Lapaʻau ʻana o ka maʻi maʻi maʻi maʻi maʻi: He alakaʻi piha ka hoʻomaopopo ʻana i ka maʻi maʻi maʻi papillary maʻi.lapaʻau papillary renal cell carcinoma), me kāna hōʻailona, nā koho lapaʻau, a me ka wānana. E ʻimi mākou i nā ala like ʻole, e kūkākūkā i nā hopena ʻaoʻao, a e hōʻike i ke koʻikoʻi o ka mālama pilikino i ka mālama ʻana i kēia ʻano maʻi maʻi maʻi maʻi. No nā kumu hoʻonaʻauao ka ʻike ma aneʻi a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā mau me kāu mea mālama ola no nā hoʻolālā lapaʻau pilikino.
Ka hoʻomaopopo ʻana i ka maʻi maʻi maʻi maʻi maʻi papillary
He aha ka Papillary Renal Cell Carcinoma?
ʻO ka maʻi maʻi maʻi ʻaʻai ʻo Papillary renal cell carcinoma (PRCC) kahi ʻano o ka maʻi maʻi maʻi maʻi i loaʻa mai i ke kapa o nā tubules o ka puʻupaʻa. Hoʻokaʻawale ʻia i ke ʻano 1 a me ke ʻano 2, me ka ʻano 1 ʻoi aku ka maʻamau a ʻoi aku ka maikaʻi o ka wānana. Hōʻike ʻia nā keʻena maʻi maʻi ma lalo o kahi microscope e like me ka papillary (e like me ka manamana lima). He mea koʻikoʻi ka ʻike mua ʻana no ka holomua
lapaʻau papillary renal cell carcinoma.
ʻO ka hōʻailona o PRCC
Hoʻomaka ka maʻi me nā hoʻokolohua kiʻi e like me ke ultrasound, CT scan, a i ʻole MRI. Pono pinepine ka biopsy e hōʻoia i ka hōʻoia a hoʻoholo i ke ʻano kikoʻī a me ka pae o ka maʻi kanesa. Hiki ke mālama ʻia nā hoʻokolohua koko, e like me ka nānā ʻana i nā pae kiʻekiʻe o kekahi mau biomarkers.
Nā Koho Lapaʻau no ka Papillary Renal Cell Carcinoma
ʻO ka maikaʻi loa
lapaʻau papillary renal cell carcinoma pili i kekahi mau kumu, e like me ka pae o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me ke ʻano kikoʻī o PRCC.
Nā Koho ʻokiʻoki
ʻO ka ʻoki ʻana ka lāʻau lapaʻau mua no PRCC kūloko. ʻO nā koho he nephrectomy hapa (ka wehe ʻana i ke koko a me kahi ʻāpana liʻiliʻi o ka puʻupaʻa) a i ʻole ka nephrectomy radical (ka wehe ʻana i ka puʻupaʻa holoʻokoʻa). ʻO nā ʻenehana hōʻemi liʻiliʻi, e like me ka laparoscopy a i ʻole ke ʻoki ʻana i ka robotic-assisted, makemake pinepine ʻia no ko lākou hōʻemi ʻana i ka invasiveness. Hoʻoholo ʻia ke koho ʻana i ke ala ʻokiʻoki e nā mea e like me ka nui o ka tumora, kahi, a me ke olakino holoʻokoʻa o ka mea maʻi. Ma ka Shandong Baofa Cancer Research Institute (
https://www.baofahospital.com/), ke hoʻohana nei mākou i nā ʻenehana hoʻomaʻamaʻa holomua e hōʻoia i nā hopena maikaʻi loa no kā mākou poʻe maʻi.
ʻO ka Lapaʻau Kūlohelohe
ʻO nā lāʻau lapaʻau i hoʻopaʻa ʻia he mau lāʻau i hoʻolālā ʻia e hoʻouka i nā maʻi maʻi maʻi maʻi ʻoiai e hōʻemi ana i ka pōʻino i nā cell olakino. Hiki ke hoʻohana wale ʻia kēia mau lāʻau lapaʻau a i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe, e like me ke ʻoki a i ʻole immunotherapy. ʻO ke koho ʻana o ka lāʻau lapaʻau i manaʻo ʻia e pili ana i nā hoʻololi genetic kikoʻī i loko o ka ʻōpū.
