Malignant teratoma yeiyo mediastinum

Teratoma imhando yekenza ine imwechete kana inopfuura nhatu nhatu dzemasero anowanikwa mumwana ari kukura (embryo). Aya maseru anonzi majemusi masero. Teratoma rumwe rudzi rwehutachiona sero bundu.

Mediastinum inowanikwa mukati mepamberi pechipfuva munzvimbo inopatsanura mapapu. Moyo, hombe tsinga dzeropa, mhepo yemhepo, thymus gland, uye esophagus zvinowanikwa imomo.

Yakashata mediastinal teratoma inoitika kazhinji mumajaya mune yavo 20s kana 30s. Matestoma mazhinji akaipa anogona kupararira mumuviri wese, uye akapararira nenguva yekuongororwa.

Kenza yeropa inowanzo kuve yakabatana neiyi bundu, kusanganisira:

• Acute myelogenous leukemia (AML)
• Myelodysplastic syndromes (boka rematambudziko emongo)

Zviratidzo zvinogona kusanganisira:

• Kurwadziwa pachifuva kana kumanikidzwa
• Kukosora
• Kuneta
• Kusakwanisa kukwana kushivirira kurovedza muviri
• Kufema kwekufema

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezvezviratidzo. Bvunzo dzinogona kuratidza kuvharika kwemitsipa inopinda pakati pechipfuva nekuda kwekuwedzera kwekumanikidza munzvimbo yechifuva.

Iyi inotevera bvunzo inobatsira kuongorora iro bundu:

• Chest x-ray
• CT, MRI, PET inoongorora yechipfuva, dumbu, uye pelvis
• Kufungidzira kwenyukireya
• Ropa bvunzo kutarisa beta-HCG, alpha fetoprotein (AFP), uye lactate dehydrogenase (LDH) mazinga.
• Mediastinoscopy ine biopsy

Chemotherapy inoshandiswa kurapa bundu. Musanganiswa wemishonga (kazhinji cisplatin, etoposide, uye bleomycin) inowanzo shandiswa.

Mushure mekunge chemotherapy yapera, CT scans inotorwa zvakare kuona kana paine chero bundu rinosara. Kuvhiya kunogona kukurudzirwa kana paine mukana wekuti gomarara rikure zvakare munzvimbo iyoyo kana kana paine gomarara rasara kumashure.

Kune akawanda mapoka ekutsigira anowanikwa kune vanhu vane gomarara. Bata iyo American Cancer Society - www.cancer.org.

Maonero anoenderana nesaizi kukura uye nzvimbo uye nezera remurwere.

Gomarara rinogona kupararira mumuviri wese uye panogona kuve nematambudziko ekuvhiyiwa kana zvine chekuita nekemotherapy.

Fonera waunopa kana uine zviratidzo zvetatoma yakaipa.

Dermoid cyst - yakaipa; Nonseminomatous germ cell tumarara - teratoma; Immature teratoma; GCTs - teratoma; Teratoma - extragonadal

• Teratoma - MRI scan
• Inotyisa teratoma

Cheng GS, Varghese TK, Park DR. Mediastinal tumors uye cysts. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 83.

Putnam JB. Mapapu, madziro echipfuva, pleura, uye mediastinum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 57.