Hauv cov lus kho mob, qhov o o yog hais txog qhov o ntawm cov nqaij, hloov pauv lossis ib feem ntawm lub cev. Qhov no tuaj yeem cuam tshuam nrog kev mob o, ua paug, tom qab raug mob hematoma, mob hauv plab lossis txawm tias muaj qog. Nws yog qhov laj thawj nquag tham nrog kws kho mob. Cov tsos mob sib txawv nyob ntawm qhov xwm txheej thiab qhov chaw ntawm qhov o. Kev hnoos yog ib qho kev qhia kho mob, tsis yog tsos mob. Kev kuaj mob yuav raug nthuav tawm raws li cov ntsiab lus thiab yuav tau txais kev txhawb nqa los ntawm kev tshuaj xyuas ntxiv (x-rays, ultrasound, MRI, scanner). Kev kho mob kuj tseem yuav nyob ntawm hom kev o, thiab tshwj xeeb yog nws qhov ua rau.

Yog tias lo lus "pob txha o" tau siv me ntsis, hais nruj me ntsis, hauv kev kho mob ntiaj teb, qee cov qog ua rau lub cev pob txha deforming tuaj yeem ua rau pom qhov o tuaj ntawm palpation. Cov pob txha pob txha yog kev txhim kho cov ntaub so ntswg hauv cov pob txha. Feem ntau cov qog nqaij hlav yog qhov tseeb (tsis yog mob qog noj ntshav) piv rau cov qog nqaij hlav (mob qog noj ntshav). Qhov sib txawv tseem ceeb thib ob yog cais cov qog "thawj", feem ntau yog benign, los ntawm theem nrab (metastatic) ib txwm ua phem.

Cov pob txha tsis zoo (tsis yog mob qog noj ntshav) yog pob uas tsis kis mus rau lwm qhov hauv lub cev (tsis yog metastasize). Cov qog benign feem ntau tsis muaj kev phom sij rau lub neej. Feem ntau cov qog nqaij hlav uas tsis yog mob qog noj ntshav raug tshem tawm los ntawm kev phais lossis kho kab mob, thiab feem ntau lawv tsis rov qab los (rov tshwm sim).

Thawj cov qog pib hauv pob txha thiab tuaj yeem ua tau zoo lossis tsis tshua muaj ntau, ua rau tsis zoo. Tsis muaj laj thawj lossis qhov tseem ceeb piav qhia vim li cas lossis lawv tshwm sim li cas. Thaum lawv muaj nyob, cov tsos mob feem ntau mob hauv qhov mob ntawm pob txha txhawb nqa, sib sib zog nqus thiab ruaj khov uas, tsis zoo li pob txha pob txha, tsis poob qis thaum so. Tshwj xeeb tshaj yog, cov qog uas ua rau cov nqaij pob txha tsis muaj zog tau nthuav tawm los ntawm qhov "xav tsis thoob" vim nws tshwm sim tom qab raug mob tsawg.

Muaj ntau ntau yam sib txawv ntawm cov qog benign cuam tshuam nrog ntau hom cell uas ua rau nws: tsis-ossifying fibroma, osteoid osteoma, qog nqaij hlav loj heev, osteochondroma, chondroma. Lawv feem ntau cuam tshuam rau cov hluas thiab cov hluas, tab sis kuj yog menyuam yaus. Lawv txoj kev ua siab zoo yog tus yam ntxwv los ntawm lawv qhov qeeb ntawm kev hloov pauv thiab tsis muaj kev sib kis nyob deb. Lawv qhov chaw tshwm sim feem ntau nyob ze ntawm lub hauv caug, lub plab, thiab lub xub pwg.

Raws li txoj cai dav dav, suav nrog qee qhov qog (tsis yog ossifying fibroma), nws tau hais kom tshem cov qog kom tshem tawm qhov tsis xis nyob lossis mob, txhawm rau txo qhov kev pheej hmoo ntawm kev tawg lossis, tsis tshua muaj, txhawm rau tiv thaiv nws los ntawm kev hloov pauv. nyob rau hauv cov qog malignant. Kev ua haujlwm suav nrog ua qhov kev txiav tawm (tshem tawm) ntawm qhov cuam tshuam ntawm cov pob txha, hauv kev them nyiaj rau thaj chaw raug tshem tawm thiab muaj peev xwm ntxiv dag zog rau cov pob txha nrog cov khoom siv phais hlau lossis osteosynthesis. Cov qog nqaij hlav uas tau tshem tawm tuaj yeem ntim nrog cov pob txha los ntawm tus neeg mob (autograft) lossis pob txha los ntawm lwm tus neeg mob (allograft).

