Pancreatic mob cancer

Pancreatic mob cancer yog ib tug phem neoplasm, tsim los ntawm lub hlwb txoj kev txiav. Feem ntau hom mob cancer, uas tso nyiaj kom mus txog rau 95% ntawm txhua tus neeg mob ntawm no mob yog ib qho adenocarcinoma, uas muaj nyob rau hauv lub exocrine txiav tivthaiv. Adenocarcinoma - ib tug kab mob qog hlav rau cov glandular cov ntaub so ntswg ntawm lub cev. Txawm li cas los, tsis yog txhua txhua tus neeg mob ntawm pancreatic mob cancer - yog xws li ib tug adenocarcinoma. Nyob rau hauv tej rooj plaub, lub qog npaj los ntawm lub thiaj li hu ua islet hlwb, thiab yog li ntawd yog dej num raws li ib tug neuroendocrine qog. Tej yam tshwm sim thiab cov tsos mob uas ua rau lub sijhawm twg los ntawm cancer yog nyob ntawm seb qhov chaw ntawm lub qog, nws loj thiab lub hom ntaub, nws cov duab. Nyob rau hauv kev, pancreatic mob cancer cov tsos mob muaj xws li mob plab, mob nyob rau hauv lub qis rov qab, thiab yog hais tias lub qog compresses cov kua tsib duct, jaundice. Nyob rau hauv tas li ntawd, tej zaum yuav muaj ib tug tseem ceeb poob phaus, khaus, kev nyuaj siab, mob hlab ntsha thrombophlebitis (Trousseau tus kos npe rau), cov tsos mob Courvoisier thiab ntau lwm tus neeg.

Nyob rau hauv qhov qeb duas ntawm cov feem ntau cov mob qog nqaij hlav cancer pancreatic confidently tuas ib tug tsim txiaj plaub leading ua rau ntawm kev tuag ntawm cov txiv neej thiab cov poj niam, yog tus culprit txog 6% ntawm tag nrho cov neeg tuag los ntawm mob cancer. Kwv yees li peb-plaub ntawm tag nrho cov pancreatic qog nqaij hlav tsim nyob rau hauv lub taub hau los yog lub caj dab mob cancer, 15 mus rau 20 feem pua ntawm cov qog tsim nyob rau hauv lub caj pas cev ncaj qha, thiab ib tug ntxiv 5 mus rau 10 feem pua ntawm nws cov tw tshwm sim.

Kev kho mob ntawm pancreatic mob cancer yog ib qho nyuaj txaus, li ntawd, yuav ua li cas rau kev tshawb nrhiav no mob nyob rau hauv thaum ntxov ua sawv yog heev, heev nyuaj ua hauj lwm. Ntxiv mus, raws li statistics, ntau tshaj ib nrab ntawm tag nrho cov neeg thaum lub sij hawm tus mob "pancreatic cancer" muaj tau metastatic hlav, thiab nyob rau hauv 26 feem pua ntawm cov lesion muaj cai nyob rau hauv lub regional lymph node. Tus txheeb ze ciaj sia taus ntawm cov neeg mob nyob rau hauv thawj xyoo tom qab tus mob, "pancreatic cancer" tsuas yog 26 feem pua. Txawm li cas los, zoo ib yam li lub tsib-xyoo tus nqi yog txawm tsawg ntawm cia li yuav luag 6%.

Nws yuav tsum tau muab sau tseg tias tag nrho cov ntawm pancreatic hlav yog adenocarcinomas 80% ductal epithelium. Tsuas yog 2 feem pua ntawm cov qog ntawm lub exocrine txiav yog benign.

Tsawg ntau yam ntaub ntawv ntawm pancreatic histological cancer hom xws li hlav xws li giant cell carcinoma, glandular, squamous cell carcinoma, mikroglandulyarnaya adenocarcinoma, mucoid carcinoma, cystadenocarcinoma, papillary cystic carcinoma, cystadenocarcinoma acinar, atsinoznokletochnaya cystadenocarcinoma. Heev tsis tshua nws tshwm sim hais tias ib tug neeg mob tsim pancreatic mob connective cov ntaub so ntswg. Feem ntau hom mob cancer yog nqaij hlav txiav.

Feem ntau, thawj metastasis ntawm pancreatic mob cancer tau nyob rau hauv lub regional cov qog ntshav hauv, lub siab thiab ces tsawg zaus nyob rau hauv lub ntsws. Nyob rau hauv tas li ntawd, lub mob yuav loj hlob ncaj qha mus rau hauv lub nruab nrog cev, uas yog positioned nyob rau hauv lub peritoneum nyob ze nesosredstvenno caj pas, i.e. rau lub plab, duodenum thiab cov nyuv. Ntxiv mus, pancreatic mob cancer yuav metastasize peritoneally rau tej qhov chaw nyob nyob rau hauv lub plab kab noj hniav. Raws li ib tug tshwm sim, tej zaum yuav tsim ascites (dropsy), thiab nws yog heev, heev tsaus ntuj nti thiab phem kos npe rau. Pancreatic mob cancer yuav metastasize rau ntawm daim tawv nqaij thiab hais tias yuav yuav manifested nyob rau hauv daim ntawv ntawm cov mob nodules. Nyob rau hauv tag nrho cov ntawm no xws hlav tsis tshua muab metastases rau tus pob txha.