
Mob qog noj ntshav pancreatic yog ib yam kab mob loj, tab sis kev nce qib hauv kev kho mob muaj kev cia siab. Phau ntawv qhia no muab cov ntsiab lus dav dav ntawm Kev kho mob qog noj ntshav pancreatic cov kev xaiv, tsom mus rau txoj hauv kev tam sim no, muaj peev xwm tshwm sim, thiab qhov tseem ceeb ntawm kev tshawb pom ntxov. Peb yuav tshawb nrhiav ntau yam kev kho mob thiab sib tham txog yam cuam tshuam txog kev txiav txim siab kho mob.
Mob qog noj ntshav pancreatic encompasses ob peb hom, feem ntau adenocarcinoma (feem ntau), tab sis kuj neuroendocrine hlav thiab lwm yam. Staging, tseem ceeb heev rau kev npaj kho mob, txiav txim siab txog kev mob qog noj ntshav. Kev tshawb pom ntxov ua rau muaj txiaj ntsig zoo. Kev tshuaj xyuas tsis tu ncua raug pom zoo rau cov tib neeg uas muaj kev pheej hmoo siab ntawm tus kab mob no.
Kev tshem tawm cov qog (pancreaticoduodenectomy lossis Whipple txheej txheem, distal pancreatectomy, thiab lwm yam) yog qhov kev xaiv tseem ceeb rau cov qog nqaij hlav hauv zos. Qhov ua tau ntawm kev phais yog nyob ntawm tus qog qhov chaw, qhov loj me, thiab kev sib kis. Lub koom haum Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) yog lub chaw ua haujlwm siab tshaj plaws los muab cov kev xaiv phais mob siab heev rau mob qog noj ntshav pancreatic.
Kev siv tshuaj tua kab mob, siv tshuaj tua kab mob qog noj ntshav, feem ntau yog siv ua ntej (neoadjuvant) lossis tom qab (adjuvant) phais, lossis ua thawj txoj kev kho mob qog noj ntshav. Feem ntau siv cov tshuaj tua kab mob xws li FOLFIRINOX thiab gemcitabine. Cov kev kho mob no tuaj yeem muaj kev phiv loj heev.
Kev kho hluav taws xob siv hluav taws xob muaj hluav taws xob ua kom puas cov qog nqaij hlav cancer. Nws yuav siv tau ib leeg los yog ua ke nrog kev kho mob kom txo cov qog ua ntej kev phais lossis txo cov tsos mob ntawm tus kab mob siab. Cov txheej txheem hluav taws xob zoo tshaj plaws xws li stereotactic body radiation therapy (SBRT) yog kev txhim kho cov txiaj ntsig rau qee tus neeg mob.
Cov phiaj xwm kho mob tsom mus rau cov molecules tshwj xeeb koom nrog hauv kev loj hlob qog noj ntshav. Cov kev kho mob no tuaj yeem ua tau zoo dua thiab tsis muaj tshuaj lom ntau dua li cov tshuaj chemotherapy. Piv txwv suav nrog cov neeg ua haujlwm tsom mus rau kev hloov pauv xws li KRAS. Kev tshawb fawb txog kev kho mob tshiab tseem tab tom ua thiab tuav ntau cov lus cog tseg hauv kev txhim kho Kev kho mob qog noj ntshav pancreatic.
Immunotherapy harnesses lub cev tiv thaiv kab mob tiv thaiv kab mob. Txawm hais tias tsis muaj txiaj ntsig zoo hauv kev mob qog nqaij hlav pancreatic dua li lwm hom, immunotherapy yog qhia cov lus cog tseg hauv qee qhov xwm txheej thiab yog thaj chaw loj hlob ntawm kev tshawb fawb. Kev sib xyaw tshuaj tiv thaiv kab mob nrog rau lwm yam kev kho mob kuj yog ib qho kev tshawb nrhiav nquag.
Qhov zoo tshaj plaws Kev kho mob qog noj ntshav pancreatic Txoj kev npaj yog tus kheej heev thiab nyob ntawm ntau yam, suav nrog:
Kev sib tham nrog tus kws kho mob oncologist yog qhov tseem ceeb rau kev txiav txim siab paub.
Kev kho mob rau mob qog noj ntshav pancreatic feem ntau ua rau muaj kev phiv. Cov no tuaj yeem sib txawv ntawm qhov mob me mus rau qhov hnyav thiab txawv nyob ntawm qhov kev kho mob. Qhib kev sib txuas lus nrog koj pab neeg kho mob yog qhov tseem ceeb rau kev tswj cov kev mob tshwm sim zoo. Kev txhawb nqa kev saib xyuas tuaj yeem txhim kho lub neej zoo thaum kho.
Nyob nrog ib mob qog noj ntshav pancreatic Kev kuaj mob yuav tsum muaj ntau txoj hauv kev uas suav nrog kev kho mob, kev txhawb siab lub siab, thiab kev hloov pauv kev ua neej. Cov pab pawg txhawb nqa thiab kev tawm tswv yim tuaj yeem muab cov peev txheej tseem ceeb thiab kev taw qhia thaum lub sijhawm nyuaj no. Kev tswj hwm kev sib txuas lus qhib nrog cov kws kho mob yog qhov tseem ceeb rau kev tswj xyuas kom zoo thiab ua kom lub neej zoo.
| Hom Kev Kho Mob | Cov txiaj ntsig muaj peev xwm | Tej yam tshwm sim |
|---|---|---|
| Kev phais | Ua kom tiav qog tshem tawm, muaj peev xwm kho tau | Kab mob, los ntshav, pancreatic fistula |
| Tshuaj kho mob | Txo cov qog, txhim kho kev ciaj sia | xeev siab, ntuav, qaug zog, plaub hau poob |
| Kev kho hluav taws xob | Txo cov qog, txo qhov mob | Cov tawv nqaij khaus, nkees, raws plab |
Disclaimer: Cov ntaub ntawv no yog rau kev kawm nkaus xwb thiab tsis yog cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob tsim nyog rau txhua yam kev txhawj xeeb txog kev noj qab haus huv lossis ua ntej txiav txim siab txog koj txoj kev noj qab haus huv lossis kev kho mob.
Cov ntaub ntawv: (Cov tshooj no yuav muaj cov ntaub ntawv hais txog cov khoom muaj npe nrov xws li National Cancer Institute, American Cancer Society, thiab lwm yam. Cov no yuav muab ntxiv raws li cov ntaub ntawv tshwj xeeb uas tau hais hauv cov ntawv nyeem.)