Qhov Tseem Ceeb Qhov txawv - Varicocele vs Testicular Cancer
Ob leeg varicocele thiab qog nqaij hlav qog noj ntshav tshwm sim raws li cov pob txha hauv lub qog, txawm li cas los xij, muaj qhov sib txawv ntawm ob qho xwm txheej no. Qhov sib txawv tseem ceeb ntawm varicocele thiab qog nqaij hlav qog noj ntshav yog qhov qog nqaij hlav qog nqaij hlav yog qhov mob qog noj ntshav ntawm cov qog nqaij hlav thaum varicocele tsis yog mob qog noj ntshav thiab tshwm sim vim qhov nthuav dav ntawm cov leeg nqaij mos (pampiniform plexus). Hom kab mob qog nqaij hlav qog nqaij hlav yog seminoma thiab teratoma.
YVaricocele yog dab tsi?
Varicocele yog qhov o ntawm lub scrotum tshwm sim los ntawm kev nthuav dav ntawm pampiniform venous plexus ntawm testis. Dilatation tuaj yeem tshwm sim tsis tu ncua los yog vim muaj qhov cuam tshuam ntawm cov leeg nqaij mos. Nws muaj 'lub hnab ntawm worms' xav thaum palpation. Varicoceles tshwm sim nyob rau sab laug. Qee zaum ob sab varicocele tuaj yeem tshwm sim. Varicocele yog ib qho mob ntawm cov neeg hluas piv rau cov neeg laus. Txawm hais tias varicoceles paub tias tsis muaj teeb meem, qhov ntev ntev varicoceles tuaj yeem ua rau muaj menyuam tsis muaj menyuam hauv cov txiv neej.
Varicocele tuaj yeem yog thawj qhov kev nthuav qhia ntawm qhov cuam tshuam ntawm venous obstruction xws li lub raum cell carcinoma ua rau muaj kev cuam tshuam rau lub raum cov leeg thiab tom qab mus rau cov leeg qe menyuam. Yog li ntawd, varicoceles yuav tsum tau soj ntsuam kom zoo los ntawm kws kho mob. Nws tsis ua rau mob, tab sis tingling sensation thiab hnyav ntawm lub scrotum tuaj yeem tshwm sim. Kev kho mob yog los ntawm kev phais ligations ntawm cov hlab ntsha testicular uas yog ib qho kev phais me me.
Micrograph of a seminoma
Testicular Cancer yog dab tsi?
Cov qog nqaij hlav qog nqaij hlav muaj ntau hom histological. Tawm ntawm lawv, teratoma thiab seminoma yog cov ntau hom. Testicular cancer yog pom nyob rau hauv cov me nyuam hluas tiam sis tsis tas. Cov qog nqaij hlav qog nqaij hlav tuaj yeem tshwm sim nrog ntau cov tsos mob uas tsis yog tshwj xeeb xws li hnyav ntawm lub scrotum, pob txha hauv cov qog nqaij hlav lossis mob ntse lossis mob npub. Yog tias kuaj pom thaum lub sijhawm mob qog noj ntshav nyob rau hauv lub scrotum, nws muaj qhov pom zoo. Txawm li cas los xij, yog tias nws twb kis mus rau sab nraud ntawm lub scrotum recurrence tus nqi siab heev. Mob tsis yog qhov sib txawv ntawm cov qog nqaij hlav qog nqaij hlav, thiab ntau lwm yam mob hnyav tuaj yeem ua rau muaj cov duab zoo sib xws. Yog li ntawd, tej pob qe mos yuav tsum tau ua tib zoo tshawb xyuas kom tsis txhob muaj mob qog noj ntshav.
Cov pob uas muaj peev xwm tuaj yeem kuaj pom los ntawm kev kuaj xyuas ultrasonic ntawm scrotum. Txawm li cas los xij, biopsy thiab histology yuav muab qhov kev kuaj pom tseeb. Ntau hom tshuaj hormones yog secreted los ntawm cov qog nqaij hlav qog nqaij hlav. Cov tshuaj hormones no tuaj yeem pab tau raws li biomarkers los kuaj xyuas hom mob qog noj ntshav. Qee qhov piv txwv yog alpha-fetoprotein, tib neeg chorionic gonadotropin (" cev xeeb tub"), thiab LDH-1. Thaum kuaj mob qog noj ntshav nws yuav tsum tau ua kom tiav los txiav txim seb qhov twg nyob deb thiab sib kis hauv zos. Qhov no yog ua los ntawm CT / MRI scanning. Kev kho mob yog txiav txim siab nyob ntawm qhov theem. Orchiectomy yog kev phais tshem tawm ntawm qhov testis uas txawm tias kho tau thaum ntxov ntawm tus kab mob. Tsis tas li ntawd, tus neeg mob tau txais kev kho tshuaj hormone ablation, radiotherapy lossis chemotherapy. Thaum qhov kev kho mob tiav lawm yuav tsum tau ua raws li kev soj ntsuam kom pom tias muaj kev rov tshwm sim dua.
Qhov txawv ntawm Varicocele thiab Testicular Cancer yog dab tsi?
Kev txhais ntawm Varicocele thiab Testicular Cancer
Varicocele: Varicocele yog qhov nthuav dav ntawm pampiniform plexus hauv lub testis.
Testicular: Testicular cancer yog thawj qhov mob qog noj ntshav hauv lub qog.
Nthuav Varicocele thiab Testicular Cancer
Presentation
Varicocele: Varicoceles tsim ib lub hnab ntawm cov cab zoo, thiab nws yog mos rau palpation.
Testicular: Testicular cancer yog ib qho nyuaj rau tsim ntawm palpation thiab tsis hnov tsw ntawm lub testis yog ib txwm.
hnub nyoog pawg
Varicocele: Varicoceles tuaj yeem tshwm sim thaum muaj hnub nyoog.
Testicular: Testicular qog nqaij hlav muaj ntau thaum muaj hnub nyoog yau.
Kev nyuaj siab
Varicocele: Varicoceles tuaj yeem ua rau muaj menyuam.
Testicular: Testicular cancer tuaj yeem kis mus rau cov kabmob nyob deb.
Kev kho mob
Varicocele: Varicoceles raug kho nrog ligation ntawm cov leeg qog ntshav phais.
Testicular: Testicular cancer yog kho nrog orchiectomy thiab hormonal ablation therapies.
Kev Tshawb Fawb
Varicocele: Varicoceles muaj qhov pom zoo dua.
Testicular: Cov qog nqaij hlav qog nqaij hlav muaj qhov tshwm sim tsis zoo piv rau varicoceles. Kev kuaj mob zoo dua yog tias kuaj pom ntxov.
Image Courtesy: "Gray1147" los ntawm Henry Vandyke Carter - Henry Grey (1918) Anatomy ntawm tib neeg lub cev. (Public Domain) ntawm Commons "Seminoma" los ntawm Nephron - Tus kheej ua haujlwm. (CC BY-SA 3.0) via Commons
