Mesenchymal marurai: rarrabuwa, fasali, asalin

Duk wani marurai a jikin mutum da pathological yanayi. Sun bayyana saboda dalilai daban-daban da kuma yanayi. Jinsunan wanda akwai mai girma da yawa. Ainihin rarrabuwa, wanda rinjayar da kara ci gaba da abubuwan da ke faruwa - shi ne benign ko m siffofin maruran.

definition

A ƙari - ƙari, wanda da farko yana da wani pathological yanayi, amma zai iya zama benign ko m. Wannan shi ne babban bambancin, wanda rinjayar da hanyar da kansa da halinta, ko ba Resort zuwa hanyoyin magance shi, ko yana cikin wani mummunan tasiri a tafiyar matakai a cikin jiki. Mesenchymal marurai suna kafa daga mesenchymal kyallen takarda. Wadannan sun hada da kamar:

• connective nama, ciki har da kashi, guringuntsi, da kuma kitse.
• tsoka nama, ma poperechnopolostnaya da santsi tsoka.
• m nama - da tsakiya m tsarin da kuma na gefe).
• haematopoietic nama.

Mene ne babban bambanci tsakanin marurai na mesenchymal marurai na wani irin? Mesenchymal - mai taushi nama, irin taushi nama samuwar na iya faruwa a lokacin extraskeletal kyallen takarda. Su za a iya samu a daban-daban ciki gabobin jikin mutum. A babban alama marurai ne su sakamako a kan aiki na da kwayoyin. A taron na wannan marurai tsarè da al'ada aiki na wasu gabobin da kuma tsarin. Akwai marurai na irin wannan ne rare.

Nau'in mesenchymal marurai

Akwai da dama sukayi fassara, wanda rabu da wani neoplasm a kan wasu nau'in. Saboda haka, tasiri da aikin na jiki a matsayin tsarin suke da daraja:

• benign - babu illar a jiki;
• m - neoplasm, wanda gaggawa bukatar a cire, ko magani domin su adversely shafi lafiyar dan adam, aikin da duka tsarin ko na mutum gabobin zai lalace.

Bisa ga irin hannu a cikin samuwar tsokoki za a iya samu:

• monocomponent - neoplasms, kunsha na daya kawai irin nama, kamar connective ko na tsarin jijiya.
• Multi - marurai cewa an hada da dama iri kyallen takarda.

Akwai kuma wani irin siffofin maruran da cewa za a iya ware fitar - a heterotopic siffofin maruran. Its main bayãnin hukuncin alama shi ne cewa an kafa a cikin tsokoki na gabobin, wanda ba peculiar shi.

Yaduwar na neoplasms

Mafi yawa daga cikin benign ƙari ba a cire, amma ko da kuwa yanayin asalin, da more su size, don haka shi ne kawo hadari ga lafiyar dan adam. A duniya ta yau, marurai fara saduwa da mafi sau da yawa kuma ta haka benign marurai faruwa infrequently. Saboda haka, da hangen nesa a cikin wadannan yanayi ba ko da yaushe bu mai kyau.

A iri-iri na neoplasms ne don haka mai girma cewa a yau a Amurka, masana kimiyya da game da 5700 iri mesenchymal tsarin. Idan duk m marurai, wanda aka sani da suna a yau, da aka dauka a matsayin 100%, da mesenchymal - shi ne kawai 0.8% na dukkan malignancies. Mace-mace a wadannan siffofin maruran ne 2% na jimlar mace-mace.

Lokacin da akwai iya zama mesenchymal ƙari?

Etiology opuholevidyh tsarin ne har yanzu ba a sani ba, su bayyanar da wuya a yi hasashen kuma hango ko hasashen da sakamakon. Amma a lokaci guda akwai da dama key dalilai da cewa a wasu lokuta da ake zargin na da wani tasiri. Saboda haka, wa'yannan marurai na iya tashi:

1. Bayan radiotherapy.
2. Bayan thermal konewa.
3. Bayan daya mai gefe irin rauni a irin wannan yanayi, da ƙari da aka kafa a kan m gefe.
4. Wasu muhalli dalilai da mummunan tasiri a kan mutum kiwon lafiya, tare da sakamakon cewa akwai iya zama benign ko m siffofin maruran.
5. Akwai lokuta idan marurai su ne sakamakon cuta na jiki ta defenses, a lokacin da na rigakafi da tsarin da aka raunana, wasu iri ƙwayoyin cuta zai iya sa unpredictable sakamakon.
6. Akwai tsammãninsa ya zama kwayoyin predisposition zuwa cuta.

Uniquely sanin dalilin da ya sa wani mesenchymal ƙari, pathological haltta wanda ya nuna cewa su ba ko da yaushe m, ba za ka iya, za mu iya kawai zaton cewa wani ake bukata kafun ga su ci gaba. Bugu da kari, cikin sama dalilai ba dole ba ne kai ga irin wannan sakamakon.

