Mhando / nyoro-tishu-sarcoma / murwere / mukuru-nyoro-munyama-kurapa-pdq

Adult Soft Tissue Sarcoma Kurapa (®) -Patient Shanduro

General Ruzivo nezve Adult Nyoro Tissue Sarcoma

Vakuru vakapfava munyama sarcoma chirwere icho chinotyisa (gomarara) maseru anoumba mumateki akapfava emuviri.

Iyo yakapfava minyama yemuviri inosanganisira mhasuru, tendon (mabhendi efaibha anobatanidza mhasuru nemapfupa), mafuta, tsinga dzeropa, lymph lymph, tsinga, uye zvinyama zvakakomberedza majoini. Sarcomas yevakuru maturu anogona kuumba chero kupi zvako mumuviri, asi akajairika mumusoro, mutsipa, maoko, makumbo, trunk, dumbu, uye retroperitoneum.

Nyoro nyowani sarcoma mafomu mune akapfava materu emuviri, kusanganisira mhasuru, tendon, mafuta, mitsipa yeropa, lymph midziyo, tsinga, uye zvinyama zvakakomberedza majoini.

Kune akawanda marudzi ezvinyoro zvinyama sarcoma. Masero erudzi rumwe nerumwe rwe sarcoma anotaridzika akasiyana pasi pe microscope, zvichibva parudzi rwezvinyoro zvinyoro zvakatanga nekenza

Ona anotevera pfupiso kuti uwane rumwe ruzivo nezve akapfava materu sarcomas:

• Yevacheche Nyama Tissue Sarcoma Kurapa

• Ewing Sarcoma Kurapa

• Kugadzira gastrointestinal Stromal Tumors Kurapa

• Kaposi Sarcoma Kurapa

• Uterine Sarcoma Kurapa

Kuve nehumwe kusagadzikana kwakagara nhaka kunogona kuwedzera njodzi yevakuru vakuru vane munyama sarcoma.

Chero chipi zvacho chinowedzera njodzi yako yekuwana chirwere chinonzi njodzi chinhu. Kuva nenjodzi hazvireve kuti uchawana gomarara; kusava nenjodzi hazvireve kuti hauzobatwe negomarara. Taura nachiremba wako kana iwe uchifunga kuti ungave uri panjodzi. Njodzi dzinokonzeresa zvinyoro zvinyama sarcoma zvinosanganisira zvinotevera zvinetso zvakagara nhaka:

• Retinoblastoma.

• Neurofibromatosis mhando 1 (NF1; von Recklinghausen chirwere).

• Tuberous sclerosis (chirwere cheBourneville).

• Inowanzozivikanwa adenomatous polyposis (FAP; Gardner syndrome).

• Li-Fraumeni chirwere.

• Werner syndrome (munhu mukuru progeria).

• Nevoid basal cell carcinoma syndrome (Gorlin syndrome).

Zvimwe zvinokonzerwa nenjodzi sarcoma zvinyoro nyoro zvinosanganisira zvinotevera:

• Kurapa kwekare ne radiation kurapwa kweimwe kanzira.

• Kuoneswa mamwe makemikari, akadai seThorotrast (thorium dioxide), vinyl chloride, kana arsenic.

• Kuva nekuzvimba (lymphedema) mumaoko kana makumbo kwenguva yakareba.

Chiratidzo chemunhu mukuru chinyoro sarcoma ibundu kana kuzvimba mune yakapfava nyama yemuviri.

Sarcoma inogona kutaridzika sebundu risingarwadzi pasi peganda, kazhinji paruoko kana gumbo. Sarcomas inotanga mudumbu inogona kusakonzera

zviratidzo kana zviratidzo kusvikira zvanyanya kukura. Sezvo sarcoma ichikura uye ichimanikidza nhengo dziri padyo, tsinga, mhasuru, kana tsinga dzeropa, zviratidzo nezviratidzo zvinogona kusanganisira:

• Kurwadziwa.

• Kunetseka kufema.

Dzimwe mamiriro anogona kukonzera iwo iwo iwo zviratidzo nezviratidzo. Tarisa nachiremba wako kana uine chero eaya matambudziko.

Adult nyoro tishu sarcoma inoonekwa iine biopsy.

Kana chiremba wako achifunga kuti iwe unogona kunge uine nyoro tissue sarcoma, biopsy ichaitwa. Mhando yebhiopsy inozoenderana nehukuru hwebundu uye kwariri mumuviri. Kune matatu marudzi ebiopsy anogona kushandiswa:

• Incisional biopsy: Kubviswa kwechikamu chebundu kana sampuro yetishu.

• Core biopsy: Kubviswa kwetishu uchishandisa tsono yakafara.

• Excisional biopsy: Kubviswa kwebundu rese kana nzvimbo yetishu isingatarise seyakajairika.

