Hom / ovarian / tus neeg mob / zes qe menyuam-epithelial-kev kho mob-pdq
Txheej txheem
- 1 Ovarian Epithelial, Fallopian Tube, thiab Tus Qauv Ntawm Tus Mob Cancer Peritoneal
- 1.1 Cov Lus Qhia Txog Hais Txog Tus Mob Menyuam Khees Xaws, Epiphelial, Txoj Hlab Qeeb, thiab Tus Qog Ntawm Tus Kheej
- 1.2 .2 Theem ntawm Ovarian Epithelial, Fallopian Tube, thiab Cancer Peritoneal Cancer
- 1.3 Lub Caij Dua Rov Qab Los Ntuav lossis Lub Pwm Mob Ovarian Epithelial, Txoj Hlab Qeeb, thiab Tus Mob Ntawm Tus Kheej Peritoneal
- 1.4 Nkauj Txoj Kev Kho Mob Cov Tswv Yim
- 1.5 Cov Kev Kho Mob Los Ntawm Ntu
- 1.6 Cov Kev Xaiv rau Kev Kho Mob Rov Ntxiv Dua los yog Ntev Ntog Ntawm Kev Nqaij Mob Ntawm Ovarian
- 1.7 Yog Xav Paub Ntxiv Txog Ovarian Epithelial, Txoj Hlab Qeeb, thiab Tus Mob Ntawm Tus Kheej
Ovarian Epithelial, Fallopian Tube, thiab Tus Qauv Ntawm Tus Mob Cancer Peritoneal
Cov Lus Qhia Txog Hais Txog Tus Mob Menyuam Khees Xaws, Epiphelial, Txoj Hlab Qeeb, thiab Tus Qog Ntawm Tus Kheej
QHOV TSEEM CEEB
- Kab mob qog nqaij hlav rau qe menyuam mos, mob qog rau lub raum pob txha, thiab mob qog nqaij hlav rau pob qij txha yog cov kab mob hauv cov qog nqaij hlav (malignant) mob hlwb ua rau cov nqaij npog lub zes qe menyuam lossis txoj hlab qe raj lossis peritoneum.
- Ovarian epithelial cancer, khees xaws qe ntshav qe ntshav, thiab tus mob qog nqaij hlav cancer nqaij hauv tib hom nqaij thiab raug kho zoo ib yam.
- Cov poj niam uas muaj keeb kwm tsev neeg muaj mob qog qe ntshav yog cov muaj feem yuav ua mob kheesxaws ntau tshaj plaws ntawm zes qe menyuam.
- Qee tus mob ntawm zes qe menyuam, txoj hlab qe menyuam, thiab cov qog nqaij hlav cancer peritoneal yog tshwm sim los ntawm cov noob keeb (hloov).
- Cov poj niam uas muaj kev pheej hmoo mob qog ntawm zes qe menyuam yuav txiav txim siab phais mob kom tsawg dua qhov phom sij.
- Cov cim thiab tsos mob ntawm zes qe menyuam, txoj hlab qe menyuam, lossis mob khees-xaws peritoneal suav nrog kev mob lossis o hauv plab.
- Kev ntsuam xyuas uas kuaj xyuas lub zes qe menyuam thiab thaj chaw hauv lub plab mog yog siv los kuaj (nrhiav), kuaj mob, thiab theem zes qe menyuam, txoj hlab qe menyuam, thiab mob qog nqaij hlav peritoneal.
- Qee yam cuam tshuam los ntawm kev xaiv kho thiab qhov kwv yees (qhov yuav muaj rov qab).
Kab mob qog nqaij hlav rau qe menyuam mos, mob qog rau lub raum pob txha, thiab mob qog nqaij hlav rau pob qij txha yog cov kab mob hauv cov qog nqaij hlav (malignant) mob hlwb ua rau cov nqaij npog lub zes qe menyuam lossis txoj hlab qe raj lossis peritoneum.
Zes qe menyuam yog ob khub kabmob hauv tus pojniam deev. Lawv nyob hauv lub plab mog, ib qho ntawm txhua sab ntawm lub tsev menyuam (lub plab, qhov muaj duab hauv lub cev uas tus menyuam yug los). Txhua lub zes qe menyuam yog hais txog qhov loj thiab cov duab ntawm almond. Zes qe menyuam ua qe thiab poj niam cov tshuaj hormones (tshuaj muaj zog uas tswj txoj kev ua haujlwm ntawm qee lub hlwb lossis cov kabmob ua haujlwm).
Txoj hlab qe menyuam yog ib txoj hlab ntev ntev, ib txoj hlab ntev, ib qho nyob ntawm ib sab ntawm lub tsev menyuam. Cov qe hla dhau los ntawm lub zes qe menyuam, hla ntawm txoj hlab qe menyuam, mus rau lub tsev menyuam. Mob qog ntshav qee zaus pib ntawm qhov kawg ntawm txoj hlab qe menyuam nyob ze lub zes qe menyuam thiab kis mus rau lub zes qe menyuam.
Lub peritoneum yog daim ntaub uas ua kom lub plab phab ntsa thiab npog cov kabmob hauv plab. Thawj tus kabmob peritoneal yog mob qog nqaij hlav uas ua rau peritoneum thiab tsis kis mus rau lwm qhov ntawm lub cev. Kab mob qog qee zaum pib nyob rau hauv peritoneum thiab kis mus rau lub zes qe menyuam.

Ovarian epithelial cancer yog ib hom mob cancer uas cuam tshuam lub zes qe menyuam. Saib cov lus qhia nram qab no txog kev kho mob rau cov ntaub ntawv hais txog lwm hom mob qog qe menyuam:
- Zes Qog Qog Cell Cell Tumors
- Ovarian Low Malignant Muaj Peev Xwm Loj hlav
- Kab mob kheesxaws uas tsis tshua paub txog kho tus menyuam yaus (mob qog qe menyuam hauv menyuam yaus)
Ovarian epithelial cancer, khees xaws qe ntshav qe ntshav, thiab tus mob qog nqaij hlav cancer nqaij hauv tib hom nqaij thiab raug kho zoo ib yam.
