Qhov Tseem Ceeb Qhov txawv - Cyst vs Polyp
Y A polyp yog ib qho loj uas loj hlob saum lub mucosal nto los tsim cov qauv macroscopically pom. Lub cyst yog ib qho nodule uas muaj cov kab noj hniav uas muaj kab noj hniav uas muaj cov kua dej los yog cov khoom semi-solid. Qhov sib txawv tseem ceeb ntawm cyst thiab polyp yog tias cov hlwv muaj cov kua dej puv kab noj thaum cov polyps tsis muaj cov kua dej puv kab noj. Nws yog ib qho tseem ceeb kom paub qhov txawv ntawm cyst thiab polyp kom meej meej thiaj li tswj tau thiab kho cov mob no.
Polyp yog dab tsi?
Ib pawg uas loj hlob saum lub mucosal nto los tsim cov qauv pom macroscopically hu ua polyp. Cov no feem ntau yog txuas mus rau lub mucosa los ntawm ib tug txawv stalk.
Nyob rau hauv feem ntau, polyps yog benign qog, tab sis kuj muaj malignant polyps thiab. Inflammatory polyps xws li cov pom nyob rau hauv lub qhov ntswg mucosa yog nonneoplastic.
YColorectal Polyps
Ib qho kev loj hlob ntawm cov nqaij mos uas protrudes los ntawm colonic mucosa hu ua colonic polyp. Cov polyps no tuaj yeem yog ib leeg lossis ntau yam, thiab lawv tuaj yeem pom hauv ntau hom xws li
- Pedunculated polyps
- Npaj polyps
- Sessile polyps
Txoj kab uas hla ntawm polyp yuav txawv ntawm ob peb millimeters mus rau ob peb centimeters.
Colorectal polyps tau muab faib ua ntau pawg xws li adenoma, hamartoma thiab lwm yam raws li lawv cov yam ntxwv histological.
Pathological mob cuam tshuam nrog kev tsim ntawm cov kab mob hauv plab:
Sporadic Adenomas
Adenoma yog qhov mob ua ntej ntawm cov qog nqaij hlav hauv plab. Thaum pib, lawv tshwm sim raws li cov qog nqaij hlav zoo tab sis tuaj yeem ua tsis zoo nrog qhov tshwm sim ntawm kev hloov pauv dysplastic.
Qhov kev pheej hmoo ntawm kev hloov pauv tsis zoo yog qhov siab yog tias tus kab mob colonic,
- Ib qhov siab tshaj 1.5 cm inch,
- Ib yam, tsis muaj lossis tiaj tus,
- Muaj dysplasia hnyav nrog villous architecture thiab cuam tshuam squamous metaplasia.
Yog tias qhov kev pheej hmoo ntawm kev hloov pauv hloov pauv tau siab, kev kuaj ntshav colonoscopy yog nqa tawm kom tshem cov qog ntawm lub plab. Kev soj ntsuam txuas ntxiv yog tsim nyog txawm tias tom qab lawv tshem tawm.
Lub qhov quav los ntshav yog qhov feem ntau pom kev kho mob ntawm polyps hauv qhov quav thiab cov hnyuv sigmoid. Cov kab mob sib kis feem ntau tsis muaj tsos mob.
Sessile Serrated Adenoma
Benign hyperplastic polyps (HPS), tsoos serrated adenomas (TSA) thiab premalignant sessile serrated adenomas (SSA) poob rau hauv pawg no. Cov kab mob no txawv ntawm lwm tus vim qhov pom ntawm cov hniav ntawm cov txheej epithelial. Endoscopic resection ntawm SSAs thiab TSAs raug pom zoo.
3. Collectal Carcinoma
Colorectal carcinoma yog tus thib peb mob qog noj ntshav thoob ntiaj teb.
Cov tsos mob ntawm tus kab mob yog,
- Cov quav quav
- qhov ncauj los ntshav
- Symptoms of anemia
- Tenesmus
- Palpable qhov quav lossis plab plab
Cov kev tshawb fawb hauv qab no tau ua tiav txhawm rau tshem tawm qhov ua tau ntawm tus mob qog nqaij hlav hauv plab
- Colonoscopy - tus qauv kub
- YEndoanal ultrasound thiab pelvic MRI
- ob npaug sib piv barium enema
Kev koom tes nrog pab pawg sib koom ua ke yog qhov tsim nyog rau kev tswj hwm tus kab mob. Kev phais resection ntawm thaj tsam cuam tshuam ntawm cov hnyuv yog ua nyob rau hauv feem ntau ntawm cov neeg mob. Cov txheej txheem phais nws txawv raws li qhov chaw ntawm cov qog nqaij hlav, thiab qhov kev mob tshwm sim ntawm tus kab mob yog nyob ntawm qhov theem thiab qhov tshwm sim ntawm metastasis.
Daim duab 01: Uterine Polyps
Gall Bladder Polyps
Gall zais zis polyp yog ib qho kev tshawb pom ntawm cov neeg mob uas raug xa mus rau hepatobiliary ultrasonography. Cov polyps no yog inflammatory thiab muaj cov cholesterol deposits. Feem ntau ntawm lawv yog me me thiab benign. Kuj tseem muaj cov kab mob phem. Yog hais tias qhov loj ntawm polyp yog ntau tshaj 10cm, lawv tuaj yeem ua rau malignant. Cholecystectomy yog qhov kev kho mob pom zoo rau cov no.
Npaj npaim plab
Tus kab mob no kuj tsis tshua muaj thiab asymptomatic feem ntau. Cov kab mob loj tuaj yeem ua rau hematemesis lossis anemia. Kev kuaj mob ntawm qhov txhab tuaj yeem ua nrog endoscopy. Polypectomy tuaj yeem ua tau nyob ntawm qhov histology ntawm polyp. Kev phais yuav tsum tau muaj thaum loj lossis ntau lub polyps.
