Hom / ovarian / tus neeg mob / ovarian-kab mob-ntawm tes-kev kho mob-pdq

Ovarian Cell Cell qog nqaij hlav kho Version

Cov Lus Qhia Dav Dav Txog Kev Ovarian Cell Cell Tumors

QHOV TSEEM CEEB

• Ovarian cell cell qog yog ib yam kab mob hauv cov qog nqaij hlav (qe) hauv cov qe.

• Cov tsos mob ntawm tus mob ntawm zes qe menyuam mob qog ua rau o ntawm lub plab lossis qhov chaw mos los ntshav tom qab lawm.

• Kev ntsuam xyuas uas kuaj xyuas lub zes qe menyuam, thaj chaw hu ua pelvic, ntshav, thiab nqaij ntawm zes qe menyuam yog siv los kuaj (nrhiav) thiab kuaj kab mob ntawm cov zes qe menyuam mob qog.

• Qee yam cuam tshuam txog kev raug (mob txoj kev yuav rov zoo thiab kho).

Ovarian cell cell qog yog ib yam kab mob hauv cov qog nqaij hlav (qe) hauv cov qe.

Cov qog cell pib nyob rau hauv cov keeb ua me nyuam (qe lossis phev) hauv lub cev. Kheesxaws ntawm zes qe menyuam feem ntau tshwm sim rau cov menyuam ntxhais hluas lossis poj niam hluas thiab feem ntau cuam tshuam rau ib lub zes qe menyuam.

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.

Anatomy ntawm poj niam kev muaj me nyuam. Cov kabmob hauv poj niam kev muaj me nyuam muaj xws li lub tsev menyuam, zes qe menyuam, txoj hlab qe menyuam, lub ncauj tsev menyuam, thiab lub paum. Lub tsev menyuam muaj cov leeg nqaij txheej dhau los hu ua myometrium thiab txheej sab hauv hu ua endometrium.

Ovarian cell cell qog yog lub npe dav dav uas siv los piav qhia txog ntau hom qog nqaij hlav cancer. Feem ntau ntawm cov zes qe menyuam cov qe ntshav yog hu ua dysgerminoma. Saib cov lus qhia hauv hauv qab no rau cov ntaub ntawv hais txog lwm hom mob qog qe menyuam:

• Ovarian Epithelial, Txoj Hlab Qeeb, thiab Txoj Kev Kho Tus Kab Mob Ntawm Feem Caws Qog

• Ovarian Low Malignant Muaj Peev Xwm Kho Tum Txhim Kho

Cov tsos mob ntawm tus mob ntawm zes qe menyuam mob qog ua rau o ntawm lub plab lossis qhov chaw mos los ntshav tom qab lawm.

Kheesxaws ntawm zes qe menyuam mob tuaj yeem kuaj xyuas tau yooj yim (pom) thaum ntxov. Feem ntau tsis muaj tsos mob tshwm sim thaum ntxov, tab sis qog hlav qog yuav pom thaum kuaj mob gynecologic (kuaj mob). Nug koj tus kws kho mob yog tias koj muaj ib qho twg hauv qab no:

• Ntag plab tsis muaj qhov hnyav ntxiv rau lwm qhov chaw ntawm lub cev.

• Los ntshav los ntawm chaw mos tom qab lub sijhawm lawm (thaum koj tsis coj khaub ncaws lawm).

Kev ntsuam xyuas uas kuaj xyuas lub zes qe menyuam, thaj chaw hu ua pelvic, ntshav, thiab nqaij ntawm zes qe menyuam yog siv los kuaj (nrhiav) thiab kuaj kab mob ntawm cov zes qe menyuam mob qog.

Cov ntawv xeem thiab txheej txheem hauv qab no yuav raug siv:

• 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.

