Ubwoko / extraacranial-germ-selile / umurwayi / mikorobe-selile-pdq

Ubwana bwimyororokere ya Germ Cell Cell Tumors Version

Amakuru Rusange Yerekeye Ubwana Bidasanzwe Ibibyimba Byakagari

INGINGO Z'INGENZI

• Ibibyimba biterwa na mikorobe yo mu bwana biva mu ngirabuzimafatizo mu bice by'umubiri bitari ubwonko.

• Ibibyimba biterwa na mikorobe yo mu bwana birashobora kuba byiza cyangwa bibi.

• Ibibyimba biterwa na mikorobe yo mu bwana byashyizwe hamwe nka gonadal cyangwa ibibyimba bidasanzwe.

• Gonadal Germ Cell Tumors

• Extragonadal Extracranial Germ Cell Tumors

• Hariho ubwoko butatu bwibibyimba bya mikorobe idasanzwe.

• Teratoma

• Ibibyimba byo mu ngirabuzimafatizo

• Ibibyimba bivanze na selile

• Impamvu yibibyimba bya mikorobe idasanzwe yo mu bwana ntibizwi.

• Kugira indwara zimwe na zimwe twarazwe birashobora kongera ibyago byo kubyimba mikorobe zidasanzwe.

• Ibimenyetso by'ibibyimba biterwa na mikorobe yo mu bwana biterwa n'aho ikibyimba cyakorewe mu mubiri.

• Kwiga amashusho hamwe no gupima amaraso bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibyimba biterwa na mikorobe yo mu bwana.

• Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Ibibyimba biterwa na mikorobe yo mu bwana biva mu ngirabuzimafatizo mu bice by'umubiri bitari ubwonko.

Ingirabuzimafatizo ni ubwoko bw'utugingo ngengabuzima dukora nk'uruyoya (umwana utaravuka) rukura. Utugingo ngengabuzima nyuma duhinduka intanga ngabo cyangwa amagi muri ovaries.

Iyi ncamake ivuga kubyimba mikorobe yibibyimba bigize ibice byumubiri bidasanzwe (hanze yubwonko). Ibibyimba biterwa na mikorobe idasanzwe biboneka mubice bikurikira byumubiri:

• Amabya.

• Intanga ngore.

• Igitambo cyangwa coccyx (umurizo).

• Retroperitoneum (agace kari inyuma yinda yinyuma yinyuma ihuza urukuta rwinda kandi igapfuka ingingo nyinshi zo munda).

• Mediastinum (agace kari hagati y'ibihaha).

• Umutwe n'ijosi.

Ibibyimba bya mikorobe idasanzwe bibaho mubice byumubiri bitari ubwonko. Ibi birimo intangangore, intanga ngore, sacrum (igice cyo hepfo yumugongo), coccyx (umurizo), mediastinum (agace kari hagati yibihaha), retroperitoneum (urukuta rwinyuma rwinda), n'umutwe nijosi.

Ibibyimba bya mikorobe idasanzwe ikunze kugaragara cyane mubyangavu.

Reba incamake ya kubyerekeranye na Childhood Central Nervous System Germ Cell Tumors Umuti kugirango umenye amakuru kubyimba mikorobe yo mu nda (imbere mu bwonko).

Ibibyimba biterwa na mikorobe yo mu bwana birashobora kuba byiza cyangwa bibi.

Ibibyimba bya mikorobe idasanzwe birashobora kuba byiza (noncancer) cyangwa bibi (kanseri).

Ibibyimba biterwa na mikorobe yo mu bwana byashyizwe hamwe nka gonadal cyangwa ibibyimba bidasanzwe.

Ibibyimba biterwa na mikorobe idasanzwe ni ibibyimba biva hanze yubwonko. Ni gonadal cyangwa extragonadal.

Gonadal Germ Cell Tumors

Ibibyimba bya mikorobe ya Gonadal biboneka muri gonad (testicles na ovaries).

• Testicular mikorobe yibibyimba. Ibibyimba bya mikorobe ya Testicular bigabanyijemo ubwoko bubiri bwingenzi, seminoma na nonseminoma. Nonseminoma mubisanzwe nini kandi itera ibimenyetso cyangwa ibimenyetso byindwara. Bakunda gukura no gukwirakwira vuba kuruta seminoma.

Ibibyimba bya mikorobe ya testicular bikunze kubaho mbere yimyaka 4 cyangwa mubyangavu nabakuze. Ibibyimba bya mikorobe ya testicular mubyangavu (imyaka 11 nayirenga) nabakuze bato baratandukanye nibiboneka mubana bato.

• Ovarian mikorobe yibibyimba. Ibibyimba bya mikorobe ya Ovarian bikunze kugaragara mubakobwa b'ingimbi n'abagore bakiri bato. Ibibyimba byinshi byintanga ngore ni teratoma ikuze (cysts dermoid). Ibibyimba bimwe na bimwe by'intanga ngore, nka teratoma idakuze, dysgerminoma, ibibyimba by'umuhondo, cyangwa ibibyimba bivangwa na mikorobe, ni bibi.

Extragonadal Extracranial Germ Cell Tumors

Ibibyimba bya mikorobe ya Extragonadal yibibyimba biboneka mubice byumubiri bitari ubwonko cyangwa gonado (testicles na ovaries).

Ibibyimba byinshi bya mikorobe idasanzwe ikura hagati yumubiri. Ibi birimo ibi bikurikira:

• Sakrum (igufwa rinini, rifite inyabutatu mu ruti rw'umugongo rwo hasi rugize igice cy'igitereko).

• Coccyx (umurizo).

• Mediastinum (agace kari hagati y'ibihaha).

• Inyuma y'inda.

• Ijosi.

Ku bana barengeje imyaka 11, ibibyimba bidasanzwe bya mikorobe idasanzwe bibaho mugihe cyo kuvuka cyangwa mubwana. Ibyinshi muri ibyo bibyimba ni teratoma nziza muri sakrum cyangwa coccyx.

Ku bana bakuze, ingimbi n'abangavu (imyaka 11 n'abayirengeje), ibibyimba bya mikorobe idasanzwe ya mikorobe ikunze kuba muri mediastinum.

Hariho ubwoko butatu bwibibyimba bya mikorobe idasanzwe.

Ibibyimba bya mikorobe idasanzwe na byo bishyizwe muri teratoma, ibibyimba bya mikorobe mbi, hamwe n'ibibyimba bivangwa na selile:

Teratoma

Hariho ubwoko bubiri bwingenzi bwa teratoma:

• Teratoma ikuze. Ibi bibyimba nubwoko bukunze kwibibyimba bya mikorobe idasanzwe. Teratoma ikuze ni ibibyimba byiza kandi ntibishobora kuba kanseri. Mubisanzwe bibera muri sakrum cyangwa coccyx kubana bavutse cyangwa muri testicles cyangwa intanga ngore mugitangira ubwangavu. Ingirabuzimafatizo za teratoma zikuze zisa nkuturemangingo dusanzwe munsi ya microscope. Teratoma imwe ikuze irekura imisemburo cyangwa imisemburo itera ibimenyetso nibimenyetso byindwara.

