
Cov lus qhia dav dav no tshawb txog cov kab mob ntawm lub raum cell carcinoma (RCC), muab cov ntaub ntawv tseem ceeb rau cov tib neeg thiab lawv tsev neeg nrhiav qhov kev kuaj mob no. Peb mam li delve rau hauv ntau hom RCC, kev kuaj mob, thiab lub luag haujlwm tseem ceeb hauv kev txiav txim siab txog cov tswv yim kho mob. Nkag siab txog cov pathology ntawm koj lub raum cell carcinoma yog qhov tseem ceeb rau kev tswj xyuas kom zoo thiab txhim kho cov txiaj ntsig.
Lub raum cell carcinoma, tseem hu ua mob qog noj ntshav hauv lub raum, tshwm sim hauv cov kab mob ntawm lub raum tubules. Nws yog hom mob qog noj ntshav ntau tshaj plaws, suav txog kwv yees li 90% ntawm tag nrho cov qog nqaij hlav hauv lub raum. RCC tau muab faib ua ntau hom subtypes, txhua tus muaj cov yam ntxwv ntawm pathological thiab cuam tshuam rau kev kho mob. Nkag siab txog cov subtypes no yog qhov tseem ceeb rau kev npaj kho mob zoo.
Clear cell RCC yog cov subtypes uas muaj ntau tshaj plaws, uas muaj cov cytoplasm ntshiab hauv cov qog hlwb. Qhov kev tshwm sim no nyob rau hauv lub tshuab tsom iav yog vim muaj cov ntsiab lus glycogen siab. Cov kev kuaj mob thiab kev kho mob tuaj yeem sib txawv raws li theem thiab qib ntawm cov cell ntshiab RCC. Kev kuaj pom zoo thiab cov ntaub ntawv qhia txog pathology yog qhov tseem ceeb rau kev kuaj mob kom raug thiab theem.
Papillary RCC yog tus cwj pwm los ntawm papillary (ntiv tes zoo li) cov qauv kev loj hlob. Muaj ob hom subtypes: hom 1 thiab hom 2, txhua tus muaj cov yam ntxwv sib txawv. Hom 1 feem ntau yog txuam nrog kev pom zoo tshaj li hom 2. Kev hloov caj ces kuj ua lub luag haujlwm hauv kev txhim kho thiab kev loj hlob ntawm papillary RCC.
Chromophobe RCC yog ib hom kab mob tsawg dua uas pom cov hlwb nrog daj ntseg, lossis chromophobe, cytoplasm. Nws feem ntau cuam tshuam nrog kev kawm tsis txaus ntseeg, lub ntsiab lus qeeb qeeb. Txawm li cas los xij, kev kuaj mob kom raug thiab kev ua haujlwm tseem ceeb tseem ceeb heev rau kev txiav txim siab kho kom raug.
Lwm yam tsawg dua subtypes ntawm lub raum cell carcinoma suav nrog kev sau cov kab mob qog noj ntshav, medullary carcinoma, thiab RCC tsis raug cais tawm. Cov subtypes no feem ntau tshwm sim nrog cov yam ntxwv tshwj xeeb thiab yuav xav tau cov kev kuaj mob tshwj xeeb thiab cov tswv yim kho mob.
Pathology plays lub luag haujlwm tseem ceeb hauv kev kuaj mob thiab kev kho mob lub raum cell carcinoma. Ib qho biopsy, feem ntau tau txais los ntawm kev siv rab koob los yog kev phais, yog qhov tseem ceeb rau kev kuaj xyuas kab mob. Tus kws kho mob yuav soj ntsuam cov qog cov yam ntxwv, suav nrog nws qhov loj me, qib, thiab muaj cov metastases (kev kis mob qog noj ntshav mus rau lwm qhov ntawm lub cev). Cov ntaub ntawv no yog qhov tseem ceeb rau kev txiav txim siab txog theem ntawm tus mob qog noj ntshav thiab xaiv txoj kev kho kom tsim nyog.
Thaum ntsib kev kuaj mob ntawm lub raum cell carcinoma, xaiv lub tsev kho mob nrog cov kws paub txog kab mob thiab cov kws kho mob oncologist yog qhov tseem ceeb. Cov tsev kho mob uas muaj cov chaw kho mob qog noj ntshav feem ntau muaj ntau pab pawg, ua kom cov neeg mob tau txais kev saib xyuas tag nrho thiab kev kho mob tshiab. Piv txwv li, lub Shandong Baofa Cancer Research Institute tau mob siab rau muab kev saib xyuas zoo tshaj plaws rau cov neeg mob qog noj ntshav, muab cov peev xwm kuaj mob hauv lub xeev thiab cov kev xaiv kho mob.
The stage of lub raum cell carcinoma qhia txog qhov kev kis mob qog noj ntshav, thaum qib qhia txog kev ua phem ntawm cov qog hlwb. Ob theem thiab qib yog qhov tseem ceeb rau kev txiav txim siab txog kev mob thiab kev npaj kho mob. Pathology cov ntaub ntawv qhia cov ncauj lus kom ntxaws txog cov yam no, qhia cov kws kho mob hauv lawv cov kev txiav txim siab kho mob.
Kev kho mob rau lub raum cell carcinoma Nws txawv nyob ntawm ntau yam, nrog rau theem thiab qib ntawm tus mob qog noj ntshav, tus neeg mob qhov kev noj qab haus huv tag nrho, thiab kev nyiam ntawm tus kheej. Cov kev xaiv yuav suav nrog kev phais, kev kho mob, kev tiv thaiv kab mob, kev kho hluav taws xob, lossis kev sib xyaw ua ke ntawm cov txheej txheem no. Cov kev tshawb pom ntawm tus kws kho mob ua lub luag haujlwm tseem ceeb hauv kev taw qhia kev xaiv cov kev kho mob uas tsim nyog tshaj plaws.
| RCC Subtype | Yam ntxwv nta | Prognostic Implications |
|---|---|---|
| Clear Cell | Clear cytoplasm, siab glycogen cov ntsiab lus | Variable, nyob ntawm theem thiab qib |
| Papillary | Papillary kev loj hlob qauv, subtypes 1 thiab 2 | Hom 1 feem ntau muaj txiaj ntsig zoo dua li hom 2 |
| Chromophobe | Pleev cytoplasm | Feem ntau indolent chav kawm |
Disclaimer: Cov ntaub ntawv no yog tsim los rau kev kawm 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 kom kuaj xyuas thiab kho txhua yam mob.