Bakeng sa kankere Penile: etiology, libōpeho tsa tleleniki le kalafo

Bakeng sa kankere setho - lefu le sa tloaelehang ka ditiragalo tsa 0,1 ho banna 8 ka 100 likete .. Ka tloaelo ho, Kankere localized ka hlooho ea botoneng e - 48%, matlalo - 20%, ka 'mele oa botoneng e - ka tlase ho 2%,' me ka gogoga sulcus sebakeng ho fihlela ho 6%. Kankere ea botoneng hangata metastasizing lijana lymphatic ho nodes lebatowa lisele tsa mmele.

Kankere ea hlooho ea botoneng le: Sesosa

Ho fihlela joale, lingaka li ne a ke ke fumana lebaka leha e le efe e 'ngoe-tsehelitseng bakang kankere matshwao penile. Ho lumeloa hore itseng mafu a, tse kang phimosis, ho teneha foleng ka lebaka la ho se hloeke 'meleng empa mafutsana litho kopanela liphate, qholotsa ntshetsopele ya lefu. Tabeng ena, ho prepuce e bokeletseng smegma, ka mokhoa oa ho hydrolysis lona di thehoa metsoako carcinogenic, susumelletsang motho ntshetsopele ya kankere. Lingaka li re hore lebollo thibela ntshetsopeleng kankere. A Correlation positive, pakeng tsa papillomavirus me ntshetsopele ya setho sa kankere. Ka tloaelo, kankere ea botoneng e ho kopantswe le ho ba teng ha kokoana-hloko.

Classification tsa mekhahlelo lefu la ntshetsopeleng

Ka sehloohong histological Kankere - Kankere penile squamous (95% ya tsohle mafu a bolaoa ke kankere ka tse bakang penile bakeng sa kankere). Infrequently hlokomela basal carcinoma seleng e le melanoma bolaeang.

Seo ho thoeng ke mafu a pele ho kankere ka classified ka tlama, facultative. Ho tlama malwetse kenyeletsa penile intraepithelial neoplasia - ke lefu Bowen, e erythroplasia Kveyrata obliterans balanitis. Bakeng sa pathologies boikhethelo precancerous kenyeletsa papillomavirus botoneng le cutaneous lenaka.

Kankere ea botoneng ba: ba sethaleng sa ntshetsopele ya bokgoni

Ke sethaleng - Kankere etsa kopo subepithelial dinama tse nyenyane tse connective.

Sethaleng II - Kankere localized ka spongy le 'mele cavernous.

Sethaleng III - Kankere namela ho ea tšoelesa ea senya kapa urethra. Tlalehiloeng metastases ka nodes lebatowa lisele tsa mmele.

IV sethaleng - Kankere ea botoneng ba ata ho lisele tse ling. Metastases ba ngolisitsoeng ka nodes lebatowa le hōle lisele tsa mmele.

bakeng sa kankere Penile: matšoao tlelenike

Ho tloha ka bolwetse ena e localized ka feditsweng ka ntle, lona le bonolo haholo ho hlahloba. Ka qalong ea lefu ka hlooho ea botona le holim 'le ka hare la matlalo a thehoa maqhutsu, liso tsa ka maleng, papilloma, mapetsong,' me a sa tšoaneng litiiso kapa palo 'mala o mofubelu. Banna le phimosis congenital ela hloko purulent exudate tswa prepuce koetsoeng. Ka hare prepuce palpation ikutloa liqibi.

mekhahlelo ea pele ea kankere ea botoneng ba tsamaea le dithulaganyo hlabang (balanitis, balanoposthitis, joalo-joalo). Bakuli ba, esita le ha lemoha ka liqibi ka "sebaka seo e haufi-ufi" e leng ka seoelo haholo retelehela ho litsebi li. Ka mekhahlelo hamorao tsa lefu lena le, ha Kankere e hlasela urethra le 'mele cavernous, o ile a re mafu a dysfunctional ba tsamaiso genitourinary (ho hlohlona, tukang, e matla ho ntša metsi, bofokoli kapa moqotetsane jete, boemong bo sa thabiseng ka nako ho ntša metsi, ka nako e telele tsogelwa). Ka ho bola tsa hlahala ho ruruha ea eketseha, e leng haholo totisa boloetse bona. Tshebetso ena e tsamaea le serous tsa melupe purulent lero ho tswa prepuce, ka lipontšo tsa matlalo le fistula sebopeho. Ka linako tse ling ho na le perforation tsa prepuce le sprawling dinama tse nyenyane tse carcinogenic. Bofokoli le cachexia (senyehang) - hamorao matšoao a bolwetse.

bakeng sa kankere Penile: kalafo

Ka mekhahlelo ea pele ea lefu lena le bontša sireletsa phekolo: cryotherapy, phekolo ba selehae tham mong bang laser, phekolo ea lik'hemik'hale ea moo (fluorouracil), ea moo excision leifo, photodynamic phekolo. Ka mekhahlelo hamorao ea ho hōla bakeng sa kankere o etsoa amputation tsa glans ena.