• Teratoma idakuze. Ibibyimba mubisanzwe biboneka mubindi bitari gonado mubana bato cyangwa intanga ngore mugitangira ubwangavu. Bafite selile zisa zitandukanye cyane na selile zisanzwe munsi ya microscope. Teratoma idakuze irashobora kuba kanseri ikwirakwira mu bindi bice byumubiri. Bakunze kugira ubwoko butandukanye bwinyama muri zo, nk'umusatsi, imitsi, n'amagufwa. Teratoma imwe idakuze irekura imisemburo cyangwa imisemburo itera ibimenyetso nibimenyetso byindwara.

Ibibyimba byo mu ngirabuzimafatizo

Ibibyimba bya mikorobe mbi ni kanseri. Hariho ubwoko bubiri bwingenzi bwibibyimba bya mikorobe mbi:

• Seminomatous mikorobe yibibyimba. Hariho ubwoko butatu bwa seminomatous mikorobe yibibyimba:

• Seminoma ikora muri testicle.

• Dysgerminoma ikora muri ovary.

• Germinoma ikora mubice byumubiri bitari intanga ngore cyangwa testicle, nka mediastinum.

• Ibibyimba bidafite mikorobe. Hariho ubwoko butanu bwibibyimba biterwa na selile:

• Ibibyimba by'umuhondo bikora imisemburo yitwa alpha-fetoprotein (AFP). Zishobora gukora intanga ngore, intanga, cyangwa ibindi bice byumubiri.

• Choriocarcinoma ikora imisemburo yitwa beta-muntu chorionic gonadotropin (β-hCG). Zishobora gukora intanga ngore, intanga, cyangwa ibindi bice byumubiri.

• Kanseri ya Embryonal irashobora gukora imisemburo yitwa β-hCG. Zishobora kwibumbira mu nda cyangwa mu bindi bice byumubiri, ariko ntabwo ziri muri ovary.

• Gonadoblastoma.

• Ibibyimba bya Teratoma n'umuhondo.

Ibibyimba bivanze na selile

Ibibyimba bivangwa na mikorobe bigizwe byibura nubwoko bubiri bwikibyimba kibi. Zishobora gukora intanga ngore, intanga, cyangwa ibindi bice byumubiri.

Impamvu yibibyimba bya mikorobe idasanzwe yo mu bwana ntibizwi.

Kugira indwara zimwe na zimwe twarazwe birashobora kongera ibyago byo kubyimba mikorobe zidasanzwe.

Ikintu cyose cyongera ibyago byo kwandura byitwa impanuka. Kugira ibintu bishobora guteza ibyago ntibisobanura ko uzarwara kanseri; kutagira ibyago bishobora gusobanura ko utazarwara kanseri. Vugana na muganga wumwana wawe niba utekereza ko umwana wawe ashobora guhura nibibazo.

Impamvu zishobora gutera indwara ziterwa na mikorobe zidasanzwe zirimo ibi bikurikira:

• Kugira syndromes zimwe na zimwe:

• Indwara ya Klinefelter irashobora kongera ibyago byo kubyimba mikorobe muri mediastinum.

• Indwara ya Swyer irashobora kongera ibyago bya gonadoblastoma na seminoma.

• Indwara ya Turner irashobora kongera ibyago bya gonadoblastoma na dysgerminoma.

• Kugira intangangore idasobanutse irashobora kongera ibyago byo kurwara kanseri.

• Kugira gonadal dysgenezesi (gonad - ovary cyangwa testicle - ntabwo byakozwe mubisanzwe) bishobora kongera ibyago bya gonadoblastoma.

Ibimenyetso by'ibibyimba biterwa na mikorobe yo mu bwana biterwa n'aho ikibyimba cyakorewe mu mubiri.

Ibibyimba bitandukanye bishobora gutera ibimenyetso nibimenyetso bikurikira. Ibindi bintu bishobora gutera ibimenyetso nibimenyetso bimwe. Menyesha umuganga niba umwana wawe afite kimwe muri ibi bikurikira:

• Ikibyimba mu ijosi, mu nda, cyangwa inyuma.

• Ikibyimba kitagira ububabare muri testicle.

• Kubabara mu nda.

• Umuriro.

• Kuribwa mu nda.

• Ku bagore, nta mihango cyangwa kuva amaraso adasanzwe.

Kwiga amashusho hamwe no gupima amaraso bikoreshwa mugushakisha (gushakisha) no gusuzuma ibibyimba biterwa na mikorobe yo mu bwana.

Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa:

• Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Amasohoro arashobora kugenzurwa kubyimba, kubyimba, cyangwa kubabara. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.

• Ikizamini cya serumu yibibyimba: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe bisohoka mumaraso ningingo, ingirangingo, cyangwa selile yibibyimba mumubiri. Ibintu bimwe bifitanye isano nubwoko bwa kanseri iyo bibonetse mubwiyongere bwamaraso. Ibi byitwa ibimenyetso byerekana ibibyimba.

Ibibyimba bimwe na bimwe byangiza mikorobe birekura ibimenyetso byibibyimba. Ibimenyetso byibibyimba bikurikira birashobora gukoreshwa mugutahura ibibyimba bya mikorobe idasanzwe:

• Alpha-fetoprotein (AFP).

• Beta-muntu chorionic gonadotropin (β-hCG).

Kubibyimba bya mikorobe ya testicular, urugero rwamaraso yibimenyetso byibibyimba bifasha kwerekana niba ikibyimba ari seminoma cyangwa nonseminoma.

• Ubushakashatsi bwa chimie yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe bisohoka mumaraso ningingo nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara.

• Isanduku x-ray: X-ray yingingo namagufwa imbere yigituza. X-ray ni ubwoko bwingufu zishobora kunyura mumubiri no kuri firime, bigakora ishusho yibice byumubiri.

• CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yibice byimbere mumubiri, byafashwe muburyo butandukanye. Amashusho yakozwe na mudasobwa ihujwe na mashini ya x-ray. Irangi rishobora guterwa mumitsi cyangwa kumirwa kugirango bifashe ingingo cyangwa ingirangingo kugaragara neza. Ubu buryo nabwo bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya.

Kubara tomografiya (CT) scan yinda. Umwana aryamye kumeza anyerera muri CT scaneri, ifata amashusho ya x-ray imbere yinda.

• MRI . Ubu buryo bwitwa kandi magnetic magnetic resonance imaging (NMRI).

Magnetic resonance imaging (MRI) yinda. Umwana aryamye kumeza anyerera muri scaneri ya MRI, ifata amashusho imbere yumubiri. Urupapuro ku nda yumwana rufasha gukora amashusho neza.

• Ikizamini cya Ultrasound: Uburyo bukoreshwa mu majwi menshi y’amajwi (ultrasound) asohoka mu ngingo cyangwa mu ngingo imbere hanyuma agasubiramo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Ishusho irashobora gucapurwa kugirango irebe nyuma.

Ultrasound yo munda. Transducer ya ultrasound ihujwe na mudasobwa ikanda ku ruhu rwinda. Transducer isunika amajwi hejuru yingingo zimbere ninyama kugirango ikore echo ikora sonogramu (ishusho ya mudasobwa).

