
Mob qog noj ntshav raum, tseem hu ua lub raum cell carcinoma (RCC), yuav tsum muaj txoj hauv kev kho tus kheej raws li ntau yam, suav nrog theem ntawm mob qog noj ntshav, hom mob qog noj ntshav raum, kev noj qab haus huv tag nrho, thiab kev nyiam ntawm tus kheej. Phau ntawv qhia ntxaws no tshawb txog ntau yam kho mob raum mob cancer cov kev xaiv, pab koj nkag siab txog cov kev xaiv muaj thiab lawv qhov cuam tshuam.
Lub raum mob qog noj ntshav pab txiav txim seb qhov mob qog noj ntshav li cas. Cov theem ntawm I (localized) mus rau IV (metastatic), nrog rau theem siab dua qhia tias muaj kab mob siab dua. Qhov tseeb staging yog qhov tseem ceeb hauv kev xaiv qhov tsim nyog kho mob raum mob cancer tswv yim. TNM staging system feem ntau yog siv, ntsuas lub qog loj (T), lymph node kev koom tes (N), thiab nyob deb metastasis (M).
Hom kab mob ntau tshaj plaws yog lub raum cell carcinoma (RCC), suav nrog ntau yam subtypes nrog kev sib txawv ntawm tus cwj pwm thiab cov lus teb rau kev kho mob. Clear cell RCC yog cov subtype uas muaj ntau tshaj plaws. Lwm hom muaj xws li papillary RCC thiab chromophobe RCC. Kev nkag siab txog hom tshwj xeeb yog qhov tseem ceeb rau kev siv tau zoo kho mob raum mob cancer.
Kev phais yog ib qho kev kho mob tseem ceeb rau mob qog noj ntshav hauv lub raum. Cov kev xaiv muaj xws li ib feem nephrectomy (tshem tawm ntawm cov qog thiab ib feem me me ntawm lub raum) thiab radical nephrectomy (tshem tawm tag nrho lub raum). Cov txheej txheem phais me me, xws li laparoscopy thiab kev phais neeg hlau, feem ntau nyiam rau lawv lub sijhawm rov qab los thiab tsawg dua qhov xwm txheej. Qhov kev xaiv ntawm kev phais yog nyob ntawm yam xws li qog loj, qhov chaw, thiab kev noj qab haus huv tag nrho.
Targeted therapy tshuaj tsom rau cov molecules tshwj xeeb koom nrog hauv kev loj hlob ntawm cov qog nqaij hlav cancer thiab kev ciaj sia. Cov tshuaj no feem ntau yog siv rau kev mob qog nqaij hlav hauv lub raum siab lossis hauv cov xwm txheej uas tsis muaj kev phais. Piv txwv ntawm kev kho mob muaj xws li sunitinib, pazopanib, thiab axitinib. Cov kev kho mob no yuav ua rau muaj kev phiv, thiab yuav tsum tau saib xyuas tsis tu ncua.
Immunotherapy harnesses lub cev tiv thaiv kab mob los tua cov qog nqaij hlav cancer. Txoj kev no yog qhov tshwj xeeb tshaj yog rau qee hom mob qog noj ntshav hauv lub raum, tshwj xeeb tshaj yog cov kab mob metastatic. Checkpoint inhibitors, xws li nivolumab thiab ipilimumab, feem ntau siv tshuaj tiv thaiv kab mob rau kho mob raum mob cancer. Cov tshuaj no tuaj yeem muaj kev phiv loj heev, yuav tsum tau tswj xyuas kom zoo.
Kev kho hluav taws xob siv hluav taws xob hluav taws xob ntau los tua cov qog nqaij hlav cancer. Nws tsis yog feem ntau txoj kev kho mob rau lub raum mob cancer, tab sis nws yuav siv tau los txo cov tsos mob, xws li mob los ntawm cov pob txha metastases, los yog nrog rau lwm yam kev kho mob.
Tshuaj kho mob siv tshuaj tua kab mob qog noj ntshav. Nws tsis muaj txiaj ntsig zoo dua li kev kho mob thiab kev tiv thaiv kab mob rau lub raum mob qog noj ntshav thiab feem ntau yog tshwj tseg rau cov neeg mob uas tsis tau teb rau lwm yam kev kho mob.
Xaiv qhov zoo tshaj plaws kho mob raum mob cancer txoj kev npaj yuav tsum tau ua tib zoo xav txog ntau yam. Kev sab laj nrog pab pawg kws tshaj lij, suav nrog oncologists, urologist, thiab lwm tus kws kho mob, yog qhov tseem ceeb rau kev npaj kho tus kheej. Pab neeg no yuav tham txog cov txiaj ntsig, kev pheej hmoo, thiab cov kev mob tshwm sim ntawm txhua qhov kev xaiv, xav txog koj tus kheej kev noj qab haus huv thiab kev nyiam. Cov Shandong Baofa Cancer Research Institute yog ib lub tuam txhab ua lag luam uas tau mob siab rau muab kev saib xyuas thiab kev kho mob zoo rau cov neeg mob qog noj ntshav. Lawv muab ntau txoj hauv kev los xyuas kom meej tias koj tau txais kev saib xyuas zoo tshaj plaws.
Nws yog ib qho tseem ceeb kom nkag siab tias kev kho mob raum mob qog noj ntshav tau hloov zuj zus mus tas li, nrog cov kev kho tshiab thiab cov txheej txheem txuas ntxiv. Kev paub txog kev nce qib tshiab yog qhov tseem ceeb, thiab kev saib xyuas tsis tu ncua nrog koj pab neeg kho mob yog qhov tseem ceeb rau kev saib xyuas koj qhov kev nce qib thiab kho cov phiaj xwm kho mob raws li xav tau.
Cov ntaub ntawv no yog npaj rau kev paub dav dav thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov sab laj nrog koj tus kws kho mob kom kuaj xyuas thiab kho mob qog noj ntshav raum.
Tsis lees paub: Cov ntaub ntawv no yog rau kev kawm nkaus xwb thiab tsis yog cov lus qhia kho mob. Nco ntsoov sab laj nrog koj tus kws kho mob lossis lwm tus kws kho mob tsim nyog yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv lossis xav tau kev pab tswv yim.