Parathyroid cancer

Parathyroid cancer bụ ọrịa kansa (ajọ) na ọrịa parathyroid.

Parathyroid glands na-achịkwa ọkwa calcium n'ime ahụ. Enwere gland parathyroid 4, 2 dị na mpaghara ọ bụla nke thyroid gland, nke dị na isi nke olu.

Parathyroid cancer bụ ụdị obere ọrịa kansa. Ọ na-emetụta ụmụ nwoke na ụmụ nwanyị nha anya. Ọrịa cancer ahụ na-emekarị na ndị okenye karịa 30.

Amaghị ihe kpatara ọrịa parathyroid. Ndị mmadụ nwere mkpụrụ ndụ ihe nketa a na-akpọ multiple endocrine neoplasia type I na hyperparathyroidism-jaw tumor syndrome nwere ọnụọgụ dị ukwuu maka ọrịa a. Ndi mmadu nwere oria ma obu olu nwere ike ibute nsogbu. Ma ụdị radieshon a nwere ike ibute ọrịa kansa thyroid.

Mgbaàmà nke kansa parathyroid bụ ọkachasị site n'ọkwa dị elu nke calcium n'ọbara (hypercalcemia), ọ nwere ike ịmetụta akụkụ dị iche iche nke ahụ.

Mgbaàmà gụnyere:

• Ọkpụkpụ mgbu
• Afọ ntachi
• Ike ọgwụgwụ
• Ọkpụkpụ
• Mgbe niile akpịrị ịkpọ nkụ
• Ugboro urination
• Nkume akụrụ
• Ike adịghị ike
• Ọgbọ na ọgbụgbọ
• Agụụ na-adịghị mma

Parathyroid cancer siri ike nyocha.

Dọkịta gị ga-eme nyocha anụ ahụ ma jụọ maka akụkọ gbasara ahụike gị.

Ihe dị ka ọkara oge, onye na-eweta ọrụ hụrụ ọrịa parathyroid site na ịnya aka ya na aka (palpation).

Ọrịa paratyroid na-arịa ọrịa cancer na-emepụta ihe dị oke elu nke parathyroid hormone (PTH). Ule maka hormone a nwere ike ịgụnye:

• Ọbara calcium
• Ọbara PTH

Tupu ịwa ahụ, ị ​​ga-enwe nyocha redio redio pụrụ iche nke gland parathyroid. A na-akpọ scanning ahụ sestamibi scan. Nwekwara ike ịnwe olu ultrasound. Emere ule ndị a iji kwado nke gland parathyroid adịghị mma.

Usoro ọgwụgwọ ndị a nwere ike iji dozie hypercalcemia n'ihi ọrịa parathyroid:

• Fluids site na akwara (IV ọmụmụ)
• A hormone a na-akpọ calcitonin nke na-enyere aka ịchịkwa ọkwa calcium
• Ọgwụ nke na-akwụsị ndakpọ na imegharị ọkpụkpụ n'ime ahụ

Gerywa ahụ bụ ọgwụgwọ akwadoro maka ọrịa parathyroid. Oge ụfọdụ, ọ na-ara ahụ ịchọpụta ma etuto ahụ paratyroid bụ nke kansa. Dọkịta gị nwere ike ịkwado ịwa ahụ ọbụlagodi na nyocha enweghị nyocha. Obere ịwa ahụ na-emerụ ahụ, na-eji obere mbelata, na-aghọwanye ihe nkịtị maka ọrịa parathyroid.

Ọ bụrụ na nyocha tupu ịwa ahụ nwere ike ịchọta gland emetụta, enwere ike ịwa ahụ n'akụkụ otu olu. Ọ bụrụ na ọ gaghị ekwe omume ịchọta gland nsogbu tupu ịwa ahụ, dọkịta na-awa ahụ ga-ele anya n'akụkụ abụọ nke olu gị.

Chemotherapy na radieshon anaghị arụ ọrụ nke ọma iji gbochie kansa ịlọghachi. Mgbasaozi nwere ike inye aka belata mgbasa nke ọrịa kansa na ọkpụkpụ.

Ugboro ịwa ahụ maka kansa kansa nke laghachiri nwere ike inyere aka:

• Mee ka ọnụego lanarị ya dịkwuo mma
• Belata oke mmetụta nke hypercalcemia

Parathyroid cancer anaghị eji nwayọ eto. Wa ahụ nwere ike inye aka ịgbatị ndụ ọbụlagodi mgbe ọrịa kansa na-agbasa.

Ọrịa cancer ahụ nwere ike gbasaa (metastasize) na ebe ndị ọzọ na ahụ, ọtụtụ mgbe ngụgụ na ọkpụkpụ.

Hypercalcemia bụ nsogbu kachasị njọ. Imirikiti ọnwụ site na ọrịa parathyroid na-eme n'ihi oke hypercalcemia siri ike, na ọ bụghị kansa n'onwe ya.

Ọrịa cancer na-abịaghachi azụ (recurs). Ọzọkwa ịwa ahụ nwere ike ịdị mkpa. Nsogbu si na ịwa ahụ nwere ike ịgụnye:

• Arsda ụda olu ma ọ bụ olu na-agbanwe n'ihi mmebi nke akwara na-achịkwa akwara ụda olu
• Ofufe Ọrịa na saịtị nke ịwa ahụ
• Ala calcium dị ala n'ọbara (hypocalcemia), ọnọdụ nwere ike eyi ndụ egwu
• Egwu

Kpọọ onye na-ahụ maka ahụike gị ma ọ bụrụ na ị nwee mmetụta dị n ’olu gị ma ọ bụ nwee mgbaàmà nke hypercalcemia.

Parathyroid carcinoma

• Parathyroid glands

Asban A, Patel AJ, Reddy S, Wang T, Balentine CJ, Chen H. Ọrịa cancer nke usoro endocrine. Na: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff’s Clinical Oncology. Nke isii. Philadelphia, PA: Elsevier; 2020: isi nke 68.

Fletcher CDM. Tumo nke thyroid na parathyroid glands. Na: Fletcher CDM, ed. Diagnostic Histopathology nke akpụ. Nke 5. Philadelphia, PA: Elsevier; 2021: Isi nke 18.

Weebụsaịtị National Cancer Institute. Paratyroid cancer ọgwụgwọ (PDQ) - ụdị ọkachamara ahụike. www.cancer.gov/types/parathyroid/hp/parathyroid-treatment-pdq. Emelitere March 17, 2017. Nweta February 11, 2020.

Torresan F na J Iacobone M. Njirimara ọgwụgwọ, ọgwụgwọ na nyocha nke ọrịa hyperparathyroidism-jaw tumor syndrome: Nhazi oge na nyocha akwụkwọ. Int J Endocrinol 2019. Bipụtara na ntaneti Dec 18, 2019. www.hindawi.com/journals/ije/2019/1761030/.