Sarcoma bone

Bark sarcoma (Ewing's sarcoma) chirwere chinouraya chinowedzera mufupa skeleton yemunhu. Inogona kuwanikwa munzvimbo ipi zvayo mapfupa emasaga, asi kazhinji kacho chirwere ichi chinokanganisa mapfupa emakore ekupedzisira, uye metastase yechipiri inowanzoitika kakawanda mumagetsi, mbabvu nemapfupa emapfupa. Sarcoma mapfupa anowedzera mastasizes uye ave muchifuva, chirwere cheprotate, mapapu kana chirwere chepfungwa.

Zvinokonzera uye zviratidzo zve sarcoma yemapfupa

Zvikonzero zvekusimudzira sarcoma yemapfupa hazvina kudzidza zvakakwana. Zvikonzero zvinotarisana nekuonekwa kwechirudzi ichi chemakumbo zvinosanganisira:

• cartilaginous exostoses;
• fractures;
• ionizing rayation;
• Paget's disease;
• mamwe marudzi ekenza.

Pakutanga kwekutanga kwekukura kwechirwere ichi, hapana zviratidzo. Mushure mokunge tumarara inotanga kuwedzera muhukuru, zviratidzo zvakadaro zve sarcoma ye bone rinoonekwa:

• deformation of bone;
• chigadziro chekufamba mumubatanidzwa, chiri pedyo nepamarara;
• kurwadziwa kukuru kwakaipa usiku;
• fever.

Chirwere chemakiriniki chinoratidzirwa neganda remukati. Kana murwere ane sarcoma yevakadzi, pane zviratidzo zvechirwere, zvakadai sekushaya kushanda kwezvikamu zvepachiviri uye vanhu vasina basa.

Kurapa kwefupa sarcoma

Nzira inotungamirira yekuona osteogenic sarcoma yevakadzi, humeral uye chero imwe pfupa ishandisirwe x-ray. Ikupedzisira kuongororwa kunosimbiswa zvichienderana nemigumisiro yekuongorora kwe morphological yediki tumarara fragment, iyo inowanikwa nebiopsy.

Mushure mekunge uongorore chirwere chacho, pakarepo utange mushonga. Chirevo chekanaka che sarcoma yefupa chinogona kupiwa chete mushure mekushanda uye zvidzidzo zvakasiyana zvemakemikari. Izvi zvinokonzerwa nechikonzero chokuti chirwere ichi chinenge chichikwirira chepamusoro chekukura kwemasastasis ane simba.

Nhengo-kuchengetedza kupindira kwekupurwa ndiyo chinhu chikuru chekurapa kwepa bone sarcoma yengalo, gumbo, chiuno. Contraindications yemabasa akadaro ndeokuti:

• kukanganisa kwakakura kumashuga emasumbu;
• kubatanidzwa mukurovedzwa kwekenza yemuviri weutano;
• zvipembenene zvinoputika nehutachiona kana utachiona hwemashupu.

Kana chirwere chacho chasvika pakukura kukuru kana kuparara kwacho kunoonekwa nekudhakwa uye kubuda ropa, kushandiswa kwemasimba kunoshandiswa: kushandiswa uye kuwedzera.

Kushandiswa kwechirwere chesarcoma yehumeral, chikadzi uye rimwe bone rinoshandiswa kana zvichibvira kubvisa tumarara kana metastases. Chemotherapy inofanira kushandiswa kusati kwavhiyiwa. Izvi zvinokubvumira kuti uwedzere kuderedza uswa hwemarara ekugadzirisa uye kubvisa micrometastases. Mukuwedzera, nzira dzakadaro dzinobatsira kuziva kana chiremera chacho chinonyatsotarisana nemishonga yakasiyana-siyana uye sarudza chirongwa chakakodzera cherapa mushure mokunge basa racho rapera.

Postoperative chemotherapy inodiwa kubvisa kukura uye kuparadzwa kwakakwana kwemasimusi mashoma. Iyo inoshandiswawo kubata mastasti dziri kure dzakatotanga. Inowanzodiwa kupedza zvidzidzo 4-10 pamwe nekubatanidzwa kwemishonga yakadai se:

• Doxorubicin;
• Ifosfamide;
• Vincristine;
• Dactinomycin;
• Etoposide;
• Cyclophosphamide.

Kucherechedza mushure mekurapwa kwefupa sarcoma

Mushure mokunge wapedza kurapwa kwepamusoro-soro sarcoma kuongororwa mune an oncologist inofanira kuitwa kwemakore maviri mwedzi mitatu yose, mugore rechitatu mwedzi mina yose uye panguva yegore rechina uye yegore rega rega mwedzi mitanhatu. Mushure mokubviswa kwepasi-grade sarcoma, kutevera kunofanirwa kuitwa kwemwedzi mitanhatu kwemakore maviri. Kuongorora kwakadaro kunosanganisira:

• radiography kana CT yezvikamu zvose zvegwenzi;
• MRI / CT yemapfupa, iyo yakakanganiswa nemarara;
• Ultrasound of the abdominal cavity .