Pelvic exam. Tus kws kho mob lossis tus nais maum ntxig ib los sis ob lub ntsej muag uas muab laim me ntsis ntawm txhais tes mus rau hauv qhov chaw mos thiab nias ntawm sab hauv qab plab nrog sab tes. Qhov no yog ua los xav qhov loj me, qhov zoo, thiab qhov chaw ntawm lub tsev menyuam thiab zes qe menyuam. Qhov chaw mos, lub ncauj tsev menyuam, txoj hlab qe ntshav, thiab qhov quav tseem kuaj xyuas.

• Laparotomy (Laxarotomy): Txoj kev phais mob uas phais (txiav) ua nyob rau sab phab ntsa ntawm lub plab kom kuaj xyuas sab hauv ntawm lub plab kom pom cov tsos mob. Qhov loj ntawm kev phais nyob ntawm seb yog vim li cas laparotomy tau ua. Qee zaum cov plab hnyuv siab raum raug tshem tawm lossis cov qauv ntawm lub ntsej muag raug coj thiab kuaj hauv qab lub tshuab tsom rau cov cim ntawm tus kab mob.

• 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.

• Ntshav cov qog ua cim: Cov txheej txheem uas kuaj cov ntshav mus kuaj kom ntsuas seb ib co ntshav tawm hauv cov ntshav nruab nrog cev, nqaij, lossis nqaij hlav hauv lub cev li cas Qee yam tshuaj txuas rau qee hom mob qog noj ntshav thaum pom muaj ntau ntxiv hauv cov ntshav. Cov no yog hu ua cov cim qog. Kev nce qib ntawm alpha fetoprotein (AFP) lossis tib neeg chorionic gonadotropin (HCG) nyob rau hauv cov ntshav yuav yog cov cim ntawm zes qe menyuam mob qog nqaij hlav.

Qee yam cuam tshuam txog kev raug (mob txoj kev yuav rov zoo thiab kho).

Qhov raug (sij hawm rov qab los) thiab kev xaiv kho nyob ntawm cov hauv qab no:

• Hom mob cancer.

• Qhov loj ntawm lub qog.

• Qhov theem ntawm mob qog nqaij hlav (txawm nws cuam tshuam rau qee lub zes qe menyuam, koom nrog tag nrho ovary, lossis kis mus rau lwm qhov chaw hauv lub cev).

• Txoj hauv kev mob qog ntshav saib hauv qab lub tshuab tsom.

• Tus neeg mob txoj kev noj qab haus huv dav dav.

Kheesxaws ntawm zes qe menyuam feem ntau yuav kho tau yog tias nrhiav thiab kho thaum ntxov.

Qib Ntawm Ovarian Germ Cell Tumors

QHOV TSEEM CEEB

• Tom qab kuaj kab mob ntawm zes qe menyuam cov qe ntshav tau kuaj, kev kuaj yuav ua tiav kom paub seb puas muaj kab mob kheesxaws tau kis hauv lub zes qe menyuam lossis lwm qhov chaw hauv 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 cov hlav ntawm zes qe menyuam cov kab mob:

• Theem Kuv

• Theem II

• Theem III

• Theem IV

Tom qab kuaj kab mob ntawm zes qe menyuam cov qe ntshav tau kuaj, kev kuaj yuav ua tiav kom paub seb puas muaj kab mob kheesxaws tau kis hauv lub zes qe menyuam lossis lwm qhov chaw hauv lub cev.

