na ụba ụra;
• igbu mgbe na-eku ume.

Diagnosis nke ọrịa cancer akpa ume n'elu

Ka ugbua kwuru n'elu, nchoputa nke ọrịa siri ike zuru ezu, n'ihi na ná mmalite nkebi nke cancer Pancoast nwere ike ọ bụghị mgbe niile ịchọpụta ọbụna x-ụzarị n'ihi na eziokwu na akpụ na saịtị nke ya orunótu adịghị anya.

Dị ka a na-achị, ndị ọrịa na-emeso na na akpa ebe ka a ọkà mmụta ọrịa akwara ma ọ bụ dọkịta na-awa na mkpesa nke mgbu na elu ụkwụ, na nanị mgbe ahụ na-ọhụhụ na a ọkachamara oncologists.

Nyere na Pancoast akpụ nke ya mgbaàmà ndị yiri ọrịa ndị ọzọ nke bronchopulmonary usoro, ya nchoputa ga saa mbara ma na-agụnye ndị na-esonụ ụdị nke nyocha:

1. Radiography - achọpụta na ọnụnọ nke akpụ na mgbe e mesịrị nkebi n'ihi na ndim nke pleura na ọdịdị blackouts.
2. Agbakọrọ tomography na MRI - chọpụta n'ókè nke vaskụla ndisịn idem, ọgịrịga, ọnụ, vertebrae na usoro. The results nke ndị a ọmụmụ n'etiti ndị kasị mkpa. Ha na-egosi na o na-ịwa ahụ.
3. Lymph ọnụ biopsy - chọpụta ogbo nke ọrịa development.
4. A ọbara ule - ekpebi ọnọdụ nke ahụ ahụ dị ka a dum.

Ọzọkwa, dị ka ihe nnyocha ndị e mere na-eduzi bronchoscopy (ekpebi ala nke bronchi na oghere eji ekunye ume, a isiokwu nso otụk ebe), na arteriogram phlebogram (amata ọnọdụ nke veins na akwara na olu ebe).

Lung Cancer Ọgwụgwọ

Ọgwụgwọ nke Pancoast cancer pụtara nanị na pụrụ iche cancer clinics, isi ihe na-akpata bụ mgbagwoju anya nke ọgwụ. Statistics na-egosi na Pancoast cancer achọpụtara ọzọ mgbe nke-atọ ogbo, mgbe ihe mgbu nke cancer nke ụdị na-aghọ-apụghị ịnagide. Ọgwụgwọ na nke a ọ dị mkpa ka na-amalite na n'ikuku nke mgbu ọgwụ, ruo narcotic analgesics.

Isi ụzọ nke ọgwụgwọ na-akpụ Pancoast:

• ọgwụ;
• radieshon ọgwụ;
• ịwa.

preoperative ọgwụ

Ọrịa ọgwụ pụtara na ọtụtụ nkebi: preoperative na postoperative ọgwụgwọ, ịwa.

Nga ọgwụ bụ a mgbagwoju nke na-anara ọgwụ na irradiation mkpa ka ibelata etuto ahụ ma gbochie mgbasa nke metastases na Lymph. Nke a na-eme ka o kwe omume ime ihe na ime ihe na tupu mmeso dị otú ahụ agaghị ekwe omume.

Radieshon ọgwụ nwekwara ike-eji dị ka otu nọọrọ onwe ha na usoro ọgwụgwọ mgbe ịwa ahụ bụ ekwe omume. Irradiation na nke a, na-ebelata ihe mgbu na-enwe ndidi, ma adịghị emetụta ndụ ndimmadu.

Na ụzarị ọkụ, na-anara ọgwụ ọmụmụ ekenịmde ke ọtụtụ nkebi, na oge izu n'etiti 2-3 izu. Mgbe Radiotherapy na-anara ọgwụ ọrịa na e kenyere ya na-elu-nnyocha, na ihe nke ikwubi banyere ekwe omume nke ịwa ahụ.

Mkpa nke arụmọrụ na ọgwụgwọ nke ọrịa cancer akpa ume

Ịwa ahụ ọgwụgwọ bụghị mgbe nile: ma ọ bụrụ na ọ dịghị nkwa na onye ọrịa ahụ ike ga-ekwe ka ya nwere ịwa ahụ ma ọ bụ na-ama mmasị na ọtụtụ ndị, na n'ime ime obodo si lesion, akụkụ ahụ - na-ebu aka bụ na-enweghị isi. Onu lanarị ndị dị otú ahụ a na steeti na-eleghara anya nke onye ọrịa bụ ntakiri.

N'ọnọdụ ndị ọzọ, mgbe na-arụ ọrụ bụ na o kwere omume, e nwere ọtụtụ variants nke ya ghọta

1. Pulmonectomy - mwepụ nke dum olu nke na-emetụta akpa ume.
2. Resection nke akpa ume.

Na a ịrịba akpụ overgrowth nwere ike ihichapụ multiple ọgịrịga na vertebrae, vaskụla, thoracic mgbidi nke brachial plexus. Na obere okwu, ndị ọrịa kwesịrị jide bepụ ụkwụ nke elu aka na ụkwụ.

Mgbe ịwa ahụ na Radiotherapy na ọgwụ na-enwe n'ihi na "ọ gụchara anya" na akpụ mkpụrụ ndụ iji zere omume nke nlọghachi.

The prognosis nke cancer n'elu nke akpa ume

Lanarị ọrịa bụ ndị agbanweela cancer Pancoast, na-adabere na ndị ogbo na nke ọrịa a achọpụtara.

Ọrịa chọpụtara nke a napụtara na 1st ogbo nke ọrịa, na nbata lanarị bụ na gburugburu 60%, nke 2nd nzọụkwụ - ọ dịghị ihe karịrị 40%, na nchoputa nke 3rd ogbo nke cancer ise akara merie naanị 20% nke ọrịa.

On ogbo 4 cancer Pancoast nta na-enweghị ngwọta: na 98% nke ikpe, anwụọ n'ime 6-7 ọnwa mgbe ekenịmde ọgwụgwọ.