Qhov Tseem Ceeb Qhov txawv - Ovarian Cyst vs Ovarian Cancer
Ovarian cysts yog ib pawg ntawm cov qog nqaij hlav uas tshwm sim hauv zes qe menyuam thaum cov qog nqaij hlav zes qe menyuam yog cov qog nqaij hlav uas tshwm sim hauv zes qe menyuam vim tsis paub lossis qee qhov nkag siab txog etiological. Raws li lub npe implies, qog nqaij hlav zes qe menyuam yog malignancies uas ua rau mob hnyav rau tus neeg mob lub neej. Ntawm qhov tod tes, cov hlwv ntawm zes qe menyuam yog cov qog nqaij hlav uas tsis hem tus neeg mob lub neej tshwj tsis yog qee lub sijhawm tsawg. Nov yog qhov sib txawv tseem ceeb ntawm zes qe menyuam thiab qog nqaij hlav zes qe menyuam.
Ovarian Cysts yog dab tsi?
Ovarian cysts yog ib pawg ntawm cov qog nqaij hlav uas tshwm sim hauv zes qe menyuam. Lawv tuaj yeem muab faib ua ntau yam subcategories raws li lawv cov etiology raws li qhia hauv qab no.
| Cov kab mob zes qe menyuam |
· Follicular cysts · Corpus luteal cysts · Theca luteal cysts |
| mob cysts |
· Tubo ovarian abscesses · endometrioma |
| kab mob qog nqaij hlav | · Benign tetroma |
| Epithelial |
· Serous cystadenoma · Mucinous cystadenoma · Brenner qog |
| Sex cord qog |
· Fibroma · Thecoma |
Functional Ovarian Cysts
Qhov tshwm sim ntawm cov hlwv ua haujlwm yog siab ntawm cov poj niam hluas. Kev siv cov tshuaj tiv thaiv qhov ncauj txo qis qhov yuav tau txais cov qog nqaij hlav zoo. Kev kuaj mob yog tsim thaum cov hlwv uas ntsuas ntau dua 3 cm tau pom ntawm kev kuaj xyuas ultra-sound (USS). Tsis tas yuav kho yog tias tus neeg mob asymptomatic. USS tuaj yeem rov ua dua kom pom tias cov qog tau rov qab los. Hauv cov neeg mob symptomatic, cov qog tuaj yeem raug phais los ntawm laparoscopic cystectomy. Corpus luteal cysts feem ntau tshwm sim tom qab ovulation thiab tuaj yeem mob yog tias nws tau tawg ua qhov chaw ntawm cov hlab ntsha sab hauv. Theca luteal cysts yog txuam nrog cev xeeb tub.
Cov kab mob Ovarian Cysts
Cov kab mob zes qe menyuam mob tuaj yeem suav hais tias yog ib qho teeb meem ntawm tus kab mob pelvic inflammatory. Cov poj niam hluas feem ntau yuav raug cuam tshuam los ntawm tus mob no. Kev tswj cov qog no suav nrog kev siv tshuaj tua kab mob, kev phais dej lossis kev txiav tawm.
Daim duab 01: Ovarian Cyst
kab mob qog nqaij hlav
Cov no yog hom mob qog nqaij hlav zes qe menyuam tshaj plaws uas suav nrog ntau dua 50% ntawm cov neeg mob ntawm zes qe menyuam hauv pawg hnub nyoog ntawm 20 - 30 xyoo. Lub dermoid cyst lossis cystic tetroma yog qhov feem ntau pom ntau yam ntawm cov kab mob qog nqaij hlav uas muaj feem cuam tshuam txog kev hloov pauv ntawm malignant. Cov tetromas yog cov yam ntxwv ua los ntawm cov ntaub so ntswg los ntawm tag nrho peb txheej kab mob. Lub torsion ntawm cov pawg no cuam tshuam cov ntshav muab rau cov qauv uas nyob ib sab ua rau muaj qhov pib mob hnyav nrog xeev siab. Lub xub ntiag ntawm cov ntsiab lus muaj roj ntau hauv tetromas ua rau MRI yog txoj hauv kev tsim nyog tshaj plaws los siv rau hauv lawv qhov kev kuaj mob. Kev phais phais yog hom kev kho mob uas nyiam tshaj plaws.
Epithelial qog
Cov qog no feem ntau pom ntawm cov poj niam peri-menopausal. Serous cystadenomas yog ntau yam ntawm lawv.
Sex Cord Stromal Tumors
Cov no yog tsim los ntawm cov poj niam laus uas muaj zes qe menyuam uas tau raug mob. Ovarian fibromas yog hom kab mob sib deev cord-stromal tshaj plaws.
Dab tsi yog Ovarian Cancers?
Cov qog nqaij hlav zes qe menyuam yog qhov thib ob feem ntau gynecological malignancy. Tus kab mob no tseem tsis zoo, ib feem yog vim qhov kev nthuav qhia lig tab sis feem ntau yog los ntawm tus kab mob sai sai.
Ib feem ntau ntawm cov qog nqaij hlav zes qe menyuam yog vim muaj kev hloov pauv ntawm zes qe menyuam epithelium. Txawm hais tias qhov tseeb mechanism ntawm pathogenesis ntawm cov qog nqaij hlav zes qe menyuam tsis tau to taub muaj ob txoj kev xav:
Txoj Kev Tsis Txaus Siab Ovulation Theory
Txoj kev xav no hais tias qhov kev sib txuas tsis tu ncua ua rau rov ua kev puas tsuaj rau lub epithelium ntawm zes qe menyuam induces mutations uas qhov kawg ua rau malignant transformation ntawm cov hlwb.