Samples inotorwa kubva kune yekutanga bundu, lymph node, uye dzimwe nzvimbo dzinofungidzirwa. Nyanzvi yezvirwere anoona tishu pasi pe microscope kutsvaga maseru ekenza uye kuti awane chikamu chebundu. Chikamu chebundu chinoenderana nekuti masero ekenza anotarisa zvakadii pasi pe microscope uye nekukurumidza maseru ari kuganhura. Mamota epamusoro-giredhi anowanzo kukura uye achipararira nekukurumidza kupfuura akadzika-giredhi mamota.

Nekuti zvinyoro nyoro sarcoma inogona kunetsa kuongorora, varwere vanofanirwa kukumbira kuti zviitwe sampuli zviongororwe nachiremba ane ruzivo rwekuongorora nyoro nyowani sarcoma.

Iyi miedzo inotevera inogona kuitwa pachinhu chakabviswa:

• Immunohistochemistry: Kuongororwa kwerabhoritari inoshandisa masoja ekudzivirira mamwe maantigen (mamaki) mune imwe sampuro yetishu yemurwere. Masoja ekudzivirira chirwere anowanzo sunganidzwa ne enzyme kana dhayi ye fluorescent. Mushure mekunge maantibodies akasunga kune yakasarudzika antigen mune yeiyo sampuli, iyo enzyme kana dhayi inogoneswa, uye iyo antigen inogona kuzoonekwa pasi pe microscope. Rudzi urwu rweyedzo runoshandiswa kubatsira kuongorora gomarara uye kubatsira kutaurira imwe mhando yekenza kubva kune imwe mhando yegomarara.

• Chiedza uye elektroni microscopy: Kuongororwa kwerabhoritari umo masero ari mune imwe sampu yetishu anoonekwa pasi pemaikorosikopu akajairwa uye akakwirira-simba kuti atsvage kumwe kushanduka mumasero.

• Kuongorora kweCytogenetic: Kuedzwa kwerabhoritari umo ma chromosomes emaseru mune svumbunuro yezvinyama zvinoverengerwa uye kuongororwa chero shanduko, dzakadai sekutyoka, kushaikwa, kugadziriswazve, kana mamwe ma chromosomes. Shanduko mune mamwe ma chromosomes inogona kunge iri chiratidzo checancer. Kuongorora kweCytogenetic kunoshandiswa kubatsira kuongorora cancer, kuronga kurapwa, kana kuona kuti kurapa kuri kushanda sei.

• FISH (fluorescence in situ hybridization): Kuedzwa kwerabhoritari kunoshandiswa kutarisa uye kuverenga majeni kana ma chromosomes mumasero nematukisi. Zvidimbu zveDNA zvine dhayi ye fluorescent zvinogadzirwa murabhoritari uye zvinowedzerwa kune imwe sampuli yemasero emurwere kana zvinyama. Kana zvidimbu izvi zvakavezwa zveDNA zvonamatira kune mamwe mageneti kana nzvimbo dzekromosomes mumuenzaniso, dzinovhenekera kana dzatariswa pasi pefluorescent microscope. Chiyero cheFISH chinoshandiswa kubatsira kuongorora gomarara uye kubatsira kuronga kurapwa.

• Kuyerera cytometry: Kuedzwa kwerabhoritari kunoyera huwandu hwamasero mune imwe sampuro, muzana yemasero mhenyu mune imwe sampuro, uye mamwe maitiro emaseru, senge saizi, chimiro, uye kuvepo kwethumba (kana zvimwe) mamaki pane sero pamusoro. Masero kubva pamuenzaniso weropa remurwere, mwongo wemapfupa, kana zvimwe zvinyama zvakasvibiswa nedhayi re fluorescent, rakaiswa mune mvura, uye ndokuzopfuura rimwe panguva kuburikidza nemwenje wechiedza. Mhedzisiro yekubvunzurudza inoenderana nekuti maseru aive akasvibiswa neiyo fluorescent dhayi anoita sei padanda rechiedza.

Zvimwe zvinhu zvinokanganisa sarudzo dzekurapa uye kufungidzira (mukana wekupora).

Iyo yekurapa sarudzo uye kufungidzira (mukana wekupora) zvinoenderana nezvinotevera:

• Mhando yezvinyoro zvinyama sarcoma.

• Kukura, giredhi, uye nhanho yebundu.

• Kukurumidza sei maseru egomarara ari kukura nekukamurwa.

• Iko iko bundu riri mumuviri.

• Kunyangwe bundu rose rinobviswa nekuvhiyiwa.

• Zera remurwere uye hutano hwese.

• Kunyangwe kenza yakadzoka (dzoka).

Matanho eVakuru Soft Tissue Sarcoma

PFUNGWA DZINOKOSHA

• Mushure mokunge munhu munyoro munyama sarcoma waonekwa, kuyedzwa kunoitwa kuti uone kana maseru ekenza apararira mukati memaviri akapfava kana kune zvimwe zvikamu zvemuviri.