Tus txheej txheem tau siv los xyuas seb puas muaj mob cancer tau kis hauv lub zes qe menyuam 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. Tshwj tsis yog tus kws kho mob paub tseeb tias tus mob cancer tau kis ntawm zes qe menyuam mus rau lwm qhov ntawm lub cev, kev ua haujlwm hu ua laparotomy yog saib seb puas mob cancer kis. Tus kws kho mob yuav tsum tau txiav rau hauv plab thiab ua tib zoo saib ntawm txhua yam hauv plab hnyuv txhawm rau saib seb lawv puas muaj mob qog noj ntshav hauv lawv. Tus kws kho mob yuav txiav cov nqaij me me kom lawv tuaj yeem kuaj hauv qab lub tshuab tsom rau cov cim qhia tias mob qog nqaij hlav. Tus kws kho mob kuj tseem tuaj yeem ntxuav lub plab hauv plab nrog kua dej, uas tseem tshawb xyuas hauv lub tshuab tsom kab ntsig kom pom tias nws muaj qog nqaij hlav cancer nyob hauv. Feem ntau tus kws kho mob yuav tshem tawm cov qog nqaij hlav thiab lwm yam kabmob uas muaj qog nqaij hlav hauv lawv thaum laparotomy.

Ntau yam ntawm kev ntsuam xyuas raug siv los kuaj mob qog ntawm zes qe menyuam cov qe ntshav kuj yog siv los ua qauv. Cov ntawv xeem thiab cov txheej txheem hauv qab no kuj tseem siv tau rau kev ntaus pob:

• PET scan (positron emission tomography scan): Tus txheej txheem los nrhiav cov qog ua qog ntshav hauv lub cev. Ib qho me me ntawm cov kua hluav taws xob cov kua qab zib (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).

• Txoj kev kuaj ntshav transvaginal ultrasound: Tus txheej txheem siv los tshuaj xyuas qhov chaw mos, ntawm lub tsev menyuam, txoj hlab qe menyuam, thiab lub zais zis. Ib lub tshuab hloov ultrasound (sojntsuam) tau muab tso rau hauv qhov chaw mos thiab siv los thawb lub zog hluav taws xob suab (ultrasound) tawm ntawm cov ntaub so ntswg sab hauv lossis cov khoom hauv nruab nrog cev thiab ua echoes. Cov ncha tsim daim duab ntawm lub cev nqaij daim tawv hu ua sonogram. Tus kws kho mob tuaj yeem txheeb xyuas cov qog ntshav los ntawm saib lub sonogram.

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 qog ntawm thawj lub qog. Piv txwv li, yog tias tus kab mob ntawm zes qe menyuam mob nkag mus rau lub siab, cov qog ua haujlwm nyob rau hauv lub siab yog qhov mob qog ntawm zes qe menyuam cov qe ntshav. Tus kab mob yog metastatic ntawm zes qe menyuam mob cell qog, tsis mob siab mob cancer.

Cov theem hauv qab no yog siv rau cov hlav ntawm zes qe menyuam cov kab mob:

Theem Kuv

Hauv theem IA, khees xaws pom nyob sab hauv txoj hlab qe qe lossis qe ntshav dawb. Hauv theem IB, kev mob qog yog pom sab hauv ob leeg zes qe menyuam lossis txoj hlab qe menyuam. Hauv theem IC, mob cancer nyob sab hauv ib lossis ob lub zes qe menyuam lossis txoj hlab qe menyuam thiab ib qho hauv qab no yog qhov tseeb: (a) tshuaj ntsiav (txheej npog sab nraud) ntawm lub zes qe menyuam tau tawg, (b) mob cancer kuj tseem pom sab nraud ib lossis ob leeg zes qe menyuam lossis txoj hlab qe menyuam, lossis (c) mob qog nqaij hlav muaj nyob hauv pelvic peritoneum.

Hauv theem I, kev mob khees-xaws muaj nyob rau ib lossis ob leeg ov. Theem Kuv muab faib rau theem IA, theem IB, thiab theem IC.

• Theem IA: Kabmob muaj nyob hauv sab ovary.

• Theem IB: Mob khees-xaws muaj nyob sab hauv ob leeg.

