Peritoneal carcinomatosis

Carcinomatosis - hlahala bolaeang, e tlisang metastases multiple le ho ntshetsa pele ka parenchyma kapa serous lera la lekala. Lentsoe lena le sebelisitsoe ka mabapi le mafu a ea lera la serous. phetoho e 'ngoe ea lefu lena ke peritoneal carcinomatosis - tšesaane translucent serous lera koahela bokaholimo ka hare tsa litho tsa ka hare le lerako ka mpeng.

Carcinomatosis peritoneal cavity: litleleniki tsa setšoantšong

Ka tloaelo ho, lefu lena le e tsamaea le a pharaletseng a serous effusion ka cavity, e leng ke tse ngata ho switjha nyalothe, kopane le theha lihlahala kholoanyane. Sebopeho sa lefu lena le tloaelehileng la mefuta e sa tsoaneng ba bangata ba lihlahala tse kotsi ea tsamaiso tshilong ya dijo tse kang gastric kankere, mala le rectum, empa ba bangata ba na le ponahalo lona bath kankere ea popelo. Ha e batlang bakeng sa kankere gastric, carcinomatosis le peritoneum tsamaea le eena ka 30-40% ea maemo a ho sebetsa le lefu lena, 'me ke e' ngoe ea lisosa tse ka sehloohong sa lefu la bakuli. Ho pholoha bohare ba bakuli bana e 5 likhoeli, 34% ea recurrences resected hlahisa ka ho itšehla thajana. Bakuli ba nang le kankere ea popelo ka nako ya paakanyong tepelletse maikutlong ka 70% ea linyeoe na se peritoneal carcinomatosis.

Matšoao a carcinomatosis peritoneal

Ba ka sehloohong le matšoao Link lefu lena kenyeletsa: bohloko mpeng, 'me keketseho ea lona, ho hlatsa, ho nyekoa ke pelo le boima ba' mele.

Peritoneal carcinomatosis ke lefu le se mahareng ka bohona bonahala ka seoelo haholo. The mafu atileng ka ho fetisisa ka sehloohong khahlanong le eo e hlaha ka tsona ke tsena: adenocarcinoma ea mala, ovary kapa manyeme. Ho phaella moo, diso peritoneal etsahala kankere ea mali, sarcoma, lihlahala carcinoid le lymphomas.

Netefatso ya phumano e etsoang ke e batlang lymphocytosis itekanetseng le positive, cytology, nkoa and analysis ascites. Ho phaella moo, ho na le monyetla oa nale biopsy. Kalafo ea lefu lena le o ile a laela haholo-holo ho lefu lena le ka sehloohong. Ka ho ba teng ha liforomo diffuse tsa peritoneal carcinomatosis thusang mafutsana itse'ng. Ha diso ho na le sebaka se fapaneng, 'me mofuta o mong oa kankere e ela hloko haholo ho etsoa chemotherapy, ka thuso ea ho buoa tse khōlō ho phekola mokuli a hloleha.

hangata ha ho ka morao la kankere ea matšoafo, mesothelioma diagnosis le kankere ea matsoele develops matšoafo carcinomatosis. Hape boemo lena le ka bakoa ke metastasize efe kapa efe ea nang le bokhoni hore a matšoafo le pleura, hlahala.

diso bolaeang tsa litho tse ka hare, e leng kenyeletsa carcinomatosis peritoneal, ke sehlopha sa maloetse a matla, e leng li nkoa mohloli mesothelia. Sehlopha sa maloetse a tsena le tsona di kenyelleditswe: peritoneal diagnosis, papillary serous lera le sa mathomo peritoneal adenocarcinoma. A sebaka ratang ba selegae le ba diso bolaeang tsa mpa ba libakeng tsa tsamaiso le ho fokotsa peristalsis mala.

Jwale, bakeng sa kalafo carcinomatosis mpa e le teko e lekiloeng dithekeniki tse fapa-fapaneng mehleng ea kajeno, e leng ho akarelletsa ho sebelisa mahlahana a tse ncha chemotherapeutic, angiogenesis inhibitors, immunotherapy le lisireletsi le Lak-lisele tse radioimmunotherapy sebelisa polymerase lopolla tsamaiso ea phatsa ea lefutso antisense phekolo sebelisa bongata ba kokwanahloko tsamaiso ea ho lopolla . A tataiso tsepisa lithuto joalo ke photodynamic phekolo (PDT) jwalo jwalo ka mokhoa ikemetseng, le ka hammoho le oa a etsoa chemotherapy le ho buoa.