• Pane nzira nhatu dzinopararira negomarara mumuviri.

• Gomarara rinogona kutapukira kubva kwarakatanga kuenda kune dzimwe nhengo dzemuviri.

• Chikamu chebundu chinoshandiswa zvakare kutsanangura gomarara uye kuronga kurapwa.

• Kune vanhu vakuru nyoro sarcoma ye trunk, maoko, uye makumbo, anotevera matanho anoshandiswa:

• Chikamu I

• Chikamu II

• Chikamu chechitatu

• Chikamu IV

• Kune vakuru zvinyoro zvinyoro sarcoma ye retroperitoneum, anotevera matanho anoshandiswa:

• Chikamu I

• Chikamu II

• Chikamu chechitatu

• Chikamu IV

• Iko hakuna yakajairwa staging system yeiyo nyoro tishu sarcoma yemusoro, mutsipa, chifuva, kana dumbu.

Mushure mokunge munhu munyoro munyama sarcoma waonekwa, kuyedzwa kunoitwa kuti uone kana maseru ekenza apararira mukati memaviri akapfava kana kune zvimwe zvikamu zvemuviri.

Maitiro anoshandiswa kutsvaga kana gomarara rapararira mukati menyama yakapfava kana kune dzimwe nhengo dzemuviri inonzi staging. Kugadziriswa kwesoftoma tishu sarcoma zvakare kunoenderana negiredhi uye saizi yebundu, uye kana rapararira kune ma lymph node kana zvimwe zvikamu zvemuviri. Ruzivo rwakaunganidzwa kubva munzira yekugadzwa rinotara danho rechirwere. Izvo zvakakosha kuti uzive nhanho kuitira kuronga kurapwa.

Iyi inotevera bvunzo uye maitiro anogona kushandiswa mune yekuratidzira maitiro:

• Kuongorora kwepanyama uye nhoroondo: Kuongororwa kwemuviri kutarisa zviratidzo zvehutano, kusanganisira kuongorora zviratidzo zvehosha, zvakadai semapundu kana chero chinhu chinoratidzika sechisina kujairika. Nhoroondo yemaitiro ehutano hwemurwere uye kurwara kwakapfuura uye kurapwa kuchatorwawo.

• Chest x-ray: X-ray yenhengo nemapfupa mukati mechipfuva. X-ray imhando yesimba remagetsi rinogona kupfuura nemuviri uye kupinda mufirimu, richiita mufananidzo wenzvimbo dziri mukati memuviri.

• Ropa kemesitiri zvidzidzo: Maitiro umo muyedzo weropa unoongororwa kuyera huwandu hwezvimwe zvinhu zvakaburitswa muropa nenhengo uye nyama munyama. Chinhu chisina kujairika (chakakwirira kana chakaderera pane zvakajairwa) chiyero chechinhu chinogona kunge chiri chiratidzo chechirwere.

• Yakazara kuverenga kweropa (CBC): Maitiro umo muyenzaniso weropa unodhonzwa nekuongororwa zvinotevera:

• Huwandu hwemasero matsvuku eropa, machena masero eropa, uye maplatelet.

• Huwandu hwehemoglobin (protein inotakura oxygen) mumasero matsvuku eropa.

• Chikamu chemuenzaniso weropa chakaumbwa nemasero matsvuku eropa.

• CT scan (CAT scan): Maitiro anoita akateedzana emifananidzo yakajeka yenzvimbo dziri mukati memuviri, senge mapapu nedumbu, zvakatorwa kubva kwakasiyana mativi. Mifananidzo yacho inogadzirwa nekombuta yakabatana neiyo x-ray muchina. Dhayi inogona kuiswa jekiseni kana kumedzwa kubatsira nhengo kana zvinyama kuratidza zvakajeka. Iyi nzira inonziwo computed tomography, computerized tomography, kana komputa axial tomography.

• MRI (magnetic resonance imaging): Maitiro anoshandisa magineti, masaisai eredhiyo, uye komputa kugadzira yakateedzana mifananidzo yakajeka yenzvimbo dziri mukati memuviri. Iyi nzira inonziwo nyukireya magnetic resonance imaging (NMRI).

• PET scan (positron emission tomography scan): Iyo nzira yekuwana yakaipa malonda maseru mumuviri. Chishoma che radioactive glucose (shuga) inoiswa mutsinga. Iyo PET scanner inotenderera yakatenderedza muviri uye inogadzira mufananidzo wepo glucose iri kushandiswa mumuviri. Malignant tumarara maseru anoratidza kupenya mumufananidzo nekuti anoshanda uye anotora glucose yakawanda kupfuura zvinoita maseru akajairwa.

