Qhov sib txawv tseem ceeb ntawm adenoma thiab polyp yog tias adenoma yog ib hom polyp uas qhia tau tias muaj qhov tshwm sim ntau dua ntawm kev hloov mus ua mob qog noj ntshav, thaum polyp yog qhov zoo thiab muaj qhov tsawg tshaj plaws ntawm kev loj hlob mus rau mob qog noj ntshav.
Adenoma thiab polyp yog hom kev loj hlob txawv txav hauv lub cev. Lawv yog cov qog nqaij hlav uas tsis yog mob qog noj ntshav lossis cov nqaij mos mos uas tsis kis thoob plaws hauv lub cev. Cov no feem ntau tsis muaj kev phom sij rau lub neej; Txawm li cas los xij, yog tias tsis kho lossis tsis kho rau lub sijhawm ntev, nws tuaj yeem tsim mus rau hauv cov qog nqaij hlav malignant. Cov kev loj hlob zoo li no feem ntau raug kuaj los ntawm cov tsos mob xws li mob plab, mob anemic, los ntshav, qaug zog, thiab xeev siab lossis ntuav. Gene mutations los yog kab mob caj ces yog lub luag haujlwm rau adenomas thiab polyps txij li thaum lawv tsim los ntawm kev faib cov hlwb hauv txoj kev tsis raug cai. Adenomas thiab polyps feem ntau pom muaj nyob rau hauv cov mucous membranes thiab glandular organ.
Adenoma yog dab tsi?
Ib qho adenoma yog ib qho qog uas tsis yog mob qog noj ntshav uas loj hlob raws cov kab mob hauv nruab nrog cev. Lawv kuj pom muaj nyob rau hauv mucous daim nyias nyias. Cov qog nqaij hlav hauv nruab nrog cev yog cov nyuv, qog adrenal, caj pas parathyroid, caj pas pituitary, thiab qog qaub ncaug. Lawv tsim thiab tso cov tshuaj uas hu ua cov tshuaj hormones. Adenomas loj hlob hauv cov ntaub so ntswg epithelial, uas npog cov kabmob thiab cov qog. Lawv muaj kev loj hlob qeeb. Muaj ntau hom adenomas. Qee qhov yog adrenal adenomas, parathyroid adenomas, pituitary adenomas, thiab pleomorphic adenomas. Txawm li cas los xij, feem ntau ntawm cov adenomas tsis ua haujlwm. Yog li ntawd, lawv tsis tsim cov tshuaj hormones. Adenomas uas ua haujlwm zoo yuav tsim cov tshuaj hormones.
Daim duab 01: Tubulovillous Adenoma Nyob rau hauv Microscope
Adenomas tuaj yeem ua rau peb pawg raws li lawv txoj kev loj hlob. Tubular adenomas loj hlob nyob rau hauv ib puag ncig los yog oval zoo nyob rau hauv feem ntau me me adenoma. Villous adenomas loj hlob raws li pawg tuab, thiab lawv yog cov loj tshaj plaws adenoma. Tubulovillous adenoma, ntawm qhov tod tes, yog kev sib xyaw ntawm ob hom dhau los. Tubular adenomas muaj ntau dua thiab tsis tshua muaj cov qog nqaij hlav malignant dua li villous adenomas. Txawm hais tias adenomas yog benign qog, lawv tuaj yeem ua rau muaj teeb meem. Qee cov adenomas ua rau cov kab mob nyob ib puag ncig thiab cuam tshuam kev tsim cov tshuaj hormones.
Cov yam ntxwv xws li hnub nyoog, haiv neeg keeb kwm, kev hloov pauv ntawm cov noob caj noob ces xws li endocrine neoplasia hom 1 (MEN1), kab mob caj ces xws li tsev neeg adenomatous polyposis (FAP), thiab poj niam txiv neej cuam tshuam rau kev pheej hmoo ntawm kev tsim adenomas. Adenomas me me los yog ntxov ntxov tsis pom cov tsos mob. Tab sis cov tsos mob adenoma txawv nyob ntawm nws qhov chaw. Adenomas loj dua qhia pom cov tsos mob xws li mob plab, mob taub hau, qaug zog, leeg tsis muaj zog, los ntshav, ntshav liab, thiab ntuav. Kev kuaj duab xws li CT scan, MRI scan, thiab PET scan pab hauv kev kuaj mob adenomas. Biopsies kuj txheeb xyuas thiab paub meej tias muaj ib qho adenoma. Yog tias adenoma loj heev los yog ua rau muaj teeb meem kev noj qab haus huv, kev phais yog ua kom tshem tawm adenomas.
Polyp yog dab tsi?
