nguJason Wasserman MD PhD FRCPC
Mashi 30, 2023
I-Keratinizing squamous dysplasia yisifo sangaphambi komdlavuza esiqala ngokukhethekile ama-squamous cell ezimboza ubuso obungaphakathi be umgodi womlomo. Le ndawo ihlanganisa izindebe, ulimi, phansi komlomo, izihlathi, nolwanga oluqinile. I-Keratinizing squamous dysplasia ithathwa njengesifo sangaphambi komdlavuza ngoba ngokuhamba kwesikhathi ingaphenduka uhlobo lomdlavuza olubizwa ngokuthi. i-squamous cell carcinoma.
Cha. I-Keratinizing squamous dysplasia emlonyeni womlomo akuwona umdlavuza. Nokho, kuyisimo esiyingozi esingashintsha sibe uhlobo lomdlavuza olubizwa ngokuthi i-squamous cell carcinoma ngokuhamba kwesikhathi.
Isizathu esivame kakhulu se-keratinizing squamous dysplasia emlonyeni womlomo ukubhema. Ezinye izimbangela zihlanganisa ukuphuza ngokweqile, ukucindezelwa kwamasosha omzimba, nezimo ezivuthayo ezifana ne-lichen planus.
Ukuxilongwa kwe-keratinizing squamous dysplasia ngokuvamile kwenziwa ngemva kokukhishwa kwesampula encane yezicubu ngenqubo ebizwa ngokuthi i-biopsy. I-biopsy ngokuvamile yenziwa ngoba wena noma udokotela wakho nibone indawo ebukeka ngendlela engavamile yezicubu ngaphakathi komgodi womlomo wakho. Umbiko wakho we-pathology cishe uzosho ukuthi iyiphi ingxenye yomgodi womlomo eyathathwa isampula ku-biopsy. Ukuxilongwa kungenziwa futhi ngemva kokukhishwa kwesiqephu esikhulu sethishu ngendlela ebizwa ngokuthi ukuziqhenya.
Emgogodleni womlomo, i-keratinizing squamous dysplasia ivame ukuhlukaniswa ngamabanga amathathu: i-keratinizing squamous dysplasia, i-keratinizing squamous dysplasia emaphakathi, kanye ne-keratinizing squamous dysplasia eqinile.
Ibanga le-keratinizing squamous dysplasia libaluleke kakhulu ngoba lihlobene nengozi yokuthola uhlobo lomdlavuza olubizwa ngokuthi. i-squamous cell carcinoma esikhathini esizayo. I-Mild keratinizing squamous dysplasia ihlotshaniswa nengozi ephansi kakhulu yokuba nomdlavuza futhi labo ababa nomdlavuza bavame ukuwuhlakulela ngemva kweminyaka eminingi. I-squamous dysplasia ye-keratinizing emaphakathi futhi eqinile ihlotshaniswa nengozi enkulu yokuba nomdlavuza futhi iziguli ngokuvamile zinikezwa ukwelashwa ukuze zisuse lesi sifo ngaphambi kokuba sidlulele kumdlavuza.
Ama-pathologists anquma ibanga ngokuqhathanisa amangqamuzana angavamile endaweni yesifo nanempilo ama-squamous cell ngokuvamile kutholakala emgodini womlomo. Ngokuqondile, izazi ze-pathologists zibheka ubukhulu, ukuma, nombala wamaseli we-squamous ongavamile kanye nenani izibalo ze-mitotic (ukuhlukanisa amaseli).
A wekhasi yinoma yisiphi isicubu esisikwe udokotela ohlinzayo ukuze akhiphe indawo engajwayelekile yethishu emzimbeni wakho. Izinhlobo zamamajini ezichazwe embikweni wakho zizoncika endaweni yembobo yomlomo ehilelekile kanye nohlobo lokuhlinzwa olwenziwa. Amamajini ngokuvamile achazwa embikweni wakho ngemva kokuba yonke indawo engavamile yezicubu isisusiwe.
Umkhawulo ongemuhle usho ukuthi i-dysplasia ayibonwanga kunoma yimiphi imiphetho yezicubu. Imajini ibizwa ngokuthi i-positive lapho i-dysplasia ibonakala emaphethelweni ezicubu ezisikiwe. Umkhawulo omuhle uhlotshaniswa nengozi enkulu yokuthi i-dysplasia izobuya endaweni efanayo ngemva kokwelashwa.