• Biopsy: Gukuraho ingirabuzimafatizo cyangwa ingirangingo kugirango zishobore kurebwa munsi ya microscope na patologue kugirango barebe ibimenyetso bya kanseri. Rimwe na rimwe, biopsy cyangwa inshinge biopsy ikorwa mbere yo kubagwa kugirango ikureho ingirangingo. Rimwe na rimwe, ikibyimba gikurwaho mugihe cyo kubagwa hanyuma hagakurwa icyitegererezo cya tissue.

Ibizamini bikurikira birashobora gukorwa kurugero rwa tissue yakuweho:

• Isesengura rya Cytogenetike: Ikizamini cya laboratoire kibarwa chromosomes ya selile mucyitegererezo cyama tissue ikabarwa kandi ikagenzurwa niba hari impinduka, nko kuvunika, kubura, gutondekanya, cyangwa chromosomes ziyongera. Impinduka muri chromosomes zimwe zishobora kuba ikimenyetso cya kanseri. Isesengura rya Cytogenetike rikoreshwa mu gufasha gusuzuma kanseri, gutegura gahunda yo kuvura, cyangwa kumenya uburyo ubuvuzi bukora neza.

• Immunohistochemie: Ikizamini cya laboratoire ikoresha antibodies kugirango igenzure antigene zimwe na zimwe (marikeri) mu cyitegererezo cyumubiri wumurwayi. Antibodies zisanzwe zifitanye isano na enzyme cyangwa irangi rya fluorescent. Antibodies zimaze guhuza antigen yihariye murugero rwa tissue, enzyme cyangwa irangi irakora, hanyuma antigen irashobora kuboneka munsi ya microscope. Ubu bwoko bw'ikizamini bukoreshwa mu gufasha gusuzuma kanseri no gufasha kubwira ubwoko bumwe bwa kanseri buva mu bundi bwoko bwa kanseri.

Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Kumenyekanisha (amahirwe yo gukira) hamwe nuburyo bwo kuvura biterwa nibi bikurikira:

• Imyaka yumurwayi nubuzima rusange.

• Intambwe ya kanseri (yaba yarakwirakwiriye mu turere twegereye, lymph node, cyangwa ahandi hantu mu mubiri).

• Aho ikibyimba cyatangiye gukura.

• Ukuntu ikibyimba cyakira neza kuvurwa.

• Ubwoko bw'ikibyimba cya mikorobe.

• Niba umurwayi afite gonadal dysgenez.

• Niba ikibyimba gishobora kuvaho burundu kubagwa.

• Niba kanseri imaze gupimwa cyangwa yagarutse (garuka).

Kumenyekanisha kubyimba mikorobe idasanzwe yo mu bwana, cyane cyane ibibyimba bya mikorobe yintanga ngore.

Ibyiciro byubwana Bidasanzwe Ibibyimba Byakagari

INGINGO Z'INGENZI

• Nyuma yo gupimwa ikibyimba cya mikorobe idasanzwe yo mu bwana imaze gupimwa, hakorwa ibizamini kugirango hamenyekane niba kanseri ya kanseri yakwirakwiriye aho ikibyimba cyatangiriye kugera mu bice byegeranye cyangwa mu bindi bice by'umubiri.

• Hariho uburyo butatu kanseri ikwirakwira mu mubiri.

• Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.

• Ibyiciro bikoreshwa mugusobanura ubwoko butandukanye bwibibyimba bya mikorobe idasanzwe.

• Testicular mikorobe yibibyimba kubarwayi barengeje imyaka 11

• Ibibyimba bya mikorobe ya testicular kubarwayi bafite imyaka 11 nayirenga

• Ovarian mikorobe yibibyimba

• Ibibyimba bya mikorobe idasanzwe

Nyuma yo gupimwa ikibyimba cya mikorobe idasanzwe yo mu bwana imaze gupimwa, hakorwa ibizamini kugirango hamenyekane niba kanseri ya kanseri yakwirakwiriye aho ikibyimba cyatangiriye kugera mu bice byegeranye cyangwa mu bindi bice by'umubiri.

Inzira ikoreshwa mu kumenya niba kanseri yarakwirakwiriye aho ikibyimba cyatangiriye kugera mu bindi bice byumubiri bita stage. Amakuru yakusanyirijwe mubikorwa byateguwe agena icyiciro cyindwara. Ni ngombwa kumenya icyiciro kugirango utegure kuvura. Rimwe na rimwe, gutunganya birashobora gukurikira kubagwa kugirango bakureho ikibyimba.

Uburyo bukurikira burashobora gukoreshwa:

• MRI . Ubu buryo bwitwa kandi magnetic magnetic resonance imaging.

• CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yibice byimbere mumubiri, nkigituza cyangwa lymph node, byafashwe muburyo butandukanye. Amashusho yakozwe na mudasobwa ihujwe na mashini ya x-ray. Irangi rishobora guterwa mumitsi cyangwa kumirwa kugirango bifashe ingingo cyangwa ingirangingo kugaragara neza. Ubu buryo nabwo bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya.

• Gusikana amagufwa: Uburyo bwo kugenzura niba mu magufwa hari selile zigabanya vuba, nka selile kanseri. Umubare muto cyane wibikoresho bya radio bitera mumitsi kandi bikanyura mumaraso. Ibikoresho bya radiyoyakusanyiriza mu magufa hamwe na kanseri kandi bigaragazwa na scaneri.

• Thoracentezi: Gukuramo amazi mumwanya uri hagati yigituza nigihaha , ukoresheje urushinge. Inzobere mu bijyanye n’indwara ireba amazi munsi ya microscope kugirango ishakishe selile.

• Paracentezi: Gukuraho amazi mumwanya uri hagati yinda yinda ningingo ziri munda, ukoresheje urushinge. Inzobere mu bijyanye n’indwara ireba amazi munsi ya microscope kugirango ishakishe selile.

Ibisubizo bivuye mubizamini hamwe nuburyo bukoreshwa mugushakisha no gusuzuma ibibyimba biterwa na mikorobe yo mu bwana bishobora no gukoreshwa mugutegura.

Hariho uburyo butatu kanseri ikwirakwira mu mubiri.

Kanseri irashobora gukwirakwira binyuze mu ngingo, sisitemu ya lymph, n'amaraso:

• Tissue. Kanseri ikwirakwira aho yatangiriye ikurira mu turere twegereye.

• Sisitemu ya Lymph. Kanseri ikwirakwira aho yatangiriye yinjira muri sisitemu ya lymph. Kanseri inyura mu mitsi ya lymph igana mu bindi bice by'umubiri.

• Amaraso. Kanseri ikwirakwira aho yatangiriye yinjira mu maraso. Kanseri inyura mu mitsi y'amaraso igana mu bindi bice by'umubiri.

Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.

Iyo kanseri ikwirakwira mu kindi gice cy'umubiri, yitwa metastasis. Ingirabuzimafatizo za kanseri zitandukana aho zatangiriye (ikibyimba kibanza) zikanyura muri sisitemu ya lymph cyangwa maraso.

• Sisitemu ya Lymph. Kanseri yinjira muri sisitemu ya lymph, ikanyura mu mitsi ya lymph, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.

• Amaraso. Kanseri yinjira mu maraso, ikanyura mu mitsi y'amaraso, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.