Y A polyp yog ib qho kev loj hlob ntawm cov ntaub so ntswg tawm ntawm lub cev. Polyps feem ntau tshwm sim nyob rau hauv lub mucous daim nyias nyias thiab pom nyob rau hauv txoj hnyuv, qhov quav, pob ntseg kwj dej, qhov ntswg, caj pas, ncauj tsev menyuam, lub tsev menyuam, plab, thiab zais zis. Feem ntau cov polyps yog cov nyuv polyps, uterine polyps, cervical polyps, caj pas polyps, thiab qhov ntswg polyps. Lawv yog cov kev loj hlob txawv txav ntawm cov hlwb, feem ntau tsis muaj qhov tseeb. Lawv tshwm raws li cov pob me me thiab tiaj tus. Muaj ntau hom polyps, thiab lawv yog adenomatous polyps, hyperplastic polyps, serrated polyps, thiab inflammatory polyps. Feem ntau hom polyps yog hyperplastic polyps.
Daim duab 02: Hyperplastic Polyp Nyob rau hauv Microscope
Feem ntau cov polyps yog qhov tsis zoo, tab sis txij li thaum lawv muaj kev loj hlob txawv txav, lawv tuaj yeem dhau los ua phem. Yog li, biopsies pab txiav txim siab qhov loj hlob ntawm polyps. Lawv ua rau polyps sib txawv raws li qhov chaw uas lawv loj hlob. Muaj feem ntau dua ntawm kev tsim qee hom polyps yog ua tau vim yog kev hloov pauv caj ces lossis kab mob caj ces. Lynch Syndrome yog ib qho piv txwv ntawm cov kab mob uas tsis yog-polyposis mob qog noj ntshav.
Kev mob, hlwv, qog, hloov pauv, thiab cov tshuaj estrogen ntau dhau kuj ua rau polyps. Kev kho mob ntawm polyps nyob ntawm qhov chaw, qhov loj me, thiab seb lawv puas yog malignant. Kev kuaj duab xws li X-rays, ultrasound, thiab CT scans pab kuaj mob polyps. Esophagogastroduodenoscopy, endoscopy, biopsies, thiab colonoscopy kuj kuaj mob polyps. Cov tsos mob ntawm polyps muaj xws li los ntshav, mob plab, txias, xeev siab, nkees, thiab anemia.
Dab tsi yog qhov zoo sib xws ntawm Adenoma thiab Polyp?
- Adenoma thiab polyps yog qhov loj hlob txawv txav.
- Ob leeg muaj cov tsos mob xws li los ntshav, mob plab, xeev siab, nkees, thiab ntshav liab.
- Feem ntau yog benign tab sis tuaj yeem ua rau mob qog noj ntshav.
- CT scans thiab biopsies kuaj adenomas thiab polyps.
- Kev hloov pauv caj ces thiab kab mob yog qhov muaj feem pheej hmoo rau ob qho tib si.
Qhov txawv ntawm Adenoma thiab Polyp yog dab tsi?
Adenomas yog ib hom polyp uas qhia tau tias muaj qhov tshwm sim ntau dua ntawm kev hloov mus ua mob qog noj ntshav, thaum polyps yog qhov zoo thiab muaj qhov tsawg tshaj plaws ntawm kev loj hlob mus rau mob qog noj ntshav. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm adenoma thiab polyp. Adenomas loj hlob raws cov kab mob hauv nruab nrog cev thiab cov mucous daim nyias nyias thiab muaj peb hom; tubular, villous, thiab tubulovillous. Polyps loj hlob feem ntau ntawm cov mucous daim nyias nyias thiab feem ntau yog tsib hom: adenomatous, hyperplastic, serrated, thiab inflammatory. Ntxiv mus, adenomas yog tuab, thiab puag ncig zoo li pob, thaum polyps tshwm ua pob me me thiab tiaj tus.
Cov hauv qab no qhia txog qhov sib txawv ntawm adenoma thiab polyp hauv daim ntawv tabular rau ib sab ntawm kev sib piv.
Summary – Adenoma vs Polyp
Adenoma thiab polyp yog hom kev loj hlob txawv txav hauv lub cev. Adenomas qhia qhov tshwm sim ntau dua ntawm kev hloov mus ua mob qog noj ntshav. Nyob rau hauv sib piv, polyps yog benign thiab muaj tsawg tshaj plaws ntawm kev loj hlob mus rau mob cancer. Tsis tas li ntawd, adenoma yog ib hom qog nqaij hlav uas tsis muaj qog nqaij hlav uas loj hlob raws cov kab mob hauv nruab nrog cev thiab hauv cov mucous daim nyias nyias. Polyp yog ib qho kev loj hlob ntawm cov ntaub so ntswg uas tawm ntawm lub cev. Polyps feem ntau tshwm sim nyob rau hauv lub mucous daim nyias nyias thiab pom nyob rau hauv txoj hnyuv, qhov quav, pob ntseg kwj dej, qhov ntswg, caj pas, ncauj tsev menyuam, lub tsev menyuam, plab, thiab zais zis. Yog li, qhov no qhia txog qhov sib txawv ntawm adenoma thiab polyp.