Qee cov qog nqaij hlav benign tsis muaj cim lossis mob. Nws qee zaum yog qhov kev tshawb pom hluav taws xob tsis zoo. Qee lub sij hawm nws yog qhov mob ntawm pob txha cuam tshuam uas xav tau kev tshuaj xyuas hluav taws xob kom tiav (X-ray, CT scan, txawm tias MRI). Feem ntau, kev siv tshuaj kho mob ua rau nws muaj peev xwm txheeb xyuas qhov tseeb ntawm hom qog nqaij hlav, vim nws qhov tshwj xeeb tshwj xeeb hauv lub ntsej muag. Qee qhov xwm txheej uas tsis tuaj yeem txheeb xyuas qhov tseeb, tsuas yog kuaj cov pob txha txhawm rau paub tseeb qhov kev kuaj mob thiab txiav tawm qhov kev ua xyem xyav ntawm cov qog ua qog. Tus qauv pob txha yuav raug tshuaj xyuas los ntawm tus kws paub txog kab mob.

Nco tseg qhov xwm txheej tshwj xeeb ntawm osteoid osteoma, qog nqaij hlav me me ob peb millimetres hauv txoj kab uas hla, feem ntau mob, uas qhov kev phais tsis ua los ntawm kws phais neeg tab sis los ntawm kws kho hluav taws xob. Cov qog ua kom sov raug puas tsuaj los ntawm ob lub tshuab hluav taws xob nkag rau hauv nws, nyob hauv kev tswj xyuas lub tshuab luam ntawv.

Thawj cov qog nqaij hlav hauv lub cev tsis tshua muaj thiab tshwj xeeb cuam tshuam rau cov hluas thiab cov hluas. Ob hom tseem ceeb ntawm cov qog nqaij hlav hauv lub hnub nyoog no (90% ntawm cov pob txha tsis zoo) yog:

• osteosarcoma, feem ntau ntawm cov qog nqaij hlav hauv pob txha, 100 txog 150 tus neeg mob tshiab hauv ib xyoos, feem ntau yog txiv neej;
• Ewing's sarcoma, mob qog noj ntshav tsawg tsawg cuam tshuam rau 3 hauv ib lab tus tib neeg hauv ib xyoos hauv Fabkis.

Mob tseem yog lub cim tseem ceeb. Nws yog qhov rov ua dua thiab mob siab rau ntawm cov kev mob no, uas tiv thaiv kev pw tsaug zog lossis tsis txawv txav, tom qab ntawd cov tsos mob ntawm qhov o uas ua rau thov kev kuaj mob (X-ray, scanner, MRI) uas yuav ua rau tus neeg xav tias kuaj mob. Cov qog no tsis tshua muaj tshwm sim thiab yuav tsum tau kho hauv cov kws tshaj lij.

Kev phais mob yog lub hauv paus ntawm kev kho mob sarcomas, thaum nws tuaj yeem ua tau thiab tus kab mob tsis kis tau. Nws tuaj yeem ua ke nrog kev kho hluav taws xob thiab tshuaj kho mob. Qhov kev xaiv kho yog ua kom muaj kev sib koom ua ke ntawm cov kws tshwj xeeb los ntawm kev qhuab qhia sib txawv (phais, kho hluav taws xob, kho mob qog noj ntshav, kho duab, kho lub cev) thiab ib txwm xav txog qhov tshwj xeeb ntawm txhua tus neeg mob.

Cov qog tseem ceeb uas tuaj yeem ua rau cov pob txha metastases (qog qog) yog lub mis, raum, prostate, qog ntshav thiab qog noj ntshav hauv lub ntsws. Kev kho cov metastases no lub hom phiaj txhawm rau txhim kho tus neeg mob lub neej, los ntawm kev txo qhov mob thiab txo qhov kev pheej hmoo ntawm kev tawg. Nws tau txiav txim siab thiab tshuaj xyuas los ntawm pab pawg ua haujlwm ntau tus kws kho mob (kws kho plawv, kws phais neeg, kws kho hluav taws xob, thiab lwm yam).