Kansarka qanjirka 'thyroid' - kansarka 'papillary carcinoma'

Papillary carcinoma ee qanjirka 'thyroid' waa kansarka ugu badan ee qanjirka 'thyroid'. Qanjirka 'thyroid' wuxuu ku yaalaa gudaha hore ee qoorta hoose.

Qiyaastii 85% dhammaan kansarka tayroodhka ee laga helo Mareykanka waa nooca kansarka 'papillary carcinoma'. Waxay ku badan tahay dumarka marka loo eego ragga. Waxay ku dhici kartaa caruurnimada, laakiin badanaa waxaa lagu arkaa dadka waaweyn ee da'doodu u dhaxayso 20 iyo 60.

Sababta kansarkan lama oga. Cilad hidde ah ama taariikh qoys oo cudurka ah ayaa laga yaabaa inay tahay arrin khatar ah.

Shucaacu wuxuu kordhiyaa halista ah inuu ku dhaco kansarka tayroodh. Sahamintu waxay ka dhici kartaa:

• Qiyaasta sare ee daaweynta shucaaca dibedda ee qoorta, gaar ahaan inta lagu jiro carruurnimada, ayaa loo isticmaali jiray in lagu daaweeyo kansarka carruurnimada ama xaaladaha qaarkood ee aan caadiga ahayn ee carruurnimada
• Soo-gaadhista shucaaca ee masiibooyinka dhirta nukliyeerka

Shucaaca lagaa siinayo xididka (marka la marayo IV) inta lagu jiro baaritaanka caafimaadka iyo daaweynta ma kordhinayso halista ah inuu ku dhaco kansarka qanjirka 'thyroid'.

Kansarka qanjirka 'thyroid' wuxuu badanaa ku bilaabmaa sidii buro yar (nodule) qanjirka 'thyroid'.

In kasta oo burooyinka yaryar qaarkood ay noqon karaan kansar, badankood (90%) qanjira tayroodhku waa kuwo aan dhib lahayn oo aan kansar lahayn.

Inta badan, ma jiraan calaamado kale.

Haddii qanjirkaaga buro ku buko, takhtarkaaga ayaa laga yaabaa inuu dalbado baaritaannada soo socda:

• Tijaabooyinka dhiigga.
• Ultrasound ee qanjirka 'thyroid' iyo gobolka qoorta.
• Baadhitaanka CT ee qoorta ama MRI si loo ogaado cabirka buro.
• Laryngoscopy si loo qiimeeyo dhaqdhaqaaqa wareega codka.
• Cad ka-qaadista cirbadda cirbadda (FNAB) si loo ogaado haddii buruqdu ay tahay mid kansar leh. FNAB waa la samayn karaa haddii qalabka ultrasound-ka uu muujiyo in kuusku ka yar yahay 1 sentimitir.

Tijaabada hidda sidaha waxaa lagu samayn karaa sambalka dheecaanka si loo arko waxa isbeddelaya hidda-wadaha (isbeddelada) laga yaabo inay ku jiraan. Ogaanshaha tan waxay kaa caawin kartaa hagista talooyinka daaweynta.

Tijaabooyinka shaqada qanjirka 'thyroid' badanaa waa caadi dadka qaba kansarka tayroodhka.

Daaweynta kansarka tayroodhka waxaa ka mid noqon kara:

• Qalliinka
• Daaweynta iodine ee shucaaca
• Daaweynta xakamaynta qanjirka 'thyroid therapy'
  
• Daaweynta shucaaca banaanka (EBRT)
  

Qalliin ayaa loo sameeyaa si looga saaro kansarka inta ugu badan ee suurtogalka ah. Buruqda sii weynaata, ayaa inbadan oo qanjirka 'thyroid' ah waa in laga saaraa. Badanaa, qanjirka oo dhan waa la soo bixiyaa.

Qalliinka ka dib, waxaad heli kartaa daaweynta shucaaca, oo badanaa afka laga qaato. Maadadani waxay dishaa unugyada tayroodh ee hadhay. Waxay kaloo caawineysaa in sawirrada caafimaadka la caddeeyo, si dhakhaatiirtu u eegaan haddii uu jiro wax kansar ah oo laga tegey ama haddii uu goor dambe soo noqdo.

Maareynta dheeraadka ah ee kansarkaaga waxay ku xirnaan doontaa arrimo badan sida:

• Cabirka buro kasta oo jirta
• Goobta burooyinka
• Heerka kobaca ee burooyinka
• Calaamadaha lagu garto
• Xulashadaada

Haddii qalliinku aanu ahayn ikhtiyaar, daaweynta shucaaca dibedda ah ayaa faa'iido leh.

