lapaʻau maʻi maʻi maʻi maʻi maʻi maʻi

Ka hoʻomaopopo ʻana i ka Renal Cell Carcinoma Pathology a me nā koho lapaʻau ma nā halemai alakaʻi

Ke ʻimi nei kēia alakaʻi holoʻokoʻa i ka pathology o ka renal cell carcinoma (RCC) a hōʻike i nā koho lapaʻau i loaʻa i nā halemai alakaʻi kūikawā i ka urological oncology. E noʻonoʻo mākou i nā ʻano like ʻole o RCC, nā ʻano diagnostics, nā kaʻina hana, a me nā ʻano lapaʻau like ʻole e like me ke ʻoki ʻana, ka lāʻau i hoʻopaʻa ʻia, ka immunotherapy, a me ka radiation therapy. ʻO ka ʻike i hāʻawi ʻia e hoʻoikaika i ka poʻe e ʻimi nei i ka ʻike e pili ana lapaʻau maʻi maʻi maʻi maʻi maʻi maʻi a me kā lākou mau koho.

He aha ka Renal Cell Carcinoma (RCC)?

ʻO ka maʻi maʻi maʻi maʻi Renal cell (RCC) kahi ʻano o ka maʻi maʻi maʻi maʻi i puka mai ma ka uhi o nā paipu liʻiliʻi (tubules) i loko o nā puʻupaʻa. ʻO ia ka helu no ka hapa nui o nā maʻi maʻi maʻi maʻi. He mea koʻikoʻi ka hoʻomaopopo ʻana i ka pathology kikoʻī o ka RCC no ka hoʻoholo ʻana i ka hopena maikaʻi loa lapaʻau maʻi maʻi maʻi maʻi maʻi maʻi hiki ke hāʻawi. Hāʻawi ka hōʻike pathology i ka ʻike kikoʻī e pili ana i nā ʻano o ka maʻi maʻi, me kona pae a me kona pae, e hoʻoikaika nui i nā hoʻoholo lapaʻau.

Nā ʻano a me nā maʻi o ka maʻi maʻi maʻi maʻi

Aia kekahi mau subtypes o RCC, kēlā me kēia me nā hiʻohiʻona pathological kūʻokoʻa a me nā pane lapaʻau kūpono. ʻO nā subtypes maʻamau ka:

Hoʻomaʻemaʻe i ka maʻi maʻi kino kino

ʻO kēia ke ʻano maʻamau o ka RCC, ʻike ʻia e ka cytoplasm maʻemaʻe i loko o nā keʻena maʻi maʻi ma lalo o kahi microscope. Hoʻopili pinepine kona pathology i nā koho lapaʻau, me ka maikaʻi o nā lāʻau lapaʻau.

Papillary Renal Cell Carcinoma

Hōʻike ka Papillary RCC i nā kuhi papillary (e like me ka manamana lima). Pono pinepine kona pathology i kahi ala ʻē aʻe i hoʻohālikelike ʻia me ka RCC cell clear.

Chromophobe Renal Cell Carcinoma

Hōʻike ʻia kēia ʻano subtype e nā cell i hoʻopaʻa maikaʻi ʻia me nā kala maʻamau. Hōʻike pinepine kona pathology i nā protocol lapaʻau like ʻole.

Nā ʻano ʻano ʻē aʻe

Loaʻa nā ʻano subtypes RCC liʻiliʻi, me ka ʻohi ʻana i ka carcinoma duct a me ka RCC unclassified, kēlā me kēia me nā hiʻohiʻona pathological kikoʻī e koi ana i ka nānā kūikawā mai lapaʻau maʻi maʻi maʻi maʻi maʻi maʻi.

ʻO ka ʻike a me ka hoʻopaʻa ʻana i ka maʻi maʻi maʻi maʻi Renal

He mea koʻikoʻi ka ʻike pololei a me ka hoʻonohonoho ʻana no ka hoʻolālā ʻana i ka lāʻau lapaʻau. Hoʻokomo pinepine ʻia nā kaʻina hana diagnostic:

Haʻawina Kiʻi

Hoʻohana ʻia nā CT scans, MRI scans, a me ka ultrasound e nānā i ke kīpē a ʻike i ka ʻōpū. ʻO kēia mau ʻenehana kiʻi e kōkua i ka hoʻoholo ʻana i ka nui a me kahi o ka ʻōpū, a me ka hiki ʻana o kekahi metastases (laha i nā wahi ʻē aʻe o ke kino).

