Anaplastic oligoastrositosis: nā mea āpau āu e ʻike ai e pili ana i kēia glioma

Anaplastic oligoastrositosis: nā mea āpau āu e ʻike ai e pili ana i kēia glioma

He aha kēīa ?

ʻO ka anaplastic oligoastrositosis, a i ʻole ka anaplastic astrocytoma, kahi tumo malignant o ka lolo. ʻOi aku ka pololei o kahi glioma, ʻo ia ka ʻōlelo i kahi puʻupuʻu e loaʻa mai ana i nā pūnana nūhou, i ka lolo a i ʻole ka iwi kuamoo. Hoʻonohonoho ka World Health Organization i nā gliomas mai I a i IV, ke kaukaʻi ʻia i kā lākou morphology a me ke ʻano o ka hōʻino. Hōʻike nā anaplastic astrocytomas i ka papa III, ma waena o nā papa I a me II i manaʻo ʻia he benign a me glioblastomas (papa IV). Hiki i ka Anaplastic astrocytoma ke lilo i komikino o kahi tumo papa II tumo a ulu kino paha. He ikaika ʻo ia e holomua i glioblastoma (papa IV) a ʻo ke ola o ke ola ma kahi o ʻelua a ʻekolu mau makahiki, ʻoiai me ka hoʻomaʻamaʻa me ke kahakaha a me ka radiotherapy / chemotherapy. Hoʻopili nā anaplastic astrocytomas a me glioblastomas i 5 a 8 i 100 mau kānaka i ka lehulehu. (000)

Ōuli

ʻO ka hapanui o nā ʻōuli o ka anaplastic oligoastrocytoma ka hopena mai ka hoʻonui ʻia o ke kaomi i ka lolo, i hoʻokumu ʻia e ka tumo iho a i ʻole ke kūkulu ʻino ʻana o ka wai cerebrospinal i kumu ʻia. Hoʻololi nā ʻōuli i ka wahi a me ka nui o ka tumo.

  • Ka hoʻohaʻahaʻa hoʻomanaʻo ʻana, ka loli o ke kanaka a me ka hemiplegia ke ulu ka tumo i ka ʻaoʻao alo;
  • ʻO ka hopu ʻana i ka hoʻomanaʻo, hoʻopilikia i ka hoʻomanaʻo, ka hoʻohuihui a me ka ʻōlelo i ka wā o ka lobe kino.
  • Nā haunaele kaʻa a me nā mea pono ʻole o ke sensory (tingling a me ke kuni ʻana) aia ia i ka lobe parietal;
  • Nā haunaele ʻike i ka wā o ka tumo e hoʻopili ai i ka ʻula o ka liʻi.

Nā kumu o ka maʻi

ʻAʻole i ʻike ʻia ke kumu kikoʻī o ka anaplastic astrocytoma, akā manaʻo ka poʻe noiʻi he hopena ia mai ka hui ʻana o kahi predisposition genetical a me nā mea kūlohelohe e hoʻomaka ana i ka maʻi.

Nā mea pilikino

ʻOi aku ka maʻamau o ka anaplastic oligoastrositosis ma nā kāne ma mua o nā wahine a hana pinepine ʻia ma waena o nā makahiki 30 a 50. E hoʻomaopopo ʻia naʻe, pili paha ka maʻi i nā keiki, ma waena o 5 a 9 mau makahiki. ʻO nā anaplastic astrocytomas a me nā glioblastomas multiform (papa III a me IV) e hōʻike ana ma kahi o 10% o nā puʻupuʻu o ke kamaliʻi i ke kikowaena pūnaewele waena (80% o kēia mau tumors he papa I a me II). (1)

ʻO nā maʻi genetered herered e like me neurofibromatosis type I (Recklinghausen's disease), Li-Fraumeni syndrome, a me Bourneville tuberous sclerosis e hoʻonui i ka makaʻu o ka hoʻomohala ʻana i kahi astrocytoma anaplastic.

E like me ka nui o nā maʻi ʻaʻai, nā mea e pili ana i ke kaiaulu e like me ka hōʻike ʻana i nā kukuna ultraviolet, ka radiation ionizing a me kekahi mau kemika, a ʻo nā papaʻai maikaʻi ʻole a me ke koʻikoʻi i manaʻo ʻia he mau mea pilikia ia.

Kāohi a me ka lapaʻau

ʻO ka mālama ʻana i ka oligoastrocytoma anaplastic kaukaʻi nui ʻia i ke kūlana maʻamau o ka mea maʻi, kahi o ka puʻupuʻu a me ka wikiwiki o kona holomua. Pili ia i ke kahakaha, ka radiotherapy a me ka chemotherapy, hoʻokahi a i ʻole hui pū ʻia. ʻO ka hana mua e hana i kahi ʻokiʻoki o kahi ʻāpana nui o ka tumo i hiki (resection), akā ʻaʻole hiki mau kēia ma muli o nā palena i ʻōlelo ʻia ma luna. Ma hope o ke kahakaha ʻana, hoʻohana ʻia ka radiation radiation a me ka chemotherapy paha e hoʻāʻo e hemo i ke koena tumo, e laʻa inā ua pāhola nā hunaola malignant i loko o ka lolo.

Pili ka wānana i ke kūlana olakino o ka mea maʻi, nā ʻano o ka tumo, a me ka pane o ke kino i nā chemotherapy a me nā lāʻau radiotherapy. He ikaika ikaika ka Anaplastic astrocytoma e holomua i glioblastoma ma kahi o ʻelua mau makahiki. Me ka hoʻomaʻamaʻa maʻamau, ʻo ka manawa ola waena no ka poʻe me ka astrapositoma anaplastic he ʻelua a ʻekolu paha mau makahiki, ʻo ia hoʻi e make ka hapa o lākou ma mua o kēia manawa. (2)

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