• Theem IC: Kabmob muaj nyob hauv ib lossis ob lub zes qe menyuam thiab ib qho hauv qab no yog qhov tseeb:

• khees xawj kuj tseem pom nyob sab nraud ntawm ib lossis ob leeg zes qe menyuam; lossis

• cov tshuaj ntsiav (txheej sab nraud) ntawm lub zes qe menyuam tau tawg (tawg qhib); 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 IIA, kab mob kheesxaws tau pom nyob hauv ib lossis ob lub zes qe menyuam lossis txoj hlab qe menyuam thiab tau kis mus rau lub tsev menyuam thiab / lossis txoj hlab qe menyuam thiab / lossis lub zes qe menyuam. Hauv theem IIB, mob cancer nrhiav tau hauv ib lossis ob leeg zes qe menyuam lossis txoj hlab qe menyuam thiab tau kis mus rau txoj hnyuv loj. Thawj tus kabmob peritoneal, mob khees-xaws muaj nyob rau pelvic peritoneum thiab tsis kis mus rau lwm qhov ntawm lub cev.

Hauv theem II, mob qog nqaij hlav muaj nyob hauv ib lossis ob leeg zes qe menyuam thiab tau kis mus rau lwm thaj chaw ntawm lub plab mog. Theem II tau muab faib ua theem IIA, theem IIB, thiab theem IIC.

• Theem IIA: Cancer tau kis mus rau lub tsev menyuam thiab / lossis txoj hlab qe ntshav (txoj hlab ntev ntev uas los ntawm cov qe hla dhau ntawm lub zes qe menyuam mus rau lub tsev menyuam).

• Theem IIB: Kab mob Cancer tau kis mus rau lwm cov nqaij hauv lub plab mog.

• Theem IIC: Kev mob kheesxaws pom nyob hauv ib lossis ob lub zes qe menyuam thiab tau kis mus rau lub tsev menyuam thiab / lossis txoj hlab qe menyuam, lossis rau lwm qhov nqaij ntawm lub plab mog Ntxiv thiab, ib qho ntawm cov hauv qab no yog qhov tseeb:

• mob qog yog pom nyob rau sab nraud ntawm ib lossis ob leeg zes qe menyuam; lossis

• cov tshuaj ntsiav (txheej sab nraud) ntawm lub zes qe menyuam tau tawg (tawg qhib); 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).

Qhov ntau thiab tsawg lub qog feem ntau ntsuas hauv centimeters (cm) lossis nti. Cov zaub mov cov khoom noj uas siv tau los qhia cov qog loj hauv cm suav nrog: pea (1 cm), txiv laum huab xeeb (2 cm), txiv hmab (3 cm), txiv ntoo (4 cm), txiv qaub (5 cm lossis 2) ntiv tes), ib lub qe (6 cm), txiv duaj (7 cm), thiab txiv kab ntxwv qaub (10 cm lossis 4 ntiv tes).

Theem III

Hauv Ntu III, kab mob khees xaws muaj nyob rau ib lossis ob leeg zes qe menyuam thiab tau kis tawm sab nrauv lub plab mog mus rau lwm qhov ntawm lub plab thiab / lossis cov qog ntshav nyob ze. Theem III raug faib rau theem IIIA, theem IIIB, thiab theem IIIC.

• Theem IIIA: Cov qog tsuas pom nyob rau hauv lub plab mog nkaus xwb, tab sis cov qog nqaij hlav cancer uas pom tsuas pom ntawm lub tshuab tsom kab mob tau kis mus rau thaj chaw ntawm peritoneum (cov nqaij uas txoj kab ntawm lub plab phab ntsa thiab npog feem ntau ntawm cov kabmob hauv plab), cov hnyuv me me, lossis cov ntaub so ntswg uas txuas rau txoj hnyuv me rau sab phab ntsa ntawm lub plab.

Hauv theem IIIA, kab mob kheesxaws muaj nyob hauv ib lossis ob leeg zes qe menyuam lossis txoj hlab qe menyuam thiab (a) mob cancer tau kis mus rau cov qog ntshav ntawm thaj chaw sab nraud lossis sab nraub qaum peritoneum nkaus xwb, lossis (b) mob hlwb uas tuaj yeem pom tsuas muaj lub tshuab tsom kab mob xwb kis rau omentum. Mob khees xaws yuav kis mus rau cov qog ntshav nyob ze.

