Pancoast Cancer: Take, tohu, Te tātaritanga me te rongoā

mate pukupuku Pancoast - mate pukupuku paetata e te roto i te haehae o runga o te pukapuka. Na roto i te ona tohu rite ki te mate kohi, whēwhē, echinococcus, kakā, pukupuku Koló, me te tahi atu pathologies.

Ko te ingoa o Pancoast riro te pukupuku i runga mo o te radiologist Henry K. Pancoast. Ko ia te tuatahi o ana hoa whakaahuatia te mate i roto i te taipitopito. tupu tenei i roto i te tau 1924.

I tua atu ki te mate mārere, Ka taea e tohu rite meinga etahi mate inflammatory me mate pukupuku, paetata ano i te tihi o te pukapuka. huaina ana tēnei āhuatanga ko Pancoast syndrome.

Ko te rūraa o te raruraru Pancoast mate pukupuku ko te uaua o te tātaritanga wawe i roto i tona ngakau te wāhi motuhake o te puku, katia hanganga wheua. Ahakoa ki te awhina o x-hihi kawea atu i roto i te haumanu matepukupuku tino matatau i roto i te tīmatanga o te wāhanga e kore he reira tonu taea ki te tautuhi i hohoro te mate.

Ngā take mō te tihi o te mate pukupuku pūkahukahu

I roto i te whānui, i te takanga o te mate pukupuku Pancoast pāngia e te taua take rite i roto i te tahi atu momo pūkahukahu mate pukupuku. He aha te mea tenei? Ko te take matua mō te tona whakakitenga mai he paowa kore-: itoito hāngū ranei. Ko te wāhi nui takaro e te maha o hikareti paowa ia ra, te kounga o te tupeka whakamahia, me te wheako whānui o te kai paipa. Me kï reira e i roto i te take o te kore o te iwi faatîtîraa e haere mai i roto o te rohe mōrea i muri anake kotahi tekau nga tau.

Amohia e tenei mate kia hoki e kore e te iwi mamae nei i te weriweri mo paowa. Te ōrau hinga mate pukupuku Pancoast kaipaipa hāngū faarahi i roto i 1,7-2 wa. Ko te rōpū mōrea hoki ngā tamariki me ngā taiohi pongere wā i roto i to ratou aroaro nei mau metua. E paowa i roto i 85% o ngā take te take o nga mahi runga o te mate pukupuku pūkahukahu.

I tua atu ki te kai paipa kia meinga pukupuku Pancoast āhuatanga taiao, me te ahumahi. I roto i te whakapā ki taua rauemi rite ngā patukīrea, papa kiripaka, konganuku taimaha, te ateneke, nika ranei chromium faarahi hoki te ōrau o te tūroro mate pukupuku Pancoast.

Nui me te tūranga o te tini o nga mate pūkahukahu i roto i te aamu: kohi, te kawe-mua o te kakā me bronchiectasis, - faarahi tenei katoa te tupono o te tangata Pancoast puku.

pā ana tēnei mate tangata e rima nga wa atu pinepine atu i te wahine, i faaite te reira iho i muri i te 50 tau. Kei te whakamatauria te reira e haere i te predisposition ki mate pukupuku Pancoast te i runga i ira.

I roto i te whānui, i reira e rave rahi āhuatanga matua e whakaawe te takanga o Pancoast mate pukupuku:

• tau;
• paowa;
• ngā āhuatanga taiao i roto i te rohe;
• mahi ngaio i roto i te hanga me te matū ahumahi;
• whakapapa.

tohu mate pukupuku

E mea pinepine, tūroro rapu tokoni mai te wāhanga matatau o te mate. Ko e pā ana ki te kore o ngā tohu i roto i te tīmatanga o te wāhanga tenei raruraru: te manawanui he kahore mare, hemoptysis, me tino nui - te hē tinana kitea i roto i te puka o fepulopulasi i runga i te tinana. Mamae i roto i te tīmatanga o te mate pukupuku te tikanga e kore e kitea.

Ko te tohu whakatūpato anake i runga i te wāhanga 1 me te 2 o te mate pukupuku e ngoikore, rohirohi tamau, mate o taimaha.

Syndromes ko Pancoast Horner

I roto i te akoranga atu o te mate i reira ko te faaiteraa o syndromes ko Pancoast Horner, e rua motuhake, me te i roto i ngā ki ia atu. Tenei hiahia ki te mohio.

whakakitea Pancoast syndrome te ake o nga tohu e whai ake nei:

• mamae nui haaparuparu i te taha o te localization puku - i roto i te rohe pokohiwi, i roto i te akoranga o te karere ulnar me i raro i te peke mata;
• uaua ringa ngoikore i te taha pāngia o te tinana, paresthesia, te kōpā o maihao, atrophy o nga uaua o te wahi;
• huringa reo - te putanga o te whango, mare.

A, no te kitea ki te puku muka pukuaroha faaite syndrome o Horner:

• Hawaiki o te kamo runga (ptosis);
• anhidrosis waewae o runga me te mata ki te puku rōpū pāngia;
• constriction o te tauira (miosis) me te retraction o te 'Afio (etnoftalm).

Tino maha, haere tahi te mate pukupuku e Pancoast teitei vena cava iahoki syndrome puku i te pēhanga ki runga i te reira. haere tahi ana tēnei syndrome e te tohu e whai ake nei:

• mamae pouaka;
• mare;
• hāhā o te manawa;
• ānini, a nui haere sleepiness;
• whiowhio ka kupukupu.

