Tus kab mob benign uas yog nyob rau ntawm ib qho qog ntawm qog qog los yog hauv lwm yam kabmob ntawm qhov ntswg system hu ua pheochromocytoma - cov tsos mob ntawm tus kab mob no ua tim khawv rau cov kev ua hauv hormonal ntawm lub neoplasm. Nws muaj hlwb ntawm chromaffin ntaub so ntswg thiab lub hlwb cov khoom. Malignant hlav ntawm hom no muaj tsawg tsawg, tsuas yog 10% ntawm tus neeg mob.
Pheochromocytoma - ua rau
Nws tsis paub tias yog vim li cas tus kab mob no ho tshwm sim. Muaj kev suspicions tias cov neoplasm tshwm li los ntawm kev hloov cov caj ces.
Feem ntau cov kab mob cuam tshuam cov neeg nyob rau hauv adulthood, los ntawm 25 mus rau 50 xyoo, feem ntau cov poj niam. Tsis tshua muaj, cov qog hlob nyob rau hauv cov menyuam, thiab feem ntau nws tshwm sim hauv cov tub.
Malignant pheochromocytoma feem ntau ua ke nrog lwm hom mob cancer (thyroid, hnyuv, hnoos qog), tiam sis metastases tsis yog yam ntxwv rau nws.
Cov cim qhia ntawm pheochromocytoma
Txoj kev mob ntsws cwj pwm ncaj qha yog nyob ntawm qhov chaw ntawm lub qog, txij li lub qog ntawm lub caj dab neeg adrenal tawm 2 hom tshuaj hormones: adrenaline thiab norepinephrine. Lwm yam, nws tsim tawm los yog tsuas yog tus naiskhu. Yog li, pheochromocytoma cov nyhuv yuav tshwm sim ntau ntxiv nrog nws qhov chaw adrenal.
Tsis tas li ntawd, cov tsos mob yuav txawv rau cov kab mob uas paub txog tus kab mob, uas tau muab cais tawm raws li qhov kev ntsuam xyuas:
- paroxysmal;
- tsis tu ncua;
- tov.
Paroxysmal pheochromocytoma - cov tsos mob:
- lub triad classical ntawm Carney (plawv palpitations, ntau tawm hws, mob taub hau);
- ntse thiab Sudden siab nyob rau hauv ntshav siab qhia rau 300 mm Hg. Kos duab. thiab ntau dua;
- pallor;
- kev xav hauv kev ntshai;
- kiv taub hau;
- mob hauv plab thiab tom qab lub plab;
- txog kev ua tsis taus pa;
- xeev siab;
- polyuria;
- tsis pom kev;
- nce hauv kub;
- ntuav.
Rau txhua daim ntawv ntawm lub qog no mas yog ib yam uas ua rau mob siab thiab ua kom pom zoo rau cov kab mob hypertensive.
Mixed type of neoplasm ua rau hypertensive ntsoog - nrog pheochromocytoma nws tuaj yeem ua rau qhov tseem ceeb hemorrhage hauv retina ntawm lub qhov muag, pulmonary edema lossis mob stroke.
Pheochromocytoma - mob
Tus mob yog ua tom qab muaj ntau qhov kev kuaj sim:
- kev kawm txog ntshav rau kev tu cov catecholamines, muaj cov leukocytosis, nce ESR, hyperglycemia, erythrocytosis, eosonophilia;
- zis tsom rau kev qhia txog cylindruria, proteinuria, glucosuria, excretion ntawm vanillylmandelic acid;
- kev ntsuam xyuas nrog kev ntsuam xyuas nrog histamine thiab reginal.
Cov lus qhia ntxiv yuav muab tau los ntawm ultrasound ntawm qog adrenal , computed tomography, aortography, scintigraphy.
Nws yuav tsum tau sau tseg tias pheochromocytoma muaj lub sijhawm ua haujlwm ntawm lub sijhawm txaus los kuaj xyuas tus kab mob hauv lub sijhawm thiab pib kho. Yog li no, txhua tus neeg uas mob siab vim yuav tsum tau mus kuaj mob yuav tsum tau mus kuaj mob kom tshem tawm cov qog ntawm cov lus nug uas ua rau muaj ntshav siab.
Pheochromocytoma - teeb meem thiab kev mob
Feem ntau ntawm cov kev tsis zoo tshwm sim tom qab muaj kev ntxhov siab:
- myocardial infarction;
- impaired circulation ntawm lub hlwb;
- pulmonary edema ;
- lub plawv tsis ua haujlwm.
Thaum tsis muaj kev kho mob uas tsim nyog, cov neeg mob, yeej, raug piam sij.
Kev tu ncua thiab kho phais phosphosocytoma yuav tsum ua kom tiav ib qho zoo, tshwj xeeb tshaj yog tias lub qog tsis yog siab phem thiab tsis muaj metastases. Raws li kev xyaum qhia, rov qab tshwm sim hauv 5-10% ntawm tus neeg mob, thiab qhov seem uas tshwm sim tau zoo dua nrog kev pab los ntawm cov tshuaj.