Khansa Pancreatic

khansa Pancreatic ndi neoplasm zilonda, kupangidwa kwa maselo kupanga kapamba. Mtundu ambiri khansa, imene chimachititsa kuti 95% milandu onse a chotupa ichi ndi adenocarcinoma, amene akufotokozera mkati mbali exocrine kapamba. Adenocarcinoma - chotupa chotupa zokhudza minofu glandular za thupi. Komabe, si anthu onse amene anatengedwa khansa pancreatic - ndi chinthu choterocho adenocarcinoma. Nthawi zina, chotupacho akukula otchedwa maselo islet, choncho zimagawidwa monga neuroendocrine chotupa. Zizindikiro amene amayambitsa kukayikirana khansa zimadalira malo chotupa, ndi kukula kwake ndi mtundu wa nsalu, chifaniziro chake. Ambiri, zizindikiro khansa pancreatic monga kupweteka m'mimba, kupweteka kwa msana m'munsi, ndipo ngati chotupa compresses ya ndulu ritsa, matenda a chikasu ndiyo. Komanso, pali kwambiri kuwonda, kuyabwa, maganizo, pachimake mtsempha thrombophlebitis (chizindikiro Trousseau a), chizindikiro Courvoisier ndi ena ambiri.

Mu kusanja wa khansa kwambiri wakupha khansa pancreatic molimba akugwirizira yolemekezeka chachinayi kutsogolera chifukwa cha imfa mwa amuna ndi akazi, pokhala ponena za 6% ya onse amafa ndi khansa. Pafupifupi atatu a anayi a khansa, pancreatic kukhala mutu kapena khosi khansa, 15 peresenti mpaka 20 zotupa osauka mu England thupi mwachindunji, ndipo peresenti zina 5 mpaka 10 Mchira kuonekera.

Chithandizo cha matenda a khansa pancreatic ndi yovuta mokwanira, nanga matenda chotupa ichi mu magawo oyambirira kwambiri, ntchito yovuta kwambiri. Komanso, mogwirizana ndi ziwerengero oposa theka la odwala onse ndi matenda nthawi "pancreatic khansa" onyamula anali metastatic zotupa, ndi pa anthu 26 a chotupa cha unkachitika mu mfundo dera lymph. Kupulumuka wachibale odwala mu chaka choyamba pambuyo matenda, "khansa pancreatic" peresenti 26 okha. Komabe, mofanana ndi mlingo wa zaka zisanu ngakhale m'munsi pa% chabe 6.

Tikumbukenso kuti onse a zotupa pancreatic ndi adenocarcinomas 80% ductal epithelium. peresenti 2 Only ya zotupa za exocrine kapamba ndi mtima wabwino.

njira zochepa wamba a mitundu pancreatic histological khansa monga zotupa monga carcinoma chimphona selo, glandular, squamous carcinoma selo, mikroglandulyarnaya adenocarcinoma, carcinoma mucoid, cystadenocarcinoma, papillary enaake carcinoma, cystadenocarcinoma acinar, atsinoznokletochnaya cystadenocarcinoma. kawirikawiri izo zimachitika kuti wodwala anayamba pancreatic chotupa connective minofu. Mtundu khansa yofala kwambiri ndi lymphoma kapamba.

Childs, metastasis loyamba zotsatira khansa pancreatic mu mfundo dera lymph, chiwindi ndi ndiye kamodzikamodzi mu m'mapapo. Komanso, chotupa akhoza kukula mwachindunji mu ziwalo, amene pabwino mu peritoneum pafupi England nesosredstvenno, i.e. kwa m'mimba, duodenum ndi m'matumbo. Komanso, khansa pancreatic mwina metastasize peritoneally pamwamba iliyonse ili mu zonse m'mimba. Chifukwa cha zimenezi, angathe ascites (wambulu), ndipo kwambiri, mdima kwambiri ndi zoipa chizindikiro. khansa Pancreatic akhoza metastasize khungu ndipo ameneyo anawonetseredwa mu mawonekedwe a tinatake tozungulira chopweteka. Mu onse a zotupa zimenezi kawirikawiri kupereka metastases kwa fupa.