Biopsy

ʻO ka biopsy ka lawe ʻana i kahi laʻana liʻiliʻi mai ke koko no ka hoʻokolokolo microscopic. He mea nui ka loiloi pathological o ka biopsy no ka hōʻoia ʻana i ka maʻi maʻi, ka hoʻoholo ʻana i ke ʻano kikoʻī o RCC, a me ka loiloi ʻana i ka pae o ka tumo (aggressiveness).

ʻO ke kau ʻana

Hoʻokaʻawale nā ʻōnaehana hoʻonohonoho, e like me ka ʻōnaehana TNM, i ka RCC ma muli o ka nui o ka tumo, wahi, hoʻolaha ʻia i nā nodes lymph kokoke, a me nā metastases mamao. Hoʻopili nui ka pae i nā ʻōlelo aʻoaʻo lapaʻau.

Nā koho lapaʻau no ka maʻi maʻi maʻi maʻi maʻi

ʻO nā koho lapaʻau no RCC e hilinaʻi ʻia ma nā kumu he nui, me ke ʻano o ka maʻi kanesa, ke olakino holoʻokoʻa o ka mea maʻi, a me ke ʻano kikoʻī o RCC. Ke alakaʻi lapaʻau maʻi maʻi maʻi maʻi maʻi maʻi hāʻawi i nā ʻano lapaʻau like ʻole:

ʻO ka ʻoki ʻana

ʻO ka ʻoki ʻana, e like me ka nephrectomy hapa (ka wehe ʻana i ka ʻōpū wale nō) a i ʻole ka nephrectomy radical (ka wehe ʻana i ka puʻupaʻa holoʻokoʻa), kahi koho lapaʻau maʻamau no ka RCC kūloko. ʻO ke ʻano o ka ʻoki ʻana ma muli o nā kumu he nui me ka nui a me ka wahi.

ʻO ka Lapaʻau Kūlohelohe

Hoʻohana ʻia nā lāʻau lapaʻau i hoʻopaʻa ʻia i nā maʻi maʻi maʻi, e hōʻemi ana i ka pōʻino i nā cell olakino. Hoʻopaʻa pinepine kēia mau lāʻau lapaʻau i nā protein kūikawā e pili ana i ka ulu ʻana o ka maʻi kanesa a me ke ola.

Immunotherapy

Hoʻohana ʻo Immunotherapy i ke kino ponoʻī o ke kino e hakakā i nā maʻi maʻi maʻi. Hoʻopili ia i ka hoʻohana ʻana i nā lāʻau lapaʻau a i ʻole nā ​​​​lāʻau lapaʻau e kōkua i ka ʻōnaehana immune e ʻike a luku i nā maʻi kanesa.

Lapaʻau Radiation

Hoʻohana ka lāʻau lapaʻau i ka pāhawewe ikaika nui e pepehi i nā maʻi maʻi maʻi. ʻOiai ʻaʻole i hoʻohana pinepine ʻia ma ke ʻano he lāʻau lapaʻau mua no RCC, hiki ke hana i kahi hana i ka mālama palliative a i ʻole ka mālama ʻana i ka hoʻi hou ʻana.

Ke koho ʻana i ka Halemaʻi kūpono no kāu mau pono

He mea koʻikoʻi ke koho ʻana i kahi haukapila me ka loea i ka urological oncology a me kahi moʻolelo ikaika i ka mālama ʻana iā RCC. ʻO nā mea e noʻonoʻo ai, ʻo ia ka ʻike o ka haukapila me ke ʻano kikoʻī o RCC, ke komo ʻana i nā ʻenehana diagnostic a me ka mālama ʻana, a me kahi hui multidisciplinary e pili ana i ka mālama maʻi kanesa. Shandong Baofa Cancer Research Institute He keʻena kaulana e hāʻawi i ka mālama piha ʻana i nā poʻe maʻi me ka maʻi maʻi maʻi maʻi.

Hoʻolele

ʻO ka ʻike i hāʻawi ʻia ma kēia ʻatikala i manaʻo ʻia no nā kumu hoʻonaʻauao wale nō a ʻaʻole pono e manaʻo ʻia 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.