
erythroplaakiya

oru mucus membranile eathenkilum erithamaattas (chuvapp) pradeshathe vivarikkunnathinulla oru klinikkal padamaanu erythroplakkiya, athu mattethenkilum pathologyode aaropikkan kazhiyilla.
lingathinte cancerinu munbulla chuvanna kshathathe vivarikkunnathinayi luis kweyraatt aanu erythroplasia enna padam upayogichathu. ithu kweyraattinte erythoplasia enna padatthinu kaaranamaayi. sandarbhathe aashrayich, eee padam prathyekichu glans lingathinte sthalathulla carcinomayo allengil valvaye chuvanna paachaayi kaanappedunnathino allengil mattu mucus membranilo traansishanal saittukalilo erythroplassiayude paryaayamaayi upayogikkaam.
ithu pradhaanamaayum glans lingathe (lingathinte thala) badhikkunnu, ennirunnaalum asaadhaaranamaamvidham ithu swarapedikayude mucus membranukalilum apoorvvamaayi vaayayilo gudadwaarathilo kaanapedaam.
erythroplakkiya velutha paadukale vivarikkunna leukoplakia enna padatthinu samaanamaan. iva randum chernnu, vaayile parambaraagathamaayi amgeekarikkappetta rund tharatthilulla premalignant shathangalaanu, oru kshathatthil chuvappum vella bhagangal adangiyirikkumbol, "speckled leukoplakia" allengil "irthrolucoplacia" enna padam upayogikkunnu.
leukoplakkiyekkaalkkaal valare kuravaanu ooral erythroplaakkiyenkilum, erythroplaakkiyayil displasia allengil carcinoma inn sittu undakanulla saadhyatha valare kooduthalaanu, oduvil ithu invasive schwamous sell carsinomayaayi (oru tharam ooral cancer) maarunnu.
adayaalangalum lakshanangalum.
palappozhum "erythroplasia", "erythroplaakiya" ennee padangal paryaayapadamaayi upayogikkunnundengil, chila srothassukal avaye verthirichariyunnu, randaamathethu macular (paranna) aanennum aadyathethu papular (bumpy) aanennum prasthaavikkunnu.
jananendria mucosayude erythroplaky palappozhum kweyraattinte erythroplasia ennu vilikkunnu.
vaayinte thara, buckel westibule, naav, mriduvaaya annaakk ennivayaanu erythroplaakiya kaanapedunna vaayile ettavum saadhaaranamaaya pradeshangal. nannayi verthirichirikkunna athirthikalulla chuvanna macule allengil plake aayi ithu kaanapedunnu. mriduvum velvettiyumaanu gadanayude savisheshatha. erithroplaakkiyaykkom leukoplakkiyayude aduthulla oru pradeshavum kandethaam.
erythroplasia larrinchial mucosayilo guda mucosayilo sambhavikkam.
kaaranagal.
erythroplaakkiyaykku anjjaathamaaya oru kaaranamund, ennaal ithu schwamous sell carsinomayude kaaranangalumayi saamyamullathaanennu gaveshakar karuthunnu. erythroplaakkiyayude ekadesham 40 shathamaanathilum carcinoma kaanapedunnu. 65-74 vayassinidayilulla prayamaaya purushanmaarilaan ithu kooduthalum kaanappedunnath. ithu saadhaaranayaayi pukavaliyumaayi bandhappettirikkunnu.
madyavum pukayila upayogavum apakada gadakangalaayi visheshippikkappettindu.
roganirnayam.
oru vaayile chuvanna kshathatthinte deferential roganirnayam.
kaazhchayil samanamaaya mattu niravadhi avasthakalundu, erythroplaakiya roganirnayam nadathunnathinu munbu athu thallikkalayanam (pattika kaanuka). chilappol, shathangal svayam thirichuvarunnundo atho mattoru kaaranam kandethaan kazhiyumo ennariyaan roganirnayam randaazhcha vare vaikippikkappedunnu. erythroplakkiya palappozhum displassiayumaayi bandhappettirikkunnathil ithu oru cancer bhedamillaatha shathamaanu.
biopsy.
sookshmaparishodhanayil, tissue 90 sathamaanam kesukalilum gurutharamaaya epithelial dysplasia, carcinoma-inn-sittu allengil invasive schwamous sell carcinoma enniva kaanikkunnu. keraattin ulppaadanathinte abhavavum epithelial koshangalude ennavum kuravaanu. antharleenamaaya rakthakkuzhalukalude gadanakal tissue kondu maranjirikkunnathinaal, oru klinikkal krameekaranatthil kaanumbol erythroplaakiya chuvapp niratthil kaanapedunnu.
chikitsa.
displassyayude vyaapthi thirichariyunnathinaayi kshathatthinte biopsy chikilsayil ulppedunnu. biopsyil kaanapedunna hystopathology aashrayich chilappol kshathatthinte poornnamaaya verthirikkal nirddeshikkappedunnu. eee sandarbhangalil polum, erythroplaakkiyayude aavarthanam saadhaaranamaanu, athinaal deerghakaala nireekshanam aavasyamaanu.
charithram.
1911-ll franch dermattolajist luis kweyraatt, gluns lingathinte kuthane nirvachikkappettathum thilakkamullathumaaya chuvapp, thilangunna velvetti precancer kshathathe vivarichu. velutha paadukale nirvachicha "leukoplassy" ykku saadrushyamaayi chuvanna phalakangale nirvachikkaan addeham "erythroplasy" enna padam upayogichu. leukoplassy" ennathu engleesh leukoplakiaykku (1861 ll roopappeduthiya) thulyamayathinaal, eee padam engleeshil erythroplaakiya aayi maari. athupole, moothranaaliyile velutha kshathangale vivarikkaanaan leukoplakia enna padam aadyam upayogichathu, 1877-ll vaayile velutha paadukalil ithu aadyamaayi prayogichu. vaayile chuvanna kshathangale vivarikkan erythroplaakiya enna padam aadyamaayi sweekarichathu eppozhaanu ennu vyakthamalla.
padavyuthpathishaasthram.
chuvanna paachu" ennartham varunna erythroplaakiya enna vaakk greak padangalaaya ερyθρος-"chuvapp", πλάx-"plate" ennivayil ninnaan uruthirinjathu."
lokaarogya samghadana ooral erythroplaky inipparayunna reethiyil nirvachikkunnu