Theem IIIB: Cancer tau kis mus rau peritoneum thiab mob qog nqaij hlav hauv peritoneum yog 2 centimeters lossis me dua.

Hauv theem IIIB, qog nqaij hlav muaj nyob hauv ib lossis ob leeg zes qe menyuam lossis txoj hlab qe menyuam thiab tau kis mus rau omentum, thiab mob qog nqaij hlav hauv lub omentum 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 thiab mob qog nqaij hlav hauv peritoneum loj dua 2 centimeters thiab / lossis mob qog nqaij hlav tau kis rau cov qog ntshav hauv plab.

Hauv theem IIIC, mob qog nqaij hlav pom muaj nyob hauv ib lossis ob leeg zes qe menyuam lossis txoj hlab qe menyuam thiab tau kis mus rau omentum, thiab mob qog nqaij hlav hauv lub omentum 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.

Kab mob kheesxaws uas tau kis mus rau sab hauv lub siab yog suav tias yog qib III mob qog mis.

Theem IV

Hauv theem IV, mob cancer tau kis ntau dhau ntawm lub plab mus rau lwm qhov ntawm lub cev. Hauv theem IVA, qog nqaij hlav cancer pom nyob hauv cov kua dej ntau ntxiv uas ua rau lub ntsws nyob ib puag ncig. Hauv theem IVB, mob cancer tau kis mus rau cov plab hnyuv siab raum thiab cov nqaij hauv lub plab, suav nrog lub ntsws, daim siab, pob txha, thiab cov qog ntshav hauv puab tais.

Hauv theem IV, mob cancer tau kis ntau dhau ntawm lub plab mus rau lwm qhov ntawm lub cev, xws li lub ntsws lossis cov nqaij hauv lub siab.

Kab mob qog ntshav hauv cov kua ntshav uas nyob ib ncig ntawm lub ntsws kuj tseem pom tias yog theem hlav IV zes qe menyuam mob ntshav.

Cov Kev Ntsig Cov Hnyav Ovarian Germ Cell Tumors

Mob hlav ntxau ntawm cov txiv neej cov qog ua qog noj ntshav yog mob cancer uas tau rov muaj dua (rov qab los) tom qab nws tau kho. Tus mob cancer yuav rov qab tuaj rau hauv lwm lub zes qe menyuam lossis lwm qhov hauv lub cev.

Txoj Kev Kho Mob Cov Tswv Yim

QHOV TSEEM CEEB

• Nws muaj ntau hom kev kho mob rau cov neeg mob qog qe menyuam mob hlav.

• Plaub hom kev kho mob raug siv:

• Kev phais mob

• Kev Soj Ntsuam

• Kws khomob

• Kev siv hluav taws xob

• Cov hom kev kho mob tshiab tau raug sim hauv qhov kev sim kho mob.

• Muaj tshuaj kho mob ntau ntau nrog kev hloov cov pob txha

• Kev xaiv kho tshiab tshiab

• Kev kho mob qog ntawm cov zes qe menyuam 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 qog qe menyuam mob hlav.

Ntau hom kev kho mob muaj rau cov neeg mob qog nqaij hlav ntawm zes qe menyuam. Qee qhov kev kho mob yog tus qauv (cov kev kho mob tam sim no), 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 kev kho mob, cov kev kho mob tshiab tuaj yeem dhau los ua cov qauv kev kho mob. Cov neeg mob yuav xav txog kev sim kho mob. Qee qhov kev sim tshuaj sim tsuas yog qhib rau cov neeg mob uas tsis tau pib kho.

Plaub hom kev kho mob raug siv:

Kev phais mob

Kev phais mob yog cov kev kho mob feem ntau ntawm ovarian cell cell qog. Tus kws kho mob tuaj yeem txiav tawm cov qog nqaij hlav siv ib qho kev phais mob nram qab no.

