mixoma

aadima connective tissuevinte oru mixoid tumouranu mixoma (mucus ennartham varunna greak 'muxa' ennathil ninnulla puthiya laattin). ithu saadhaaranayaayi hridayathilaanu kaanappedunnath (muthirnnavaril hridayathinte ettavum saadhaaranamaaya praadhamika tumouranu) ennaal mattu sthalangalilum ithu sambhavikkam.
tharangal.
thaazhe koduthirikkunna pattika
1.sma, minusamarnna peshi aaktin. 2.emm. ezz. eiii, peshi-nirddishta aaktin. 3.iii. emm. eiii., epithelial membran aantijan.
lakshanangalum adayaalangalum.
hridayathile arakalkkullile rakthathinte saadhaarana ozhukkine thadassappeduthunna tumourinte pindatthinte falamaanu cardiac mixomasumaayi bandhapetta lakshanagal saadhaaranayaayi undaakunnath. pedunculated mixomakal oru paridhivare chalanathmakamaayathinaal, rogi oru prathyeka sthaanathu aayirikkumbol maathrame lakshanagal undaakoo.
mixomayude chila lakshanagal mixoma interlookkin 6 (ail-6) purathuvidunnathumaayi bandhappettirikkam. uyarnna alavil ail-6 mixomayude embolism undakanulla saadhyatha kooduthalaanu.
oru cardiac mixomayude lakshanangalil iva ulppedunnu
sthalam.
okkular mixoma.
mattu kanjankttival stromal tumourukalumaayi palappozhum aashayakkuzhappathilaakunna messenkymal uthbhavamulla apoorvavum nirupadhikam soundaryaathmakavumaaya stromal tumouranu mixoma. kanjankttival mixomas tenoninte capsulil ninnu uthbhavikkunnathayi karuthappedunnu, koodaathe kanjankttival lymphoma, lymphangioma, okkular uparithala schwamous neoplasia (osn) allengil amelanotic melanoma enningane mukhamoodiyaakkaam.
atrial mixoma.
mixomakal saadhaaranayaayi hridayathinte idathuvashatho valathotto ulla aatriyathilaanu sthithicheyyunnathu; ekadesham 86 sathamaanavum idathu aatriyathilaanu sambhavikkunnath.
interaatriyal septtathil gadippichirikkunna oru thandu upayogichu mixomakal saadhaaranayaayi pinvalikkappedunnu. thandinte attaachment cheiyunnathinulla ettavum saadhaaranamaaya sthalam interaatriyal septtathinte phosa oval mekhalayaanu.
oru atrial mixoma oru adhika hridaya shabdam srishtikkum, ithu ezz 2 nuu thottupinnaale ooskaltteshan kelkkaam. ithu ecocardiography kaanapedunnu, roopathil vaividhyamaarnna oru pedungulated pindamayi. idathu atrial mixoma pulmonary capillary vedju marddam vardhippikkum.
lipomas, rabdomiomas (apoorvvamaayi terratomas) thudangiya mattu hridaya tumourukalum deferential diagnosisil ulppedunnu. ennirunnaalum, hridayathile eee mattu tumours saadhaaranayaayi pinvalikkappedunnilla, mathramalla hridayathinte peshikalilekku nuzhanjukayaraanulla saadhyatha kooduthalaanu. cardiac magnetic resonance imaging (emm. aarr. aii) noonn-invasive aayi cardiac tumours nirnnayikkaan sahayikkum. ennirunnaalum, roganirnayathinu saadhaaranayaayi oru paatholajist tissue sample parishodhikkendathundu.
chikitsa.
mixomous saadhaaranayaayi shasthrakriyayiloode neekkam cheyyappedunnu. sarjan kuranjathu 5 millimeter atrial septathinoppam mixoma neekkam cheiyunnu. perikaardiyatthil ninnulla vasthukkal upayogichu septtam nannaakkunnu.
epidemiology.
30 muthal 40 vareyulla praayathilulla sthreekalilaanu cardiac mixomas pradhaanamaayum kaanappedunnath. klinikkal praakteesil kaanapedunna praadhamika cardiac tumourukalude naalilonn muthal pakuthi vare varunna muthirnnavare badhikkunna ettavum saadhaaranamaaya praadhamika cardiac tumouranu mixomas.