Cov poj niam uas muaj keeb kwm tsev neeg muaj mob qog qe ntshav yog cov muaj feem yuav ua mob kheesxaws ntau tshaj plaws ntawm zes qe menyuam.
Txhua yam uas ua kom koj txoj hmoo muaj kab mob hu ua yam txaus ntshai. Muaj qhov muaj feem yuav tsis txhais tau tias koj yuav muaj mob qog noj ntshav; tsis muaj yam txaus ntshai tsis txhais tau tias koj yuav tsis muaj mob qog noj ntshav. Tham nrog koj tus kws kho mob yog koj xav tias koj yuav muaj feem yuav muaj mob kheesxaws ntawm zes qe menyuam.
Cov teeb meem pheej hmoo rau mob qog mis qe yog cov hauv qab no:
- Tsev neeg muaj keeb kwm mob kheesxaws ntawm zes qe menyuam rau thawj cov neeg txheeb ze (niam, ntxhais, lossis niam hluas).
- Tau txais qhov pauv hauv BRCA1 lossis BRCA2 noob.
- Lwm yam mob muaj keeb, xws li mob qog nqaij hlav tsis mob txha hom mob hlwb (HNPCC; kuj hu ua Lynch syndrome).
- Endometriosis.
- Postmenopausal kev kho tshuaj hormones.
- Kev pham.
- Siab siab.
Cov hnub nyoog laus dua yog qhov tseem ceeb txaus ntshai rau feem ntau cov qog nqaij hlav. Txoj hmoo yuav mob kheesxaws nce zuj zus thaum koj laus zuj zus.
Qee tus mob ntawm zes qe menyuam, txoj hlab qe menyuam, thiab cov qog nqaij hlav cancer peritoneal yog tshwm sim los ntawm cov noob keeb (hloov).
Lub noob nyob hauv cov cell muaj cov ntaub ntawv keeb kwm uas tau txais los ntawm ib tug neeg cov niam txiv. Kab mob qog qe menyuam muaj txog 20% ntawm tas nrho cov mob kheesxaws ntawm zes qe menyuam. Nws muaj peb yam mob muaj keeb: kev mob qog qe menyuam ib leeg, mob kheesxaws ntawm zes qe menyuam thiab mis, thiab mob qog qe menyuam thiab zes qe menyuam.
Txoj kev mob kheesxaws ntawm ທໍ່ raum thiab mob khees-xaws peritoneal tuaj yeem tshwm sim los ntawm qee yam noob keeb noob caj noob ces.
Muaj kev ntsuam xyuas uas tuaj yeem pom cov kev hloov pauv ntawm noob. Cov kev sim ntsuas keeb kwm no qee zaum ua rau cov tswvcuab ntawm cov tsev neeg muaj lub siab mob qog nqaij hlav cancer. Saib cov lus qhia hauv hauv qab no rau cov lus qhia ntxiv:
- Ovarian, Fallopian Tube, thiab Tiv Thaiv Tus Mob Cancer Peritoneal
- Cov noob caj noob ces ntawm lub mis thiab Gynecologic Khees Xaws (rau cov kws kho mob)
Cov poj niam uas muaj kev pheej hmoo mob qog ntawm zes qe menyuam yuav txiav txim siab phais mob kom tsawg dua qhov phom sij.
Qee tus pojniam uas muaj kev pheej hmoo mob qog ntawm zes qe menyuam yuav xaiv kom muaj kev pheej hmoo txo qis oophorectomy (kev tshem tawm ntawm zes qe menyuam muaj txiaj ntsig zoo ua rau mob cancer tsis tuaj yeem loj hlob hauv lawv). Hauv cov poj niam uas muaj kev pheej hmoo siab, tus txheej txheem no tau qhia tias txo qis feem ntau ntawm kev mob kheesxaws ntawm zes qe menyuam. (Saib cov ntsiab lus ntawm Ovarian, Fallopian Tube, thiab Tus Kab Mob Ntawm Peritoneal Cancer Tiv Thaiv kom paub ntau ntxiv.)
Cov cim thiab tsos mob ntawm zes qe menyuam, txoj hlab qe menyuam, lossis mob khees-xaws peritoneal suav nrog kev mob lossis o hauv plab.
Zaus qe menyuam, qog qe ntshav, lossis mob qog nqaij hlav cancer tej zaum yuav tsis ua mob rau thaum ntxov. Thaum cov tsos mob lossis cov tsos mob tshwm sim, feem ntau mob cancer. Cov cim thiab tsos mob tuaj yeem suav nrog cov hauv qab no:
- Mob, o, los yog zoo nkaus li mob siab hauv plab lossis plab hlaub.
- Qhov chaw mos los ntshav uas tau hnyav los yog xwm yeem, tshwj xeeb tshaj yog tom qab lawm.
- Qhov paum tawm uas pom tseeb, dawb, lossis xim nrog ntshav.
- Lub ntsws nyob hauv thaj chaw hu ua pelvic.
- Kev mob plab, teeb meem xws li roj, tsam plab, lossis cem quav.
Cov cim thiab tsos mob no kuj tuaj yeem yog vim lwm yam mob thiab tsis yog los ntawm zes qe menyuam, txoj hlab qe menyuam, lossis mob cancer peritoneal. Yog tias cov tsos mob lossis cov tsos mob hnyav zuj zus lossis tsis ploj mus ntawm lawv tus kheej, nrog koj tus kws kho mob tham kom txhua qhov teeb meem tuaj yeem kuaj thiab kho tau ntxov li ntxov tau.
Kev ntsuam xyuas uas kuaj xyuas lub zes qe menyuam thiab thaj chaw hauv lub plab mog yog siv los kuaj (nrhiav), kuaj mob, thiab theem zes qe menyuam, txoj hlab qe menyuam, thiab mob qog nqaij hlav peritoneal.
Cov kev tshuaj ntsuam thiab cov txheej txheem hauv qab no yuav raug siv los kuaj, kuaj mob, thiab theem zes qe menyuam, txoj hlab qe menyuam, thiab mob khees-xaws peritoneal:
- Kev kuaj lub cev thiab keeb kwm: Kev tshuaj xyuas lub cev los kuaj cov cim ntawm kev noj qab haus huv, suav nrog kuaj lub cim ntawm tus kab mob, xws li cov qog lossis lwm yam uas zoo li txawv txawv. Cov keeb kwm ntawm tus neeg mob txoj kev noj qab haus huv thiab cov kab mob yav dhau los thiab kev kho mob tseem yuav raug coj los siv.