Mhedzisiro yeiyi miedzo inoonekwa pamwe chete nezvakabuda mubundu biopsy kuti uwane danho reiyo yakapfava tishu sarcoma kurapwa kusati kwapihwa. Dzimwe nguva chemotherapy kana radiation radiation inopihwa sekutanga kurapwa uye mushure meizvozvo nyoro tissue sarcoma inoiswa zvakare.

Pane nzira nhatu dzinopararira negomarara mumuviri.

Kenza inogona kupararira kuburikidza nematinji, iyo lymph system, uye neropa:

• Tishu. Kenza inopararira kubva kwayakatanga nekukura ichipinda munzvimbo dziri pedyo.

• Lymph maitiro. Kenza inopararira kubva kwayakatanga nekupinda muiyo lymph system. Kenza inofamba nemumidziyo yema lymph ichienda kune dzimwe nhengo dzemuviri.

• Ropa. Kenza inopararira kubva payakatanga nekupinda muropa. Kenza inofamba nemidzi yeropa ichienda kune dzimwe nhengo dzemuviri.

Gomarara rinogona kutapukira kubva kwarakatanga kuenda kune dzimwe nhengo dzemuviri.

Kana kenza ikapararira kune chimwe chikamu chemuviri, inonzi metastasis. Cancer maseru anotsemuka kubva kwaakatanga (iro bundu rekutanga) uye achifamba kuburikidza neye lymph system kana ropa.

• Lymph maitiro. Gomarara rinopinda mu "lymph system", rinofamba nemumidziyo ye "lymph", uye rinogadzira bundu (metastatic tumor) mune chimwe chikamu chemuviri.

• Ropa. Kenza inopinda muropa, inofamba nemutsinga dzeropa, yoita bundu (metastatic tumor) mune chimwe chikamu chemuviri.

Iyo metastatic bundu irwo rudzi rwecancer seyakanyanya bundu. Semuenzaniso, kana yakapfava tishu sarcoma ikapararira kuenda kumapapu, maseru emukenza mumapapu ari chaiwo akapfava maseru sarcoma maseru. Hosha iyi metastatic nyoro tishu sarcoma, kwete kenza yemapapu.

Chikamu chebundu chinoshandiswa zvakare kutsanangura gomarara uye kuronga kurapwa.

Chikamu chebundu chinotsanangura kusanzwisisika uko maseru ekenza anotaridzika pasi pe microscope uye nekukurumidza kuti bundu racho rinogona kukura nekupararira. Giredhi repasi, repakati giredhi, uye giredhi repamusoro zvinoshandiswa kurondedzera zvinyoro nyoro sarcoma:

• Giredhi repasi: Mune yakaderera-giredhi nyoro tinyuchi sarcoma, maseru ekenza anotaridzika kunge akajairwa maseru ari pasi pe microscope uye anokura uye achipararira zvishoma nezvishoma kupfuura epakati-giredhi uye epamusoro-giredhi nyoro yetishu sarcoma.

• Pakati pegiredhi: Pakati pepakati-giredhi nyoro sarcoma, maseru ekenza anotaridzika asina kujairika pasi pe microscope uye anokura nekupararira nekukurumidza kupfuura mune yakaderera-giredhi nyoro tinyuchi sarcoma.

• Giredhi repamusoro: Mune akakwira-giredhi rakapfava tinyama sarcoma, maseru ekenza anotaridzika asina kujairika pasi pe microscope uye anokura nekupararira nekukurumidza kupfuura mune yakadzika-giredhi uye yepakati-giredhi nyoro sarcoma.

Kune vanhu vakuru nyoro sarcoma ye trunk, maoko, uye makumbo, anotevera matanho anoshandiswa:

Chikamu I

Chikamu ini mukuru munyoro sarcoma yetiki, maoko, uye makumbo zvakakamurwa muzvikamu IA neB:

Saizi yemamota inowanzo kuyerwa mukati masendimita (cm) kana inches. Zvekudya zvakajairika zvinogona kushandiswa kuratidza kukura kwemarara mumasendimita zvinosanganisira: pizi (1 cm), nzungu (2 cm), mazambiringa (3 cm), walnuts (4 cm), lime (5 cm kana 2 masendimita), zai (6 cm), peach (7 cm), uye grapefruit (10 cm kana 4 inches).

• Muchikamu IA, bundu iri masendimita mashanu kana diki uye rakadzika giredhi kana iro giredhi harizivikanwe.

• Muchikamu IB, bundu rakakura kupfuura masendimita mashanu uye rakadzika giredhi kana iro giredhi harizivikanwe.

Chikamu II

Muchikamu chechipiri chevanhu vakuru zvinyoro sarcoma ye trunk, maoko, uye makumbo, bundu iri 5 masendimita kana diki uye iri epakati giredhi kana yepamusoro giredhi.

Chikamu chechitatu

Chikamu chechitatu chevakuru chinyoro sarcoma ye trunk, maoko, uye makumbo zvakakamurwa muzvikamu IIIA uye IIIB:

• Muchikamu IIIA, bundu rakakura kupfuura masendimita mashanu asi risingakure masendimita gumi uye riri pakati pegiredhi kana giredhi repamusoro.

