Peritoneal carcinomatosis

Carcinomatosis - a ịza aza akpụ, nke na-enye multiple metastases na ịzụlite na parenchyma ma ọ bụ a serous membranes ngwa. Nke a na okwu a na-eji na mmekọrita ọrịa nke serous membranes. Otu mgbanwe nke ọrịa a bụ a peritoneal carcinomatosis - mkpa translucent serous akpụkpọ ahụ ekpuchi esịtidem elu nke esịtidem akụkụ na abdominal mgbidi.

Carcinomatosis peritoneal oghere: adakarị picture

A, na ọrịa na-esonyere ọtụtụ serous effusion na uji eze, nke bụ a multiple ịmafe millet, jikọrọ ọnụ na-etolite ibu etuto ahụ. Formation nke ọrịa a na-ahụkarị nke ọtụtụ iche iche nke ajọ etuto ahụ nke digestive usoro dị ka gastric cancer, colon na ikensi, ma ọtụtụ n'ime ọdịdị ya e ji mara maka ovarian cancer. Mgbe ịchọputa gastric cancer, carcinomatosis na peritoneum esokwa ya na 30-40% nke ikpe nke na-arụ ọrụ ndị ọrịa, ma ọ bụ otu n'ime ndị isi na-akpata ọnwụ nke ọrịa. The etiti lanarị ndị ọrịa a bụ 5 ọnwa, 34% of resected ugboro ịzụlite na-akpa iche. Ọrịa na ovarian cancer na oge nke nchoputa Nwa na 70% nke ikpe nwere ugbua peritoneal carcinomatosis.

Mgbaàmà nke peritoneal carcinomatosis

Isi mpụga mgbaàmà nke ọrịa a na-agụnye: abdominal mgbu, na-ọmume-ya, vomiting, ọgbụgbọ na arọ ọnwụ.

Peritoneal carcinomatosis bụ a abụọ ọrịa n'onwe ya na-egosi nnọọ adịkarịghị. The kasị isi ọrịa megide nke ya emee bụ: adenocarcinoma nke afo, ovary ma ọ bụ pancreas. Ke adianade do, peritoneal ọnya ime na leukemia, sarcoma, carcinoid etuto ahụ na lymphomas.

Nkwenye nke nchoputa a rụrụ site ịchọputa agafeghị oke lymphocytosis ma na-enwe Cytology, weere analysis ascites. Ke adianade do, ike nke agịga biopsy. Ọgwụgwọ nke ọrịa na-eduzi bụ isi bụ isi ọrịa. Na ọnụnọ nke asị ibe forms of peritoneal carcinomatosis ogbenye prognosis. Ọ bụrụ na ndị ọnya nwere a pụrụ iche ọnọdụ, na ụdị cancer bụ ukwuu chebaara iji ọgwụ, na-enyemaka nke buu ịwa ahụ iji gwọọ onye ọrịa ada ada.

Ọtụtụ mgbe na ndabere nke ọrịa cancer akpa ume, pleural mesothelioma na ọrịa ara ure na-amalite akpa ume carcinomatosis. Ọzọkwa a ọnọdụ nwere ike mere site ọ bụla ruru eru metastasize ka akpa ume na pleura, ngwọta.

Ịza aza ọnya nke esịtidem akụkụ, nke na-agụnye ndị peritoneal carcinomatosis, bụ otu ìgwè nke oké ọrịa, nke na-atụle a iyi mesothelia. The otu n'ime ọrịa ndị a na-gụnyere: peritoneal mesothelioma, papillary serous akpụkpọ ahụ na isi peritoneal adenocarcinoma. A mmasị n'ebe orunótu nke ịza ọnya nke afo na-ebe nke agagharị ma belata nsia peristalsis.

Ugbu a, n'ihi na ọgwụgwọ carcinomatosis afo dị ka nnwale anwale dị iche iche na oge a na usoro, nke na-agụnye ojiji nke ọhụrụ chemotherapeutic mmadụ, angiogenesis inhibitors, immunotherapy na-alụso ọrịa ọgụ na LAK-mkpụrụ ndụ radioimmunotherapy iji polymerase anapụta usoro site n'usoro antisense ọgwụ eji malitere ịrịa anapụta usoro . A ekwe direction dị otú ahụ ọmụmụ bụ photodynamic ọgwụ (PDT) dị ka dị ka otu nọọrọ onwe ha na usoro, na na Nchikota na-anara ọgwụ na ịwa ahụ.