Nasal polyps
Cov polyps no yog puag ncig, du, mos, semi-translucent, daj ntseg cov qauv uas txuas rau lub qhov ntswg mucosa los ntawm nqaim stalk. Lawv feem ntau tshwm sim hauv cov neeg mob uas muaj kev fab tshuaj lossis vasomotor rhinitis. Mast hlwb, eosinophils, thiab mononuclear hlwb muaj nyob rau hauv coob tus nyob rau hauv lawv. Nasal polyps tuaj yeem ua rau qhov ntswg qhov ntswg, tsis hnov tsw thiab hnov tsw thiab qhov ncauj ua pa. Intranasal steroids yog siv los kho tus mob no.
Cyst yog dab tsi?
Ib lub nodule uas muaj cov kab mob epithelial uas muaj cov kua dej lossis cov khoom siv semi-solid hu ua cyst. Feem ntau cov hlwv uas peb tuaj hla yog translucent, lined los ntawm grey, glistening, du daim nyias nyias thiab ntim nrog cov kua ntshiab. Cysts tshwm sim vim muaj ntau yam pathological hauv ntau lub cev xws li daim siab, lub raum, thiab lub ntsws. Qee cov hlwv uas tshwm sim hauv tib neeg lub cev yog,
- YHydatid cyst
- kab mob cystic ntawm lub raum
- kab mob Fibrocystic ntawm daim siab
- ntsws cysts
- Baker's cyst
- YSebaceous cyst
- Pilar cyst
YHydatid Cysts
Hydatid cysts yog tsim nyob rau hauv tus kab mob hydatid uas tib neeg dhau los ua tus tswv tsev nruab nrab ntawm tus dev tapeworm, Echinococcus granulosus. Tus neeg laus worm nyob rau hauv cov hnyuv ntawm domestic thiab qus canines. Tib neeg kis tau tus kab mob los ntawm kev sib cuag ncaj qha nrog dev los yog los ntawm cov zaub mov los yog dej paug cov quav dev. Tom qab noj tshuaj, tus kab mob exocyst nkag mus rau hauv lub plab phab ntsa thiab nkag mus rau lub siab thiab lwm yam kabmob ntawm cov ntshav. Ib tug tuab phab ntsa, qeeb loj hlob cyst yog tsim. Nyob rau hauv lub cyst no, ntxiv kev loj hlob ntawm larval theem ntawm cov cab kuj tshwm sim. Lub siab yog lub cev feem ntau cuam tshuam los ntawm tus mob no. Feem ntau pom pom kev kho mob yog,
- Jaundice (vim lub siab ntawm cov kua tsib)
- Kab mob plab
- Ua npaws txuam nrog eosinophilia
- Kev xav (vim cyst rupturing rau hauv bronchus)
- mob ntsws pulmonary abscess
- Focal qaug dab peg (vim muaj cyst muaj nyob hauv hlwb)
- mob lumbar thiab hematuria
Kev tshawb nrhiav yuav pom cov peripheral eosinophilia thiab qhov zoo hydatid ntxiv kho qhov ntsuas. Calcification ntawm lub tsho sab nrauv ntawm lub cyst tuaj yeem pom nyob rau hauv lub plab xoo hluav taws xob.
Daim duab 02: Micrograph ntawm cov kab mob mediastinal bronchogenic cyst
Kev tswj hwm
- Albendazole 10mg / kg tuaj yeem txo qhov loj ntawm lub cyst.
- Puncture, aspiration, txhaj, re-aspiration (PAIR) tuaj yeem nqa tau
- Zoo- koob aspiration yog ua tiav nrog kev taw qhia ultrasound
Cystic Disease of the raum
Cov kab mob cystic ntawm lub raum yog cov kab mob, kev loj hlob lossis kis tau. Ntau hom kab mob raum cystic muaj nyob hauv qab no.
- Tus neeg laus mob polycystic
- Me nyuam yaus (autosomal recessive) kab mob polycystic
- Solitary cysts
- Medullary kab mob nrog cysts
Fibrocystic Kab Mob ntawm daim siab
Cov kab mob no tuaj yeem ua rau muaj kab mob siab lossis fibrosis. Polycystic kab mob ntawm daim siab tshwm sim raws li ib feem ntawm cov kab mob polycystic ntawm lub raum. Hepatic fibrocystic kab mob feem ntau yog asymptomatic tab sis qee zaus tuaj yeem ua rau mob plab thiab tsis xis nyob.
Qhov txawv ntawm Cyst thiab Polyp yog dab tsi?
Cyst vs Polyp |
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| Ib lub cyst yog ib qho nodule uas muaj cov kab noj hniav uas muaj cov kab noj hniav uas muaj cov kua dej los yog cov khoom semi-solid. | A polyp yog ib qho loj uas loj hlob saum lub mucosal nto los tsim cov qauv macroscopically pom. |
| Cysts muaj cov kua dej puv kab noj. | Polyps tsis muaj cov kua dej puv kab noj. |
Summary – Cyst vs Polyp
Raws li tau tham thaum pib, lub cyst yog ib qho nodule uas muaj cov kab mob epithelial uas muaj cov kua dej los yog cov khoom siv ib nrab thiab cov polyp yog ib qho loj uas loj hlob saum mucosal nto los tsim cov qauv macroscopically pom. Yog li, qhov sib txawv ntawm cyst thiab polyp yog muaj cov kua dej puv kab noj hniav. Paub meej tias txhua tus mob yog qhov tseem ceeb hauv kev tswj tus neeg mob.
Download PDF Version of Cyst vs Polyp
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Cyst thiab Polyp.