Ikibyimba metastatike nubwoko bumwe bwa kanseri nkibibyimba byibanze. Kurugero, niba ikibyimba cya mikorobe idasanzwe ikwirakwira mu mwijima, kanseri ya kanseri mu mwijima ni kanseri ya kanseri. Indwara ni metastatic extracranial germ selile kanseri, ntabwo ari kanseri y'umwijima.

Ibyiciro bikoreshwa mugusobanura ubwoko butandukanye bwibibyimba bya mikorobe idasanzwe.

Testicular mikorobe yibibyimba kubarwayi barengeje imyaka 11

Ibyiciro bikurikira ni ibyavuye mu itsinda rya Oncology y'abana.

• Icyiciro I.

Mu cyiciro cya I, kanseri iboneka muri testicle gusa. Ururenda rwintangangore nintanga ngabo bivanwaho rwose kubagwa kandi ibi byose bikurikira nukuri:

• capsule (igipfundikizo cyo hanze cy'ikibyimba) nticyaturika (kumena) kandi biopsy ntiyakozwe mbere yuko ikibyimba gikurwaho; na

• lymph node zose ni ntoya kurenza santimetero 1 muri diameter ngufi kuri CT scan cyangwa MRI.

• Icyiciro cya II

Mu cyiciro cya II, intanga ngabo n'intanga ngabo bivanwaho no kubagwa kandi kimwe muri ibi bikurikira ni ukuri:

• capsule (igifuniko cyo hanze cy'ikibyimba) yarashwanyutse (yamenetse) cyangwa biopsy yakozwe mbere yo kubagwa; cyangwa

• kanseri ishobora kugaragara gusa hamwe na microscope iguma muri scrotum cyangwa mu mugongo wintanga hafi ya scrotum na nyuma yo kubagwa ibimenyetso byerekana ibibyimba ntibisubira mubisanzwe cyangwa ntibigabanuka.

Kanseri ntiyakwirakwiriye mu mitsi.

• Icyiciro cya III

Mu cyiciro cya III, kimwe muri ibi bikurikira ni ukuri:

• kanseri yakwirakwiriye kuri lymph node imwe cyangwa nyinshi inyuma yinda; cyangwa

• lymph node zose zifite byibura santimetero 2 z'ubugari cyangwa nini kurenza santimetero 1 ariko ntoya ya santimetero 2 muri diameter ngufi kandi ntishobora guhinduka cyangwa gukura iyo CT scan cyangwa MRI isubirwamo mugihe cyibyumweru 4 kugeza kuri 6.

• Icyiciro cya IV

Mu cyiciro cya IV, kanseri yakwirakwiriye mu bindi bice by'umubiri, nk'umwijima, ibihaha, amagufwa, n'ubwonko.

Ibibyimba bya mikorobe ya testicular kubarwayi bafite imyaka 11 nayirenga

Reba incamake ya kubijyanye no kuvura kanseri ya Testicular kugira ngo umenye amakuru yerekeye gutunganya ikoreshwa mu kubyimba kanseri ya mikorobe ku barwayi bafite imyaka 11 n'abayirengeje.

Ovarian mikorobe yibibyimba

Sisitemu ebyiri zo kubika zikoreshwa mu kubyimba intanga ngore: Itsinda rya Oncology y'abana hamwe na federasiyo mpuzamahanga y'abagore n'abagore (FIGO).

Ibyiciro bikurikira ni ibyavuye mu itsinda rya Oncology y'abana.

• Icyiciro I.

Mu cyiciro cya I, ikibyimba muri ovary gikurwaho burundu no kubagwa kandi ibi byose bikurikira ni ukuri:

• capsule (igipfundikizo cyo hanze cy'ikibyimba) nticyaturika (kumena) kandi biopsy ntiyakozwe mbere yuko ikibyimba gikurwaho; na

• nta kimenyetso cyerekana ko kanseri yakwirakwiriye muri capsule; na

• nta selile ya kanseri iboneka mumazi yakuwe munda; na

• nta kanseri igaragara muri tissue itondekanya inda cyangwa iboneka mu ngero za tissue zafashwe mugihe cya biopsy; na

• lymph node ni ntoya ya santimetero 1 muri diameter ngufi kuri CT scan cyangwa MRI cyangwa nta kanseri iboneka mubitabo by'imitsi ya lymph node byafashwe mugihe cya biopsy.

• Icyiciro cya II

Mu cyiciro cya II, ikibyimba muri ovary kivanwaho burundu no kubagwa kandi biopsy ikorwa mbere yo kubagwa kandi kimwe muri ibi bikurikira ni ukuri:

• kanseri yakwirakwiriye muri capsule yose cyangwa igice cyayo (gutwikira hanze ikibyimba); cyangwa

• ikibyimba kirenze santimetero 10 kandi kivanwaho no kubaga laparoscopique; cyangwa

• ikibyimba gikurwaho no kumenagamo uduce duto kandi ntibizwi niba kanseri yarakwirakwiriye muri capsule.

Ingirabuzimafatizo za kanseri ntiziboneka mu mazi yakuwe mu nda. Kanseri ntigaragara muri lymph node cyangwa tissue itondekanya inda na kanseri ntibisangwa mubyitegererezo byafashwe mugihe cya biopsy.

• Icyiciro cya III

Mu cyiciro cya III, ikibyimba muri ovary gikurwaho no kubagwa kandi kimwe muri ibi ni ukuri:

• lymph node ifite byibura santimetero 2 z'ubugari cyangwa nini kurenza santimetero 1 ariko ntoya ya santimetero 2 muri diameter ngufi kandi yaba idahindutse cyangwa ikura iyo CT scan cyangwa MRI isubirwamo ibyumweru 4 kugeza kuri 6 nyuma yo kubagwa; cyangwa

• ikibyimba ntigikurwaho burundu no kubagwa cyangwa biopsy yakozwe mbere yo kubagwa; cyangwa

• kanseri ya kanseri (harimo na teratoma idakuze) iboneka mumazi yakuwe munda; cyangwa

• kanseri (harimo na teratoma idakuze) iboneka muri lymph node; cyangwa

• kanseri (harimo na teratoma idakuze) iboneka mubice bihuza inda.

• Icyiciro cya III-X

Mu cyiciro cya III-X, ikibyimba gishobora gusobanurwa nkicyiciro cya I cyangwa icyiciro cya II, usibye:

• ingirabuzimafatizo ziri mu nda ntabwo zegeranijwe; cyangwa

• biopsy ya lymph node irenze santimetero 1 muri diameter yabo ngufi ntiyakozwe; cyangwa

• biopsy ya tissue kuva kumurongo winda ntiyakozwe; cyangwa

• kubika ntibyarangiye mugihe cyo kubagwa ariko bizarangira mugihe cyo kubagwa bwa kabiri.

• Icyiciro cya IV

Mu cyiciro cya IV, kimwe muri ibi bikurikira ni ukuri:

• kanseri yakwirakwiriye mu mwijima cyangwa hanze yinda mu bindi bice byumubiri, nk'amagufwa, ibihaha, cyangwa ubwonko.

• kanseri ya kanseri iboneka mumazi yo mu bihaha.

Ibyiciro bikurikira ni ibyavuye mu ishyirahamwe mpuzamahanga ry’abagore n'abagore (FIGO).

• Icyiciro I.

