
Theem 1B theem 1b kho mob ntsws cancer feem ntau muaj kev phais kom tshem tawm cov qog. Adjuvant chemotherapy tej zaum yuav raug pom zoo tom qab kev phais kom txo tau qhov kev pheej hmoo ntawm rov tshwm sim dua. Kev kho hluav taws xob qee zaum siv yog tias kev phais tsis yog kev xaiv lossis yog tias cov qog tsis tuaj yeem raug tshem tawm tag nrho. Kev nkag siab txog cov kev xaiv no yog qhov tseem ceeb rau kev txiav txim siab nrog koj pab neeg kho mob. Shandong Baofa Cancer Research Institute tau cog lus los muab cov ntaub ntawv qhia ntxaws thiab kev txhawb nqa rau cov neeg mob thiab lawv tsev neeg.Kev nkag siab txog theem 1B mob ntsws Cancer theem 1B ntsws Cancer yog dab tsi?Qib 1b mob ntsws cancer yog ib hom mob qog noj ntshav uas tsis yog me me (NSCLC). Nws txhais tau hais tias mob qog noj ntshav tau kis dhau ntawm lub ntsws tab sis tseem nyob hauv cheeb tsam. Tshwj xeeb, cov qog loj dua 3 cm tab sis tsis loj dua 4 cm. Nyob rau theem no, mob qog noj ntshav tsis tau kis mus rau cov qog nqaij hlav nyob ze lossis qhov chaw nyob deb. Kev kuaj pom ntxov thiab kho sai yog qhov tseem ceeb rau cov txiaj ntsig zoo dua. Yog xav paub ntxiv thiab kev tshawb fawb pom, koj tuaj yeem mus saib Shandong Baofa Cancer Research Institute.Kev kuaj mob ntawm Theem 1B Mob ntsws CancerDiagnosing mob ntsws cancer theem 1b Feem ntau muaj kev sib xyaw ua ke ntawm kev kuaj duab thiab biopsies. Cov txheej txheem diagnostic uas muaj xws li:Chest X-ray: Feem ntau yog thawj qhov kev kuaj xyuas kom pom qhov txawv txav hauv lub ntsws.CT Scan: Muab cov duab ntxaws ntxiv ntawm lub ntsws thiab cov qauv nyob ib puag ncig.PET Scan: Nws tuaj yeem pab txheeb xyuas thaj chaw ntawm kev ua haujlwm metabolic, qhia tias mob qog noj ntshav.Bronchoscopy: Ib txoj hauv kev uas lub raj nyias nyias nrog lub koob yees duab tau muab tso rau hauv cov hlab cua kom pom lub ntsws thiab sau cov ntaub so ntswg.Biopsy: Ib qho piv txwv ntawm cov ntaub so ntswg ntsws raug coj mus kuaj thiab tshuaj xyuas hauv lub tshuab kuaj kab mob kom paub meej tias muaj cov qog nqaij hlav cancer. Qhov no tuaj yeem ua tiav los ntawm bronchoscopy, koob biopsy, lossis kev phais. Kev Kho Mob rau Theem 1B Lung CancerSurgerySurgery yog thawj txoj kev kho mob rau mob ntsws cancer theem 1b thaum tus neeg mob noj qab haus huv txaus los mus rau qhov txheej txheem. Lub hom phiaj yog tshem tawm tag nrho cov qog thiab cov npoo ntawm cov ntaub so ntswg noj qab haus huv. Cov txheej txheem phais feem ntau muaj xws li:Lobectomy: Kev tshem tawm tag nrho cov lobe ntawm lub ntsws qhov chaw ntawm cov qog.Lub Tes Tsho Resection: Tshem tawm ib ntu ntawm txoj hlab pa (bronchus) nrog rau cov qog.Wedge Resection / Segmentectomy: Kev tshem tawm ib feem me ntawm lub ntsws. Cov no tsis tshua muaj rau mob ntsws cancer theem 1b tab sis tej zaum yuav raug txiav txim siab yog tias tus neeg mob muaj lwm yam teeb meem kev noj qab haus huv uas ua rau lobectomy txaus ntshai heev.Pneumonectomy: Kev tshem