- Pelvic exam: Kev kuaj mob ntawm lub paum, ncauj tsev menyuam, lub tsev menyuam, txoj hlab qe menyuam, zes qe menyuam, thiab lub qhov quav. Ib qho kev qhia tau muab tso rau hauv lub paum thiab tus kws kho mob lossis tus nais maum saib lub paum thiab lub ncauj tsev menyuam rau tej cim kab mob. Kev ntsuam xyuas Pap ntawm lub ncauj tsev menyuam feem ntau yog ua. Tus kws kho mob lossis tus nais maum tseem sau ib los yog ob lub ntsej muag uas muaj lub ntsej muag sib zog ntawm txhais tes mus rau qhov chaw mos thiab muab lwm sab tes hla hauv qab plab mus rau qhov loj me, cov duab, thiab qhov chaw ntawm lub tsev menyuam thiab lub zes qe menyuam. Tus kws kho mob lossis tus nais maum tseem sau lub qhov ntswg kom nruj me ntsis rau hauv lub qhov quav kom hnov zoo li mob rau cov leeg.

- CA 125 kev soj ntsuam: Ib qho kev ntsuas uas ntsuas qib CA CA hauv cov ntshav. CA 125 yog ib yam tshuaj uas tso tawm los ntawm cov ntshav mus rau cov ntshav. Kom nce qib CA 125 ntxiv tuaj yeem yog cov cim mob qog noj ntshav lossis lwm yam mob xws li endometriosis.
- Kev kuaj mob Ultrasound: Ib qho txheej txheem uas lub zog suab nrov dhau los (ultrasound) bounced tawm cov ntaub so ntswg sab hauv lossis cov kabmob hauv plab, thiab ua echoes. Cov ncha tsim daim duab ntawm lub cev nqaij daim tawv hu ua sonogram. Daim duab tuaj yeem tsim kom pom tom ntej.
Qee tus neeg mob yuav muaj transvaginal ultrasound.

- CT scan (CAT scan): Tus txheej txheem uas ua rau cov duab ntxaws ntxig ntawm cov chaw hauv lub cev, coj los ntawm ntau cov ces kaum. Cov duab no yog tsim los ntawm lub koos pis tawj txuas nrog lub tshuab xoo hluav taws xob. Ib qho zas xim tuaj yeem raug txhaj rau hauv txoj hlab ntshav lossis nqos los pab rau cov kabmob lossis cov nqaij ua kom pom tseeb dua. Cov txheej txheem no tseem hu ua suav tomography, computer tom tomography, lossis computerized axial tomography.
- PET scan (positron emission tomography scan): Tus txheej txheem los nrhiav cov qog ua qog ntshav hauv lub cev. Ib qho tsawg tsawg ntawm cov kua hluav taws xob (kua qab zib) tau txhaj rau txoj hlab ntshav. PET scanner tig ncig lub cev thiab ua ib daim duab ntawm qhov chaw nyob hauv qab ntawm lub cev tau siv. Malignant qog hlwb nthuav qhia lub ci nyob hauv daim duab vim tias lawv nquag tshaj thiab noj ntau dua cov piam thaj dua li cov hlwb ua.
- MRI (sib nqus resonance duab): Tus txheej txheem uas siv cov hlau nplaum, xov tooj cua vuam vias, thiab khoos phis tawm los ua cov duab ntxaws ntxaws ntawm cov chaw hauv lub cev. Tus txheej txheem no tseem hu ua nuclear sib nqus resonance imaging (NMRI).
- Xoo Xaim: Xoos hluav taws xob ntawm cov plab hnyuv siab raum thiab pob txha hauv hauv siab. Qhov xoo hluav taws xob yog ib hom kev tawm dag zog ntawm lub zog uas tuaj yeem nkag mus hauv lub cev thiab mus rau zaj duab xis, ua duab ntawm thaj chaw hauv lub cev.
- Tso me nyuam tawm: tshem tawm cov nqaij los yog nqaij kom lawv tuaj yeem saib nyob rau hauv lub tshuab tsom kab ntsig los ntawm tus kws kho mob kuaj seb puas muaj mob qog nqaij hlav. Cov ntaub so ntswg feem ntau raug tshem tawm thaum phais mob txhawm rau tshem tawm cov qog.
- Qee yam cuam tshuam los ntawm kev xaiv kho thiab qhov kwv yees (qhov yuav muaj rov qab).
Qhov raug (sij hawm rov qab los) thiab kev xaiv kho nyob ntawm cov hauv qab no:
- Hom mob qog thiab ntau npaum li cas mob cancer.
- Cov theem thiab qeb ntawm mob qog noj ntshav.
- Txawm hais tias tus neeg mob tau haus dej ntxiv hauv lub plab uas ua rau o tuaj.
- Txawm hais tias txhua yam qog tuaj yeem tshem tawm los ntawm kev phais mob.
- Txawm hais tias muaj kev hloov pauv hauv BRCA1 lossis BRCA2 noob.
- Tus neeg mob lub hnub nyoog thiab kev noj qab haus huv feem ntau.
- Txawm hais tias mob kheesxaws nyuam qhuav raug kuaj lossis rov mob dua (rov qab los).
Theem ntawm Ovarian Epithelial, Fallopian Tube, thiab Cancer Peritoneal Cancer
QHOV TSEEM CEEB
- Tom qab kuaj mob ntawm zes qe menyuam, txoj hlab qe menyuam, lossis tus kabmob kheesxaws peritoneal tau kuaj, kev kuaj yuav ua tiav kom paub tias cov qog nqaij hlav cancer tau kis hauv zes qe menyuam lossis mus rau lwm qhov ntawm lub cev.
- Muaj peb txoj hauv kev uas mob cancer kis hauv lub cev.
- Mob khees xaws yuav kis tau los ntawm qhov nws pib rau lwm qhov ntawm lub cev.