Mu cyiciro cya I, kanseri iboneka muri imwe cyangwa zombi mu ntanga ngore kandi ntabwo yakwirakwiriye. Icyiciro cya I kigabanijwe mu cyiciro cya IA, icyiciro cya IB, na IC.

• Icyiciro cya IA: Kanseri iboneka muri ovary imwe.

• Icyiciro IB: Kanseri iboneka muri ovaries zombi.

• Icyiciro IC: Kanseri iboneka muri ovaire imwe cyangwa zombi kandi imwe muribi ni ukuri:

• kanseri iboneka no hejuru yintanga imwe cyangwa zombi; cyangwa

• capsule (igifuniko cyo hanze) cy'ikibyimba cyacitse (kimenetse) mbere cyangwa mugihe cyo kubagwa; cyangwa

• selile ya kanseri iboneka mumazi yakuwe munda cyangwa mukwoza umwobo wa peritoneal (cavit yumubiri irimo ingingo nyinshi zo munda).

• Icyiciro cya II

Mu cyiciro cya II, kanseri iboneka muri ova imwe cyangwa zombi kandi ikwirakwira mu tundi turere twa pelvis, cyangwa kanseri y'ibanze ya peritoneal. Icyiciro cya II kigabanyijemo icyiciro IIA nicyiciro IIB.

• Icyiciro cya IIA: Kanseri yakwirakwiriye muri nyababyeyi na / cyangwa igituba cya fallopian (umuyoboro muremure woroshye unyuramo amagi ava muri ovaries akajya muri nyababyeyi).

• Icyiciro cya IIB: Kanseri yakwirakwiriye mu zindi ngingo ziri mu gitereko nk'uruhago, urukiramende, cyangwa ibyara.

• Icyiciro cya III

Mu cyiciro cya III, kanseri iboneka muri ovaire imwe cyangwa zombi cyangwa kanseri y'ibanze ya peritoneal. Kanseri yakwirakwiriye hanze yigitereko mu bindi bice byinda ndetse na / cyangwa kuri lymph node inyuma yinda. Icyiciro cya III kigabanijwe mu cyiciro cya IIIA, icyiciro cya IIIB, n'icyiciro cya IIIC.

Ingano ya Tumor ikunze gupimwa muri santimetero (cm) cyangwa santimetero. Ibiribwa bisanzwe bishobora gukoreshwa mu kwerekana ubunini bwikibyimba muri cm harimo: amashaza (cm 1), ibishyimbo (cm 2), umuzabibu (cm 3), walnut (cm 4), lime (cm 5 cyangwa 2 santimetero), igi (cm 6), amashaza (cm 7), n'imbuto (cm 10 cyangwa santimetero 4).

• Mu cyiciro cya IIIA, kimwe muri ibi bikurikira ni ukuri:

• kanseri yakwirakwiriye kuri lymph node inyuma yinda gusa; cyangwa

• selile ya kanseri ishobora kugaragara gusa na microscope yakwirakwiriye hejuru ya peritoneum hanze yigitereko. Kanseri irashobora gukwirakwira hafi ya lymph node inyuma yinda.

• Icyiciro cya IIIB: Kanseri yakwirakwiriye kuri peritoneum hanze yigitereko kandi kanseri yo muri peritoneum ni santimetero 2 cyangwa nto. Kanseri irashobora gukwirakwira kuri lymph node inyuma yinda.

• Icyiciro cya IIIC: Kanseri yakwirakwiriye kuri peritoneum hanze yigitereko kandi kanseri yo muri peritone iri hejuru ya santimetero 2. Kanseri irashobora gukwirakwira kuri lymph node inyuma yinda cyangwa hejuru yumwijima cyangwa ururenda.

• Icyiciro cya IV

Icyiciro cya IV kigabanijwe mu cyiciro cya IVA na IVB.

• Icyiciro cya IVA: Ingirabuzimafatizo za kanseri ziboneka mumazi yinyongera yubaka ibihaha.

• Icyiciro cya IVB: Kanseri yakwirakwiriye mu ngingo no mu ngingo hanze yinda, harimo na lymph node mu kibero.

Ibibyimba bya mikorobe idasanzwe

Ibyiciro bikurikira ni ibyavuye mu itsinda rya Oncology y'abana.

• Icyiciro I.

Mu cyiciro cya I, ikibyimba gikurwaho burundu no kubagwa kandi ibi byose bikurikira ni ukuri:

• nta selile ya kanseri iboneka mu gice cyakuweho ikibyimba; na

• capsule (igipfundikizo cyo hanze cy'ikibyimba) nticyaturika (kumena) kandi biopsy ntiyakozwe mbere yuko ikibyimba gikurwaho; na

• kanseri ya kanseri ntabwo iboneka mumazi yakuwe mu cyuho cy'inda, niba ikibyimba kiri munda; na

• lymph node ni ntoya ya santimetero 1 kuri CT scan cyangwa MRI yinda, pelvis, nigituza.

• Icyiciro cya II

Mu cyiciro cya II, kanseri ntabwo ikurwaho burundu no kubagwa kandi kimwe muri ibi ni ukuri:

• kanseri ishobora kugaragara gusa na microscope iguma nyuma yo kubagwa; cyangwa

• kanseri ishobora kugaragara nijisho isigara nyuma yo kubagwa hanyuma capsule (igifuniko cyo hanze cyikibyimba) irashwanyuka (yamenetse) cyangwa hakorwa biopsy.

Ingirabuzimafatizo za kanseri ntiziboneka mu mazi yakuwe mu nda. Nta kimenyetso cya kanseri kiri mu nda ya lymph munda, mu gitereko, cyangwa mu gituza kuri CT scan cyangwa MRI.

• Icyiciro cya III

Mu cyiciro cya III, kimwe muri ibi bikurikira ni ukuri:

• kanseri ntabwo ikurwaho burundu no kubagwa na kanseri ishobora kugaragara nijisho risigara nyuma yo kubagwa cyangwa hakozwe biopsy gusa; cyangwa

• lymph node ifite byibura santimetero 2 z'ubugari cyangwa nini kurenza santimetero 1 ariko ntoya ya santimetero 2 muri diameter ngufi kandi yaba idahindutse cyangwa ikura mugihe CT scan cyangwa MRI isubirwamo mugihe cyibyumweru 4 kugeza 6.

• Icyiciro cya IV

Mu cyiciro cya IV, kanseri yakwirakwiriye mu bindi bice by'umubiri, nk'umwijima, ibihaha, amagufwa, cyangwa ubwonko.

Gusubiramo Ubwana Bidasanzwe Ibibyimba Byakagari

Ikibyimba cya mikorobe idasanzwe yo mu bwana ni kanseri yagarutse (garuka) nyuma yo kuvurwa. Kanseri irashobora kugaruka ahantu hamwe cyangwa mu bindi bice byumubiri.

Umubare w'abarwayi bafite ibibyimba bigaruka ni muto. Ibibyimba byinshi bya mikorobe bigenda bigaruka mugihe cyimyaka itatu yo kubagwa. Hafi ya kimwe cya kabiri cya teratoma igaruka muri sakrum cyangwa coccyx ni mbi, kubikurikirana rero ni ngombwa.