tawm tag nrho lub ntsws. Qhov no tsis tshua tsim nyog rau mob ntsws cancer theem 1b.Adjuvant ChemotherapyAdjuvant chemotherapy feem ntau pom zoo tom qab phais kom tua cov qog nqaij hlav cancer uas tseem tshuav uas tej zaum yuav tsis pom ntawm kev tshuaj ntsuam. Qhov no txo qhov kev pheej hmoo ntawm kev rov tshwm sim dua. Cov kev kho mob tshwj xeeb yuav nyob ntawm ntau yam, suav nrog hom mob qog noj ntshav, tus neeg mob noj qab haus huv tag nrho, thiab tus kws phais qhov kev pom zoo. Cov tshuaj siv tshuaj khomob uas siv rau NSCLC suav nrog cisplatin, carboplatin, paclitaxel, docetaxel, thiab gemcitabine.Radiation TherapyRadiation therapy siv cov hluav taws xob siab los tua cov qog nqaij hlav cancer. Nws yuav siv tau rau qee lub sijhawm, xws li: Yog tias tus neeg mob tsis yog tus neeg sib tw zoo rau kev phais.Yog tias cov qog tsis tuaj yeem tshem tawm tag nrho thaum lub sijhawm phais.Raws li kev kho mob palliative los txo cov tsos mob. Hom kev kho hluav taws xob muaj xws li:Sab nraud Beam Radiation Therapy (EBRT): Radiation yog xa los ntawm lub tshuab sab nraum lub cev.Stereotactic Lub Cev Radiation Therapy (SBRT): Daim ntawv qhia meej dua ntawm kev kho hluav taws xob uas xa cov hluav taws xob ntau ntau rau thaj chaw me me.Targeted TherapyTargeted therapy tshuaj tsom rau qhov txawv txav hauv cov qog nqaij hlav cancer. Cov tshuaj no tsis zoo rau txhua tus neeg mob mob ntsws cancer theem 1b, tab sis lawv yuav yog ib qho kev xaiv yog tias cov qog nqaij hlav cancer muaj qee yam kev hloov pauv. Cov hom phiaj muaj xws li EGFR, ALK, thiab ROS1. Yuav tsum kuaj xyuas seb tus mob qog noj ntshav puas muaj cov kev hloov pauv no. Tham nrog pab neeg ntawm Shandong Baofa Cancer Research Institute tshawb nrhiav kev kho mob. ImmunotherapyImmunotherapy tshuaj pab lub cev tiv thaiv kab mob tiv thaiv kab mob. Cov tshuaj no yuav yog ib qho kev xaiv rau qee cov neeg mob mob ntsws cancer theem 1b, tshwj xeeb tshaj yog tias mob qog noj ntshav muaj qib siab ntawm PD-L1. Cov tshuaj tiv thaiv kab mob muaj xws li pembrolizumab, nivolumab, thiab atezolizumab.Prognosis thiab Survival Rates rau Theem 1B Lung Cancer mob ntsws cancer theem 1b feem ntau yog qhov zoo, tshwj xeeb tshaj yog tias cov qog raug tshem tawm tag nrog kev phais. Qhov 5-xyoo ciaj sia tus nqi rau mob ntsws cancer theem 1b yog nyob ib ncig ntawm 60-70%. Qhov no txhais tau tias 60-70% ntawm cov neeg muaj mob ntsws cancer theem 1b Tseem muaj sia nyob 5 xyoos tom qab kuaj pom.Muaj ntau yam tuaj yeem cuam tshuam rau qhov kev kuaj mob, suav nrog: Tus neeg mob tag nrho kev noj qab haus huvQhov loj thiab qhov chaw ntawm cov qog Txawm tias tus mob qog noj ntshav tau kis mus rau cov qog nqaij hlav nyob zeCov. Cov kev mob tshwm sim tshwj xeeb yuav nyob ntawm seb hom kev kho mob, koob tshuaj, thiab tus neeg mob qhov kev noj qab haus huv tag nrho. Cov kev mob tshwm sim feem ntau ntawm kev phais muaj xws li mob, kis kab mob, thiab los ntshav. Cov kev mob tshwm sim feem