Adenoma o ka salivary gland: mea, lalau mai, symptoms a me ka ohe.

Mau manaʻo ma ka salivary gland. Oiai oia mau hanaʻia kona oihana, a aole i i discomfort, ka mea, 'aʻole e uku nui noonoo. Adenoma o ka salivary glands e oko i loko o kā lākou histological a me ka morphological 'ole. Ka mea, e like me ka ulu o ke e malignant a me ka benign. Benign hikoko hoʻomōhala, aole i lohi, a aole hoi e hōʻike iā lākou iho discomfort 'ole' ē aʻe symptoms. Malignant hikoko ulu koke, i loiloi i kokoke nā loko a me nā'aʻaʻa, meaʻeha a me ka lehalehu t nā aʻalolo eha.

ka wehewehena

Where o ka salivary gland? Mua a poʻokela ia mea kumukuai 'ana i kumumanaʻo i keia mau alveolar serous kino, Aia ma lalo o kaʻili, a iho ma ke alo o ka pepeiao. Kona papa hana o ka secretion a me ka hoʻomāhuahua o tuha. Ka nui nui o ka wai paʻakai, a potasiuma chlorides, e like me amylase. Ia hana i loko o ka wahaʻakika meakino me ka pH haʻahaʻa ma mua o 6. No ka mea, i ka lā nā glands ke kālā līkaia no i hiki i ka hapalua o ka hano o kou tuha.

Salivary gland adenoma - he benign, waena a malignant neoplasms, a i hanaʻia o ka poe liilii, a me ka nui salivary glands. I waena o nā mea a pau i ka neoplastic keʻano o ka hanaʻana ma ka hapa iki o ka salivary glands hoike no ma kahi o kekahi pakeneka. He Heʻano kiʻekiʻe huahelu. Loli ke hoʻomaka i kekahi mau makahiki, akā, loa pinepine keia hana ma ka waena a me ka wa elemakule (40-60 makahiki), a me na wahine palua like pinepine ma mua o nā kānaka.

Neoplasms i prone i ka malignancy, recurrence a me ka metastasis, nolaila, ia mea o ka ukupanee i nā kauka niho a me ka moʻolelo surgeons.

kumu

No ke aha la he mea he adenoma o ka salivary gland, a hiki i ka hopena o IKE OLE IA. I ka 'inikua mea mahuʻi mea i ke ano o ka hikoko i e pili me trauma i loko o ka wahi mua a hoʻoʻino maʻi, e like me mumps (mumps). Akā, i nā mea a pau nā mea maʻi i ka mōʻaukala o like hihia.

haumana kekahi koi aku i ka aoao o salivary glandʻeho hiki e congenital dystopia nā'aʻaʻa. Nō hoʻi, mai i uku ho'ēmi kēia nā mea hoʻomaʻi oncogenic e like Epstein - Barr mea hoʻomaʻi, cytomegalovirus (i loko o nui 16, 18, 31 a me 32 la ka papa) a me ka herpes simplex mea hoʻomaʻi.

Akā, ka mea, i na hihia a pau, i kahi mea e hoʻomōhala salivary gland adenoma. Ke kumu pono eʻimi i ke ano o ke kanaka ka ola (e kamaiʻilio ana ka paka 'ole lāʻau i), kona kaianoho koholā, a me ka hana (excessive lā waiū, pinepine waiū o ke poo a me ka'ā'ī pāhawewe Inc ma ka thymus ole thyroid mai). Ua Ua manaoio aku i ka pathology pili me ka loa naʻokoko, nele o nā wikamina ma kaʻai a me ka hormonal kāna hana.

Ua Ua manaoio ia ma kamepiula poe e hana nei i ka lāʻau, kila a me ka Nine Inch hana (palapala moʻopane o kaumaha metala paʻakai), hairdressers.

