Umdlavuza we-penis: i-etiology, imitholampilo kanye nokwelapha

I-Cancer ye-penis iyisifo esingavamile lapho kutholakala khona amacala angu-0.1 kuya kwangu-8 ngamadoda ayizinkulungwane eziyikhulu. Njengomthetho, i-canker iyatholakala endaweni ephezulu ye-penis - i-48%, ijwabu - 20%, emzimbeni we-penis - ngaphansi kuka-2%, naku-coronal sulcus kuze kube ngu-6%. Ngokuvamile, amakhemikhali e-penis anciphisa imithwalo ye-lymphatic ibe yi-lymph nodes zesifunda.

Umdlavuza we-glans penis: izimbangela

Kuze kube manje, odokotela abazange bakwazi ukukhomba isizathu esisodwa esisodwa esenza umdlavuza wepenis. Kunombono wokuthi ezinye izifo, ezifana ne-phimosis, ukucasula okungapheli ngenxa yokungcola okungcolile kwezidalwa zofuzo, kuqhubekisela phambili ukuthuthukiswa kwesifo. Kulesi simo, isikhwama esibheke phambili sithatha i-smegma, ngesikhathi kuhlanganiswa ama-hydrolysis carcinogenic compounds, okuyinto eyenza ukuthuthukiswa komdlavuza. Odokotela bathi ukusoka kuvimbela ukuthuthukiswa komdlavuza. Kwaqalwa ukulungiswa okuhle phakathi kwegciwane le-papilloma nokuthuthukiswa komdlavuza we-penile. Njengomthetho, umdlavuza wepenisi uhlangene nokutholakala kwegciwane.

Ukuhlukaniswa kwezigaba zokuthuthukiswa kwezifo

I-hertostructure eyinhloko yomdlavuza yileli squamous cell of penis (ama-95% azo zonke izinhlobo zegciwane lesifo somdlavuza we-penis). I-Basal cell carcinoma kanye ne-melanoma ebulalayo ayibonakali kaningi.

Izifo ezibizwa ngokuthi izifo ezingenakuqedwa zingahle zihlukaniswe zibe yizibophezelo, ezizimele. Ukuphoqeleka izifo kuthwala i-neoplasia ye-intraepithelial ye-penis - isifo se-Bowen, i-erythroplasia ye-Kveirat, i-balanitis yokuqothula. Kumathologi angaphambi kwe-pathological abandakanya izimpondo zepenile kanye nophondo oluthile.

Umdlavuza we-penis: izigaba zokuthuthukiswa

Isigaba I - ama-khansela angenelela kumathisamu okuxhumene nesifo se-subepithelial.

Isigaba II - umsele usendaweni yomzimba we-spongy and cavernous.

Isigaba III - umsele usondela ku-prostate noma urethra. Ama-Metastase abhalisiwe kuma-lymph nodes wesifunda.

²V isigaba - amakhevuza e-penis adluliselwa kwezinye izicubu. Ama-Metastase alotshwe ku-lymph nodes ezikude nakwezinye izindawo.

Umdlavuza we-penis: izimpawu zomtholampilo

Njengoba lesi sifo sitholakala endaweni yangasese yangaphandle, kulula ukuyihlolisisa. Esikhathini sokuqala sesi sifo esihlokweni se-penis, kanye nasendlini yangaphakathi yejwabu, ama-nodules, izilonda, ama-papillomas, ama-cracks, kanye namafomu ahlukahlukene okugcoba noma abomvu. Amadoda ane-congenital phimosis uphawu lokukhishwa kwe-purudent exudate kusukela ekuqothulweni okuvaliwe. Ngaphakathi kwesaka langaphambili, i-palpation izwa izimpawu.

Izigaba zakuqala zokuthuthukiswa komdlavuza wepenisi zihambisana nezinqubo zokuvutha (i-balanitis, i-balanoposthitis, njll). Iziguli, ngisho noma zibona izibonakaliso "endaweni eziseduze", zivame ukuphenduka ochwepheshe. Ezingxenyeni zakamuva zokuthuthukiswa kwesifo, lapho i-cancus ihluma emzimbeni we-urethra noma cavernous, ukuphazamiseka okungafaneleki kwesistimu ye-genitourinary (ukuchithwa, ukuvutha, ukuvuthwa okukhulu, ukuthambekela noma ukunyakaza kwejet, ukunganaki ngesikhathi sokuvuthwa, ukulungiswa kwesikhathi eside) kubonakala. Njengoba ukuhlakazeka kwesisu, ukuvuvukala kwanda, okwenza kube nzima kakhulu inkinga yesifo. Le nqubo ihambisana nokuxoshwa okukhulu kwe-serous-purulent kusukela ekuqotheni, ukubonakaliswa kwejwabu kanye nokubunjwa kwe-fistula. Ngezinye izikhathi kune-perforation ye-prepuce ngokukhulisa izicubu ze-carcinogenic. Ubuthakathaka kanye ne-cachexia (ukukhathala) yizibonakaliso sekwephuzile kwezempilo.

Umdlavuza we-penis: ukwelashwa

Esikhathini sokuqala sokuthuthukiswa kwalesi sifo, ukwelashwa komzimba kukhonjiswa: ukukhishwa kwe-cryodestruction, i-laser therapy, i-chemotherapy yendawo (i-fluorouracil), ukugxila kwendawo okugxilwe kuyo, ukuphathwa kwe-photodynamic. Ezingeni zamuva zokuthuthukiswa komdlavuza, ukukhishwa kwekhanda lomthola kwenziwa.