• Unilateral salpingo-oophorectomy: Txoj kev phais mob kom tshem tawm ib lub zes qe menyuam thiab ib txoj hlab qe menyuam.

• Tag nrho cov leeg phais: Qhov kev phais mob kom tshem tawm lub tsev me nyuam, suav nrog lub ncauj tsev menyuam. 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.

Hysterectomy. Lub tsev menyuam tau raug phais mob nrog lossis tsis muaj lwm yam kabmob lossis cov ntaub so ntswg. Hauv tag nrho cov nqaij nruab nrog cev, lub tsev menyuam thiab ncauj tsev menyuam raug tshem tawm. Hauv tag nrho cov kab mob hysterectomy nrog salpingo-oophorectomy, (a) lub tsev me nyuam ntxiv rau ib qho (tsis sib tshooj) lub zes qe menyuam thiab txoj hlab qe menyuam raug tshem tawm; los yog (b) lub tsev menyuam ntxiv rau ob leeg txoj kev zes qe menyuam thiab txoj hlab qe menyuam. Hauv kev kho tus mob radical hysterectomy, lub tsev menyuam, ncauj tsev menyuam, ob leeg zes qe menyuam, ob txoj hlab qe menyuam, thiab cov nqaij mos nyob ze raug tshem tawm. Cov txheej txheem no yog ua tiav siv qis los ntawm kev phais lossis ntsug phais.

• Ob leeg salpingo-oophorectomy: Txoj kev phais mob kom tshem tawm ob lub zes qe menyuam thiab ob txoj hlab qe menyuam.

• Tawv Qog Debulking: Ib txoj kev phais mob uas yog qog cov hlav ntau npaum li yuav ua tau tawm. Qee cov qog tshem tawm tsis tau.

Tom qab tus kws kho mob tshem tawm tag nrho cov qog ntshav uas tuaj yeem pom lub sijhawm phais mob, qee tus neeg mob yuav tau txais kev kho mob lossis tshuaj tua hluav taws xob tom qab phais mob los tua txhua cov kab mob qog nqaij hlav uas tseem tshuav. Kev kho mob tom qab qhov kev phais mob, txhawm rau txo qis kev mob qog noj ntshav yuav rov qab tuaj, hu ua kev kho mob rau tom qab.

Tom qab siv tshuaj tua kab mob rau lub zes qe menyuam cov qog ua haujlwm, ob lub ntsej muag laparotomy tuaj yeem ua. Qhov no zoo ib yam li laparotomy uas tau ua kom paub txog theem ntawm kev mob qog nqaij hlav. Qhov thib ob-saib laparotomy yog qhov kev phais mob kom paub seb puas muaj cov qog ntshav nyob tom qab kev kho mob thawj zaug. Thaum ua cov txheej txheem no, tus kws kho mob yuav kuaj cov qog ntshav thiab lwm yam nqaij hauv lub plab los saib seb puas muaj tus mob cancer. Cov txheej txheem no tsis yog ua rau dysgerminomas.

Kev Soj Ntsuam

Kev tshuaj xyuas yog saib zoo rau tus neeg mob lub sijhawm yam tsis tau muab kev kho tshwj tsis yog muaj cov cim lossis cov tsos mob tshwm lossis hloov.

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). Kev siv tshuaj sib xyaw ua ke yog kev kho mob siv ntau dua ib qho tshuaj anticancer. 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.

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. Muaj ob txoj kev kho hluav taws xob:

• Kev siv hluav taws xob sab nraud siv lub tshuab sab nraud lub cev xa hluav taws xob mus rau cov kabmob.

• Kev kho hluav taws xob sab hauv yog siv cov tshuaj pleev hluav taws xob kaw hauv cov koob, noob, xov hlau, lossis cov paws menyuam uas tso ncaj qha mus rau lossis ze ntawm cov qog nqaij hlav cancer.

