Tumhanho yeovary - classification

Mazai mavari ndeavakadzi vanoita zvepabonde zvepabonde kuumba mavhiri uye mahomoni ezvepabonde (progesterone uye estrogen). Izvo zvinonyanya kunetseka pakuumbwa kwemakumbo - volumetric neoplasms mumatumbu ejovary, muzviitiko zvakawanda bhenign.

Zviratidzo zvepakutanga zvekweplasm zvinorwadziwa, kuora mwoyo, kuwedzera mumimba, fossilization. Pakupedzisira, nheyo yehutano inotambudza, kutonhora kunomuka, kuvhara kwemukati uye kuora kurasikirwa kunoitika.

Kurongeka kwezviremara zvemaawa

Mishonga mumakumbo mumadzimai, akaumbwa neaya kana mamwe masero, anogamuchira zita rimwe chete.

Epithelial tumors

Matumbo akadaro anoumbwa kubva epithelium ye ovary:

1. Chirwere cheserous chakabatanidzwa ne-cylindrical uye cubic epithelium, masero ayo anodzivirira puroteni. Kuumba mishonga, maitiro evhavari anowanzoparadzaniswa kuva benign (serous adenocystoma pasina polymorphism, mitotic activity) uye yakaipa (serous cystic adenocarcinoma, iyo nuclei inotyisa, mapuroymorphism inotsanangurwa).

2. Muchinyi wekodhi , kuumba cysts, epithelium iyo inopinda mucus. Kusiyanisa mucinous:

• adenocyst ;
• cystic adenocarcinoma ;
• borderline ovarian tumor ;
• cystadenoma (kwete-polymorphic cells);
• cystic adenocarcinoma .

3. Chirwere chekugadzirisa chigadziko chakaita zviyero zvakakura, zvinoumba huwandu hwezvinyorwa zvisinganzwisisiki zvakavanzika zvechimiro chechimiro.

4. Chirwere cheBrenner chikamu chemasero masero akakomberedzwa ne fibrotic stroma.

5. Kenza yeOvarian .

Ovarian stromal tumors

Malignant :

• che granulose- cell tumor inoumbwa kubva ku mesenchyme ye ovary cortex (kubva kune stem cells), inogona kuchengeta estrogens;
• granular cell carcinoma (benign uye yakaipa muchepasi) chirwere chemaawa chinotapukira chinowanikwa mushure mekunge shure kwekuenda kumwedzi, nguva yekuenda kumwedzi, pamwe nekubuda ropa;
• mapfupa akaumbwa nemasero eSertoli-Leydig .

Benign :

• fibroma ;
• tekoma inorudzi rwechiremera chinopisa chinokonzera estrogens uye ine huwandu hwemasero akawanda ane mafuta;
• uyeroblastoma inoumbwa kubva ku mesenchyme, inokwanisa kuchengeta androgens. Inoratidzika nenzira yeatrophy yezamu, chibereko, hirsutism, rashes pachitarisiko, kubvongodza kwebvudzi, hypertrophy ye clitoris.

Germinogenic kuvhara kwemavha mavari

1. Dysherminoma - rudzi rwechirwere chinokanganisa vakadzi kusvika kune makore makumi matatu, rinobviswa zvakakwana.

2. Teratoma inoumbwa kubva kumagemisi emajekiseni , kubudiswa chirwere chichitevera chemotherapy:

• kusviba (kanzira);
• akakura (kwete kenza).

4. Choriocarcinoma inobata placenta panguva yekuzvitakura.

5. Kusvibiswa kwechigadziko chekupedzisira kunokanganisa mazai mudiki.

Nzira dzekurapa maitiro ekutura

Kuti uongorore maharaplasms emayamu, mazamu, kuongorora ropa, CT, biopsy, PET ne isotope kuongorora, laparoscopy inoshandiswa. Kuti uwane chirwere chisina kenza nenzira inobatsira, kupindira kwekuvhiya kunoshandiswa, panguva iyo mavharusi ane chikamu kana kuti akadzimwa zvachose.