theem 3b kho mob ntsws cancer

Theem 3B Kev Kho Mob ntsws Cancer: Phau Ntawv Qhia Kom Paub Txog Koj cov kev xaiv rau theem 3b kho mob ntsws cancer yog qhov tseem ceeb. Phau ntawv qhia no muab cov ntsiab lus dav dav ntawm cov kev kho mob uas muaj, lawv cov txiaj ntsig, cov kev mob tshwm sim, thiab kev txiav txim siab rau kev txiav txim siab paub. Peb yuav tshawb nrhiav cov kev xaiv phais mob, kws khomob, kev kho hluav taws xob, kev kho lub hom phiaj, thiab kev siv tshuaj tiv thaiv kab mob, qhia txog qhov kev nce qib tshiab hauv thaj chaw.

Nkag siab txog theem 3B mob ntsws cancer

Qib 3b mob ntsws cancer qhia tau tias mob qog noj ntshav tau kis mus rau cov qog nqaij hlav hauv siab, tab sis tsis dhau. Cov theem no tau muab faib ntxiv rau hauv 3B1 thiab 3B2, raws li kev cuam tshuam ntawm cov qog ntshav qog ntshav. Qhov tseeb staging yog qhov tseem ceeb rau kev txiav txim siab txoj kev kho mob uas tsim nyog tshaj plaws. Txoj kev npaj kho mob tshwj xeeb yuav nyob ntawm ntau yam xws li tus neeg mob txoj kev noj qab haus huv tag nrho, hom mob qog noj ntshav (mob cell vs. non-small cell), qhov chaw thiab qhov loj ntawm cov qog, thiab muaj lwm yam mob. Kev kuaj mob ntxov thiab raug yog qhov tseem ceeb rau kev tswj kom zoo mob ntsws cancer theem 3b. Kev sab laj nrog cov kws paub txog oncologist yog qhov tseem ceeb tshaj plaws hauv kev taug kev nyuaj no.

Kev Xaiv Kev Kho Mob rau Theem 3B ntsws Cancer

Kev phais

Kev phais yuav yog ib qho kev xaiv rau qee cov neeg mob mob ntsws cancer theem 3b, tshwj xeeb tshaj yog cov neeg muaj kab mob hauv zos thiab kev noj qab haus huv tag nrho. Cov txheej txheem phais yuav suav nrog lobectomy (tshem tawm lub ntsws lobe), pneumonectomy (tshem tawm tag nrho lub ntsws), lossis segmentectomy (tshem tawm ib ntu ntawm lub ntsws). Qhov kev txiav txim siab mus txuas ntxiv nrog kev phais yuav nyob ntawm qhov ua tau ntawm kev tshem tawm cov qog ua tiav thiab cov kev pheej hmoo cuam tshuam. Lub koom haum Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) muab kev pabcuam kev phais mob oncology.

Tshuaj kho mob

Chemotherapy feem ntau siv rau hauv kev kho mob ntawm mob ntsws cancer theem 3b, ua ntej kev phais (neoadjuvant chemotherapy) kom txo cov qog los yog tom qab phais (adjuvant chemotherapy) kom txo tau txoj kev pheej hmoo ntawm rov tshwm sim. Cov tshuaj kws khomob ua haujlwm los ntawm kev tsom thiab tua cov kab mob qog noj ntshav sai sai. Feem ntau siv cov tshuaj chemotherapeutic xws li cov tshuaj platinum (cisplatin, carboplatin) thiab lwm yam. Cov txheej txheem tshwj xeeb yuav raug kho raws li tus neeg mob xav tau thiab teb rau kev kho mob. Cov kev mob tshwm sim ntawm kev siv tshuaj khomob tuaj yeem sib txawv, tab sis feem ntau suav nrog xeev siab, qaug zog, plaub hau poob, thiab txo cov ntshav cell.

Kev kho hluav taws xob

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 tshuaj khomob. Kev kho hluav taws xob tuaj yeem xa tawm sab nraud (sab nrauv hluav taws xob kho hluav taws xob) lossis sab hauv (brachytherapy). Stereotactic lub cev hluav taws xob kho mob (SBRT) yog ib daim ntawv qhia meej heev ntawm kev kho hluav taws xob uas xa cov hluav taws xob ntau rau cov qog thaum txo qis kev puas tsuaj rau cov ntaub so ntswg noj qab haus huv. Qhov no yog ib qho kev kho mob zoo heev rau cov neeg mob xaiv. Kev xaiv ntawm kev kho hluav taws xob yuav nyob ntawm ntau yam xws li qog qhov chaw, qhov loj me, thiab kev noj qab haus huv tag nrho ntawm tus neeg mob.

Hom Kev Kho Mob

Targeted therapy siv cov tshuaj uas tshwj xeeb tsom rau cov qog nqaij hlav cancer yam tsis ua mob rau lub cev. Cov kev kho mob no muaj txiaj ntsig zoo tiv thaiv qee yam mob qog noj ntshav uas muaj kev hloov pauv caj ces tshwj xeeb. Piv txwv xws li EGFR inhibitors, ALK inhibitors, thiab ROS1 inhibitors. Ua ntej kev kho mob, kev kuaj caj ces feem ntau yog ua los ntsuam xyuas seb tus neeg mob lub ntsws cancer puas muaj feem cuam tshuam txog kev hloov caj ces.

Immunotherapy

Immunotherapy siv lub cev lub cev tiv thaiv kab mob los tua cov qog nqaij hlav cancer. Checkpoint inhibitors, xws li nivolumab thiab pembrolizumab, feem ntau yog siv rau hauv kev kho mob. mob ntsws cancer theem 3b. Lawv ua haujlwm los ntawm kev thaiv cov proteins uas tiv thaiv lub cev tiv thaiv kab mob los ntawm kev tawm tsam cov qog nqaij hlav cancer. Immunotherapy tej zaum yuav ua rau muaj kev phiv loj xws li kev tiv thaiv kab mob tiv thaiv kab mob. Txoj kev npaj kho mob yuav tsum tau ua tib zoo tsim thiab ua raws li cov kws kho mob zoo.

Kev txiav txim siab paub

Xaiv txoj kev kho mob rau mob ntsws cancer theem 3b yuav tsum tau ua tib zoo xav txog ntau yam. Nws yog ib qho tseem ceeb kom muaj kev sib tham qhib thiab ncaj ncees nrog koj tus kws kho mob oncologist kom nkag siab txog cov txiaj ntsig thiab kev pheej hmoo ntawm txhua txoj kev kho mob. Txoj kev sib koom tes no, raws li koj qhov xwm txheej tshwj xeeb thiab kev nyiam, yog qhov tseem ceeb rau kev ua tiav qhov txiaj ntsig zoo tshaj plaws. Xav txog kev nrhiav kev xav thib ob thiab koom nrog pab pawg txhawb nqa kom zoo dua rau kev taug kev nyuaj no. Kev teem sijhawm ua raws li niaj zaus thiab kev tshawb fawb txog kev ntsuas yog qhov tseem ceeb rau kev saib xyuas cov lus teb kho mob thiab kuaj pom qhov rov tshwm sim.

Sib piv kev tshuaj ntsuam ntawm kev xaiv kho

Nco tseg: Cov ntaub ntawv no yog tsim los rau kev kawm nkaus xwb thiab tsis yog cov lus qhia kho mob. Nco ntsoov sab laj nrog ib tus kws kho mob uas tsim nyog rau kev kuaj mob thiab kho txhua yam mob.