Txoj kev kho hluav taws xob yog muab nyob ntawm seb hom thiab theem ntawm kev kho mob qog noj ntshav. Kev kho hluav taws xob sab nraud yog siv los kho cov qog ntawm zes qe menyuam.

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.

Muaj tshuaj kho mob ntau ntau nrog kev hloov cov pob txha

Kev siv tshuaj kho mob ntau dua nrog kev hloov cov pob txha pob txha yog ib txoj kev muab cov tshuaj kho mob siab heev thiab hloov cov qe ntshav tsim los ntawm kev kho mob cancer. Cov qia hlwb (cov qe ntshav tsis txaus) raug tshem tawm los ntawm cov pob txha mob ntawm tus neeg mob lossis tus neeg pub ntshav thiab raug khov thiab khaws cia. Tom qab kev siv tshuaj khomob tiav, lub hlwb khaws cia yuav yaj thiab muab rov qab rau tus neeg mob los ntawm kev hla tshuaj. Cov qog ntshav qog ua kom loj hlob mus rau (thiab txum tim) lub cev cov ntshav.

Kev xaiv kho tshiab tshiab

Kev siv tshuaj sib xyaw ua ke (kev siv ntau dua ib qho tshuaj anticancer) raug sim hauv kev sim tshuaj.

Kev kho mob qog ntawm cov zes qe menyuam 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

• Theem Kuv Ovarian Germ Cell Tumors

• Theem II Ovarian Germ Cell Tumors

• Theem III Ovarian Germ Cell Tumors

• Theem IV Ovarian Germ Cell Tumors

Yog xav paub txog cov kev kho mob uas teev rau hauv qab no, saib hauv Cov Lus Qhia Kev Xaiv Kev Xaiv.

Theem Kuv Ovarian Germ Cell Tumors

Kev kho mob yog nyob ntawm seb lub qog yog dysgerminoma lossis lwm yam ntawm zes qe menyuam mob qog ntshav.

Kev kho ntawm dysgerminoma tuaj yeem suav cov hauv qab no:

• Unilateral salpingo-oophorectomy nrog lossis tsis muaj lymphangiography lossis CT scan.

• Unilateral salpingo-oophorectomy ua raws li kev soj ntsuam.

• Unilateral salpingo-oophorectomy ua raws kev siv hluav taws xob.

• Unilateral salpingo-oophorectomy ua raws li kev siv tshuaj kho.

Kev kho mob ntawm lwm cov kab mob ntawm zes qe menyuam tej zaum kuj yog:

• unilateral salpingo-oophorectomy ua raws kev soj ntsuam kom ceev faj; lossis

• unilateral salpingo-oophorectomy, qee zaum ua raws kev siv tshuaj kho mob sib xyaw.

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.

Theem II Ovarian Germ Cell Tumors

Kev kho mob yog nyob ntawm seb lub qog yog dysgerminoma lossis lwm yam ntawm zes qe menyuam mob qog ntshav.

Kev kho ntawm dysgerminoma tej zaum yuav yog:

• tag nrho kev mob plab phais thiab kev sib tw ntawm salpingo-oophorectomy ua raws kev siv hluav taws xob kho lossis kev sib xyaw nrog tshuaj kho; lossis

• unilateral salpingo-oophorectomy ua raws li kev siv tshuaj kho.

Kev kho lwm yam mob ntawm cov hlav ua cov qe ntshav yuav muaj xws li cov hauv qab no:

• Unilateral salpingo-oophorectomy ua raws li los ntawm kev kho mob sib xyaw.

• Qhov thib ob-saib laparotomy (kev phais mob ua tom qab kev kho mob thawj zaug mus saib seb cov qog nqaij hlav nyob hauv qab).

• 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.

Theem III Ovarian Germ Cell Tumors

Kev kho mob yog nyob ntawm seb lub qog yog dysgerminoma lossis lwm yam ntawm zes qe menyuam mob qog ntshav.