• Muchikamu IIIB, bundu rakakura kudarika masendimita gumi uye riri pakati pegiredhi kana giredhi repamusoro.

Chikamu IV

Muchikamu IV munhu mukuru munyoro sarcoma ye trunk, maoko, uye makumbo, chimwe cheanotevera chinowanikwa:

• bundu iri chero saizi, chero giredhi, uye rakapararira kune ma lymph node ari padyo; kana

• bundu iri chero saizi, chero giredhi, uye inogona kunge yakapararira kune ma lymph node ari padyo. Gomarara rapararira kune dzimwe nhengo dzemuviri, senge mapapu.

Kune vakuru zvinyoro zvinyoro sarcoma ye retroperitoneum, anotevera matanho anoshandiswa:

Chikamu I

Stage Ini munhu mukuru akapfava tishu sarcoma yeiyo retroperitoneum yakakamurwa muzvikamu IA neIB:

Saizi yemamota inowanzo kuyerwa mukati masendimita (cm) kana inches. Zvekudya zvakajairika zvinogona kushandiswa kuratidza kukura kwemarara mumasendimita zvinosanganisira: pizi (1 cm), nzungu (2 cm), mazambiringa (3 cm), walnuts (4 cm), lime (5 cm kana 2 masendimita), zai (6 cm), peach (7 cm), uye grapefruit (10 cm kana 4 inches).

• Muchikamu IA, bundu iri masendimita mashanu kana diki uye rakadzika giredhi kana iro giredhi harizivikanwe.

• Muchikamu IB, bundu rakakura kupfuura masendimita mashanu uye rakadzika giredhi kana iro giredhi harizivikanwe.

Chikamu II

Muchikamu chechipiri chevanhu vakuru zvinyama sarcoma yeiyo retroperitoneum, bundu iri masendimita mashanu kana diki uye riri repakati giredhi kana giredhi repamusoro.

Chikamu chechitatu

Chikamu chechitatu chevakuru chinyoro sarcoma yeiyo retroperitoneum yakakamurwa muzvikamu IIIA uye IIIB:

• Muchikamu IIIA, bundu rakakura kupfuura masendimita mashanu asi risingakure masendimita gumi uye riri pakati pegiredhi kana giredhi repamusoro.

• Muchikamu IIIB, chimwe cheanotevera chinowanikwa:

• bundu rakakura kudarika masendimita gumi uye riri pakati pegiredhi kana giredhi repamusoro; kana

• bundu iri chero saizi, chero giredhi, uye rapararira kune ma lymph node ari padyo.

Chikamu IV

Muchikamu IV IV yakakura yakapfava sarcoma yeiyo retroperitoneum, bundu iri chero saizi, chero giredhi, uye inogona kunge yakapararira kune lymph node dziri pedyo. Gomarara rapararira kune dzimwe nhengo dzemuviri, senge mapapu.

Iko hakuna yakajairwa staging system yeiyo nyoro tishu sarcoma yemusoro, mutsipa, chifuva, kana dumbu.

Kudzokorora Kwevanhu Vakuru Vakapfava Tissue Sarcoma

Kazhinji vanhu vakuru vakapfava sarcoma kenza yakadzokazve (yadzoka) mushure mekurapwa. Gomarara rinogona kudzoka munyama imwechete yakapfava kana mune mamwe mativi emuviri.

Kurapa Sarudzo Kuongorora

PFUNGWA DZINOKOSHA

• Kune akasiyana marudzi ekurapa kwevarwere vane vakuru vakapfava munyama sarcoma.

• Mhando mitatu yekurapa kwakajairika inoshandiswa:

• Kuvhiya

• Radiation kurapa

• Chemotherapy

• Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

• Regional chemotherapy

• Kurapa kwevanhu vakuru vakapfava tishu sarcoma kunogona kukonzera mhedzisiro

• Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

• Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

• Yekutevera-bvunzo inogona kudikanwa.

Kune akasiyana marudzi ekurapa kwevarwere vane vakuru vakapfava munyama sarcoma.

Mhando dzakasiyana dzekurapa dzinowanikwa kune varwere vane vakuru vane zvinyoro zvinyama sarcoma. Mamwe marapirwo akajairwa (iko kurapwa kwazvino kwashandiswa), uye kumwe kuedzwa mumakiriniki ekuedzwa A kurapwa kiriniki kuyedzwa chidzidzo chekutsvaga chakaitirwa kubatsira kuvandudza marapirwo azvino kana kuwana ruzivo marapirwo matsva evarwere vane gomarara. Kana kiriniki miedzo ikaratidza kuti kurapwa kutsva kuri nani pane kwese kurapwa, kurapwa kutsva kunogona kuve kwakajairwa kurapwa. Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki. Mimwe miedzo yekiriniki yakavhurwa chete kune varwere vasina kutanga kurapwa.