ntau ntawm kev kho mob muaj xws li xeev siab, ntuav, qaug zog, thiab plaub hau poob. Cov kev mob tshwm sim feem ntau ntawm kev kho hluav taws xob muaj xws li khaus tawv nqaij, qaug zog, thiab nqos nyuaj.Clinical Trials for Stage 1B Lung CancerClinical trials yog cov kev tshawb fawb tshawb fawb uas kuaj cov kev kho tshiab lossis txoj hauv kev tshiab los siv cov kev kho mob uas twb muaj lawm. Cov neeg mob nrog mob ntsws cancer theem 1b tej zaum yuav xav txog kev koom nrog hauv kev sim tshuaj. Kev sim tshuaj kho mob tuaj yeem muab kev nkag mus rau kev kho mob uas tseem tsis tau muaj dav. Yog xav paub ntxiv txog kev sim tshuaj, nrog koj tus kws kho mob tham lossis mus saib hauv National Cancer Institute lub website.Living with Stage 1B Lung CancerLiving with mob ntsws cancer theem 1b tuaj yeem nyuaj, ob qho tib si lub cev thiab kev xav. Nws yog ib qho tseem ceeb kom muaj lub zog txhawb zog nyob rau hauv qhov chaw. Qhov no yuav suav nrog cov neeg hauv tsev neeg, cov phooj ywg, pab pawg txhawb nqa, thiab cov kws kho mob. Nov yog qee cov lus qhia rau kev ua neej nyob nrog mob ntsws cancer theem 1b: Noj cov zaub mov noj qab nyob zoo. Tau txais kev tawm dag zog tsis tu ncua. Tau pw tsaug zog txaus. Tswj kev ntxhov siab. Koom nrog pab pawg txhawb nqa. Tham nrog koj tus kws kho mob txog txhua yam kev txhawj xeeb uas koj muaj.Tom qab CareAfter kho mob rau mob ntsws cancer theem 1b, Nws yog ib qho tseem ceeb uas yuav tau teem sij hawm mus ntsib koj tus kws kho mob tsis tu ncua. Cov kev teem caij no yuav suav nrog kev kuaj lub cev, kuaj cov duab, thiab kuaj ntshav. Lub hom phiaj ntawm kev saib xyuas tom qab yog los saib xyuas cov tsos mob ntawm kev rov tshwm sim dua thiab tswj xyuas cov kev mob tshwm sim mus sij hawm ntev ntawm kev kho mob.Cov ntsiab lus tseem ceeb thiab cov lus nug nug koj tus kws kho mob thaum sib tham theem 1b kho mob ntsws cancer kev xaiv nrog koj tus kws kho mob, xav nug cov lus nug tseem ceeb no: Cov txiaj ntsig thiab kev pheej hmoo ntawm txhua txoj kev kho mob yog dab tsi?Qhov kev mob tshwm sim ntawm txhua qhov kev kho mob yog dab tsi?Qhov kev xav tau ntawm txhua qhov kev kho mob yog dab tsi?Kev kho mob yuav cuam tshuam li cas rau kuv lub neej zoo li cas?Kev saib xyuas kev noj qab haus huv yog dab tsi?Puas muaj kev sim tshuaj uas kuv yuav tsum tau txiav txim siab? theem 1b kho mob ntsws cancer yuav tsum tau ua tib zoo xav thiab qhib kev sib txuas lus nrog koj pab neeg kho mob. Cov ntaub ntawv muab los ntawm no yog npaj los ua ib qho kev qhia dav dav thiab yuav tsum tsis txhob hloov cov lus qhia kho mob. Shandong Baofa Cancer Research Institute muab cov peev txheej uas tuaj yeem pab koj.Survival Rate Comparison Table Stage 5-Year Survival Rate Theem 1A mob ntsws cancer nyob ib ncig ntawm 70-90% Theem 1B mob ntsws cancer Nyob ib ncig ntawm 60-70% Theem 2 mob ntsws cancer nyob ib ncig ntawm 40-60% Nco tseg: Cov ciaj sia taus yog kwv yees thiab tuaj yeem sib txawv raws li tus kheej yam.