Leydig cell testicular bundu

Leydig cell tumarara ibundu repachende. Inokura kubva kumasero eLeydig. Aya ndiwo masero ari mumachende anoburitsa mahormone echirume, testosterone.

Chikonzero chebundu iri hachizivikanwe. Iko hakuna kuzivikanwa njodzi zviitiko zveichi bundu. Kusiyana nejemusi maseru mamota emachende, bundu iri rinoita kunge risingabatanidzwe nema testes asina kukodzera.

Leydig maseru mamota anoumba iwo mashoma kwazvo mamota echipupuriro. Ivo vanowanzo kuwanikwa mune varume vari pakati pemakore makumi matatu kusvika makumi matanhatu ekuberekwa. Bundu iri harina kujairika muvana vasati vayaruka, asi rinogona kukonzera kuyaruka kwekutanga.

Panogona kunge pasina zviratidzo.

Kana zviratidzo zvikaitika, zvinogona kusanganisira:

• Kusagadzikana kana kurwadziwa mudumbu
• Kuwedzeredzwa kwetende kana shanduko munzira yainonzwa
• Kuwedzera kukura kwemazamu tishu (gynecomastia) - zvisinei, izvi zvinogona kuitika kazhinji muvakomana vachiri kuyaruka vasina cancer testicular.
• Huremu mune scrotum
• Bundu kana kuzvimba mune chero testicle
• Marwadzo mudumbu rezasi kana kumashure
• Kusakwanisa baba vana (kushaya mbereko)

Zviratidzo mune zvimwe zvikamu zvemuviri, zvakaita semapapu, dumbu, chiuno, musana, kana huropi zvinogona zvakare kuitika kana gomarara rapararira.

Kuongorora kwepanyama kunowanzo kuratidza bundu rakasimba mune rimwe remachende. Kana mupi wehutano paanobata tochi inosvika pachikanda, mwenje haupfuure nepaburi. Bvunzo iyi inonzi transillumination.

Mimwe bvunzo inosanganisira:

• Kuongororwa kweropa kune mamaki mamaki: alpha fetoprotein (AFP), chorionic gonadotropin (beta HCG), uye lactate dehydrogenase (LDH)
• CT scan yechipfuva, dumbu uye chiuno kutarisa kana gomarara rapararira
• Ultrasound yechirwere

Kuongororwa kwenyama kunowanzoitwa mushure mekubviswa kwese testicle (orchiectomy).

Kurapa kweLeydig cell tumor kunobva padanho rayo.

• Stage I gomarara harina kupararira pamusoro pechigamba.
• Kenza yeChikamu II yakapararira kuma lymph nodes mudumbu.
• Mukenza weStage III wakapararira kupfuura ma lymph node (pamwe kusvika kuchiropa, mapapu, kana huropi).

Kuvhiya kunoitwa kubvisa testicle (orchiectomy). Lymph node dzepedyo dzinogona kubviswa (lymphadenectomy).

Chemotherapy inogona kushandiswa kurapa bundu iri. Sezvo Leydig maseru mamota asingawanzo, marapirwo aya haana kuongororwa zvakanyanya sekurapwa kweimwe, inowanzozivikanwa kenza yemachende.

Kujoinha boka rekutsigira uko nhengo dzinogovana zvakajairika uye matambudziko zvinogona kubatsira kudzikisira kushushikana kwehurwere.

Gomarara redenderedzwa ndeimwe yekenza inorapika uye inorapwa. Maonero akaipisisa kana bundu rikasawanikwa nekukurumidza.

Gomarara rinogona kutapukira kune dzimwe nhengo dzemuviri. Nzvimbo dzinowanzozivikanwa dzinosanganisira:

• Dumbu
• Mapapu
• Retroperitoneal nzvimbo (nzvimbo iri padyo neitsvo kuseri kwemamwe mitezo iri mudumbu nzvimbo)
• Musana

Matambudziko ekuvhiya anogona kusanganisira:

• Kubuda ropa uye hutachiona
• Kushaya mbereko (kana machende ese akabviswa)

Kana iwe uri wezera rekubereka, bvunza mupi wako nezve nzira dzekuchengetedza mbeu yako kuti ishandiswe pane inotevera zuva.

Fonera mupi wako kana iwe uine zviratidzo zvecancer testicular.

Kuita testicular kuzviongorora (TSE) mwedzi wega wega kunogona kubatsira kuona cancer yekenza padanho rekutanga, isati yapararira. Kuwana cancer testicular kutanga kwakakosha pakurapa uye kurarama.

Tumor - Leydig sero; Testicular bundu - Leydig

• Utano hwemurume hwekubereka

Friedlander TW, Diki E. testicular kenza. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 83.

National Cancer Institute webhusaiti. Testicular cancer kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/testicular/hp/testicular-treatment-pdq. Yakagadziridzwa May 21, 2020. Yakasvika muna Chikunguru 21, 2020.

Stephenson AJ, Gilligan TD. Neoplasms yetestis. Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chits. 76.