Txoj kev xav ntawm ntau dhau Gonadotropin secretion
Txoj kev xav no qhia tias qib siab ntawm cov tshuaj estrogen uas ua rau kev loj hlob ntawm zes qe menyuam epithelial hlwb ua rau lawv hloov pauv tsis zoo.
Aetiology thiab Risk Factors
| Txoj kev pheej hmoo ntawm Ovarian Cancers | Kev pheej hmoo ntawm Ovarian Cancers |
| Multiparity | Nulliparity |
| tshuaj tiv thaiv qhov ncauj | Cov khoom siv hauv lub cev |
| Tubal ligation | |
| hystercy | Kev haus luam yeeb |
| Kev rog dhau thiab keeb kwm tshwm sim |
Cov poj niam uas muaj tsev neeg keeb kwm ntawm qog nqaij hlav zes qe menyuam muaj kev pheej hmoo siab ntawm kev tsim cov qog nqaij hlav zes qe menyuam hauv lub neej tom ntej. Yog li ntawd, cov tib neeg no yuav tsum tau txais kev saib xyuas tshwj xeeb txhawm rau txheeb xyuas qhov kev hloov pauv tsis zoo hauv lawv cov theem rudimentary. Kev tshuaj ntsuam rau BRAC1 thiab BRAC2 yog tus qauv siv los ntsuas qhov kev pheej hmoo. Feem ntau, qhov no yog ua rau cov poj niam uas muaj keeb kwm zoo hauv tsev neeg ntawm cov qog nqaij hlav zes qe menyuam uas muaj hnub nyoog tshaj 35 xyoo.
Daim duab 02: Ovarian Cancer
Kev faib tawm ntawm Ovarian Cancers
| YEpithelial Ovarian Tumors |
·Nyob zoo ·Musinous · endometrioid · Clear cell · Tsis txawv |
| Sex Cord Stromal Tumors |
· Granulosa cell · Sertoli-leydig · Gynandroblastoma |
| kab mob qog nqaij hlav |
· Dysgerminoma · Endodermal sinus · Tetroma · Choriocarcinoma · Mixed |
| Metastic Tumors | · Krukenburg qog |
Epithelial Ovarian Cancers
Tshuaj Kho Mob
Feem ntau ntawm cov neeg mob qog nqaij hlav ntawm zes qe menyuam epithelial qhia cov tsos mob tab sis lawv feem ntau tsis yog tshwj xeeb. Qhov no ua rau kev kuaj mob thiab txawm tias qhov chaw kho mob tsis txaus ntseeg ntawm cov qog nqaij hlav zes qe menyuam nyuaj dua. Cov kev tsis txaus siab feem ntau suav nrog,
- mob plab pelvic thiab plab
- nce plab loj thiab pheej tsam plab
- Npaum noj thiab txaus siab sai
Kev Tshawb Fawb thiab Kev Tshawb Fawb
- Kev kuaj mob plab thiab plab los ntawm USS thiab CT qhia pom tias muaj qhov hnyav ruaj khov.
- Kev kuaj lub hauv siab yog ib qho tseem ceeb uas yuav tsum tsis txhob hla. Qhov no pab tus kws kho mob txhawm rau txheeb xyuas cov kab mob metastatic
- Cov ntshav suav tag nrho, urea, electrolytes thiab kuaj lub siab ua haujlwm kuj tseem ceeb.
- Vim tias cov qog nqaij hlav endometrial feem ntau yuav nyob nrog cov qog nqaij hlav ntawm zes qe menyuam, endometrium kuj yuav tsum tau ua tib zoo soj ntsuam.
Kev tswj hwm
- Kev phais tshem tawm tag nrho cov qog pom los ntawm laparotomy
- Tshuaj khomob
Dab tsi yog qhov zoo sib xws ntawm Ovarian Cysts thiab Ovarian Cancers
Ob leeg yog zes qe menyuam
Qhov txawv ntawm Ovarian Cyst thiab Ovarian Cancer yog dab tsi?
Ovarian Cysts vs Ovarian Cancers |
|
| Ovarian cysts yog ib pawg ntawm cov qog nqaij hlav uas tshwm sim hauv zes qe menyuam. | Cov qog nqaij hlav zes qe menyuam yog cov qog qog nqaij hlav uas tshwm sim hauv zes qe menyuam vim tsis paub lossis tsis to taub qee yam etiological yam. |
| Type of Tumors | |
| Cov no yog cov qog nqaij hlav zoo. | Cov no yog qog nqaij hlav malignant. |
| Risk | |
| Txoj kev pheej hmoo ntawm lub neej tsis tshua muaj. | Cov qog nqaij hlav zes qe menyuam yog ib yam mob uas ua rau muaj kev phom sij rau lub neej nrog kev ua haujlwm tsis zoo. |
Summary – Ovarian Cyst vs Ovarian Cancer
Ovarian cysts yog ib pawg ntawm cov qog nqaij hlav uas tshwm sim hauv zes qe menyuam. Cov qog nqaij hlav zes qe menyuam yog cov qog qog nqaij hlav uas tshwm sim hauv zes qe menyuam vim tsis paub lossis tsis to taub qee yam etiological. Cov qog nqaij hlav zes qe menyuam yog ib yam kab mob uas ua rau muaj kev phom sij rau lub neej tab sis cov qog zes qe menyuam yog cov qog nqaij hlav uas muaj kev hem thawj rau tus neeg mob lub neej. Nov yog qhov txawv ntawm zes qe menyuam thiab qog nqaij hlav zes qe menyuam.
Download PDF Version ntawm Ovarian Cyst vs Ovarian Cancer
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