Cov tsos mob ntawm lub raum cell carcinoma

Nkag siab txog cov tsos mob ntawm lub raum Cell Carcinoma

Lub raum cell carcinoma (RCC), ib hom mob qog noj ntshav raum, feem ntau tshwm sim nrog cov tsos mob tsis meej lossis tsis tshwj xeeb. Kev kuaj pom ntxov yog qhov tseem ceeb rau kev kho kom zoo, yog li kev nkag siab txog tej yam tshwm sim thiab nrhiav kev kho mob sai yog qhov tseem ceeb. Phau ntawv qhia ntxaws no tshawb pom ntau thiab tsawg dua Cov tsos mob ntawm lub raum cell carcinoma, pab koj nkag siab tias yuav saib dab tsi.

Cov tsos mob ntawm Renal Cell Carcinoma

Classic Triad

Txawm hais tias tsis yog ib txwm muaj, cov tsos mob ntawm cov tsos mob - hematuria (ntshav hauv cov zis), mob flank, thiab palpable plab plab - feem ntau cuam tshuam nrog lub raum cell carcinoma. Hematuria tuaj yeem muaj los ntawm microscopic (tsuas yog kuaj tau los ntawm kev kuaj zis) mus rau macroscopic (pom cov ntshav hauv cov zis). Flank mob tej zaum yuav npub, mob, los yog ntse, nyob ntawm seb lub qog qhov chaw thiab qhov loj. Lub palpable loj, hnov ​​​​zoo li ib pob hauv plab, qhia txog qhov loj hlob ntawm cov qog. Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tsos mob no tuaj yeem tshwm sim los ntawm lwm yam mob, hais txog qhov yuav tsum tau muaj kev ntsuam xyuas kev kho mob kom raug.

Lwm cov tsos mob nquag

Tshaj li cov triad classic, ntau lwm cov tsos mob tuaj yeem qhia tau lub raum cell carcinoma. Cov no suav nrog:

• Kev qaug zog thiab poob phaus: Kev qaug zog uas tsis tau piav qhia thiab qhov hnyav hnyav yog qhov qhia txog ntau yam qog noj ntshav, suav nrog RCC.
• Ua npaws: Ua npaws qis qis tuaj yeem yog cov tsos mob ntawm RCC, tshwj xeeb tshaj yog nrog rau lwm yam cim.
• Cov ntshav siab (hypertension): RCC qee zaum tuaj yeem ua rau kub siab vim qhov tso tawm cov tshuaj tshwj xeeb los ntawm cov qog.
• Anemia: Qhov no yog qhov txo qis hauv cov qe ntshav liab, thiab tuaj yeem tshwm sim los ntawm cov qog ntshav los yog lub cev teb rau cov qog nqaij hlav.

Tsawg dua tab sis cov tsos mob tseem ceeb

Paraneoplastic Syndrome

Qee zaum, lub raum cell carcinoma tuaj yeem tsim cov kab mob paraneoplastic, uas yog cov tsos mob tsis cuam tshuam rau qhov chaw ntawm cov qog nqaij hlav, tab sis tshwm sim los ntawm cov tshuaj tso tawm los ntawm cov qog nqaij hlav. Cov no tuaj yeem suav nrog:

• Hypercalcemia (cov ntshav calcium ntau ntau): Qhov no tuaj yeem ua rau cov tsos mob xws li qaug zog, xeev siab, thiab tsis meej pem.
• Erythrocytosis (nce ntshav liab ntau lawm): Qhov no tuaj yeem ua rau cov tsos mob xws li mob taub hau thiab kiv taub hau.
• Thrombocytosis (nce platelet ntau lawm): Qhov no tuaj yeem ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws.

Thaum Yuav Nrhiav Kev Kho Mob

Yog tias koj ntsib ib qho ntawm cov tsos mob uas tau hais los saum no, tshwj xeeb tshaj yog tias lawv pheej ua tsis tau lossis piav tsis tau, nws yog ib qho tseem ceeb rau kev sab laj nrog kws kho mob. Kev tshawb pom ntxov ua tau zoo txhim kho cov txiaj ntsig kev kho mob rau lub raum cell carcinoma. Kev kuaj mob kom zoo, suav nrog kev kuaj pom zoo li CT scans lossis ultrasounds, tej zaum yuav tsim nyog los kuaj xyuas tus mob. Nco ntsoov, ntau yam xwm txheej tuaj yeem ua raws Cov tsos mob ntawm lub raum cell carcinoma; Txawm li cas los xij, nrhiav kev kho mob sai yog qhov tseem ceeb los xyuas kom meej qhov kev kuaj mob thiab kev kho mob tsim nyog.

Diagnostic Test for Renal Cell Carcinoma

Kev kuaj mob feem ntau suav nrog kev sim ua ke. Koj tus kws kho mob tuaj yeem xaj:

• Kev kuaj ntshav: txhawm rau kuaj ntshav ntshav, nce qib calcium, thiab lwm yam ntsuas.
• Urinalysis: txhawm rau kuaj ntshav hauv cov zis.
• Kev kuaj duab: Xws li CT scans, MRIs, lossis ultrasounds kom pom lub raum thiab kuaj pom qhov txawv txav.
• Biopsy: Ib qho piv txwv me me yog muab los ntawm qhov chaw tsis txaus ntseeg rau kev kuaj xyuas microscopic kom paub meej tias qhov kev kuaj mob.

Staging thiab kho ntawm lub raum Cell Carcinoma

Thaum kuaj pom, mob qog noj ntshav tau txiav txim siab nws qhov twg. Kev xaiv kho yog nyob ntawm theem thiab tag nrho kev noj qab haus huv ntawm tus neeg thiab tej zaum yuav muaj xws li kev phais, kev kho mob, kev tiv thaiv kab mob, lossis kev kho hluav taws xob. Yog xav paub ntxiv txog kev kho mob thiab kev kho mob, peb pom zoo hu rau tus kws kho mob lossis kev pab tswv yim los ntawm cov koom haum muaj koob npe xws li National Cancer Institute (https://www.cancer.gov/).

Rau kev kho mob siab heev thiab cov ntaub ntawv ntxiv, xav txog kev tshawb nrhiav cov peev txheej muaj nyob ntawm Shandong Baofa Cancer Research Institute. Kev kuaj mob ntxov thiab kev kho mob tsim nyog yog qhov tseem ceeb rau kev txhim kho cov txiaj ntsig nrog lub raum cell carcinoma. Cov ntaub ntawv no yog tsim los rau kev kawm nkaus xwb thiab tsis yog cov lus qhia kho mob. Nco ntsoov nrog koj tus kws kho mob tham txog txhua yam kev txhawj xeeb txog kev noj qab haus huv.