Kev kho ntawm dysgerminoma tuaj yeem suav cov hauv qab no:

• Tag nrho cov mob plab zawv plab thiab ob leeg sib tw salpingo-oophorectomy, nrog rau kev tshem tawm ntawm ntau cov qog nqaij hlav hauv lub plab mog thiab plab plab li sai tau.

• Unilateral salpingo-oophorectomy ua raws li kev siv tshuaj kho.

Kev kho lwm yam mob ntawm cov hlav ua cov qe ntshav yuav muaj xws li cov hauv qab no:

• Tag nrho cov mob plab zawv plab thiab ob leeg sib tw salpingo-oophorectomy, nrog rau kev tshem tawm ntawm ntau cov qog nqaij hlav hauv lub plab mog thiab plab plab li sai tau. Kws khomob yuav muab ua ntej thiab / lossis tom qab phais tas.

• Unilateral salpingo-oophorectomy ua raws li kev siv tshuaj kho.

• Qhov thib ob-saib laparotomy (kev phais mob ua tom qab kev kho mob thawj zaug mus saib seb cov qog nqaij hlav nyob hauv qab).

• 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.

Theem IV Ovarian Germ Cell Tumors

Kev kho mob yog nyob ntawm seb lub qog yog dysgerminoma lossis lwm yam ntawm zes qe menyuam mob qog ntshav.

Kev kho ntawm dysgerminoma tuaj yeem suav cov hauv qab no:

• Tag nrho cov mob plab zawv plab thiab ob leeg sib tw salpingo-oophorectomy ua raws li kev siv tshuaj kho mob, nrog kev tshem tawm ntawm ntau cov qog nqaij hlav hauv lub plab mog thiab plab plab li sai tau.

• Unilateral salpingo-oophorectomy ua raws li kev siv tshuaj kho.

Kev kho lwm yam mob ntawm cov hlav ua cov qe ntshav yuav muaj xws li cov hauv qab no:

• Tag nrho cov mob plab zawv plab thiab ob leeg sib tw salpingo-oophorectomy, nrog rau kev tshem tawm ntawm ntau cov qog nqaij hlav hauv lub plab mog thiab plab plab li sai tau. Kws khomob yuav muab ua ntej thiab / lossis tom qab phais tas.

• Unilateral salpingo-oophorectomy ua raws li kev siv tshuaj kho.

• Qhov thib ob-saib laparotomy (kev phais mob ua tom qab kev kho mob thawj zaug mus saib seb cov qog nqaij hlav nyob hauv qab).

• 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.

Cov Lus Qhia Txog Kev Kho Mob rau Cov Neeg Mob Hawb Pob Tawb Hawb Chiv Keeb Cell

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 yog nyob ntawm seb lub qog yog dysgerminoma lossis lwm yam ntawm zes qe menyuam mob qog ntshav.

Kev kho ntawm dysgerminoma tej zaum yuav:

• Kev siv tshuaj kho mob nrog lossis tsis siv tshuaj tua hluav taws xob.

Kev kho lwm yam mob ntawm cov hlav ua cov qe ntshav yuav muaj xws li cov hauv qab no:

• Kws khomob.

• Kev phais nrog lossis tsis muaj tshuaj kho.

• Kev sim tshuaj ntawm cov kws kho mob siab tshaj plaws tom qab los ntawm kev hloov cov pob txha.

• 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.

Xav Kawm Ntxiv Txog Ovarian Germ Cell Tumors

Xav paub ntau ntxiv los ntawm National Cancer Institute txog ovarian cell cell hlav, saib cov hauv qab no:

• Ovarian, Fallopian Tube, thiab Primary Peritoneal Cancer Home Page

• Cov Tshuaj Pom Zoo Pom Kev Mob Ovarian, Fallopian Tube, lossis Cancer Peritoneal Cancer

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