- Cov theem hauv qab no yog siv rau kev zes qe menyuam epithelial, hlab ntsha qe ntshav, thiab mob qog nqaij hlav cancer peritoneal:
- Theem Kuv
- Theem II
- Theem III
- Theem IV
- Ovarian epithelial, hlab ntsha qe ntshav, thiab cov qog nqaij hlav cancer peritoneal tau muab cais ua pawg los kho tus mob khees xaws thaum ntxov lossis tshaj lij.
Tom qab kuaj mob ntawm zes qe menyuam, txoj hlab qe menyuam, lossis tus kabmob kheesxaws peritoneal tau kuaj, kev kuaj yuav ua tiav kom paub tias cov qog nqaij hlav cancer tau kis hauv zes qe menyuam lossis mus rau lwm qhov ntawm lub cev.
Tus txheej txheem tau siv los xyuas seb puas mob cancer tau kis mus rau hauv lub plab lossis lwm qhov hauv lub cev hu ua staging. Cov ntaub ntawv sau los ntawm cov txheej txheem theem txiav txim theem ntawm tus kab mob. Nws yog ib qho tseem ceeb uas yuav tsum paub txog theem kom thiaj li npaj tau kev kho mob. Cov txiaj ntsig ntawm kev sim siv los kuaj mob qog nqaij hlav feem ntau kuj tseem siv los ua theem mob. (Saib Ntu General Cov Lus Qhia rau kev tshuaj ntsuam thiab cov txheej txheem siv los kuaj thiab theem ntawm zes qe menyuam, qog qe ntshav, thiab mob qog nqaij hlav.)
Muaj peb txoj hauv kev uas mob cancer kis hauv lub cev.
Kab mob khees xaws tuaj yeem kis tawm los ntawm cov nqaij mos, cov qog ntshav, thiab ntshav:
- Ntaub so ntswg. Tus kab mob cancer kis los ntawm qhov chaw nws pib kis los ntawm thaj chaw ze.
- Lymph system. Tus mob cancer kis ntawm qhov uas nws pib los ntawm kev nkag rau hauv lymph system. Tus kab mob cancer taug kev los ntawm cov qog ntshav mus rau lwm qhov ntawm lub cev.
- Ntshav. Tus mob cancer kis rau nws los ntawm qhov nws pib los ntawm nkag rau hauv cov ntshav. Tus kabmob khiav tawm hauv cov hlab ntshav mus rau lwm qhov ntawm lub cev.
Mob khees xaws yuav kis tau los ntawm qhov nws pib rau lwm qhov ntawm lub cev.
Thaum mob cancer kis mus rau lwm qhov hauv lub cev, nws hu ua metastasis. Kab mob khees xaws khiav tawm ntawm qhov chaw lawv pib (thawj qog) thiab taug kev hauv cov qog ntshav lossis ntshav.
- Lymph system. Cov qog nqaij hlav nkag mus rau hauv lub lymph system, taug kev hauv cov hlab ntsws, thiab ua cov qog ntshav (metastatic hlav) hauv lwm qhov ntawm lub cev.
- Ntshav. Cov qog ntshav nkag mus rau hauv cov ntshav, taug kev los ntawm cov hlab ntshav, thiab tsim cov qog ntshav (metastatic hlav) hauv lwm qhov chaw ntawm lub cev.
Cov mob metastatic yog tib yam kabmob uas yog thawj cov qog. Piv txwv li, yog tias kev mob kheesxaws ntawm zes qe menyuam kis mus rau hauv lub ntsws, cov qog nqaij hlav cancer hauv lub ntsws yog qhov ntawm zes qe menyuam qog nqaij hlav epithelial. Tus kabmob yog metastatic ovarian epithelial cancer, tsis yog mob ntsws.
Cov theem hauv qab no yog siv rau kev zes qe menyuam epithelial, hlab ntsha qe ntshav, thiab mob qog nqaij hlav cancer peritoneal:
Theem Kuv

Hauv theem kuv, qog nqaij hlav muaj nyob hauv ib lossis ob leeg zes qe menyuam lossis txoj hlab qe menyuam. Theem Kuv muab faib rau theem IA, theem IB, thiab theem IC.
- Theem IA: Kabmob khees xaws pom sab hauv ib lub zes qe menyuam lossis txoj hlab qe menyuam.
- Theem IB: Tus kabmob nrhiav pom sab hauv ob leeg zes qe menyuam lossis txoj hlab qe menyuam.
- Theem IC: Kabmob muaj nyob hauv ib lossis ob lub zes qe menyuam lossis txoj hlab qe menyuam thiab ib qho hauv qab no yog qhov tseeb:
- mob cancer kuj tseem pom nyob sab nraud ntawm ib qho lossis ob leeg zes qe menyuam lossis txoj hlab qe menyuam; lossis
- cov tshuaj ntsiav (txheej sab nraud) ntawm lub zes qe menyuam tau tawg (tawg qhib) ua ntej lossis thaum phais; lossis
- cov qog nqaij hlav cancer tau pom nyob rau hauv cov kua ntawm peritoneal kab noj hniav (lub cev kab noj hniav uas muaj feem ntau ntawm cov kabmob hauv plab) lossis hauv kev ntxuav ntawm peritoneum (cov nqaij ua rau lub plab peritoneal).
Theem II

Hauv theem II, mob qog nqaij hlav nyob hauv ib lossis ob leeg zes qe menyuam lossis txoj hlab qe menyuam thiab tau kis mus rau lwm thaj chaw ntawm lub plab mog, lossis mob khees xaws peritoneal muaj nyob hauv lub plab mog. Qeb II ntawm zes qe menyuam epithelial thiab qe ntshav qog ua hlav ua qog yuav muab faib ua theem II thiab theem IIB.
- Theem IIA: Cancer tau kis los ntawm qhov nws tsim thawj zaug rau lub tsev menyuam thiab / lossis txoj hlab qe menyuam thiab / lossis zes qe menyuam.
- Theem IIB: Kabmob tau kis los ntawm lub zes qe menyuam lossis txoj hlab qe menyuam mus rau cov kabmob hauv cov kabmob loj (qhov chaw uas muaj cov kabmob hauv plab).

