Peritoneal carcinomatosis

Carcinomatosis - munhu akaipa bundu, izvo zvinopa akawanda metastases uye munguva parenchyma kana serous membranes nenyere. Izwi iri rinoshandiswa toreva zvirwere serous membranes. Imwe kusiyana chirwere ichi chinhu peritoneal carcinomatosis - dzakaonda translucent serous Kamudzira kufukidza womukati pose zvomukati uye abdominal rusvingo.

Carcinomatosis peritoneal mhango: zvekuchipatara mufananidzo

Kazhinji, maperembudzi pamwe rwakakura serous effusion ari mhango, inova vakawanda nokuchinja mhunga, batanidza uye kuumba anomera yakakura. Nezvekugadzirwa chirwere ichi hwokufananidzira emarudzi akawanda nyanyisa anomera ari zvomudumbu gadziriro akadai gastric kenza, muura uye mugaranhoko, asi ruzhinji chitarisiko chawo hunhu nokuda ovarian kenza. Kana Detective gastric kenza, carcinomatosis ari peritoneum zvaanoripirwa naye 30-40% nyaya rokuvhiya chirwere, uye ndiyo imwe huru zvinokonzera rufu varwere. The evaMedhia kupona varwere izvi ndizvo 5 months, 34% kuti resected recurrences kuva zindoga. Varwere ovarian kenza panguva nechirwere Pfungwa muna 70% nyaya nechekare peritoneal carcinomatosis.

Zviratidzo peritoneal carcinomatosis

The chikuru kwokunze zviratidzo chirwere ichi zvinosanganisira: abdominal marwadzo, nezvibereko zvayo, kurutsa, kuda kurutsa uye uremu.

Peritoneal carcinomatosis chirwere yechipiri pachayo anooneka chaizvo kashoma. Rakajairika chikuru zvirwere pamusoro pacho kunoitika vari: adenocarcinoma mudumbu, ovary kana rwatata. Uyezve, peritoneal maronda rwakavapo neleukemia, sarcoma, carcinoid namamota uye lymphomas.

Kusimbisa nechirwere riri kuitwa Detective mwero lymphocytosis uye zvakanaka cytology, kutora ongororo ascites. Uyezve, mukana tsono biopsy. Pakurapa chirwere inoendeswa zvikurukuru chepuraimari chirwere. In pamberi diffuse siyana peritoneal carcinomatosis murombo fungidziro. Kana maronda vane akasiyana nzvimbo, uye mhando kenza iri zvikuru nehanya mishonga, achibatsirwa yakakura kuvhiyiwa rokurapa murwere rotsva.

Kazhinji necheseri kenza yemapapu, pleural mesothelioma uye kenza yemazamu hwapedyo yemapapu carcinomatosis. Uyewo ichi kunogona kukonzerwa chero anokwanisa metastasize kuti yemapapu uye pleura, bundu.

Nyanyisa maronda ose nhengo dzomukati, izvo zvinosanganisira peritoneal carcinomatosis, muri boka kwazvo zvirwere, izvo vanoonekwa kwaibva mesothelia. Boka zvirwere izvi Panewo: peritoneal mesothelioma, papillary serous Kamudzira uye chikuru peritoneal adenocarcinoma. A kufarira nzvimbo localization pakati nyanyisa maronda ari mudumbu ndiyo nzvimbo kufamba uye kuderedza intestinal peristalsis.

Pari, kunorapwa carcinomatosis dumbu sezvo kuedza kuedzwe siyana ano unyanzvi, izvo zvinosanganisira kushandisa idzva chemotherapeutic vamiririri, angiogenesis FIs, immunotherapy pamwe antibodies uye Lak-masero radioimmunotherapy kushandisa polymerase paakanunura hurongwa Gene antisense kurapa vachishandisa nemavhairasi paakanunura nehurongwa . A vaizotibata kutungamirira zvidzidzo zvakadaro photodynamic kurapa (PST) sezvo sezvo yakazvimirira nzira, uye akabatana mishonga uye kuvhiyiwa.