Lub ntsiab ua rau mob cancer ntawm lub tsev me nyuam tseem yog tib neeg papillomavirus, ua dysplasia ntawm lub ncauj tsev menyuam ntawm ncauj tsev menyuam thiab nws txoj kev mob plawv. Tus kab mob no kis tau los ntawm kev sib daj sib deev, thiab kis tus kab mob nrog rau kev tiv thaiv tsis tau kev tiv thaiv. Txoj kev pheej hmoo ntawm tus kab mob nce nrog qhov pib ua ntej kev sib deev, ntau tus neeg koom tes nrog kev sib deev tsis yog rau cov poj niam nkaus xwb, tab sis kuj yog nws tus khub kev sib daj sib deev, nws txo nrog tus khub qub txeeg qub teg thiab nws tsis tuaj yeem tsis tuaj yeem tsis tuaj rau hauv cov hluas nkauj.
Tej yam mob uas ua rau lub cev tsis muaj zog ntawm cov hlwb yog kev haus luam yeeb, hormonal ntshawv siab, mob kabmob ntev ntawm lub ncauj tsev menyuam, qhov chaw hauv zos lossis kev txo qis hauv kev tiv thaiv, kev kho phais mob ntawm ncauj tsev menyuam.
Cov ntaub ntawv ntawm khees-xaws tsev menyuam
Muaj qee tus neeg tsis muaj mob thiab mob khees xaws ncauj tsev menyuam. Yog hais tias tus kabmob preinvasive ntawm lub ncauj tsev menyuam tsis mus dhau ntawm epithelium, tus kabmob invasive tsis tsuas yog mus rau hauv cov khaubncaws sab nraud povtseg ntawm lub ncauj tsev menyuam, tab sis kuj mus rau hauv cov plab hnyuv siab raum, thiab kuj metastasizes rau cov qog cov qog thiab cov kab mob nyob nrug.
- Preclinical cancer tau muab faib ua ntej rau mob cancer in situ thiab microinvasive cancer ntawm lub ncauj tsev menyuam (lossis 1a theem nrog ntxeem tau ntawm lub stroma mus txog 3 hli).
- Mob khees xaws ntawm lub ncauj tsev me nyuam pib nrog lub 1b theem, thaum qhov ntxeem tau ntawm tus mob ntxiv rau qhov tob ntawm ntau tshaj 3 hli.
- Tag nrho cov theem ntawm cov kabmob kheesxaws xam tau tias yog: 2 theem thaum kis tau tus kabmob uas nyob ib sab - qhov chaw mos ntawm 2/3 lossis lub cev ntawm lub tsev menyuam ntawm ib sab.
- Qib 3 nrog infiltration ntawm tag nrho paum lossis hloov mus rau phab ntsa pelvic
- 4 theem ntawm kev hloov mus rau lub zais zis los yog dhau ntawm lub plab mog.
Nyob ntawm seb cov qe ntshav siab li cas yog qhov txawv, qhov txawv ntawm ntau hom kab mob cancer, txhua yam uas yog tus kheej:
- squamous cell carcinoma ntawm lub ncauj tsev menyuam (nrog lossis tsis muaj keratinization, loj lossis me-celled);
- adenocarcinoma ;
- glandular squamous cell carcinoma;
- adenoid cystic carcinoma;
- undifferentiated cancer.
Qhov qis dua qhov sib txawv ntawm cov qog nqaij hlav cancer, qhov nyuaj zog tus kab mob vam meej.
Raws li kev thoob ntiaj teb kev qog nqaij hlav ntawm ncauj tsev menyuam, kev mob ua paug preinvasive sib raug rau cov xoom theem raws li kev soj ntsuam kab mob qis thiab Tis raws li lub thoob ntiaj teb. Microinvasive tau sib sau mus rau T1a, thiab mob khees-xaws rau tus kabmob yog txhua theem ntawm kev ua haujlwm thoob ntiaj teb, thaum:
- T1b yog kheesxawj tsuas pub rau kev ntxias ntawm ncauj tsev menyuam xwb;
- T2 - tus kab mob kheesxaws hla dhau lub caj dab coj mus rau theem 2;
- T3 - cov kabmob kis mus rau phab ntsa ntawm lub plab lossis lub plab tag nrho lub cev, sib thooj rau cov theem 3;
- T4 sib sau mus rau 4 theem raws li kev soj ntsuam kab mob.
Metastasis ntawm mob khees xaws ncauj tsev menyuam
Tab sis nyob rau hauv kev thoob ntiaj teb, N- metastases rau cov qog no tau ntxiv:
- thaum N0 lawv tsis tuaj;
- ntawm N1 lawv tshwm sim hauv cheeb tsam cov qog lymphonoduses xwb;
- ntawm N2 - hauv cov chaw taws teeb.
Ntxiv nrog rau cov metastases rau cov qog ntshav hauv cov thoob ntiaj teb kev faib tawm, nws muaj ib qho kev xaiv rau cov metastases nyob deb - M, lawv los yog - M1, lossis tsis - M0. Yog li, raws li kev tawm tsam thoob ntiaj teb, pib ntawm cov txheej txheem ntawm tus kabmob ncauj tsev menyuam muaj peev xwm ua tau raws li nram no: T1BN0M0.