Cov zes qe menyuam yog cov poj niam ua txiv neej qog ua qog ua ov thiab cov poj niam pw ua ke (progesterone thiab estrogen). Lawv yog cov raug rau cov qog nqaij hlav - volumetric neoplasms nyob rau hauv cov nqaij ntawm lub zes qe menyuam, feem ntau yog benign.
Cov cim tseem ceeb ntxov ntawm cov neoplasm yog qhov mob, tso zis tsis meej, mob plab, mob plawv. Thaum lub caij dhau los, lub xeev ntawm kev noj qab haus huv worsens, qhov kub ntawm lub nce, o ntawm txoj hnyuv thiab qhov poob phaus.
Kev faib tawm ntawm qog nqaij hlav hauv zes qe menyuam
Cov hlab ntaws nyob rau hauv lub zes qe menyuam nyob rau hauv cov poj niam, tsim los ntawm cov no los yog lwm lub hlwb, tau txais tib lub npe.
Epidelial hlav
Tej yam qog no yog tsim los ntawm epithelium ntawm lub zes qe menyuam:
1. Cov kab mob serous muaj lined nrog cylindrical thiab cubic epithelium, lub hlwb uas secrete protein. Ua kom cov hlwv ntawm cov hlav qe menyuam tuaj yeem ua rau cov pob txha mos (cov hlav qog nqaij hlav tsis zoo) tsis ua haujlwm (cov kab mob hu ua serous adenocystoma tsis muaj polymorphism, mitotic activity) thiab malignant (serous cystic adenocarcinoma, nws cov nuclei yog atypical, polymorphism yog expressed).
2. Mucinous neoplasm , ua kom cov hlwv, lub epithelium ntawm cov phais ntswg. Qhia qhov txawv ntawm cov tub ntxhais:
- adenocyst ;
- cystic adenocarcinoma ;
- borderline ntawm zes qe menyuam;
- cystadenoma (non-polymorphic cells);
- cystic adenocarcinoma .
3. Qhov kawg ntawm cov qog nqaij hlav endometrioid muaj qhov loj me me, ua rau cov qog ntawm cov qog nqaij hlav qis ntawm ib daim ntawv atypical.
4. Cov qog nqaij hlav Brenner yog ib phau ntawm cov qog hlwb ncig los ntawm cov kab mob fibrotic.
5. Kheesxaws ntawm pojniam laus .
Cov qog nqaij hlav ntawm zes qe menyuam
Malignant :
- ib lub paj noob qoob- cell hlav yog tsim los ntawm lub mesenchyme ntawm lub qe menyuam qe menyuam (ntawm qia hlwb), muaj peev xwm zais tau estrogens;
- mob hnyuv loj (mob nyhav thiab malignant hauv qib qis) qog nqaij hlav hauv zes qe menyuam tuaj yeem tshwm sim ua ntej thiab tom qab kev qoj ib ce, lub sij hawm ntawm menopause, nrog kev los ntshav;
- hlav ua los ntawm Sertoli-Leydig hlwb .
Benign :
- fibroma ;
- tekoma yog ib hom kab mob benign tumor uas secretes estrogens thiab muaj cov kabmob ntawm cov qe ntshav ntev uas muaj cov rog;
- androblastoma yog tsim los ntawm mesenchyme, yog muaj peev xwm zais thiab androgens. Tshwm sim nyob rau hauv daim ntawv ntawm atrophy ntawm lub mis, tsev menyuam, hirsutism, pob ua rau lub ntsej muag, coarsening ntawm cov plaub hau, hypertrophy ntawm lub clitoris.
Germinogenic o ntawm ovaries
1. Dysherminoma - ib hom qog nqaij hlav uas cuam tshuam rau cov poj niam uas muaj hnub nyoog 30 xyoo, raug tshem tawm txoj kev phais.
2. Teratoma yog tsim los ntawm cov kab mob hauv cov kabmob, kev raug phais tawm tomqab los ntawm cov kws khomob:
4. Choriocarcinoma muaj feem xyuam rau lub tsho me nyuam thaum cev xeeb tub.
5. Cov hlab ntsws ntawm qhov kev lag luam endodermal muaj feem xyuam rau cov zes qe menyuam thaum muaj hnub nyoog.
Txoj kev ntawm kev kho mob ntawm cov qog formations
Rau kev kuaj mob neoplasms ntawm lub zes qe menyuam, ultrasound, kuaj ntshav, CT, me, tus tsiaj nrog cov isotope scanning, laparoscopy yog siv. Txhawm rau kom kho cov mob uas tsis muaj kab mob cancer, kev siv phais mob yog siv, thaum lub sij hawm qhov zes qe menyuam yog ib qho los yog tag nrho tawm.