Te mate pukupuku thyroid Anaplastic

Ko te mate pukupuku taakaro anaplastic he momo onge me te kaha te pehi i te mate pukupuku o te repe taika.

Ko te matepukupuku thyroid Anaplastic he momo whakaeke i te mate pukupuku thyroid e tupu tere ana. He maha tonu nga wa ka pa ki nga taangata neke atu i te 60. He nui ake te kitea i roto i nga uwha tena ki nga taane. Kaore i te mohiotia te kaupapa.

Ko te mate pukupuku Anaplastic e kiia ana ko te iti iho i te 1% o nga mate pukupuku taika katoa i te United States.

Tohu tohu:

• Moro
• Te whakaheke toto
• Te uaua horomia
• Te manawa, te reo rereke ranei
• Manawa kaha
• Kohinga kaki o raro, e tere tupu wawe ana
• Te mamae
• Te pararau o te taura orooro
• Tirohanga nui (hyperthyroidism)

Ko te whakamatautau aa-tinana ka whakaatu tonu i te tipu o te rohe kakii. Ko etahi atu whakamatautau ko:

• Ma te MRI CT ranei e tirotiro te kaki ka whakaatu pea i te puku e tipu mai ana i te repe toroana.
• Ma te tohu koiora tiroro e whakatau te tohu. Ka taea te tirotiro i te kiko puku mo nga tohu ira ka tohu pea he whaainga mo te maimoatanga, he pai ake i roto i te whakamatautau haumanu.
• Ma te tirotirohia o te ara rererangi me te waahanga fiberoptic (laryngoscopy) ka kitea he aho reo pararutiki.
• Ko te matewhawhati tiroid e whakaatu ana ko tenei tipu he "makariri," te tikanga kaore e ngongo te koiora irirangi.

Ko nga whakamatautau toto mahi tairoiro he mea noa i roto i te nuinga o nga keehi.

Ko tenei momo mate pukupuku kaore e taea te whakaora e te pokanga. Ko te tangohanga katoa o te repe tairoiro kaore e roa te waa o nga taangata e pa ana ki tenei momo mate pukupuku.

He nui pea te painga o te pokanga whakakotahi me te haumanu radiation me te chemotherapy.

Te taatai ​​kia tuu he ngongo ki te korokoro hei awhina i te manawa (tracheostomy) i roto ranei i te kopu hei awhina i te kai (gastrostomy) ka hiahiatia pea i te wa e rongoa ana.

Mo etahi taangata, ko te whakauru ki te whakamatau haumanu mo nga rongoa mate pukupuku hou ka pa ana ki nga huringa ira o te pukupuku tera pea he waahanga.

Ka taea e koe te whakamaarama i nga mauiui ma te whakauru atu ki tetahi roopu tautoko o nga taangata e tohatoha ana i nga wheako me nga raru.

He kino te tirohanga ki tenei mauiui. Ko te nuinga kaore e roa atu i te 6 marama na te mea he kaha te tahumaero me te kore o nga huarahi maimoatanga whaihua.

Kei roto i nga raru raru te:

• Te hora o te puku i roto i te kaki
• Metastasis (horahanga) o te mate pukupuku ki etahi atu tinana o te tinana, ki nga okana ranei

Karangahia to kaiwhakarato hauora mena ka kite koe:

• He puranga pumau, puranga ranei i te kaki
• Kia ora, kia whakarerekehia ranei to reo
• Te maremare, te mare ranei i te toto

Te mate pukupuku Anaplastic o te taika

• Mate pukupuku thyroid - matawai CT
• Repe repe tauro

Iyer PC, Dadu R, Ferrarotto R, et al. Ko te wheako o te ao-taiao me te rongoa whaiwhai mo te maimoatanga o te mate pukupuku mate pukupuku anaplastic. Taukoro. 2018; 28 (1): 79-87. PMID: 29161986 pubmed.ncbi.nlm.nih.gov/29161986/.

Jonklaas J, Cooper DS. Taukoro. I roto i: Goldman L, Schafer AI, eds. Te rongoa Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 213.

National Cancer Institute, Pokapū mo te Paetukutuku Rangahau Mate Mate. Te mate pukupuku thyroid Anaplastic. www.cancer.gov/pediatric-adult-rare-tumor/rare-tumors/rare-endocrine-tumor/anaplastic-thyroid-cancer. Whakahoutia Pepuere 27, 2019. Kua uru atu ki te Hui-tanguru 1, 2020.

RC Itiata, Ain KB, Asa SL, et al. Ko nga aratohu a te American Thyroid Association mo te whakahaere i nga tuuroro me te matepukupuku thyroid anaplastic. Taukoro. 2012; 22 (11): 1104-1139. PMID: 23130564 pubmed.ncbi.nlm.nih.gov/23130564/.

Smith PW, Hanks LR, Salomone LJ, Hanks JB. Taukoro. I roto i: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Pukapuka Tuhinga Sabiston o te Taatai. Ed 20 Philadelphia, PA: Elsevier Saunders; 2017: chap 36.