Gastric adenocarcinoma

Gastric adenocarcinoma ndiwo munhu akaipa nebundu rimwe glandular epithelium icho chinoumba papillary, tubular kana acinar zvivako. Bundu masero dzimwe nguva tine chimiro chakaipa gastric kana intestinal epithelium. Muzviitiko zvakawanda pakutsvaga kusiyana mune histological maumbirwo zvakasiyana bundu nzvimbo.

Gastric adenocarcinoma zvaisanganisira ari kupfuura boka kuti gastric kenza. Izvi zvinosanganisira namamota, izvo kubudikidza richengetedzwe mukuru kana mudiki mwero STRUCTURAL Kusiyanisa hwokuratidza - kukwanisa kuumba papillary kana zhelezistopodobnyh hurongwa. Havaratidzi kusiyaniswa adenocarcinoma mudumbu ane vashoma date zvivako kuti anotsanangurwa mune Muzviitiko zvakawanda, yakaoma.

Atypia kuti bundu masero, sezvo mutemo, anowedzera maererano zvinoderedza nekugona STRUCTURAL inotungamirwa. Gastric adenocarcinoma, mune zvimwe zviitiko hakuiti madzihwa. Anogona kuzviona shoma madzihwa ari lumen kwemasero kana apical muchitokisi mapoka. Mune zvimwe zviitiko, gastric adenocarcinoma achiperekedzwa zvikuru mucous secretion. In namamota dzakadaro madzihwa kungava kunze masero (stroma) uye dzinoumba "dziva" (mhango) pamwe zvinoyangarara masero kenza (muchimiro vakapararira zvimedu mumasero kana mapoka). Izvi rworudzi secretion inowanzopiwa kuchengetwa zvakanaka kusiyaniswa anomera nebhitumini.

Rumwe rudzi secretion kunoratidzwa kuunganidza iri cytoplasm kenza masero madzihwa. Muchiitiko chino, izvozvo vachambokanganwa dzavo chinoumba, nokuumba ane "chimhete" kenza. Izvi mhando secretion tsika kuti yakaderera-mugiredhi anomera. Muzviitiko zvizhinji, pane concomitant intracellular uye extracellular kugadzirwa madzihwa.

Adenocarcinoma angava tubular, papillary mucous. A mutsauko kuri chimhete sero carcinoma.

Tubular bundu kunoratidzwa ainyanya mapazi tubular marongerwo rakombwa fibrous stroma kana akanyudzwa mariri. Bundu masero vane cubic kana cylindrical chimiro, vanowanzoona deredza nokuda kuunganidza madzihwa ari zvivharwe lumens.

dzidzo Papillary zvinosanganisira rakafara kana yakamanikana fingerlike outgrowths pamusoro epithelium ane fibrous chizvaro. Muzviitiko zvizhinji, zviri epithelium kuti imere rikaitika lumen ari chubhu kana mumasero muchimiro papillae. Anenge ose nyaya zvinoita kuona kuvimbika basal membrane.

Mucous bundu dzinoratidzwa ukaramba mukati maro yakawanda pamusoro madzihwa, izvo kazhinji dzinogona kuonekwa pamwe chinoabatsira.

Gastric Adenocarcinoma: kurapwa

Administration pamusoro kuchirapa mabasa rinoitwa zvichienderana pachikuva uye nzvimbo bundu inotungamirwa.

vari kakawanda chokuita murwere upenyu, saka kununurwa vanovhiya vanoita wakakwana kubviswa mudumbu kana dumbu kubva yegurokuro (kana bundu racho repamusoro chidimbu). Kana inotungamirirwa iri munzvimbo dzakaderera gastrointestinal dhipatimendi, zvimwe kuponesawo chetatu muviri.

Kuti anyatsobudirira kuvhiyiwa uye murwere mukana wokuti mushonga anowedzera anogona vakagadzwa pashure kupindira nemwaranzi mishonga kana mishonga. Maererano migumisiro kurapwa zveBhaibheri chinzvimbo nemwaranzi kurapa (radiotherapy) uye mishonga yekudyidzana zvinowedzera mukana murwere convalescence uye kuchiderera dzokororo kuti bundu inotungamirwa.

Late (rechitatu kana kuti rechina) padanho kenza mudumbu zvinogona kurapwa tanetseka chaizvo. Zvisinei, kuita kuchirapa kupindira zvinobvira. Muzviitiko zvakadaro, sezvo mutemo, ndishandise mishonga mapoka.