TNM Mea Maluna

No ka pono ma kaʻike, a me ka hana ana o adenoma o ka salivary gland ua hoʻohana 'lahui Mea Maluna e kōkua ai i nā ka wehewehena ke kahua o ke kaʻina hana:

1. T (ʻeho) -ʻeho nui:
   - T0 - kuhikuhi adenomas i hiki ole;
   - T1 - neoplasms anawaena emi o 2 knm;
   - T2 - anawaena 4 knm, akā,ʻaʻole kēlāʻaoʻao o ka gland Haʻalele i ka;
   - T3 - olelo hooholo o ka 4 me 6 knm, lehalehu t nā aʻalolo ua i pepehi;
   - T4 - anawaena o ka oi ma mua o 6 knm, hohola iho la ia e pili'aʻaʻa, ka mea e loli ai cranial nā aʻalolo.
2. N (aka wahi) - 'āina' lymph aka wahi:
   - N0 -ʻaʻohe metastases;
   - N1 - hahau iho la i kekahi wahi haanou ana i 3 knm;
   - N2 - hahau iho la i kekahi mau aka wahi,ʻeho nui - mai ka 3 a hiki i 6 knm;
   - N3 - hahau iho la i na mea he nui aka wahi, ke anawaena hikoko - oi ma mua o 6 knm.
3. M (metastasis) - metastases:
   - M0 - No ka loihi mai metastases;
   - M1 - eia mamao metastases.

Kēia'ōnaehana ua hiki ke Nohie i kaʻike, a me ka prognosis o ka maʻi. A me ka alphanumeric kivila mea e hiki ke hana ia ma kekahi aupuni i loko o ke ao nei.

morphological Mea Maluna

Adenoma o ka parotid gland mea o kekahi mau ano, like pu ole, ma histological a me ka morphological 'ole:

1. Epithelialʻeho. Ua hiki hoʻomōhala mai na nā'aʻaʻa o ka poe nui a me ka uuku salivary glands. Wehewehe aku ma ka ulu ana o ka epithelium i loko o ka lumen o na ducts i loko o ka palapala o ka papillae, kribroznyh a me ka omo hale.
2. Monomorphic adenoma. Benign hikoko haku o glandular'aʻaʻa. E hoʻomōhala ana i unnoticed, o ka oi aku ma mua na kanaka. Ua i ka puni a ka'ololaha shape laholio hana mau.
3. Adenolymphoma penei ma morphology monomorphic adenoma, akā, ma loko o ka glands i na he lymph.
4. Sebaceous adenoma - ua maopopo i ho'ākāka 'ʻeho i hanaʻia o kekahi mau kau cystic sebaceous keena. Ua hiki hoʻomōhala i kekahi mau makahiki. Painless, i ka yellowish waihoʻoluʻu. Ma hope o kona wehe 'ia o ka ole haawi metastasis.
5. Canalicular adenoma ua haku o prismatic epithelial keena, a i ohi i loko o laulau. Ka awelika makahiki o ka hoʻomanawanuiʻana i kēia 'ano o kaʻeho - 65 makahiki. Ma waho aʻeo i ka salivary gland adenoma e loli ai oi lehelehe luna a me ka papalina.
6. Basal aeea adenoma. Benign oia hoi o basal halepaahao. Nō kāu, he uuku pilipaa keʻokeʻo knot. Ia, aole ia e recur a me ka maligneziruetsya.
7. hiki ke ulu i ka nui nui Pleomorphic adenoma o ka salivary glands, hilly a anuanu. IeAUPIIe, IAa IO benign, akā, ma ka hope kahua o ka hoʻonaʻauao eʻikea au i loko o ka malignant keena. Loko iho loaʻa i ka wai a me ka fibroblasts. Amenable iʻoki lāʻau lapaʻau lapaʻau, akā, no ka mea, o ka mea koke i ka lehalehu t nā aʻalolo surgeons i ia pilikia.

symptoms

Benign adenoma o ka parotid gland? Acaeoey oo loa lohi, i kekahi manawa no ka makahiki. Ua aʻole i kekahi pilikino manaʻo, akā, ka mea hiki e kekahi kanaka me ka asymmetrical manawa. Kēia mea i ke kumu no ka hele ana i ke kauka. Ma hope o wehe 'o ia hikoko i recur i 6 pakeneka o ka hihia. Inā kaʻeho ua aia kokoke i ka pharyngeal Scion parotid gland, ka mea hiki i ka 'aʻe' ana o moni 'ia,ʻeha i loko o ka pepeiao a me ka lockjaw kamaiʻilio nāʻiʻo.

Pehea ke ano o ka waena adenoma o ka salivary gland? Kona symptoms mea like, a ma ka mea hookahi manawa i loko o ka benign a me ka malignant hikoko. Ua Ua wehewehe aku e kokololio ulu infiltrative, ka mea pepehi i ka'aʻaʻa a puni ia. Ua hiki recur, a haawi aku mamao metastases i na maʻiʻaʻai a me ka iwi.

