Mate pukupuku Pancreatic

mate pukupuku Pancreatic Ko te neoplasm mārere, i hanga i te pūtau hanga te repe taiaki. Ko te momo tino noa o te mate pukupuku, e kaute hoki ki runga ki te 95% o te wā katoa o tenei puku ko te adenocarcinoma, e whanake i roto i te wāhanga exocrine taiaki. Adenocarcinoma - he puku mārere e pa i te kiko glandular o te tinana. Heoi, e kore take katoa o te mate pukupuku pancreatic - he tika te adenocarcinoma taua. I roto i ētahi wā, whakawhanake te puku i te pūtau pakupaku kei pera-ka karanga, a na reira whakarōpūtia te rite te puku neuroendocrine. Signs me tohu e meinga māharahara o te mate pukupuku whakawhirinaki i runga i te wāhi o te puku, tona rahi me te momo o te papanga, tona whakapakoko. I roto i te whānui, ngā tohu mate pukupuku pancreatic mamae puku, mamae i roto i te hoki o raro, a ki te kokopi te puku te tau mahani ate, jaundice. I tua atu, i reira kia kia he nui mate taimaha, minamina, korekore, thrombophlebitis rua whakapeka (tohu o Trousseau), tohumate Courvoisier me te tini ke atu.

I roto i te ao te o nga mate pukupuku tino whakamate pukupuku pancreatic mau pakari te he e whakahonoretia ana take ārahi wha o te mate i roto i nga tangata, me nga wahine, he te kaiwero e pā ana ki 6% o te katoa matenga i te mate pukupuku. Tata e toru-koata o pukupuku pancreatic katoa whakawhanake i roto i te upoko kaki ranei mate pukupuku, 15 ki te 20 ōrau o te pukupuku whakawhanake i roto i te tinana repe tika, a ka puta he atu 5 ki te 10 ōrau o tona hiku.

Ko maimoatanga o te mate pukupuku pancreatic pakeke nui, na me pehea ki te tātari i tēnei puku i roto i te tīmatanga o te wāhanga, ko te rawa, mahi tino uaua. Ano, kia rite ki tatauranga, neke atu i te hawhe o nga tūroro katoa i te tātaritanga wa "mate pukupuku pancreatic" kawe nga pukupuku metastatic, a i roto i 26 ōrau o te lesion i kitea i roto i taikiri rohe. Ko te ora whanaunga o tūroro i roto i te tau tuatahi i muri i te tātaritanga, "mate pukupuku pancreatic" ko 26 anake ōrau. Heoi, rite ki te auau-tau e rima ko ara raro i tika noa 6%.

Me kï reira e katoa o te pukupuku pancreatic he adenocarcinomas 80% epithelium ductal. 2 anake ōrau o te pukupuku o te repe taiaki exocrine e mārire.

momo iti noa o ngā momo mate pukupuku histological pancreatic ngā pukupuku pēnei i mate pukupuku Rapa pūtau, glandular, mate pukupuku pūtau squamous, mikroglandulyarnaya adenocarcinoma, mate pukupuku mucoid, cystadenocarcinoma, papillary mate pukupuku whēwhē, cystadenocarcinoma acinar, atsinoznokletochnaya cystadenocarcinoma. Tino uaua tupu te reira e whakawhanakehia he manawanui puku pancreatic kiko tūhonohono. Ko te momo tino noa o te mate pukupuku, ko te lymphoma taiaki.

Tikanga, te metastasis tuatahi o hua pukupuku pancreatic i roto i taikiri rohe, te ate, me te ka iti pinepine i roto i te pukapuka. I tua atu, ka taea e te puku tupu tika ki nga whekau, e kua tūnga i roto i te peritoneum tata nesosredstvenno repe, i.e. ki te puku, duodenum me te kopirua. Ano, kia metastasize peritoneally mate pukupuku pancreatic ki tetahi mata kei roto i te kōhao puku. Ka rite ki te hua, kia whakawhanake ascites (kopu tetere), a ko reira tohu rawa, rawa pouri me te kino. Ka taea e mate pukupuku Pancreatic metastasize ki te kiri, a ka e kia whakakitea i roto i te puka o nodules fakamamahi. I roto i te katoa o tenei taua pukupuku uaua hoatu metastases ki te wheua.