Sarcoma unugyada jilicsan ee qaangaarka ah

Cudurka jilicsan ee sarcoma (STS) waa kansar ku sameysma unugyada jilicsan ee jirka. Nudaha jilicsan ayaa isku xira, taageera, ama ku hareeraysan qaybaha kale ee jirka. Dadka qaangaarka ah, STS waa dhif iyo naadir.

Waxaa jira noocyo badan oo kaladuwan oo kansarro jilicsan ah. Nooca sarcoma wuxuu kuxiran yahay unugyada ay ku sameysmaan:

• Murqaha
• Gawaarida
• Dufan
• Xididada dhiiga
• Maraakiibta limfaha
• Dareemayaasha
• Cadka nudaha iyo agagaarka kala-goysyada

Kansarku wuxuu samaysan karaa ku dhowaad meel kasta, laakiin wuxuu ku badan yahay:

• Madaxa
• Luqunta
• Hubka
• Lugaha
• Jir
• Caloosha

Lama oga waxa sababa inta badan sarbeebyada. Laakiin waxaa jira arrimo qatar ah:

• Qaar ka mid ah cudurada la iska dhaxlo, sida cudurka Li-Fraumeni
• Daaweynta shucaaca ee kansarrada kale
• Soo-gaadhista kiimikooyinka qaarkood, sida vinyl chloride ama doogga qaarkood
• Inuu yeesho barar gacmaha ama lugaha muddo dheer (lymphedema)

Marxaladaha hore, badanaa ma laha astaamo. Markuu kansarku sii kordho, wuxuu sababi karaa buruq ama barar sii kordhaaya waqti ka dib. Buruqda badankood maahan kansar.

Calaamadaha kale waxaa ka mid ah:

• Xanuun, haddii ay ku cadaadiso neerfaha, xubinta, xididdada dhiigga, ama murqaha
• Xannibaadda ama dhiig baxa caloosha ama xiidmaha
• Dhibaatooyinka neefsashada

Bixiyaha xanaanada caafimaadkaaga ayaa ku weydiin doona taariikhdaada caafimaad wuxuuna sameyn doonaa baaritaan jireed. Tijaabooyinka kale waxaa ka mid noqon kara:

• Raajo
• CT iskaanka
• MRI
• Baadhitaanka PET

Haddii adeeg bixiyahaagu ka shakiyo kansar, waxaa laga yaabaa in lagaa qaado biopsiga si loo hubiyo kansarka. Biopsy, bixiyahaada wuxuu aruurinayaa muunad unug ah oo sheybaarka lagu baarayo.

Cad ka-qaadista ayaa la tusi doonaa haddii kansar jiro oo waxay kaa caawin doontaa muujinta sida ugu dhakhsaha badan ee uu u korayo. Bixiyahaagu wuxuu codsan karaa baaritaano dheeri ah si loo ogaado kansarka. Staging waxay sheegi kartaa inta kansarku jiro iyo inuu faafay.

Qalitaanku waa daaweynta ugu badan ee STS.

• Marxaladaha hore, burooyinka iyo unugyo caafimaad qaba oo ku wareegsan ayaa la saaraa.
• Mararka qaarkood, in yar oo unug ah ayaa loo baahan yahay in la soo saaro. Waqtiyada kale, unug ballaaran oo unug ah waa in laga qaadaa.
• Kansarrada horumarsan ee ku sameysma gacanta ama lugta, qalliinka waxaa ku xigi kara shucaac ama kemotherabi. Marar dhif ah, addinka ayaa laga yaabaa inuu u baahdo in la jaro.

Waxaad sidoo kale yeelan kartaa shucaac ama kemotherabi:

• Waxaa loo adeegsaday qalliinka kahor si looga caawiyo yareynta burooyinka si ay ugu fududaato ka saarista kansarka
• Waxaa loo adeegsaday qalliinka kadib in la dilo wixii unugyada kansarka haray

Dawaynta kimikalka waxaa loo isticmaali karaa in lagu caawiyo dilka kansarka ku dhacay metastasias. Taas macnaheedu waa inuu ku faafay aagag kala duwan oo jirka ah.

Kansarku wuxuu saameeyaa sida aad u dareemeyso naftaada iyo noloshaada. Waad yareyn kartaa diiqada jirrada adoo ku biiraya kooxda taageerta kansarka. La wadaagida dadka kale ee isla khibrada iyo dhibaatooyinka soo maray waxay kaa caawin kartaa inaad dareentid kelinimo.

Weydiiso daryeel bixiyahaaga inuu kaa caawiyo inaad u hesho koox ku taakuleysa dadka laga helay cudurka STS.

Aragtida dadka kansarkooda goor hore la daaweeyo aad ayey u fiican tahay. Inta badan dadka ka badbaada 5 sano waxay filan karaan 10 sano ka dib inay kansar ka madax bannaanaadaan.

Dhibaatooyinka waxaa ka mid ah dhibaatooyinka soo raaca ee qalliinka, daaweynta kiimikada, ama shucaaca.

U tag daryeel bixiyahaaga wixii kuus ah oo baaxad ahaan ku sii kordha ama xanuun leh.

Sababta inta badan STSs lama yaqaan mana jirto hab looga hortago. Ogaanshaha arrimahaaga halista iyo u sheegista bixiyahaaga marka ugu horreysa ee aad calaamadaha ogaatid waxay kordhin kartaa fursadda aad uga badbaadi karto kansarka noocan ah.

STS; Leiomyosarcoma; Hemangiosarcoma; Kaposi's sarcoma; Lymphangiosarcoma; Sarkoma Synovial; Neurofibrosarcoma; Liposarcoma; Fibrosarcoma; Histiocytoma xanuun daran; Dermatofibrosarcoma; Angiosarcoma

Contreras CM, Heslin MJ. Sarcoma unugyada jilicsan. Gudaha: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buugga Qalitaanka. 20aad. Philadelphia, PA: Elsevier; 2017: cutubka 31.

Websaydhka Machadka Kansarka Qaranka. Daaweynta sarcoma unugyada jilicsan ee qaangaarka ah (PDQ) - nooca xirfad-yaqaan caafimaad. www.cancer.gov/types/soft-tissue-sarcoma/hp/adult-soft-tissue-treatment-pdq#section/all. La cusbooneysiiyay Janaayo 15, 2021. Waxaa la helay Febraayo19, 2021.

Van Tine BA. Sarcomas unugyada jilicsan. Gudaha: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 90.