Immunotherapy
Hoʻohana ka Immunotherapy i ka mana o ka ʻōnaehana pale o ke kino e hakakā ai i ka maʻi kanesa. Hoʻopili ia i ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻoulu ai i ka ʻōnaehana pale e ʻike a luku i nā maʻi kanesa. Ua hōʻike kēia ala i ka ʻōlelo hoʻohiki nui i ka mālama ʻana i ka PRCC kiʻekiʻe.
Lapaʻau Radiation
Hoʻohana ka lāʻau lapaʻau i nā kukuna ikaika nui e pepehi i nā maʻi maʻi maʻi. Hiki ke hoʻohana ʻia e hōʻemi i nā maʻi maʻi ma mua o ka hana ʻana a i ʻole e mālama i ka PRCC recurrent a metastatic paha.
Kemoterapi
Hoʻohana ka Chemotherapy i ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā maʻi maʻi maʻi. ʻOiai ʻaʻole pinepine ka lāʻau lapaʻau mua no PRCC, hiki ke hoʻohana ʻia i kekahi mau kūlana, e like me ka mālama ʻana i ka maʻi holomua a i ʻole metastatic.
ʻO ke kūlana a me ka wānana
ʻO ke kahua o ka
lapaʻau papillary renal cell carcinoma pili nui i ka prognosis a me nā hoʻoholo lapaʻau. ʻO ka hoʻopaʻa ʻana e pili ana i ka hoʻoholo ʻana i ka nui o ka maʻi ʻaʻai, inā ua laha i nā ʻōpū lymph kokoke a i ʻole nā ʻāpana mamao, a me ke olakino holoʻokoʻa o ka mea maʻi. Hoʻohana mau ʻia ka ʻōnaehana staging TNM e hoʻokaʻawale iā PRCC.
Noho me PRCC
Pono ka noho ʻana me PRCC i kahi ala holoʻokoʻa. He mea koʻikoʻi ka hana maʻamau me kāu oncologist no ka nānā ʻana i ke kanesa a me ka hoʻoponopono ʻana i ka mālama ʻana e like me ka mea e pono ai. Hiki i kahi pūnaewele kākoʻo o ka ʻohana, nā hoaaloha, a me nā hui kākoʻo ke hāʻawi i ke kōkua noʻonoʻo a kūpono i kēia manawa.
Nīnau pinepine
E hoʻonui ʻia kēia ʻāpana i nā mea hou e hiki mai ana e komo i nā pane i nā nīnau maʻi maʻamau.
Papa: Hoʻohālikelike i nā koho lapaʻau no PRCC
| ʻAno Lapaʻau | wehewehe | Nā pono | Nā pōʻino |
| ʻO ka ʻokiʻoki | ʻO ka wehe ʻana i ka ʻōpū a i ʻole ke kīpē. | He lāʻau lapaʻau no ka maʻi kūloko. | Loaʻa paha nā hopena ʻaoʻao e like me ka ʻeha, ka maʻi, a i ʻole ke koko. |
| ʻO ka Lapaʻau Kūlohelohe | ʻO nā lāʻau lapaʻau e hoʻopaʻa nei i nā maʻi maʻi maʻi. | Hiki ke hōʻemi i nā ʻōpū a hoʻomaikaʻi i ke ola. | Loaʻa paha nā hopena ʻaoʻao, e like me ka luhi, nausea, a me ka ʻili ʻili. |
| Immunotherapy | Hoʻoulu i ka ʻōnaehana pale e hakakā i ka maʻi kanesa. | Hiki ke hana maikaʻi no ka maʻi holomua. | Loaʻa paha nā hopena ʻaoʻao, e like me ka luhi, ka ʻili ʻili, a me nā pilikia pili i ka immune. |
Hōʻole: No ka hoʻonaʻauao wale nō kēia ʻike a ʻaʻole pono e manaʻo ʻia he ʻōlelo aʻoaʻo olakino. E kūkākūkā i kāu mea mālama ola no nā pilikia olakino.