Theem III
Hauv theem III, mob qog nqaij hlav muaj nyob rau ntawm ib lossis ob leeg zes qe menyuam lossis txoj hlab qe menyuam, lossis thawj tus kabmob peritoneal, thiab tau kis rau sab nraud ntawm lub plab mog mus rau lwm qhov ntawm lub plab thiab / lossis rau cov qog ntshav nyob ze. Theem III raug faib rau theem IIIA, theem IIIB, thiab theem IIIC.
- Hauv theem IIIA, ib qho ntawm cov hauv qab no yog qhov tseeb:
- Cov kabmob kheesxaws tau kis rau cov leeg mob nyob hauv thaj chaw sab nraud lossis tom qab peritoneum nkaus xwb; lossis
- Cov qog ntshav uas tuaj yeem pom tsuas yog nrog lub khob tsom kab mob tau kis mus rau sab nrauv peritoneum sab nraud ntawm lub plab mog. Mob khees xaws yuav kis mus rau cov qog ntshav nyob ze.

- Theem IIIB: Kab Mob tau kis mus rau peritoneum sab nraud ntawm lub plab mog thiab tus kabmob hauv peritoneum yog 2 centimeters lossis me dua. Mob kheesxaws yuav kis mus rau cov qog ntshav qab ntawm peritoneum.
- Theem IIIC: Cancer tau kis mus rau peritoneum sab nraud ntawm lub plab mog thiab tus kabmob hauv cov peritoneum loj dua 2 centimeters. Kab mob khees xaws tau kis rau cov qog ntshav qab lub peritoneum lossis rau sab hauv daim siab lossis hnoos qeev.

Theem IV

Hauv theem IV, mob cancer tau kis ntau dhau ntawm lub plab mus rau lwm qhov ntawm lub cev. Theem IV tau muab faib ua theem IVA thiab theem IVB.
- Theem IVA: Cov qog nqaij hlav cancer nrhiav nyob hauv cov kua dej ntau ntxiv uas ua rau lub ntsws nyob puag ncig.
- Theem IVB: Kab mob Cancer tau kis mus rau cov plab hnyuv siab raum thiab cov nqaij sab nraud, uas suav nrog cov qog ntshav hauv puab tais.
Ovarian epithelial, hlab ntsha qe ntshav, thiab cov qog nqaij hlav cancer peritoneal tau muab cais ua pawg los kho tus mob khees xaws thaum ntxov lossis tshaj lij.
Qeb I ovarian epithelial thiab fallopian tube qog nqaij hlav tau txais kev kho mob khees xaws thaum ntxov.
Theem II, III, thiab IV ntawm zes qe menyuam epithelial, tub raum qe, thiab cov qog nqaij hlav rau qhov chaw mos yog kho ua qog qog nqaij hlav siab tshaj.
Lub Caij Dua Rov Qab Los Ntuav lossis Lub Pwm Mob Ovarian Epithelial, Txoj Hlab Qeeb, thiab Tus Mob Ntawm Tus Kheej Peritoneal
Mob kheesxaws yug me nyuam epithelial, mob qog qe ntshav, lossis mob qog nqaij hlav yog mob qog rov qab (rov qab los) tom qab nws tau siv tshuaj kho. Kab mob qog yog cancer uas tsis ploj mus nrog kev kho.
Txoj Kev Kho Mob Cov Tswv Yim
QHOV TSEEM CEEB
- Nws muaj ntau hom kev kho mob rau cov neeg mob uas muaj mob hlav ntawm zes qe menyuam epithelial.
- Peb hom kev kho mob sib txawv yog siv.
- Kev phais mob
- Kws khomob
- Cov hom phiaj kho
- Cov hom kev kho mob tshiab tau raug sim hauv qhov kev sim kho mob.
- Kev siv hluav taws xob
- Kev Txhaj Tshuaj Tiv Thaiv
- Kev kho mob rau zes qe menyuam epithelial, tub raum pob txha, thiab mob qog nqaij hlav hauv lub cev yuav ua rau muaj kev phiv.
- Cov neeg mob yuav xav txog kev sim kho mob.
- Cov neeg mob tuaj yeem nkag mus kuaj mob ua ntej, sijhawm, lossis tom qab pib kho mob qog noj ntshav.
- Tej zaum yuav tau ua raws li kev ntsuam xyuas.
Nws muaj ntau hom kev kho mob rau cov neeg mob uas muaj mob hlav ntawm zes qe menyuam epithelial.
Muaj ntau hom kev kho mob muaj rau cov neeg mob qog mob cancer ntawm zes qe menyuam. Qee qhov kev kho mob yog tus qauv, thiab qee qhov raug sim hauv kev kuaj mob. Ib txoj kev kho mob hauv tsev kho mob yog txoj kev tshawb nrhiav uas pab txhawm rau txhim kho kev kho mob tam sim no lossis tau txais cov ntaub ntawv ntawm kev kho mob tshiab rau cov neeg mob cancer. Thaum kuaj pom tias cov kev kho tshiab zoo dua li cov kev kho mob tam sim no siv los ua cov qauv kev kho mob, qhov kev kho mob tshiab tuaj yeem dhau los ua cov qauv kev kho mob. Cov neeg mob uas muaj sijhawm mob kheesxaws ntawm zes qe menyuam yuav xav xav txog kev koom nrog kev sim tshuaj. Qee qhov kev sim tshuaj sim tsuas yog qhib rau cov neeg mob uas tsis tau pib kho.
Peb hom kev kho mob sib txawv yog siv.
Kev phais mob
Feem ntau cov neeg mob tau phais kom tshem tawm cov qog ntau li ntau tau. Ntau hom kev phais mob tuaj yeem suav nrog:
- Hysterectomy: Kev phais mob kom tshem tawm lub tsev me nyuam thiab, qee zaum, ncauj tsev menyuam. Thaum tsuas yog tshem tawm tsev me nyuam, nws tseem hu ua kev tiv thaiv menyuam. Thaum ob lub tsev menyuam thiab lub ncauj tsev menyuam tshem tawm, nws raug hu ua tag nrho cov nqaij hlav huv. Yog tias lub tsev menyuam thiab lub ncauj tsev menyuam tawm ntawm lub paum, qhov kev khiav hauj lwm hu ua pojniam qhov chaw mos. Yog tias lub tsev menyuam thiab lub ncauj tsev menyuam tawm los ntawm qhov phais loj (txiav) hauv plab, txoj haujlwm yog hu ua tag nrho kev phais mob plab. Yog tias lub tsev me thiab lub ncauj tsev menyuam tau tawm los ntawm kev phais me me (txiav) hauv plab plab siv txoj kab laparoscope, txoj haujlwm yog hu ua tag nrho laparoscopic hysterectomy.