Incamake yo kuvura

INGINGO Z'INGENZI

• Hariho uburyo butandukanye bwo kuvura abana bafite ibibyimba bya mikorobe idasanzwe.

• Abana bafite ibibyimba biterwa na mikorobe idasanzwe bagomba gutegurwa nubuvuzi bwitsinda ryabatanga ubuvuzi ninzobere mu kuvura kanseri mubana.

• Kuvura ibibyimba biterwa na mikorobe yo mu bwana bishobora gutera ingaruka.

• Ubwoko butatu bwo kuvura busanzwe bukoreshwa:

• Kubaga

• Indorerezi

• Chimoterapi

• Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

• Imiti myinshi ya chimiotherapie hamwe no guterwa ingirabuzimafatizo

• Imiti ivura imirasire

• Ubuvuzi bugamije

• Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.

• Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.

• Ibizamini byo gukurikirana birashobora gukenerwa.

Hariho uburyo butandukanye bwo kuvura abana bafite ibibyimba bya mikorobe idasanzwe.

Ubwoko butandukanye bwo kuvura buraboneka kubana bafite ibibyimba bya mikorobe idasanzwe. Bumwe mu buryo busanzwe (ubuvuzi bukoreshwa ubu), kandi bumwe burimo kugeragezwa mubigeragezo byamavuriro. Ikigeragezo kivura ni ubushakashatsi bwakozwe bugamije gufasha kunoza imiti igezweho cyangwa kubona amakuru ku buvuzi bushya ku barwayi ba kanseri. Iyo ibizamini byo kwa muganga byerekana ko ubuvuzi bushya buruta ubuvuzi busanzwe, ubuvuzi bushya bushobora kuba ubuvuzi busanzwe.

Kubera ko kanseri mu bana idasanzwe, kugira uruhare mu igeragezwa ry’amavuriro bigomba kwitabwaho. Ibigeragezo bimwe na bimwe bivura abarwayi batatangiye kwivuza.

Abana bafite ibibyimba biterwa na mikorobe idasanzwe bagomba gutegurwa nubuvuzi bwitsinda ryabatanga ubuvuzi ninzobere mu kuvura kanseri mubana.

Umuti uzakurikiranwa n’umuganga w’abana oncologue, umuganga winzobere mu kuvura abana barwaye kanseri. Oncologue wabana akorana nabandi bashinzwe ubuvuzi bafite ubuhanga bwo kuvura abana bafite ibibyimba biterwa na mikorobe idasanzwe kandi bazobereye mubice bimwe na bimwe byubuvuzi. Aba bashobora kuba barimo inzobere zikurikira:

• Umuganga w'abana.

• Umuganga ubaga abana.

• Inzobere mu kuvura indwara z'abana.

• Imirasire ya oncologue.

• Endocrinologue.

• Inzobere mu baforomo b'abana.

• Inzobere mu gusubiza mu buzima busanzwe.

• Umwuga w'ubuzima bw'umwana.

• Umuhanga mu by'imitekerereze ya muntu.

• Ushinzwe imibereho myiza.

• Umu genetiste.

Kuvura ibibyimba biterwa na mikorobe yo mu bwana bishobora gutera ingaruka.

Kumakuru yingaruka zitangira mugihe cyo kuvura kanseri, reba urupapuro rwuruhande rwacu.

Ingaruka ziterwa no kuvura kanseri zitangira nyuma yo kuvurwa zikomeza amezi cyangwa imyaka byitwa ingaruka zitinze. Ingaruka zo kuvura kanseri zishobora kuba zikubiyemo ibi bikurikira:

• Ibibazo byumubiri, nkubugumba, ibibazo byo kumva nibibazo byimpyiko.

• Impinduka mumyumvire, ibyiyumvo, gutekereza, kwiga, cyangwa kwibuka.

• Kanseri ya kabiri (ubwoko bushya bwa kanseri), nka leukemia.

Ingaruka zimwe zitinze zishobora kuvurwa cyangwa kugenzurwa. Ni ngombwa kuganira n'abaganga b'umwana wawe ku ngaruka kuvura kanseri bishobora kugira ku mwana wawe. (Reba incamake ya ku ngaruka Zitinze zo Kuvura Kanseri Yabana Kubindi bisobanuro).

Ubwoko butatu bwo kuvura busanzwe bukoreshwa:

Kubaga

Kubaga kugirango ukureho ikibyimba burundu bikorwa igihe cyose bishoboka. Niba ikibyimba ari kinini cyane, chimiotherapie irashobora gutangwa mbere, kugirango ikibyimba kibe gito kandi kigabanye umubare winyama zigomba kuvaho mugihe cyo kubagwa. Intego yo kubaga ni ugukomeza imikorere yimyororokere. Ubwoko bukurikira bwo kubaga bushobora gukoreshwa:

• Kwanga: Kubaga kugirango ukureho tissue cyangwa igice cyangwa ingingo zose.

• Orchiectomy ya radical inguinal: Kubaga kugirango ukureho intangangore imwe cyangwa zombi binyuze mu gutemagura (gukata) mu kibero.

• Salpingo-oophorectomy itabogamye: Kubagwa kugirango ukure intanga imwe hamwe numuyoboro umwe wa fallopian kuruhande rumwe.

Muganga amaze gukuraho kanseri zose zishobora kugaragara mugihe cyo kubagwa, abarwayi bamwe bashobora guhabwa chimiotherapie nyuma yo kubagwa kugirango bice selile zose zisigaye. Umuti watanzwe nyuma yo kubagwa, kugirango ugabanye ibyago ko kanseri izagaruka, byitwa kuvura indwara.

Indorerezi

Indorerezi ikurikiranira hafi imiterere yumurwayi idatanga imiti kugeza ibimenyetso cyangwa ibimenyetso bigaragara cyangwa bihindutse. Kubibyimba bya mikorobe idasanzwe yo mu bwana, ibi birimo ibizamini byumubiri, ibizamini byerekana amashusho, hamwe nibizamini byerekana ibimenyetso.

Chimoterapi

Chimoterapi ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa kubabuza gutandukana. Iyo chimiotherapie ifashwe numunwa cyangwa igaterwa mumitsi cyangwa imitsi, imiti yinjira mumaraso kandi irashobora kugera kanseri ya kanseri mumubiri (chimiotherapie sisitemu). Iyo chimiotherapie ishyizwe mumazi yubwonko, urugingo, cyangwa umwobo wumubiri nkinda, imiti yibasira kanseri ya kanseri muri utwo turere (chimiotherapie yo mukarere).

Uburyo chimiotherapie itangwa biterwa nubwoko nicyiciro cya kanseri ivurwa. Sisitemu ya chimiotherapie ikoreshwa mu kuvura ibibyimba bya mikorobe idasanzwe.

Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

Iki gice cyincamake gisobanura imiti irimo kwigwa mubigeragezo byamavuriro. Ntishobora kuvuga ubuvuzi bushya burimo kwigwa. Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.