Sarrafawa marurai

Duk wani kumburi - a Pathology, amma yana da muhimmanci a gane cewa ba kowane daya daga gare su akwai ha] ari ga mutum kiwon lafiya da kuma rayuwa. A cikin wani hali, ta ci gaba da daraja kallon, ba don kai-medicate. Wani lokaci da ƙari iya bace ba tare da shafi da shi. Abin da sun fi na kowa? Bisa ga sarrafawa yankin za a iya yanaye amfani da wannan rabo:

• Dan kadan kasa da rabin dukkan lokuta - ƙari daga cikin ƙananan extremities, ya fi na kowa lokuta ne siffofin marurai da faruwa a cikin hip, suka asusu na game da 40% na duk lokuta.
• Na biyu ya fi na kowa zauna marurai da suke sarrafa a yankin na jiki da kuma zabryushnogo sarari su zauna 30% na jimlar yawan lokuta.
• Neoplasms a cikin sama extremities, suka asusu na game da 20% na dukkan sarcomas.
• Akwai kuma m mesenchymal ƙari (a pathological haltta yana tabbatar da) cewa ana sarrafa a cikin wuyansa, kuma kai, jimlar yawan da aka sani lokuta, suka zauna game da 10%.

shaida

Wani muhimmin alama ne ta hanyar ciwon daji. Ya kuma ya dogara a kan sakamakon da marurai hali. Abin da siffofin iya samun Kaposi? Wannan shi ne :

1. Fusiform siffar.
2. Zagaye - shi ne ya fi kowa.
3. Polygonal.

Lokacin da kayyade halaye na mesenchymal marurai da irin nau'i yana da darajar, amma shi ba ya taka a kayyade rawa. Bugu da kari, yana da muhimmanci a fahimci tsarin da pathological growths. Abin da zai iya zama da tsarin da ƙari? rarrabe:

• Limfotsitoobraznoe tsarin.
• Rod-dimbin yawa.
• Epithelioid.

Wadannan saituna shafi cikin ganewar asali, duk da haka, ne kasa da kuma bukatar yin wasu iri analysis.

bincikowa da tare da ayyuka

Bincike matakan taimaka sosai sanin abin da irin ciwon daji aka aikata. Wadannan sun hada da:

• Kwayoyin kayyade analysis.
• Ultrastructural analysis.
• Cytogenetic.
• Wadannan immunohistochemical ganewar asali.

Bayan ganewa na marurai da kuma wucewa da ake bukata bincike matakan iya magana game da ci gaban mataki marurai, abin da kyakkyawan taimaka wa hango ko hasashen nan gaba ayyuka da kuma kiyasta hali na sarcoma.

Pathology mataki na ci gaba

Dangane da girman da ƙari iya ce a abin da mataki na ci gaba da Pathology zama, da kuma dangane da shi ba za ka iya yin wani m forecast kuma nada ko ba su sa lura. Ka yi la'akari da babban mataki na pathological samuwar:

1. Mataki T1 a da ƙari size ne kasa da 5 cm a diamita, shi zai iya zama ƙasa da.
2. Stage T2 - wani lokaci a cikin abin da size da marurai a diamita mafi girma daga 5 cm, amma muhimmanci alama da cuta ne cewa babu kasũsuwa, ashe, ba jini ko jijiyoyi ba su lalace, abin da ba ya canzawa.
3. Mataki T3 - wannan Pathology mataki a wanda, ko da kuwa da girman da kashi marurai, jijiyoyi ko tasoshin riga ya shafa ko da hannu a cikin pathological tsari.
4. Idan metastases ake sarrafa a cikin Lymph nodes, suna da N1 nadi.
5. Idan ya zo ga metastases da suke da nisa, suna kira a matsayin M1.

Dangane da irin samuwar kuma pathological mataki na ci gaba m likita zai iya yi Hasashen kan wanda da sanya magani ko kallo.

Mene ne benign marurai na iya faruwa?

Kamar yadda riga aka ambata a sama, benign mesenchymal ƙari - a pathological growths cewa ba su da wani mummunan tasiri a kan mutum kiwon lafiya da kuma shakka ba kawo hadari ga ransa. Amma tare da canje-canje a cikin jiki a matsayin tsarin da aka kiyaye. Mesenchymal marurai, benign necropsy wanda shi ne:

• Fibroma - marurai na connective nama. Sun ayan da karamin size, na iya faruwa a ko'ina. Mafi na kowa ne ovarian fibroma, kuma kowa neurofibromas, wanda envelop da jijiya akwati. Abin da irin su? Wannan shi ne wani ƙari a cikin nau'i na m kwantena na kananan size, a cikin mahallin sunã da wata grayish-farin launi.
• Dermatofibroma - neoplasm, wanda yana da siffar wani nodule kananan, shi mafi sau da yawa samu a kan ƙananan extremities. Akwai da dama iri na wannan cuta, da sũ suke sãɓa a kan ruwan dare na sia a Kwayoyin da hemosiderin. A bangaranci da rawaya ko ruwan kasa launi.
• Leiomyoma - a benign ƙari da cewa tasowa daga perivascular Kwayoyin. Shin ba nadiri, sarrafa a cikin mafitsara, a kan fata, a cikin mahaifa, a cikin al'aurar, a cikin gastrointestinal fili da sauransu. Amma ga tsari, shi ne yawanci a zagaye ƙari, amma sau da yawa shi ne jam'i. Its girma bambanta a cikin m kewayon, shi yana iya zama mai girma ko kananan ƙari. Dangane da mataki na cũta, to, ba zai iya zama mai hatsari, amma a wasu yanayi a can iya zama foci na necrosis da calcification.
• Hibernoma - ƙari, wanda yake shi ne sosai rare, irin wannan ƙari na ruwan kasa mai. By su bayyanar da kama wani cuta, wanda ya kunshi dama sassa, hannun jari. Wadannan rabbai iya samun granular ko foamed tsarin.
• Rhabdomyomas - ƙari wanda aka yi sama da striated tsoka Kwayoyin. Sau da yawa shi ne sakamakon cuta na kwakwalwa, ko tsoka nama ci gaban zai iya faru da kuma sauran malformations.
• Abrikosov ƙari - kadan ilimi, wanda yana cikin wani nau'i na kwantena. Sau da yawa da wannan za a iya samu a harshenka, esophagus ko a fata.
• Hemangioma - a benign mahaluži wanda aka sau da yawa gani a jariri jariran. Akwai da dama iri da wannan cuta, a cikin hanyar wanda ba a dogara m. An nuna cewa wannan yana iya zama wani aibi na da amfrayo ci gaba ko gaskiya benign ƙari.

List of benign marurai za a iya ci gaba na dogon lokaci, da suka sãɓã wa jũna a cikin wani iri-iri na siffofin, ciki har da site location, size, yanayi da kuma gudun ci gaba.

M mesenchymal marurai

Su ne mai kai tsaye barazana ga rayuwa da kuma kiwon lafiya. M marurai na mesenchymal asalin, necropsy wanda yake kama da benign marurai kira sarcomas. Akwai da dama iri pathologic abokai da cewa suna da, a cikin mahallin da farin launi. Mesenchymal ƙari necrosis - mafiya hatsari marurai da aka ba gano a dace hanya. Mafi na kowa ne da wadannan iri sarcomas:

• Fibrosarcoma - ƙari, wanda yake da wuya sosai domin sanin, tun da shi ya yi kama fibroids, a benign ƙari. Wannan kwantena wanda tsarin ne mai taushi da samuwar. A cikin mahallin shi ne ja, reminiscent na kifi da nama. Suna iya zama sauri ko a hankali girma. Forecast a cikin wannan yanayin ne ba sosai da kwantar da hankali. Kamar yadda lokaci taka wata muhimmiyar rawa. Idan a lokacin wani bincike da metostazy gano, da mace-mace kudi a irin haka ne 20 zuwa 40%. Kuma shi ya auku a cikin shekaru biyar bayan da ci gaban da cutar. A rabin daga cikin lokuta faruwa dakwai, komowan cutar.
• Liposarcoma - wani m ƙari cewa tsiro sannu a hankali amma ta size iya isa babban zabin. Akwai da dama iri na marurai, su ne suka ci gaba da yafi a gindi, a zabryushnoy rami a kwatangwalo.
• Leiomyosarcoma - shi ne kamar leiomyoma, kawai m. Yana tasowa daga m tsoka nama.
• Rhabdomyosarcoma - ƙari cewa suranta daga mai gangara ciki tsokoki. A tsarin da polymorphic ƙari. Ayyana shi da alãmarsu ne wuya, bayan bincike matakan iya tabbatar da ƙari.
• Hemangiosarcoma - wani m ƙari cewa rinjayar mutane ko da jima'i, shekaru da kuma salon rayuwa. Localize shi iya ko ina. Na musamman sha'awa bayyana wa marurai na hanta da za su iya faruwa a sakamakon wasu Carcinogens. Yana da muhimmanci a fahimci cewa tsakanin lokacin daukan hotuna zuwa wani carcinogen da kuma bayyanar marurai iya zama shekaru. Hasashen quite m. Bayan diagnosing da haƙuri iya rayuwa a 'yan makonni a shekaru da dama.

Marurai a cikin zamani duniya sun zama quite m Pathology. Suna sarrafa a wurare daban-daban kamar a jiki surface kuma a cikin jiki. Tabbata a tsaya ga ganewa na Pathology likita ta shawarwari saboda mace-mace a cikin wadannan yanayi da kuma haka ne manyan isa.