- Unilateral salpingo-oophorectomy: Txoj kev phais mob kom tshem tawm ib lub zes qe menyuam thiab ib txoj hlab qe menyuam.
- Ob leeg salpingo-oophorectomy: Txoj kev phais mob kom tshem tawm ob lub zes qe menyuam thiab ob txoj hlab qe menyuam.
- Omentectomy: Txoj kev phais mob kom tshem tawm cov omentum (cov nqaij hauv lub peritoneum uas muaj cov hlab ntsha, hlab ntsha, cov hlab ntsws, thiab cov qog ntshav).
- Lymph node biopsy: Qhov tshem tawm tag nrho lossis ib feem ntawm cov qog ntshav. Tus kws kho mob tawm tswv yim saib cov qog ntshav ntawm lub qog tsom hauv lub tshuab kuaj kab mob.
Kws khomob
Kev siv tshuaj kho mob yog kev kho mob cancer uas siv cov tshuaj los txwv kev loj hlob ntawm cov qog nqaij hlav cancer, los ntawm kev tua cov qog lossis txwv tsis pub faib. Thaum cov tshuaj tua kab mob noj los ntawm qhov ncauj lossis txhaj rau hauv txoj hlab ntshav lossis leeg, cov tshuaj nkag mus rau cov ntshav thiab tuaj yeem mus txog rau cov qog nqaij hlav ntshav thoob plaws lub cev (kev kho mob tshuaj tua kabmob). Thaum cov kws kho mob tso tshuaj rau ncaj qha mus rau cov kua dej ua kua tshuaj, ib qho khoom hauv nrog cev, lossis lub cev ua kom lub cev muaj xws li lub plab, cov tshuaj feem ntau cuam tshuam rau cov qog nqaij hlav cancer hauv cov chaw ntawd (thaj av tshuaj kho mob).
Ib hom kev kho mob hauv ib cheeb tsam siv los kho kev mob kheesxaws ntawm zes qe menyuam yog tshuaj intraperitoneal (IP) kev kho mob. Hauv IP chemotherapy, cov tshuaj anticancer nqa ncaj qha mus rau peritoneal kab noj hniav (qhov chaw uas muaj cov plab zom mov hauv plab) los ntawm cov raj nyias nyias.
Hyperthermic intraperitoneal chemotherapy (HIPEC) yog ib txoj kev kho mob siv thaum phais mob uas tau kawm txog kev mob qog ntawm zes qe menyuam. Tom qab tus kws kho mob tau tshem tawm cov qog nqaij ntau li ntau tau, cov tshuaj ntxuav hauv sov yog xa ncaj qha mus rau peritoneal kab noj hniav.
Kev kho nrog ntau dua ib hom tshuaj anticancer yog hu ua kev sib xyaw ua ke ntawm kev kho mob.
Txoj hauv kev siv tshuaj kho yog muab raws li hom thiab theem ntawm kev kho mob qog noj.
Saib Cov Tshuaj Pom Zoo rau Kev Mob Ovarian, Fallopian Tube, lossis Tus Thawj Hwj Pob Peritoneal yog xav paub ntxiv.
Cov hom phiaj kho
Cov hom phiaj kho yog ib hom kev kho mob uas siv tshuaj los yog lwm yam tshuaj los txheeb xyuas thiab tua cov qe ntshav tshwj xeeb tsis yog ua mob rau cov leeg zoo li qub.
Monoclonal antibody therapy yog hom kev kho mob rau lub zog uas siv cov tshuaj tiv thaiv nyob hauv chav kuaj, los ntawm ib hom kab mob tiv thaiv kab mob ntawm tes. Cov tshuaj tiv thaiv no tuaj yeem txheeb xyuas cov tshuaj ntawm qog nqaij hlav cancer lossis cov khoom qub uas tuaj yeem pab ua kom cov cell mob qog noj ntshav. Cov tshuaj tiv thaiv txuas rau cov tshuaj thiab tua cov qog nqaij hlav cancer, thaiv lawv qhov kev loj hlob, lossis txwv tsis pub kis mus rau lwm qhov. Cov kab mob monoclonal yog muab los ntawm kev lis ntshav. Lawv yuav raug siv nyob ib leeg lossis nqa tshuaj, co toxins, lossis khoom siv hluav taws xob ncaj qha mus rau qog nqaij hlav cancer.
Bevacizumab yog ib qho tshuaj tua kab mob monoclonal uas tej zaum yuav siv nrog tshuaj kho mob los kho mob ntawm zes qe menyuam epithelial, mob qog qe ntshav, lossis mob qog nqaij hlav peritoneal uas tau rov ua dua (rov qab los).
Poly (ADP-ribose) polymerase inhibitors (PARP inhibitors) yog cov tshuaj kho mob uas muaj kev tiv thaiv kev txhim kho DNA thiab tej zaum yuav ua rau cov kab mob cancer tuag. Olaparib, rucaparib, thiab niraparib yog PARP inhibitors uas yuav siv los kho qog hlav qog nqaij hlav qog ib qib siab. Rucaparib kuj tseem siv tau los ua kev saib xyuas kev kho mob rau kev kho mob ntawm zes qe menyuam epithelial, mob qog qe ntshav, lossis mob qog nqaij hlav peritoneal uas tau rov muaj dua. Veliparib yog PARP inhibitor uas tau kawm txog los kho qog hlav qog nqaij hlav qog nqaij hlav siab.