Mhando mitatu yekurapa kwakajairika inoshandiswa:

Kuvhiya

Kuvhiya ndiko kwakanyanya kurapwa kwevakuru vakuru vakapfava tishu sarcoma. Kune mamwe manyoro-munyama sarcomas, kubviswa kwebundu mukuvhiya kungave iko chete kurapwa kunodiwa. Maitiro anotevera ekuvhiya anogona kushandiswa:

Mohs microsurgery: Maitiro umo bundu rinotemwa kubva paganda mumatete matete. Munguva yekuvhiyiwa, iyo micheto yebundu uye yega yega bundu rebundu rakabviswa rinotariswa kuburikidza ne microscope kutarisa masero ekenza. Matanda anoramba achibviswa kudzamara pasisina masero ekenza anoonekwa. Rudzi urwu rwekuvhiya runobvisa zvidiki zvidiki zvakajairika sezvinobvira uye rinowanzo shandiswa panoratidzika kutaridzika, senge paganda.

Mohs kuvhiyiwa. Nzira yekuvhiya kubvisa chironda chinoonekwa paganda mumatanho akati wandei. Kutanga, hutete hutete hwecancer cancer hunobviswa. Tevere, wechipiri mutete mutete wenyama unobviswa uye unoonekwa pasi pe microscope kutarisa masero ekenza. Mamwe marara anobviswa imwe panguva kusvikira munyama unoonekwa pasi pe microscope uchiratidza kuti hapana gomarara rasara. Rudzi rwekuvhiya runoshandiswa kubvisa zvidimbu zvidiki zvakajairika sezvinobvira.

• Kunakidzwa kwese kwenzvimbo: Kubvisa bundu pamwe chete nemamwe maturusi akaipoteredza. Kune mamota emusoro, mutsipa, dumbu, uye trunk, zvidiki zvidiki zvakajairika sezvinobvira zvinobviswa.

• Kuvhiya nhengo dzakaremara: Kubvisa bundu mune ruoko kana gumbo pasina kudimburwa, saka kushandiswa uye kutaridzika kwegumbo kunoponeswa. Radiation kurapa kana chemotherapy inogona kupihwa kutanga kudzora bundu. Bundu riya rinobva rabviswa munzvimbo yakakura yemuno. Nyama uye pfupa izvo zvinobviswa zvinogona kutsiviwa nechomira uchishandisa tinyama uye pfupa rakatorwa kubva kune chimwe chikamu chemuviri wemurwere, kana neyakaiswa senge rakagadzirwa bone.

• Kudimburwa: Kuvhiya kubvisa chikamu kana chese nhengo kana chinongedzo, senge ruoko kana gumbo. Kudimurwa hakuwanzo kushandiswa kurapa zvinyoro sarcoma yeruoko kana gumbo.

• Lymphadenectomy: Nzira yekuvhiya iyo lymph nodes inobviswa uye sampuli yetishu inotariswa pasi pe microscope yezviratidzo zvegomarara. Iyi nzira inonziwo lymph node dissection.

Radiation therapy kana chemotherapy inogona kupihwa usati kana mushure mekuvhiyiwa kubvisa bundu. Kana ikapihwa usati wavhiyiwa, kurapwa nemwaranzi kana chemotherapy kunozoita kuti bundu rive diki uye kudzikamisa huwandu hweturu inoda kubviswa panguva yekuvhiyiwa. Mushonga unopihwa usati wavhiyiwa unonzi neoadjuvant therapy. Kana ikapihwa mushure mekuvhiyiwa kubvisa bundu rose rinogona kuoneka, kurapwa nemwaranzi kana chemotherapy kunouraya chero maseru egomarara asara. Mushonga wakapihwa mushure mekuvhiyiwa, kudzikisa njodzi yekuti gomarara richadzoka, inonzi adjuvant therapy.

Radiation kurapa

Radiation kurapa kurapwa kenza iyo inoshandisa yakakwira-simba x-rays kana mamwe marudzi e radiation kuuraya cancer maseru kana kuachengeta iwo kuti asakure. Kune mhando mbiri dze radiation radiation:

• External radiation therapy inoshandisa muchina uri kunze kwemuviri kutumira radiation kune kenza.

• Yemukati radiation kurapwa kunoshandisa radioactive chinhu chakavharirwa mune tsono, mhodzi, waya, kana makateti anoiswa akananga mukati kana padyo nekenza.

Intensity-modulated radiation therapy (IMRT) rudzi rwe 3-dimensional (3-D) radiation radiation inoshandisa komputa kugadzira mifananidzo yehukuru uye chimiro chebundu. Matanda matete emwaranzi yemasimba akasiyana (simba) anovavarira bundu kubva pamakona mazhinji. Rudzi urwu rwekunze kwemwaranzi kurapwa kunokonzeresa kukuvara kudiki kune hutano hutano uye kashoma kukonzeresa kuoma muromo, kunetseka kumedza, uye kukuvadza paganda.