Qalliinka ka dib ama daaweynta radioiodine, waxaad u baahan doontaa inaad qaadato daawo loo yaqaan 'levothyroxine' inta ka dhiman noloshaada. Tani waxay beddeleysaa hormoonka tayroodhku caadi ahaan sameyn lahaa.

Dhakhtarkaaga ayaa laga yaabaa inuu kaa qaado baaritaanka dhiigga dhowrkii biloodba mar si loo hubiyo heerarka hoormoonka tayroodhka. Tijaabooyinka kale ee dabagalka ah ee laga yaabo in la sameeyo ka dib daaweynta kansarka tayroodhka waxaa ka mid ah:

• Ultrasound ee qanjirka 'thyroid'
• Imtixaan sawir qaadis ah oo loo yaqaan 'iodine shucaaca shucaaca ah (I-131)
• Ku celi FNAB

Waad yareyn kartaa diiqada jirrada adoo ku biiraya kooxda taageerta kansarka. La wadaagida dadka kale ee leh khibradaha guud iyo dhibaatooyinka ayaa kaa caawin kara inaadan kali dareemin.

Heerka badbaadada kansarka qanjirka 'papillary thyroid' waa mid aad u fiican. In ka badan 90% dadka waaweyn ee qaba kansarkan waxay badbaadaan ugu yaraan 10 illaa 20 sano. Saadaashu waxay u fiicantahay dadka kayar 40 sano iyo kuwa leh burooyin yaryar.

Waxyaabaha soo socda ayaa yareyn kara heerka badbaadada:

• Ka weyn da'da 55 sano
• Kansarka ku faafay qaybaha fog ee jirka
• Kansarka ku faafay unugyada jilicsan
• Buro weyn

Dhibaatooyinka waxaa ka mid ah:

• Ka saarida shilalka qanjidhada parathyroid, kuwaas oo gacan ka geysta hagaajinta heerarka kaalshiyamka dhiigga
• Waxyeello soo gaadha dareemayaasha xukuma xadhkaha codka
• Ku faafin kansarka qanjidhada qanjirada (dhif)
• Ku faafin kansarka goobo kale (metastasis)

Wac daryeel bixiyahaaga haddii buro qoortaagu ku taal.

Kansarka Papillary ee tayroodhka; Kansarka qanjirka 'thyroid'; Kansarka qanjirka 'thyroid'

• Qanjirada 'Endocrine'
• Kansarka qanjirka 'thyroid' - CT scan
• Kansarka qanjirka 'thyroid' - CT scan
• Ballaarinta qanjirka 'thyroid' - scintiscan
• Qanjirka 'thyroid'

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Haugen BR, Alexander Erik K, Bible KC, et al. Tilmaamaha Maareynta Ururka Iskaashatada Thyroid ee Mareykanka ee loogu talagalay bukaanada qaangaarka ah ee qaba qanjirrada qanjirka 'Thyroid Nodules' iyo kansarka qanjirka 'Thyroid': Tilmaamaha Tilmaamaha Ururka Thyroid Association ee ku saabsan Toddobaadka Thyroid iyo Kansarka Thyroid ee Kaladuwan. Qanjirka 'thyroid'. 2016; 26 (1): 1-133. PMID: 26462967 pubmed.ncbi.nlm.nih.gov/26462967/.

Kwon D, Lee S. Kansarka tayroodh ee faafa. Gudaha: Myers EN, Snyderman CH, eds. Qalliinka Otolaryngology ee Madaxa iyo Qalitaanka Qoorta. 3aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 82.

Websaydhka Machadka Kansarka Qaranka. Daaweynta kansarka tayroodhka (qaangaarka) (PDQ) - nooca ku-meelgaarka ah ee caafimaadka. www.cancer.gov/cancertopics/pdq/treatment/thyroid/ CaafimaadkaProfessional. La cusbooneysiiyay Janaayo 30, 2020. Waxaa la helay Febraayo 1, 2020.

Thompson LDR. Cudurka neoplasms ee xun. Gudaha: Thompson LDR, Bishop JA, eds. Madaxa iyo Cudurka Wadnaha. 3aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 25.

Tuttle RM iyo Alzahrani AS. Khatarta khatarta ee kansarka tayroodhka ee kala duwan: laga bilaabo ogaanshaha illaa dabagalka ugu dambeeya. J Clin Endocrinol Metab. 2019; 104 (9): 4087-4100. PMID: 30874735 pubmed.ncbi.nlm.nih.gov/30874735/.