Angiogenesis inhibitors yog lub hom phiaj kho kev kho mob uas tuaj yeem tiv thaiv txoj kev loj hlob ntawm cov hlab ntsha tshiab uas cov qog yuav loj hlob thiab tuaj yeem tua cov qog noj ntshav. Cediranib yog tshuaj tua kab mob angiogenesis inhibitor raug kawm nyob rau hauv kev kho mob ntawm kev mob kheesxaws ntawm zes qe menyuam.
Saib Cov Tshuaj Pom Zoo rau Kev Mob Ovarian, Fallopian Tube, lossis Tus Thawj Hwj Pob Peritoneal yog xav paub ntxiv.
Cov hom kev kho mob tshiab tau raug sim hauv qhov kev sim kho mob.
Tshooj lus kawg piav txog kev kho mob uas tau kawm hauv kev sim tshuaj. Nws yuav tsis hais txog txhua txoj kev kho tshiab tau kawm. Cov ntaub ntawv hais txog kev sim kho mob muaj nyob rau ntawm NCI lub vev xaib.
Kev siv hluav taws xob
Kev xoo hluav taws xob yog kev kho mob cancer uas siv hluav taws xob xoo hluav taws xob loj lossis lwm yam hluav taws xob tua ntau los tua cov qog nqaij hlav cancer lossis ua kom lawv loj tuaj. Qee tus poj niam tau txais kev kho mob hu ua intraperitoneal radiation kev kho, nyob rau hauv uas cov kua hluav taws xob tau muab tso ncaj qha rau hauv plab plab los ntawm txoj raj. Txoj kev kho hluav taws xob rau Intraperitoneal tab tom kawm txog kev kho mob cancer ntawm zes qe menyuam qib siab.
Kev Txhaj Tshuaj Tiv Thaiv
Kev Siv Tshuaj Tiv Thaiv yog ib txoj kev kho mob uas siv tus neeg mob lub cev tiv thaiv kab mob cancer. Cov tshuaj uas tsim los ntawm lub cev lossis tsim hauv chav siv tshuaj yog siv los txhawb, ncaj qha, lossis rov kho lub cev lub cev los tiv thaiv tus mob qog nqaij hlav. Hom kev kho mob cancer no tseem hu ua biotherapy lossis siv tshuaj tiv thaiv kab mob.
Kev siv tshuaj tiv thaiv yog kev kho mob cancer uas yog siv cov tshuaj los yog pawg ntawm cov tshuaj los txhawb kev tiv thaiv kab mob kom pom cov qog thiab tua nws. Txoj kev siv tshuaj tiv thaiv kho tuaj kho mob kho mob qog mis qog siab.
Kev kho mob rau zes qe menyuam epithelial, tub raum pob txha, thiab mob qog nqaij hlav hauv lub cev yuav ua rau muaj kev phiv.
Yog xav paub txog cov kev mob tshwm sim los ntawm kev kho mob qog noj ntshav, saib peb Sab Phiv Rov Qab.
Cov neeg mob yuav xav txog kev sim kho mob.
Txog qee tus neeg mob, koom nrog kev sim kho mob yuav yog txoj kev xaiv zoo tshaj plaws. Cov chaw kuaj mob yog ib feem ntawm cov txheej txheem tshawb mob qog noj ntshav. Cov chaw kho mob tau sim ua kom pom tias kev kho mob qog noj ntshav tshiab muaj kev nyab xeeb thiab zoo dua lossis zoo dua cov qauv tshuaj.
Ntau yam ntawm cov qauv kev kho mob qog noj ntshav niaj hnub no yog los ntawm cov kev tshawb fawb kab mob thaum ntxov. Cov neeg mob uas koom nrog kev sim kho mob tuaj yeem tau txais cov qauv kev kho mob lossis ua thawj zaug tau txais kev kho mob tshiab.
Cov neeg mob uas koom nrog kev sim kho mob kuj pab txhim kho txoj kev kho mob qog nqaij hlav yav tom ntej. Txawm hais tias kev sim tshuaj sim tsis ua rau muaj kev kho mob tshiab, lawv feem ntau teb cov lus nug tseem ceeb thiab pab txav kev tshawb fawb tom ntej.
Cov neeg mob tuaj yeem nkag mus kuaj mob ua ntej, sijhawm, lossis tom qab pib kho mob qog noj ntshav.
Qee qhov kev sim tshuaj tsuas yog suav nrog cov neeg mob uas tseem tsis tau txais kev kho mob. Lwm txoj kev sim sim cov kev kho mob rau cov neeg mob uas mob qog noj qab tsis tau zoo dua. Kuj tseem muaj cov kev sim tshuaj kuaj mob uas sim txoj kev tshiab los txwv qog noj ntshav kom tsis txhob mob ntxiv (rov qab los) lossis txo kev phiv los ntawm kev kho mob qog noj.
Cov chaw kuaj mob tau tshwm sim nyob rau ntau lub tebchaws. Cov ntaub ntawv hais txog kev sim kho mob uas tau txhawb nqa los ntawm NCI tuaj yeem nrhiav pom ntawm NCI cov chaw kuaj mob tshawb nrhiav lub vev xaib. Cov chaw kuaj mob txhawb nqa los ntawm lwm cov koomhaum tuaj yeem nrhiav pom ntawm ClinicalTrials.gov lub vev xaib.
Tej zaum yuav tau ua raws li kev ntsuam xyuas.
Qee qhov kev ntsuas mob uas tau ntsuas los kuaj mob qog noj ntshav lossis kom pom tias theem mob cancer yuav rov qab ua dua. Qee qhov kev ntsuas yuav rov ua qhov qub txhawm rau kom pom tias qhov kev kho mob ua haujlwm li cas. Cov kev txiav txim siab hais txog seb puas yuav txuas ntxiv, hloov, lossis tsum tsis mus kho yuav ua raws cov txiaj ntsig ntawm cov kev ntsuas no.
Qee qhov kev sim yuav txuas ntxiv ua ib zaug dhau ib zaug tom qab kho tas. Qhov tshwm sim ntawm kev sim no tuaj yeem qhia tau yog tias koj tus mob tau hloov lossis yog tias mob qog rov qab (rov qab los). Qee qhov kev ntsuas no qee zaum hu ua kev kuaj mob rov qab lossis mus kuaj mob.