Imiti myinshi ya chimiotherapie hamwe no guterwa ingirabuzimafatizo

Umubare munini wa chimiotherapie utangwa kugirango wice selile. Ingirabuzimafatizo nzima, harimo na selile zikora amaraso, nazo zirasenywa no kuvura kanseri. Gutera ingirabuzimafatizo ni uburyo bwo gusimbuza ingirabuzimafatizo. Ingirabuzimafatizo (selile zidakuze) zivanwa mumaraso cyangwa igufwa ryumurwayi cyangwa umuterankunga hanyuma bikonjeshwa bikabikwa. Nyuma yuko umurwayi arangije chimiotherapie, ingirangingo zibitswe zabitswe kandi zisubizwa umurwayi binyuze mu gushiramo. Izi ngirabuzimafatizo zongeye gukoreshwa zikura (kandi zigarura) ingirangingo z'amaraso z'umubiri.

Imiti ivura imirasire

Imishwarara ivura ni imiti ikoresha kanseri ikoresha ingufu nyinshi za x-imirasire cyangwa ubundi bwoko bwimirasire yica kanseri cyangwa ikabuza gukura. Hariho ubwoko bubiri bwo kuvura imirasire:

• Imiti ivura hanze ikoresha imashini hanze yumubiri kugirango yohereze imirasire kuri kanseri.

• Imiti ivura imbere ikoresha ibintu bifata radiyo bifunze inshinge, imbuto, insinga, cyangwa catheteri bishyirwa muri kanseri cyangwa hafi yayo.

Uburyo imiti ivura imirasire itangwa biterwa n'ubwoko bwa kanseri kandi niba yagarutse. Ubuvuzi bwimirasire yo hanze burimo kwigwa kugirango bavure ibibyimba biterwa na mikorobe yo mu bwana byagarutse.

Ubuvuzi bugamije

Ubuvuzi bugamije ni uburyo bwo kuvura bukoresha ibiyobyabwenge cyangwa ibindi bintu byibasira kanseri yihariye. Ubuvuzi bugamije burimo kwigwa kuvura ibibyimba bya mikorobe idasanzwe byagarutse.

Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.

Ku barwayi bamwe, kwitabira ikizamini cyamavuriro birashobora kuba uburyo bwiza bwo kuvura. Ibigeragezo bivura biri mubikorwa byubushakashatsi bwa kanseri. Igeragezwa rya Clinical rikorwa kugirango hamenyekane niba imiti mishya ya kanseri itekanye kandi ifite akamaro cyangwa nziza kuruta ubuvuzi busanzwe.

Benshi mubuvuzi busanzwe bwa kanseri bushingiye kubigeragezo byambere byubuvuzi. Abarwayi bitabiriye kwipimisha barashobora kuvurwa bisanzwe cyangwa kuba mubambere bahawe imiti mishya.

Abarwayi bitabira ibizamini byo kwa muganga nabo bafasha kunoza uburyo kanseri izavurwa mugihe kizaza. Nubwo ibigeragezo bivura bitaganisha ku buvuzi bushya, akenshi basubiza ibibazo byingenzi kandi bigafasha gutera imbere ubushakashatsi.

Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.

Igeragezwa rimwe na rimwe ririmo abarwayi bataravurwa. Ibindi bigeragezo bipima abarwayi bafite kanseri itameze neza. Hariho kandi ibizamini byo kwa muganga bipima uburyo bushya bwo guhagarika kanseri kongera kugaruka (kugaruka) cyangwa kugabanya ingaruka zo kuvura kanseri.

Igeragezwa rya Clinical ririmo kubera mu bice byinshi by'igihugu. Amakuru yerekeye ibizamini byamavuriro ashyigikiwe na NCI urashobora kubisanga kurubuga rwa NCI. Ibizamini bya Clinical bishyigikiwe nandi mashyirahamwe murashobora kubisanga kurubuga rwa ClinicalTrials.gov.

Ibizamini byo gukurikirana birashobora gukenerwa.

Bimwe mubizamini byakozwe mugupima kanseri cyangwa kumenya icyiciro cya kanseri birashobora gusubirwamo. Ibizamini bimwe bizasubirwamo kugirango harebwe uburyo ubuvuzi bukora neza. Ibyemezo bijyanye no gukomeza, guhindura, cyangwa guhagarika ubuvuzi birashobora gushingira kubisubizo byibi bizamini.

Bimwe mubizamini bizakomeza gukorwa buri gihe nyuma yubuvuzi burangiye. Ibisubizo by'ibi bizamini birashobora kwerekana niba imiterere y'umwana wawe yarahindutse cyangwa niba kanseri yarongeye (garuka). Ibi bizamini rimwe na rimwe byitwa gukurikirana-ibizamini cyangwa kugenzura.

Kubibyimba bya mikorobe idasanzwe yo mu bwana, kubikurikirana bishobora kuba birimo ibizamini bisanzwe byumubiri, ibizamini byerekana ibimenyetso, hamwe nibizamini byerekana amashusho nka CT scan, MRI cyangwa igituza x-ray.

Amahitamo yo Kuvura Ubwana Bidasanzwe Ibibyimba Byakagari

Muri iki gice

• Teratoma ikuze kandi idakuze

• Malignant Gonadal Germ Tumors

• Indwara ya Testicular Germ Tumors

• Indwara ya Ovarian Ubudage Bumubyimba

• Indwara ya Extragonadal Extracranial Germ Tumors

• Gusubiramo Ubwana Bikabije Ibibyimba Byimyanya myumbati

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Teratoma ikuze kandi idakuze

Kuvura teratoma ikuze ikubiyemo ibi bikurikira:

• Kubaga kugirango ukureho ikibyimba gikurikirwa no kwitegereza.

Kuvura teratoma idakuze ikubiyemo ibi bikurikira:

• Kubaga kugirango ukureho ikibyimba gikurikirwa no kwitegereza ikibyimba cya I.

• Kubaga kugirango ukureho ikibyimba cya stade II - IV. Mu bana bato, kubagwa bikurikirwa no kwitegereza; gukoresha chimiotherapie nyuma yo kubagwa ntibivugwaho rumwe. Mu ngimbi n'abangavu, chimiotherapie itangwa nyuma yo kubagwa.

Rimwe na rimwe, teratoma ikuze cyangwa idakuze nayo ifite selile mbi. Teratoma ifite selile mbi irashobora gukenera gufatwa ukundi.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Malignant Gonadal Germ Tumors

Indwara ya Testicular Germ Tumors

Kuvura ibibyimba bya selile mikorobe mbi bishobora kubamo ibi bikurikira:

Ku bahungu barengeje imyaka 11:

• Kubaga (radical inguinal orchiectomy) hakurikiraho kwitegereza ibibyimba byo mu cyiciro cya I.

• Kubaga (radical inguinal orchiectomy) ikurikirwa na chimiotherapie yibibyimba II-IV.

• Igeragezwa rya clinique yuburyo bushya bwo kubaga hakurikiraho kwitegereza ibibyimba byo mu cyiciro cya mbere cyangwa chimiotherapie yo mu cyiciro cya II-IV.

• Igeragezwa rya clinique yuburyo bushya bwa chimiotherapie kumyanya ya II-IV.

Ku bahungu bafite imyaka 11 nayirenga:

Ibibyimba bya mikorobe mbi yibibyimba mubahungu bafite imyaka 11 nayirenga bafatwa muburyo butandukanye nubwa bahungu bato. (Reba incamake ya ku kuvura Kanseri ya Testicular kugira ngo umenye amakuru.)

