
leomyosarcoma

leomyosarcoma ack ghaatak (cancer) chikani maanspeshiyon kaa tumour haye. usee ootak seey utpann honey vaale saumya tumour koo leomyoma kahaa jaataa haye. jabaki leomyosarcoma koo leomyoma seey utpann honey key baare mein naheen socha jaataa haye, kuchh leomyoma roopon kaa vargeekaran vikasit hoe rhaa haye. 
harr saal lagbhag 100,000 logon mein seey ack koo leomyosarcoma (ell. aim. aiss.) kaa pataa chalata haye. ell. aim. aiss. naram ootak sarcoma key adhik samanya prakaron mein seey ack haye, joe 10 seey 20 pratishat nae mamalon kaa pratinidhitva kartaa haye. (huddy kaa leomyosarcoma adhik durlabh haye.) sarcoma durlabh haye, jisamen vayaskon mein kewal 1 pratishat cancer key mamle hotey hain. leomyosarcoma bahut apratyaashit hoe sakate hain; way lambe samay taka nishkriya reh sakate hain aur varshon key baad phir seey hoe sakate hain. yeh ack pratirodhi cancer haye, jiska arth haye kii aam taur parr chemotherapy yaa vikiran key liye bahut pratikriyaasheel naheen haye. sabse achche parinam taba hotey hain jaba ise shalya chikitsa dwara vyaapak margine key saath jaldi hataaya jaa sakata haye, jabaki chhota aur abhee bhee "sthiti mein".
tantra.
chikani maanspeshiyon kii koshikaaen anaichhik maanspeshiyon koo banaati hain, joe shareer key adhikansh hisson mein paaee jaati hain, jisamen garbhashay, pett aur aanten, sabhi rakt vaahikaon kii deevaaren aur twacha shamil hain, isaliye leomyosarcoma shareer mein kissy bhee sthaan parr dikhaai dey sakata haye. way aamtaur parr garbhashay, pett, chhoti aant aur retroperitonium mein paae jaate hain.
garbhashay key leomyosarcoma garbhashay kii maanspeshiyon kii parat mein chikani maanspeshiyon seey aatey hain. twachiya leomyosarcoma twacha mein pylo-erector maanspeshiyon seey utpann hotaa haye. gastroentestinal leomyosarcoma jee. aaee. tract mein chikani maanspeshiyon seey yaa vaikalpik roop seey rakt vahika seey aaa sakata haye. adhikansh anya praathamik sthalon parr-retroperitoneal charam seema (pett mein, aanton key peechhe), trunkle, pett key anga, aadi.- leomyosarcoma ack rakt vahika (tunica media) kii maanspeshiyon kii parat seey badhata huaa dikhaai detaa haye. iss prakaar, ack leomyosarcoma kaa mool sthaan rakt vahika seey shareer mein kaheen bhee hoe sakata haye.
tumour aamtaur parr raktasravi aur naram hotey hain aur sookshmadarshi roop seey pleomorphism dwara chihnit hotey hain, prachur matra mein (15-30 prati 10 uchch-shakti kshetron) asamanya mitotic aankade, aur coagulative tumour cell necrosis hotey hain. vibhedak nidan, jisamen spindle cell carcinoma, spindle cell melanoma, fibrosarcoma, ghaatak paridhiya tantrika aavaran tumour aur yahaan taka kii dwi-pratimaan sinonsal sarcoma bhee shamil hain, vyaapak haye.
nidan.
ell. aim. aiss. kaa nidan ack naram ootak biopsy karke aur isake ooti-vikriti vigyaan kii jaanch karke kiya jaataa haye. 
upchaar.
shalya chikitsa, jitna sambhav hoe sakey utane vyaapak doori key saath, aam taur parr ell. aim. aiss. parr hamla karane kaa sabse prabhaavi aur pasandida tarika rhaa haye. yadi shalya chikitsa key dauran gaanth kaa antar sankeern yaa spasht naheen haye, tou yaa kuchh sthitiyon mein jahaan tumour koshikaaen peechhe reh gaee theen, chemotherapy yaa vikiran koo spasht uttarjeevita laabh dene key liye dikhaaya gayaa haye. jabaki ell. aim. aiss. vikiran aur chemotherapy key liye pratirodhi hotaa haye, pratyek mamla alag hotaa haye aur parinam vyaapak roop seey bhinn hoe sakate hain. 
metastatic (vyaapak) roga key liye, chemotherapy aur lakshit upchaar pahale vikalp hain. 
chemotherapy key upchaar mein shamil hainh doxorubicin/ephosphamide aur doxorubicin sanyojan/gemcitabine aur dosetexcel/trabactedine; pazopanib lakshit chikitsa haye jiska upayog metastatic leomyosarcoma mein doosari pankti key roop mein kiya jaataa haye aur ise achchi tarah seey sahan kiya jaataa haye. 
garbhashay mool key ell. aim. aiss. aksar harmonal upchaaron key prati pratikriya karate hain. 2020 taka, garbhashay ell. aim. aiss. key liye kaee naidaanik pareekshan sakriya hain.
ullekhaniya mamle.
jinn logon koo leomyosarcoma huaa haye unamen shamil hainh

