
Kab lus no muab cov lus qhia dav dav ntawm papillary raum cell carcinoma (RCC), tsom rau cov kev xaiv kho mob pheej yig thiab ua tau zoo. Peb yuav tshawb xyuas cov theem sib txawv ntawm tus kab mob, cov kev kho mob muaj, thiab cov yam ntxwv cuam tshuam rau tus nqi, txhawb nqa koj los txiav txim siab txog koj txoj kev kho mob.
Pheej yig papillary raum cell carcinoma kev kho mob yog ib qho kev txhawj xeeb tseem ceeb rau ntau tus neeg mob. Papillary renal cell carcinoma yog ib hom mob qog nqaij hlav hauv lub raum uas tshwm sim nyob rau hauv ob sab ntawm lub raum tubules. Nws tau muab faib ua hom 1 thiab hom 2, nrog rau hom 1 muaj ntau dua thiab feem ntau muaj qhov zoo dua. Tus kab mob no nce mus los ntawm ntau theem, txhua tus yuav tsum tau kho kom haum. Kev nkag siab txog qhov tshwj xeeb ntawm koj qhov kev kuaj mob yog qhov tseem ceeb hauv kev nrhiav kev kho mob thiab cov nqi cuam tshuam.
Lub staging ntawm pheej yig papillary raum cell carcinoma yog ib qho tseem ceeb hauv kev txiav txim siab txog kev kho mob zoo tshaj plaws thiab cov nqi cuam tshuam. Staging feem ntau yog ua los ntawm kev kuaj duab (CT scans, MRI scans) thiab qee zaum kuaj ntshav. Cov theem ntawm I (localized) mus rau IV (metastatic). Cov theem siab dua feem ntau xav tau kev kho mob hnyav dua thiab kim dua.
Cov kab mob hauv zos, feem ntau kho nrog kev phais ib leeg. Qhov no tuaj yeem yog qhov kev kho mob pheej yig tshaj plaws nyob rau theem pib.
Cov theem no suav nrog kev kis kab mob ntau dua thiab feem ntau xav tau kev kho mob ua ke, suav nrog kev phais, kev kho mob, kev tiv thaiv kab mob, lossis kev kho hluav taws xob. Cov kev kho mob sib xyaw ua ke no tuaj yeem nce tus nqi tag nrho.
Muaj ntau txoj kev kho mob rau pheej yig papillary raum cell carcinoma, txhua tus nrog nws tus nqi cuam tshuam. Qhov kev xaiv ntawm kev kho mob nyob ntawm ntau yam ntawm cov qog nqaij hlav cancer, tus neeg mob txoj kev noj qab haus huv tag nrho, thiab kev nyiam ntawm tus kheej.
Kev tshem tawm ntawm lub raum cuam tshuam (ib nrab nephrectomy lossis radical nephrectomy) yog ib qho kev kho mob, tshwj xeeb tshaj yog rau cov kab mob hauv zos. Tus nqi yuav txawv nyob ntawm qhov nyuaj ntawm kev phais thiab lub tsev kho mob tus nqi qauv.
Cov phiaj xwm kev kho mob, xws li sunitinib, pazopanib, thiab axitinib, yog cov tshuaj tsim los tsom rau cov qog nqaij hlav tshwj xeeb, qeeb lossis nres lawv txoj kev loj hlob. Cov tshuaj no tuaj yeem kim, tab sis tej zaum yuav pheej yig dua li lwm txoj kev kho mob nyob ntawm kev pov hwm kev pov hwm thiab muaj cov qauv siv dav dav.
Cov tshuaj tiv thaiv kab mob, xws li nivolumab thiab ipilimumab, siv lub cev tiv thaiv kab mob los tua cov qog nqaij hlav cancer. Zoo li cov phiaj xwm kev kho mob, cov no feem ntau kim tab sis tuaj yeem ua tau zoo rau qee cov neeg mob. Tus nqi ua tau zoo yuav txawv heev raws li tus neeg mob cov lus teb thiab lub sijhawm kho.
Kev kho hluav taws xob siv hluav taws xob hluav taws xob ntau los tua cov qog nqaij hlav cancer. Nws tuaj yeem siv ib leeg lossis ua ke nrog lwm yam kev kho mob. Tus nqi yog txawv nyob ntawm seb qhov ntev thiab ntev ntawm kev kho hluav taws xob.
Tus nqi ntawm pheej yig papillary raum cell carcinoma Kev kho mob txawv heev raws li ntau yam:
| Qhov xwm txheej | Kev cuam tshuam rau tus nqi |
|---|---|
| Qib ntawm Cancer | Cov theem ua ntej feem ntau raug nqi tsawg vim yog kev kho mob tsawg. |
| Hom Kev Kho Mob | Kev phais feem ntau tsis tshua kim dua li kev kho mob lossis kev tiv thaiv kab mob. |
| Kev Kho Mob Ntev | Kev kho mob ntev dua ib txwm ua rau cov nqi siab dua. |
| Kev Pov Hwm Pov Hwm | Cov phiaj xwm tuav pov hwm sib txawv heev hauv lawv cov kev pab them nqi kho mob qog noj ntshav. |
| Tsev Kho Mob/Clinic Choice | Cov nqi tuaj yeem sib txawv ntawm cov kws kho mob. |
Nrhiav pheej yig kho rau pheej yig papillary raum cell carcinoma yuav tsum tau ua tib zoo npaj thiab tshawb fawb. Tham nrog koj tus kws kho mob oncologist los tham txog kev kho mob thiab tshawb nrhiav txoj hauv kev los tswj cov nqi. Tshawb nrhiav cov kev pab nyiaj txiag uas muaj los ntawm tsev kho mob, tuam txhab tshuaj, thiab cov koom haum pab txhawb nqa. Tshawb nrhiav cov kev xaiv xws li kev sim tshuaj ntsuam xyuas qee zaum tuaj yeem muab kev nkag mus rau kev kho mob siab heev ntawm tus nqi txo.
Yog xav paub ntxiv txog kev kho mob qog noj ntshav thiab kev txhawb nqa, koj tuaj yeem tiv tauj rau Shandong Baofa Cancer Research Institute rau cov kws tshaj lij kev taw qhia. Nco ntsoov, kev tshawb pom ntxov thiab kev tswj xyuas kom muaj nuj nqis yog qhov tseem ceeb hauv kev txhim kho cov txiaj ntsig thiab tswj cov nqi cuam tshuam nrog tus kab mob no.
Kev lees paub: Kab lus no yog siv rau cov ntaub ntawv xov xwm nkaus xwb thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob rau kev kuaj mob thiab cov lus pom zoo kho mob.