Maitiro ekurapwa nemwaranzi anoenderana nerudzi uye nhanho yekenza iri kurapwa. Kunze kweradiotherapy kurapwa uye kwemukati radiation kurapwa kunogona kushandiswa kurapa vanhu vakuru vakapfava tishu sarcoma.

Chemotherapy

Chemotherapy mushonga wekenza unoshandisa mishonga kumisa kukura kwemasero ekenza, kungave nekuuraya maseru kana nekuamisa iwo kubva pakupatsanuka. Kana chemotherapy ikatorwa nemuromo kana kujowa mutsinga kana mhasuru, mishonga inopinda muropa uye inogona kusvika masero emukenza mumuviri wese (systemic chemotherapy). Nzira iyo chemotherapy inopihwa inoenderana nerudzi uye nhanho yekenza iri kurapwa.

Ona Zvinodhaka Zvinotenderwa zveSoft Tissue Sarcoma kuti uwane rumwe ruzivo.

Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

Ichi chidimbu chikamu chinotsanangura kurapwa kuri kuongororwa mumakiriniki ekuedzwa. Zvinogona kusataura nezveese marapirwo matsva ari kuongororwa. Ruzivo nezve kiriniki miedzo inowanikwa kubva kuNCI webhusaiti.

Regional chemotherapy

Zvemakiriniki miedzo iri kudzidza nzira dzekuvandudza mhedzisiro ye chemotherapy pane mamota maseru, kusanganisira anotevera:

• Regional hyperthermia therapy: Mushonga unogadziriswa matumbu akakomberedza bundu kune tembiricha yakanyanya kukuvadza nekuuraya maseru emukenza kana kuita kuti maseru emukenza anyatsoziva chemotherapy.

• Isolated limb perfusion: Maitiro anotumira chemotherapy yakanangana neruoko kana gumbo pakaumbwa gomarara. Kuyerera kweropa kuenda nekubva pachigunwe kwakamiswa kwechinguva netambo, uye mishonga yeanticancer inoiswa yakananga muropa renhengo. Izvi zvinotumira mwero wakakura wemishonga kubundu.

Kurapa kwevanhu vakuru vakapfava tishu sarcoma kunogona kukonzera mhedzisiro

Kuti uwane ruzivo nezve mhedzisiro inokonzerwa nekurapwa kwegomarara, ona yedu Side Mhedzisiro peji.

Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

Kune vamwe varwere, kutora chikamu mumuedzo wekiriniki inogona kunge iri sarudzo yekurapa yakanyanya kunaka. Kliniki miedzo chikamu chekenza tsvagiridzo. Zvemakiriniki miedzo inoitwa kuti uone kana marapirwo matsva egomarara akachengeteka uye achishanda kana zvirinani pane akajairwa kurapwa.

Mazhinji emazuva ano marapirwo akajairwa ekenza akavakirwa pamavambo emakiriniki ekuedzwa. Varwere vanotora chikamu mukuyedzwa kwekiriniki vanogona kuwana kurapwa kwakaringana kana kuve pakati pevekutanga kurapwa kutsva.

Varwere vanotora chikamu mumiedzo yekiriniki zvakare vanobatsira kugadzirisa marapirwo achaitwa kenza mune ramangwana. Kunyangwe kana miedzo yemakiriniki isinga tangire kumarapirwo matsva anoshanda, anowanzo pindura mibvunzo yakakosha uye anobatsira kufambisira mberi kutsvagurudza.

Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

Mimwe miedzo yekiriniki inosanganisira chete varwere vasati vagamuchira kurapwa. Mimwe miedzo yekuedza kurapwa kwevarwere vane kenza haina kuve nani. Kune mamwezve emakiriniki miedzo inoedza nzira nyowani dzekumisa cancer kubva kudzokororazve (kudzoka) kana kudzikisira mhedzisiro yemakenza kurapwa.

Kuedzwa kwemakiriniki kuri kuitika munzvimbo zhinji dzenyika. Ruzivo nezve kiriniki miedzo inotsigirwa neNCI inogona kuwanikwa paNCI yekiriniki miedzo yekutsvaga peji rewebhu. Kliniki miedzo inotsigirwa nemamwe masangano inogona kuwanikwa pane yeClinicalTrials.gov webhusaiti.

Yekutevera-bvunzo inogona kudikanwa.

Mimwe miedzo yakaitwa kuongorora gomarara kana kutsvaga danho rekenza inogona kudzokororwa. Dzimwe bvunzo dzinodzokororwa kuitira kuti vaone kuti kurapa kuri kushanda sei. Sarudzo nezvekuti uenderere mberi, shandura, kana kumisa kurapwa kunogona kunge kuchibva pamhedzisiro yeiyi bvunzo.

