Isimila seseli likaSertoli-Leydig

I-Sertoli-Leydig cell tumor (SLCT) umdlavuza ongajwayelekile wama-ovari. Amaseli womdlavuza akhiqiza futhi akhiphe i-hormone yocansi yowesilisa ebizwa nge-testosterone.

Ayaziwa imbangela ngqo yalesi sifo. Izinguquko (ukuguquka) kwezakhi zofuzo zingadlala indima.

I-SLCT yenzeka kakhulu kwabesifazane abasebasha abaneminyaka engama-20 kuya kwengama-30 ubudala. Kodwa isimila singenzeka nganoma yisiphi isikhathi.

Amaseli weSertoli ajwayele ukutholakala kwizindlala zesilisa zokuzala (ama-testes). Bondla amaseli wesidoda. Amaseli eLeydig, nawo atholakala emasendeni, akhipha i-hormone yowesilisa ocansini.

Lawa maseli atholakala nakumaqanda esifazane, futhi ezimweni ezingavamile kakhulu kuholela kumdlavuza. I-SLCT iqala kuma-ovaries abesifazane, ikakhulukazi ku-ovary eyodwa. Amaseli womdlavuza akhipha i-hormone yowesilisa ocansini. Ngenxa yalokho, owesifazane angaba nezimpawu ezifana nokuthi:

• Izwi elijulile
• I-clitoris ekhulisiwe
• Izinwele zobuso
• Ukulahlekelwa ngosayizi webele
• Ukumiswa kwezikhathi zokuya esikhathini

Ubuhlungu esiswini esingezansi (indawo ye-pelvic) ngesinye isibonakaliso. Kwenzeka ngenxa yokucindezela kwesimila ezakhiweni eziseduze.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba kanye nokuhlolwa kwe-pelvic, bese ebuza ngezimpawu.

Ukuhlolwa kuzoyalelwa ukuthi kubhekwe amazinga ama-hormone abesifazane nabesilisa, kufaka phakathi i-testosterone.

Kungenzeka kusetshenziswe i-ultrasound noma i-CT scan ukuthola ukuthi sikuphi isimila nosayizi nomumo waso.

Kuhlinzwa ukwenziwa ukususa eyodwa noma womabili amaqanda.

Uma isimila sesithuthukile, ukwelashwa ngamakhemikhali noma ukwelashwa ngemisebe kungenziwa ngemuva kokuhlinzwa.

Ukwelashwa kusenesikhathi kuba nomphumela omuhle. Izici zesifazane zivame ukubuya ngemuva kokuhlinzwa. Kepha izici zesilisa zixazulula kancane.

Ngezicubu ezisezingeni eliphakeme kakhulu, umbono awuhle kakhulu.

Isimila seseli se-Sertoli-stromal; I-Arrhenoblastoma; Androblastoma; Umdlavuza we-Ovarian - Sertoli-Leydig cell tumor

• Uhlelo lokuzala lwabesilisa

UPenick ER, uHamilton CA, uMaxwell GL, uMarcus CS. Iseli leGerm, i-stromal, nezinye izicubu zama-ovari. Ku: IDiSaia PJ, iCreasman WT, iMannel RS, iMcMeekin DS, iMutch DG, ama-eds. I-Clinical Gynecologic Oncology. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 12.

USmith RP. Isimila seseli Sertoli-Leydig (arrhenoblastoma). Ku: Smith RP, ed. I-Netter’s Obstetrics & Gynecology. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 158.