• Kubaga kugirango ukureho ikibyimba. Rimwe na rimwe, lymph node munda nayo ikurwaho.

• Igeragezwa rya clinique yuburyo bushya bwo kubaga hakurikiraho kwitegereza ibibyimba byo mu cyiciro cya mbere cyangwa chimiotherapie yo mu cyiciro cya II-IV.

• Ikigeragezo cyamavuriro yuburyo bushya bwa chimiotherapie.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Indwara ya Ovarian Ubudage Bumubyimba

Dysgerminoma

Kuvura icyiciro cya I dysgerminoma yintanga ngore bishobora kubamo ibi bikurikira:

• Kubaga (salpingo imwe-oophorectomy) ikurikirwa no kwitegereza. Chimiotherapie irashobora gutangwa mugihe urwego rwibibyimba rutagabanutse nyuma yo kubagwa cyangwa ikibyimba kigarutse.

• Igeragezwa rya clinique yuburyo bushya bwo kubaga hakurikiraho kwitegereza.

Kuvura ibyiciro II - IV dysgerminoma yintanga ngore bishobora kubamo ibi bikurikira:

• Kubaga (salpingo imwe-oophorectomy) ikurikirwa na chimiotherapie.

• Chimiotherapie kugirango igabanye ikibyimba, ikurikirwa no kubagwa (salpingo imwe-oophorectomy).

• Igeragezwa rya clinique yuburyo bushya bwo kubaga hakurikiraho chimiotherapie.

• Ikigeragezo cyamavuriro yuburyo bushya bwa chimiotherapie.

Nongerminoma

Kuvura nongerminoma yintanga ngore, nk'ibibyimba by'umuhondo, ibibyimba bivangwa na mikorobe ivanze, choriocarcinoma, na kanseri y'inda, mu bakobwa bakiri bato bishobora kuba bikubiyemo ibi bikurikira:

• Kubaga bikurikirwa no kwitegereza ibibyimba byo mu cyiciro cya I.

• Kubaga bikurikirwa na chimiotherapie kubyiciro bya I-IV.

• Igeragezwa rya clinique yuburyo bushya bwo kubaga hakurikiraho kwitegereza ibibyimba byo mu cyiciro cya I.

• Igeragezwa rya clinique yuburyo bushya bwo kubaga hakurikiraho chimiotherapie yibibyimba II-IV.

Kuvura nongerminomasi yintanga ngimbi n'abangavu barashobora kubamo ibi bikurikira:

• Kubaga na chimiotherapie kubyiciro bya I-IV.

• Igeragezwa rya clinique yuburyo bushya bwo kubaga hakurikiraho kwitegereza cyangwa chimiotherapie.

• Ikigeragezo cyamavuriro yuburyo bushya bwa chimiotherapie.

Kuvura nongerminoma yintanga ngore idashobora gukurwaho no kubagwa kwa mbere nta nkurikizi zatewe n'ingingo zegeranye zishobora kubamo ibi bikurikira:

• Biopsy ikurikirwa na chimiotherapie no kubaga.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Indwara ya Extragonadal Extracranial Germ Cell Tumors Kuvura ibibyimba bya mikorobe idasanzwe yo mu bwana yibibyimba bya mikorobe mu bana bato bishobora kubamo ibi bikurikira:

• Kubaga na chimiotherapie kubyiciro bya I-IV.

• Biopsy ikurikirwa na chimiotherapie kandi birashoboka ko yabazwe kubyimba icyiciro cya III na IV.

Usibye icyiciro cyindwara, kuvura ibibyimba biterwa na mikorobe idasanzwe ya mikorobe na mikorobe biterwa n’aho ikibyimba cyakorewe mu mubiri:

• Kubibyimba biri muri sakrum cyangwa coccyx, chimiotherapie kugirango igabanye ikibyimba ikurikirwa no kubagwa kugirango ikureho igituba na / cyangwa coccyx.

• Kubibyimba muri mediastinum, chimiotherapie mbere cyangwa nyuma yo kubagwa kugirango ikureho ikibyimba muri mediastinum.

• Kubibyimba byo munda, biopsy ikurikirwa na chimiotherapie kugirango igabanye ikibyimba no kubagwa kugirango ikureho ikibyimba munda.

• Kubibyimba mumutwe no mumajosi, kubagwa kugirango ukureho ikibyimba mumutwe cyangwa ijosi hakurikiraho chimiotherapie.

Kuvura ibibyimba biterwa na mikorobe idasanzwe yo mu bwana mu ngimbi n'abangavu bishobora kuba bikubiyemo ibi bikurikira:

• Kubaga.

• Chimoterapi.

• Chimiotherapie ikurikirwa no kubagwa kugirango ikureho ikibyimba.

• Igeragezwa rya clinique yuburyo bushya bwo kubaga hakurikiraho kwitegereza cyangwa chimiotherapie.

• Ikigeragezo cyamavuriro yuburyo bushya bwa chimiotherapie.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Gusubiramo Ubwana Bikabije Ibibyimba Byimyanya myumbati

Kuvura ibibyimba biterwa na mikorobe yo mu bwana bishobora kuba bikubiyemo ibi bikurikira:

• Kubaga.

• Chimoterapi yatanzwe mbere cyangwa nyuma yo kubagwa, kubibyimba byinshi byimitsi ya mikorobe idasanzwe harimo na teratoma idakuze, ibibyimba byo mu bwoko bwa testicular mikorobe, hamwe na kanseri yintanga ngore.

• Chimoterapi yibibyimba bya selile mikorobe yibibyimba hamwe na nongerminoma isubiramo intanga ngore yari icyiciro cya mbere mugupima.

• Imiti myinshi ya chimiotherapie hamwe no guhinduranya ingirangingo.

• Imiti ivura imirasire ikurikirwa no kubagwa kugirango ikure kanseri yakwirakwiriye mu bwonko.

• Igeragezwa rya clinique risuzuma icyitegererezo cyibibyimba byumurwayi kugirango hahindurwe gene. Ubwoko bwo kuvura bugenewe umurwayi biterwa n'ubwoko bw'imihindagurikire ya gene.

• Igeragezwa rya chimiotherapie ryonyine ugereranije na chimiotherapie ikabije ikurikirwa no guterwa ingirangingo.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Kumenya byinshi kuri Kanseri yo mu bwana

Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeye ibibyimba biterwa na mikorobe yo mu bwana, reba ibi bikurikira.

• Urupapuro rwimyanya myororokere idasanzwe (Ubwana) Urupapuro rwurugo

• Kubara Tomografiya (CT) Gusikana na Kanseri

Kubindi bisobanuro bya kanseri yo mu bwana hamwe nubundi buryo rusange bwa kanseri, reba ibi bikurikira:

• Ibyerekeye Kanseri

• Kanseri yo mu bwana

• Umuti wo Gushakisha Kanseri Yabana Kureka

• Ingaruka Zitinze Kuvura Kanseri Yabana

• Ingimbi n'abangavu bafite kanseri

• Abana barwaye Kanseri: Imfashanyigisho ku babyeyi

• Kanseri mu bana n'ingimbi

• Gutegura

• Guhangana na Kanseri

• Ibibazo byo Kubaza Muganga wawe kuri Kanseri

• Abacitse ku icumu n'abarezi