Mimwe bvunzo ichaenderera ichiitwa nguva nenguva mushure mekunge kurapwa kwapera. Mhedzisiro yeiyi bvunzo inogona kuratidza kana mamiriro ako achinja kana kana gomarara radzoka (dzoka). Iyi bvunzo dzimwe nguva inonzi yekuteedzera-bvunzo kana kuongorora-kumusoro.

Kurapa Sarudzo dzeVakuru Soft Tissue Sarcoma

Muchikamu chino

• Stage Ini Munhu Mukuru Nyoro Tissue Sarcoma

• Stage II Adult Nyoro Tissue Sarcoma uye Stage III Adult Nyoro Tissue Sarcoma Iyo Isina Kupararira kuLymph Node

• Stage III Adult Soft Tissue Sarcoma Iyo Yakapararira kuLymph Node (Yepamberi)

• Stage IV Vakuru Vakapfava Tissue Sarcoma

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Stage Ini Munhu Mukuru Nyoro Tissue Sarcoma

Kurapa kwepanhanho ini yakapfava tishu sarcoma inogona kusanganisira zvinotevera:

• Kuvhiya kubvisa bundu, senge Mohs microsurgery kune madiki sarcomas eganda, kuwanda kwenzvimbo, kana kuvhiya mitezo.

• Radiation kurapwa pamberi uye / kana mushure mekuvhiyiwa.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Stage II Adult Nyoro Tissue Sarcoma uye Stage III Adult Nyoro Tissue Sarcoma Iyo Isina Kupararira kuLymph Node

Kurapa kweiyo nhanho yechipiri suruoma nyoro sarcoma uye nhanho III vakuru nyoro nyowani sarcoma iyo isina kupararira kune lymph node inogona kusanganisira zvinotevera:

• Kuvhiya kubvisa bundu, senge rakakura remuno kubvarura kana kuvhiya mitezo.

• Radiation kurapwa usati kana mushure mekuvhiyiwa.

• Radiation kurapa kana chemotherapy pamberi pekuvhiya kwemaoko. Radiation therapy inogona zvakare kupihwa mushure mekuvhiyiwa.

• Yakakwira-dhiza radiation kurapwa kwemamota asingakwanise kubviswa nekuvhiya.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Stage III Adult Soft Tissue Sarcoma Iyo Yakapararira kuLymph Node (Yepamberi)

Kurapa kwedanho III vakuru nyoro tissue sarcoma yakapararira kune lymph node (yakakwira) inogona kusanganisira zvinotevera:

• Kuvhiya (yakawandisa yemuno kubviswa) ne lymphadenectomy. Radiation therapy inogona zvakare kupihwa mushure mekuvhiyiwa.

• Kuongororwa kwekiriniki kwekuvhiyiwa kuchiteverwa nekemotherapy.

• Kuongororwa kwekiriniki yedunhu hyperthermia kurapwa.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Stage IV Vakuru Vakapfava Tissue Sarcoma

Kurapa kwedanho IV yakakura nyoro sarcoma inogona kusanganisira zvinotevera:

• Chemotherapy.

• Kuvhiya kubvisa gomarara iro rapararira kumapapu.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kurapa Sarudzo dzeRecurrent Adult Soft Tissue Sarcoma

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Kurapa kweanowanzoitika munhu nyoro tinyama sarcoma inogona kusanganisira zvinotevera:

• Kuvhiya (kuwanda kwenzvimbo kubvisirwa) kuchiteverwa nemwaranzi kurapwa.

• Kuvhiya (kudimburwa; kashoma kuitwa).

• Kuvhiya kubvisa gomarara rakadzokerazve mumapapu.

• Chemotherapy.

• Chiyero chemakiriniki chega pega pefusion.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kuti Udzidze Zvakawanda Pamusoro peVakuru Nyoro Tissue Sarcoma

Kuti uwane rumwe ruzivo kubva kuNational Cancer Institute nezve zvinyoro nyoro sarcomas, ona zvinotevera:

• Tissue Nyoro Sarcoma Peji Peji

• Yevacheche Nyama Tissue Sarcoma Kurapa

• Ewing Sarcoma Kurapa

• Kugadzira gastrointestinal Stromal Tumors Kurapa

• Kaposi Sarcoma Kurapa

• Uterine Sarcoma Kurapa

• Mishonga Inotenderwa yeSoft Tissue Sarcoma

Kuti uwane ruzivo rwekenza uye zvimwe zviwanikwa kubva kuNational Cancer Institute, ona zvinotevera:

• Nezve Kenza

• Stage

• Chemotherapy uye Iwe: Tsigiro Yevanhu Vane Kenza

• Radiation Therapy uye Iwe: Rutsigiro rweVanhu Vane Kenza

• Kurarama neCancer

• Mibvunzo Yekubvunza Wako Chiremba nezveCancer

• Kune Vakapona uye Vanotarisira