papillary renal cell carcinoma

Papillary Renal Cell Carcinoma: He alakaʻi piha

Papillary renal cell carcinoma (papillary renal cell carcinoma) he ʻano maʻi maʻi maʻi maʻi puʻupaʻa i puka mai i loko o ke kaʻe o nā tubules o ka puʻupaʻa. Hāʻawi kēia alakaʻi i ka ʻike hohonu e pili ana i kona ʻano, ka maʻi, ka mālama ʻana, a me ka wānana. He mea koʻikoʻi ka hoʻomaopopo ʻana i kēia kūlana no ka ʻike mua ʻana a me ka hoʻokele pono.

Ka hoʻomaopopo ʻana i ka maʻi maʻi maʻi maʻi maʻi papillary

Nā ʻano o ka maʻi maʻi maʻi papillary renal cell carcinoma

Papillary renal cell carcinoma ua hoʻokaʻawale ʻia i ʻelua mau ʻano nui e pili ana i nā hiʻohiʻona cell: ʻano 1 a me ke ʻano 2. ʻO ke ʻano 1 ka mea maʻamau a ʻoi aku ka maikaʻi o ka prognosis ma mua o ke ʻano 2, i pili pinepine ʻia me ka ulu ʻoi aku ka paʻakikī a me ka piʻi nui o ka hoʻi hou ʻana. Hiki ke hana hou ʻia ka subclassification ma muli o nā hiʻohiʻona histological hou. Pono ka hoʻokaʻawale pololei ʻana no ke alakaʻi ʻana i nā hoʻoholo lapaʻau.

Nā hōʻailona o ka Papillary Renal Cell Carcinoma

Nui nā poʻe me ka pae mua papillary renal cell carcinoma ʻaʻole ʻike i nā hōʻailona ʻike ʻia. I ka ulu ʻana o ka maʻi koko, akā naʻe, hiki ke ulu nā hōʻailona. Hiki i kēia mau mea ke komo i ka hematuria (ke koko i loko o ka mimi), ka ʻeha o ka ʻaoʻao, ka ʻōpū o ka ʻōpū, a i ʻole ka pohō kaumaha. He mea koʻikoʻi ke nīnau ʻana i ke kauka lapaʻau inā ʻike ʻoe i kekahi o kēia mau hōʻailona. Hoʻomaikaʻi nui ka ʻike mua ʻana i nā hopena lapaʻau.

ʻO ka hōʻailona o ka maʻi maʻi maʻi maʻi papillary

Hoʻomaka ka maʻi maʻamau me nā haʻawina kiʻi e like me ke ultrasound, CT scan, a i ʻole MRI. Pono pinepine kahi biopsy e hōʻoia i ka hōʻoia a hoʻoholo i ke ʻano kikoʻī o papillary renal cell carcinoma. Hiki ke hana ʻia nā hoʻokolohua hou aʻe e nānā i ka nui o ka laha ʻana o ka maʻi kanesa (staging).

Nā Koho Lapaʻau no ka Papillary Renal Cell Carcinoma

Hoʻopau ʻokiʻoki

ʻO ka wehe ʻana i ke kīpē i hoʻopilikia ʻia (nephrectomy hapa a piha paha) ʻo ia ka lāʻau mua loa papillary renal cell carcinoma. ʻO ka nui o ke kaʻina e pili ana i ka nui, kahi, a me ka pae o ka maʻi kanesa. Hoʻohana pinepine ʻia nā ʻenehana hōʻemi liʻiliʻi e hōʻemi i nā pilikia post-operative.

ʻO ka Lapaʻau Kūlohelohe

ʻO nā lāʻau lapaʻau i manaʻo ʻia, e like me nā tyrosine kinase inhibitors (TKIs), e hoʻopaʻa i nā protein kikoʻī e hāpai i ka ulu ʻana o ka maʻi kanesa. Hiki ke hoʻohana wale ʻia kēia mau lāʻau lapaʻau a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe, ʻo ia hoʻi i nā hihia kiʻekiʻe a i ʻole metastatic. ʻO ke koho ʻana o ka lāʻau lapaʻau i hoʻopaʻa ʻia e pili ana i nā ʻano genetic kikoʻī o ka ʻōpū.

Immunotherapy

Hoʻohana ka Immunotherapy i ka ʻōnaehana pale ʻana o ke kino e hakakā i nā maʻi maʻi maʻi. ʻO nā mea hoʻopaneʻe hōʻoia he ʻano o ka immunotherapy i hiki ke hana maikaʻi i ka mālama ʻana papillary renal cell carcinoma, ʻoi aku ka nui o nā maʻi me nā maʻi ʻoi loa. Hoʻohana pinepine ʻia kēia mau lāʻau lapaʻau me nā lāʻau lapaʻau ʻē aʻe.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. ʻOiai ʻaʻole maʻamau ka lapaʻau mua no papillary renal cell carcinoma, hiki ke hoʻohana ʻia no ka mālama ʻana i ka ʻeha a i ʻole ka mālama ʻana i ka ulu ʻana o ka maʻi maʻi ma nā pae holomua a i ʻole i nā hihia inā ʻaʻole he koho.

Ka wānana a me ka mālama ʻana

ʻO ka wānana no papillary renal cell carcinoma 'ano like 'ole ma muli o kekahi mau kumu, e like me ke 'ano, ke kahua, a me ka helu o ka ma'i 'a'ai, a me ke ola kino o ka mea ma'i. ʻO ka mālama mau ʻana, me nā haʻawina kiʻi kiʻi a me nā hoʻāʻo koko, pono e nānā no ka hoʻi hou ʻana a ʻike koke i nā pilikia hou. He mea nui ka launa pū ʻana me kāu oncologist no ka hoʻokele wā lōʻihi.

Nā kumuwaiwai a me ke kākoʻo

No ka ʻike hou aku a me ke kākoʻo, e noʻonoʻo e kelepona i ka ʻAmelika Hui Pū ʻIa a i ʻole ka National Institute of Diabetes and Digestive and Kidney Diseases. No nā maʻi ma ka mokuʻo Shandong, ka Shandong Baofa Cancer Research Institute hāʻawi i ka mālama maʻi maʻi āpau a me ke kākoʻo.

Noi hou a me na hoao

Ke hoʻomaikaʻi mau nei ka noiʻi ʻana i ko mākou ʻike papillary renal cell carcinoma a me ka hoʻomohala ʻana i nā lāʻau lapaʻau hou a ʻoi aku ka maikaʻi. Makemake paha nā maʻi e ʻimi i nā hoʻokolohua lapaʻau ma ke ʻano he koho kūpono no ke komo ʻana i nā lāʻau lapaʻau hou. Hiki i kāu oncologist ke hāʻawi i ke alakaʻi i ka ʻimi ʻana i nā hoʻokolohua kūpono.

Hōʻole: Ua manaʻo ʻia kēia ʻike no nā kumu hoʻonaʻauao wale nō a ʻaʻole ia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kekahi kauka lapaʻau kūpono no nā pilikia olakino a i ʻole ma mua o ka hoʻoholo ʻana e pili ana i kou olakino a lapaʻau paha.