Cov Kev Kho Mob Los Ntawm Ntu
Hauv Tshooj Lus no
- Thaum Ntxov Ovarian Epithelial thiab Fallopian Tube Cancer
- Tshaj Tawm Kev Mob Ovarian Epithelial, Txoj Hlab Qeeb, thiab Tus Mob Hlaws Nyog Ntawm Ib Leeg
Yog xav paub txog cov kev kho mob uas teev rau hauv qab no, saib hauv Cov Lus Qhia Kev Xaiv Kev Xaiv.
Thaum Ntxov Ovarian Epithelial thiab Fallopian Tube Cancer
Kev kho tus mob kheesxaws ntawm tsev menyuam thaum ntxov lossis mob qog qe ntshav yuav muaj xws li cov hauv qab no:
- Hysterectomy, ob leeg salpingo-oophorectomy, thiab omentectomy. Cov qog ntshav thiab lwm yam nqaij hauv lub plab mog thiab lub plab plab raug tshem tawm thiab tshawb hauv lub tshuab tsom rau cov qog noj ntshav. Kev siv tshuaj kho mob tuaj yeem muab tom qab kev phais mob.
- Unilateral salpingo-oophorectomy tej zaum yuav ua tau rau qee tus poj niam uas xav muaj menyuam. Kev siv tshuaj kho mob tuaj yeem muab tom qab kev phais mob.
Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.
Tshaj Tawm Kev Mob Ovarian Epithelial, Txoj Hlab Qeeb, thiab Tus Mob Hlaws Nyog Ntawm Ib Leeg
Kev kho tus mob kheesxaws ntawm zes qe menyuam tshaj plaw, mob qog qe ntshav, lossis mob qog nqaij hlav cancer tuaj yeem suav nrog cov hauv qab no:
- Hysterectomy, ob leeg salpingo-oophorectomy, thiab omentectomy. Cov qog ntshav thiab lwm qhov nqaij hauv lub plab mog thiab plab plab tau raug tshem tawm thiab tshawb hauv lub tshuab tsom kab mob kom pom cov qog nqaij hlav. Kev phais mob yog tom qab ib qho ntawm cov hauv qab no:
- Kev siv tshuaj kho qhov muag.
- Kev siv tshuaj khomob intraperitoneal.
- Kev siv tshuaj kho thiab tsom kwm kho (bevacizumab).
- Kev siv tshuaj kho mob thiab tsom kwm nrog ib qho poly (ADP-ribose) polymerase (PARP) inhibitor.
- Kev siv tshuaj tua kab mob yuav ua raws li kev phais mob (tejzaum ua raws kev siv tshuaj tua kabmob).
- Kws khomob ib leeg rau cov neeg mob uas tsis tuaj yeem phais.
- Kev sim tshuaj mob ntawm cov hom phiaj kho nrog tus tsim cov tshuaj PARP inhibitor (olaparib, rucaparib, niraparib, lossis veliparib).
- Kev soj ntsuam kab mob ua rau hyperthermic intraperitoneal chemotherapy (HIPEC) thaum phais mob.
Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.
Cov Kev Xaiv rau Kev Kho Mob Rov Ntxiv Dua los yog Ntev Ntog Ntawm Kev Nqaij Mob Ntawm Ovarian
Yog xav paub txog cov kev kho mob uas teev rau hauv qab no, saib hauv Cov Lus Qhia Kev Xaiv Kev Xaiv.
Kev kho mob ntawm kev mob kheesxaws ovive epithelial cancer, mob qog qe ntshav, lossis mob khees-xaws peritoneal yuav suav nrog cov hauv qab no:
- Kev siv tshuaj kho mob siv ib lossis ntau qhov tshuaj anticancer.
- Cov kev kho mob tshwj xeeb nrog lub poly (ADP-ribose) polymerase (PARP) inhibitor (olaparib, rucaparib, niraparib, lossis cediranib) nrog lossis tsis muaj tshuaj lom.
- Kws khomob thiab / lossis kho mob rau siv (bevacizumab).
- Kev soj ntsuam kab mob ua rau hyperthermic intraperitoneal chemotherapy (HIPEC) thaum phais mob.
- Kev kuaj mob hauv kev kho tus mob tshiab.
Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.
Yog Xav Paub Ntxiv Txog Ovarian Epithelial, Txoj Hlab Qeeb, thiab Tus Mob Ntawm Tus Kheej
Yog xav paub ntau ntxiv los ntawm National Cancer Institute txog ntawm zes qe menyuam epithelial, hlab qe ntshav, thiab mob qog nqaij hlav hauv lub cev, pom cov hauv qab no:
- Ovarian, Fallopian Tube, thiab Primary Peritoneal Cancer Home Page
- Ovarian, Fallopian Tube, thiab Tiv Thaiv Tus Mob Cancer Peritoneal
- Ovarian, Fallopian Tube, thiab Txoj Kev Kuaj Mob Ntawm Cov Menyuam Kuaj Hlwb
- Kuaj Mob Tsis Txawv Txawv ntawm Kev Kho Me Nyuam
- Cov Tshuaj Pom Zoo Pom Kev Mob Ovarian, Fallopian Tube, lossis Cancer Peritoneal Cancer
- Hom Kab Mob Kuaj Mob Cancer
- Kev Hloov Chaw BRCA: Kev Tshuaj Ntsuam Kab Mob thiab Kuaj Ntshav
- Kev kuaj raws caj ces ntawm Cov Neeg Muaj Peev Xwm Cuam Tshuam Mob Syndromes
Txog kev qhia txog kabmob kheesxaws thoob plaws thiab lwm yam kev pabcuam los ntawm National Cancer Institute, saib cov hauv qab no:
- Txog Mob Cancer
- Qib
- Kev Siv Tshuaj Kho Mob thiab Koj: Txhawb Rau Cov Neeg Muaj Mob Cancer
- Qhov Kev Mob Hlaws Hluav Taws Xob thiab Koj: Txhawb Rau Cov Neeg Muaj Mob Cancer
- Kev Muaj Mob Cancer
- Cov Lus Nug Yuav Nug Koj Tus Kws Kho Mob txog Kab Mob Cancer
- Rau Cov Muaj Txoj Sia Nyob thiab Cov Saib Xyuas