Malignant hikoko ana nā kū kaʻawale, a ma hope o malignant hou 'o benign hikoko. Ulu koke komo i loko o ka puni'aʻaʻa. Ka ili ma luna o kaʻeho ulaula, wela a me ka Makamae. Ua hiki e ulcerated. Wehewehe aku ma kaʻeha, ka haunaele o ka masticatory nāʻiʻo, mahuahua i kokoke lymph aka wahi, a imua o metastases.

lapaʻau '

Salivary gland hikoko loaʻa loa wale. E hana i kēia, e pono e nānā i kou dentist a me ka oncologist, e ohi i hoopii, a loaʻa mai i ka mōʻaukala o ka maʻi. E e uku i ka morphology o kaʻeho, kona nui, a me ka hana mau ka hoʻoneʻe pakahi noonoo.

Mai vocal hoʻokolokolo 'ana i lawe iwipoo radiography, ultrasound salivary glands ptyalography (nana gland ductal patency) a me sialostsintigrafiya (no ka loaʻaʻana o ke kaawale ana metastases). Ka loa ike loea papa hana ua manaoia e puncture i ka gland hahai ma smears a me nā'aʻaʻa biopsy no histological a me ka pathological mahele.

E möakäka hou i ka prevalence o ke kaʻina hana e pono ai HI salivary gland, umauma X-Ray a kanaka iwi.

Lapaʻau o Benign hikoko

Inā he hoomanawanui ua diagnosed benign salivary glands, oia mea he pololei alanui a hiki i ka surgeon. Ua Ua lōʻihi ulu 'ana i kūpono o ka "husking" keia ano keia ano o ka hikoko. A uuku incision ma luna o ka mea hōʻikeʻikeʻuʻuku o ka loli ana o gland adenoma ua mobilized a wehe. Ke kauka i ka mea ia manawa ho'āʻo ole e hanaʻino kahi o kaʻeho. Ke 'ākeʻakeʻa ua kapaia "ekskholeatsiya".

Removal o ka'aʻaʻa koi 'ia, e haawi aku i ka macro- a me ka microscopic ninaninau e hooiaio mai i kaʻike,. Ka lehalehu t nā aʻalolo ua ike ole e wehe, e like me ka mea ua kākaʻikahi ku. Inā kaʻeho e hoʻomōhala ana i loko o ka submandibular glands, ia mea ka weheʻana a me ka hou ka ulu, a me ka hao.

Lapaʻau o malignant hikoko

Complex alu lapaʻau pono i ka malignant salivary gland adenoma. Pehea uaʻoki kino hana? E like ma mua o ka piʻiʻana mea e pono ke hana i ka papa o ka gamma-Inc e emi i ka nui o kaʻeho, e like me ke pale aku i ka muli o nā 'āina' a me ka loihi mai metastases. ʻoki kino ua hana 'ana ma hope o ka mahina ma hope o radiotherapy.

Kekahi i kākau waiho aku i ka hana i ka piha ana o ka parotid glands, pu me na lala o ka lehalehu t nā aʻalolo i loko o ka hookahi aeie, a me ka extirpation o nā 'āina' lymph aka wahi. Inā ka nana loaʻa ia kaʻeho ua ulu i loko o ka iwi o ka mea lalo, ā, i pono keia pauku e resect. Akā, ma mua o ka hana ka pono, e hoomanao i ke ano e mobilize i ke koena o ka iwi.

I loa hoopii, ka mea, ua pono wale palliative radiotherapy, mai kaʻeho mea,ʻaʻole ia e wehe 'ia ma muli o ka oi moe kolohe'aʻaʻa.

Outlook

No ka benign hikoko ma hope oʻoki lāʻau lapaʻau lapaʻau prognosis no ke ola a me ka ola ano. Ka pahiki o ka recurrence mea haʻahaʻa, wale kekahi a me ka hapalua pakeneka. Malignant hikoko hoi ana'āina noho lakou malaila. Hoola hiki wale iwakalua pakeneka o na hoopii i ke ahonui, a me ka hiki laila he mea he pilikia i kaʻeho reappears. Metastasis i nā nā loko i loaʻa i loko o aneane hapalua o ka hihia.