Chondrosarcoma ndeimwe yeanonyanya kufarirwa nekenza yemapfupa muvakuru vanopfuura makore makumi mashanu. Inogona kuongororwa pamatanho akasiyana emuviri. Kuvhiya ndiko kurapwa kwechisarudzo chekutanga.

Tsanangudzo yechondrosarcoma

Chondrosarcoma imhando yegomarara remapfupa. Bundu rinouraya rine hunhu hwekutangira panosangana mapfupa maviri padanho rearticular cartilage (inochinjika uye inopikisa tishu inovhara majoini).

Chondrosarcoma inogona kukura mune chero majoini cartilage. Inonyanya kucherechedzwa pamwero we:

• mapfupa akareba akadai sefemur (chidya chepfu), tibia (gumbo pfupa), uye humerus (bhonzo reruoko);
• mapfupa akafuratira senge scapula (kumashure bhonzo), mbabvu, musana uye pelvic mapfupa.

Kusarudzwa kwechondrosarcomas

Cancers inogona kugoverwa maererano nezvakawanda parameters.

Semuenzaniso, zvinokwanisika kusiyanisa primary chondrosarcoma kubva yechipiri chondrosarcoma. Zvinonzi ndezvechipiri kana zvichikonzerwa nekukura kwerimwe bundu.

Zvirwere zvegomarara zvinoiswawo pasi zvichienderana nekuwanda kwavo. Isu tinotaura nezve staging mumutauro wekurapa. Hukuru hwegomarara remapfupa hunoongororwa mumatanho mana. Iyo yakakwirira nhanho, ndiko kuwedzera kwegomarara rapararira nemuviri wese.

Muzvizhinji zvezviitiko, chondrosarcomas iri pamatanho akaderera. Nhanho 1 kusvika ku3 inoenderana nemafomu emuno. Nhanho 4 inoratidzira metastatic mafomu: cancer maseru akatamira kune zvimwe zvimiro mumuviri.

Ongorora: ganda regomarara remapfupa harishandiswe kumamota mumusana uye pelvis.

Zvikonzero zve chondrosarcoma

Kufanana nemamwe marudzi mazhinji egomarara, chondrosarcoma ine mavambo ayo asati anyatsonzwisiswa.

Kusvika iye zvino, zvakaonekwa kuti kukura kwechondrosarcoma kunogona kukonzerwa kana kufarirwa ne:

• benign (kwete kenza) mapfupa emapfupa akadai sechondroma kana osteochondroma;
• bilateral retinoblastoma, rudzi rwekenza yeziso;
• Chirwere chePaget, chirwere chepfupa chisina kunaka;
• Li-Fraumeni syndrome, mamiriro asingawanzo kutungamira kune akasiyana marudzi emamota.

Kuongororwa kwechondrosarcoma

Rudzi urwu rwegomarara runogona kufungidzirwa mune izvo zvataurwa pamusoro apa, kana pamberi pezvimwe zviratidzo zvekiriniki. Kuongororwa kwechondrosarcoma kunogona kusimbiswa nekudzika ne:

• bvunzo dzekurapa dzekufungidzira dzakadai se-x-ray, CT scans, magnetic resonance imaging (MRI) uye bone scintigraphy;
• biopsy iyo inosanganisira kutora chimedu chematishu kuti chiongororwe, kunyanya kana gomarara richifungidzirwa.

Iyi bvunzo inogona kushandiswa kusimbisa kuongororwa kweosteosarcoma, kuyera huwandu hwayo uye kutarisa kuvepo kana kusavapo kwemasastases.

Vanhu vane hanya

Chondrosarcomas inowanzoonekwa kune vanhu vakuru vanopfuura makore 50. Aya magomarara anogona zvakadaro kuoneka kubva pamakore makumi matatu. Ivo havawanzoonekwa muvana nevechiri kuyaruka.

Pfupa kurwadziwa

Kurwadza kwebhonzo kazhinji chiratidzo chekutanga chegomarara remapfupa. Marwadzo anogona kuva echigarire kana kwenguva pfupi, zvakanyanya kana kushoma zvakanyanya, akaiswa munzvimbo kana kupararira.

Kuzvimba kwenzvimbo

Kukura kwechondrosarcoma kunogona kutungamira pakuonekwa kwebundu kana kuti palpable mass munyama yakakanganiswa.

Zvimwe zviratidzo zvakabatana

Marwadzo anogona kuperekedzwa nezvimwe zviratidzo zvichienderana nenzvimbo, rudzi uye mafambiro egomarara. Semuyenzaniso :

• kukanganiswa kwemotokari, kunyanya kana mapfupa echiuno akabatwa;
• matambudziko ekufema kana gomarara raita mbabvu.

Kupindira kwekuvhiya

Kuvhiya ndiko kurapwa kwechisarudzo chekutanga. Kupindira kunogona kushandisa nzira dzakasiyana dzinosanganisira:

• excision yakakura, inova kubviswa kwebundu pamwe nechikamu chebhonzo uye matishu akajairika akaripoteredza;
• curettage, inova kubviswa kwebundu kuburikidza nekukwenya pasina kukanganisa bhonzo.

Radiotherapy

Iyi nzira inosanganisira kushandisa mwaranzi kuparadza masero egomarara. Inofungidzirwa apo chondrosarcoma haigoni kubviswa nekuvhiyiwa.

Kuvhiya uye chemotherapy

Apo chondrosarcoma ine hutsinye, chemotherapy inogona kuonekwa kunze kwekuvhiyiwa. Chemotherapy kurapwa kunoshandisa makemikari kumisa cancer maseru kukura.

immunotherapy

Iyi inzira itsva yekurapa cancer. Inogona kunge iri mubatsiri kana imwe nzira kune marapirwo ataurwa pamusoro apa. Kutsvakurudza kwakawanda kuri kuitwa. Chinangwa che immunotherapy ndechekusimudzira dziviriro yemuviri kurwisa kukura kwemasero egomarara.

Kwakabva chondrosarcomas kuchiri kusanzwisiswa. Kazhinji kutaura, kudzivirira cancer parizvino kunoenderana nekuchengetedza mararamiro ane hutano.

Inokurudzirwawo kutsvaga mazano ekurapa mune kusava nechokwadi kuduku. Kukurumidza kuongororwa kunokurudzira kurapwa kunobudirira uye kunoderedza njodzi yezvinetso.