Tātaritanga o tihi pūkahukahu mate pukupuku

Ka rite ki kua whakahuatia i runga ake, he uaua nui te tātaritanga o te mate, no te mea i roto i nga tīmatanga o te mate pukupuku e kore e taea e Pancoast kite tonu ara x-hihi tika ki te meka e kore he kitea te puku i te pae o tona localization.

Ka rite ki te tikanga, tukinotia tūroro i roto i te wahi tuatahi ki te toketā neave taote ranei ki amuamu o te mamae i roto i te wahi o runga, a i muri anake e ki te tiki i he mea whakarite ki te oncologists mātanga.

Hoatu e Pancoast puku o ona tohu e rite ki ētahi atu mate o te pūnaha bronchopulmonary, me kia tona tātaritanga whānui, me te whakauru i nga momo e whai ake nei o rangahau:

1. Radiography - kitea te aroaro o puku i roto i te wāhanga i muri mai e tika ana ki te thickening o te kiripūkahu me te ahua o te hiko.
2. tomography computed a MRI - whakatau i te whānuitanga o te whai wāhi iaia, rara, kōpuku, pekehoe i te tukanga. Ko nga hua o enei akoranga i roto i te nui tino. tohu ratou te taea o te pokanga.
3. Waitinana kōpuku unuhanga - ki te whakatau i te wāhanga o te whanaketanga mate.
4. He whakamātautau toto - whakatau te huru o te tinana kia rite ki te katoa.

Ano, bronchoscopy rite e whakahaere atu rangahau (whakatau te āhua o te bronchi me te pukorokoro, he kaupapa tata ki te wāhi kua pā), me arteriogram phlebogram (aromatawai i te huru o te uaua, me pera i roto i te rohe paewai).

Lung Cancer Treatment

puta maimoatanga o Pancoast mate pukupuku anake i roto i haumanu mate pukupuku motuhake, te take tumu ko te matatini o te therapy. whakaatu tatauranga e kitea Pancoast mate pukupuku te ake maha i roto i te toru o nga wā, ina e hoko i te mamae o te mate pukupuku o tenei momo whakatūahu. Treatment i roto i tenei take, ko te mea e tika ana ki te timata ki te fariiraa o rongoā mamae, ki runga ki Pë whakapōauau.

Ko te tikanga matua o te maimoatanga he puku Pancoast:

• hahau;
• radiation therapy;
• pokanga.

therapy te pokanga

puta mate therapy i roto i te maha o ngā wāhanga: maimoatanga te pokanga me postoperative, pokanga.

Pre-therapy ko te matatini o te hahau, me te irradiation tika ki te whakaiti i te puku, me te ārai i te horapa o metastases i roto i nga taikiri. hanga tenei reira taea ki te kawe i te mahi e te aroaro o taua maimoatanga i taea.

taea hoki te whakamahi radiation therapy hei tikanga motuhake o te maimoatanga, ka kore e taea pokanga. Irradiation i roto i tenei take, te whakaiti mamae i roto i te manawanui, engari e kore e pā tümanako te ora.

Na radiation, me te hahau akoranga i roto i te maha o ngā wāhanga, whakahaere ki te pakaru i roto i waenganui i 2-3 wiki. I muri i iraruke me hahau whakaritea te manawanui e ki te whai-ake whakamātautau, nga hua o e faaoti e pā ana ki te taea o te pokanga.

Hāngaitanga o ngā mahi i roto i te maimoatanga o te mate pukupuku pūkahukahu

e kore he maimoatanga hāparapara i roto i te wā katoa: ki te kahore he kī e ka tukua āheinga o te manawanui ki a ia i pokanga kua tokomaha maongo kua, mamao i te lesion ranei, wahi o te tinana - kia kawe i he horihori te wawaotanga. He iti te ōrau o te oranga i roto i te āhua taua o te tau'a ore o te manawanui.

I roto i te tahi atu wā, ka he taea te mahi, i reira e rave rahi rerekē o tona iteraa:

1. Pulmonectomy - tango o te rōrahi katoa o te pūkahukahu pāngia.
2. Resection o te pukapuka.

Ki te kia muku i te ururua hoki puku nui rara maha, me te pekehoe, iaia, taiepa rei o te plexus brachial. I roto i te wā onge, kia mau te manawanui te tapuhia o nga wahi o runga.

I muri i te pokanga me te iraruke me hahau e puritia hoki "oti atu" te pūtau puku ki te karo i te takanga o relapses.

Ko te waitohunga o te mate pukupuku te tihi o nga pūkahukahu

Survival o tūroro e i pehia mate pukupuku Pancoast, tei runga i te atamira i ai kua te mate kua kitea.

Tūroro pāngia nei i tukua ki te atamira 1 o te mate, te ora paepae ko a tawhio noa 60%, te taahiraa 2 - kaua e nui ake 40%, me te i roto i te tātaritanga o te atamira 3 o te mate pukupuku e rima raina hinga% 20 anake o tūroro.

I te atamira 4 mate pukupuku Pancoast tata mahu: i roto i te 98% o te wā, puta mate i roto i 6-7 marama i muri i te maimoatanga whakahaere.