Kev Kho Mob Papillary Renal Cell Carcinoma: Phau Ntawv Qhia Txog Kev Paub Txog Papillary Renal Cell Carcinoma: Tus Neeg Mob Txoj Kev Qhia Phau ntawv qhia no muab cov lus qhia dav dav ntawm papillary raum cell carcinoma (Kev kho mob papillary raum cell carcinoma), suav nrog nws qhov kev kuaj mob, kev xaiv kho mob, thiab kev kuaj mob. Peb yuav tshawb nrhiav ntau txoj hauv kev, sib tham txog cov kev mob tshwm sim, thiab qhia txog qhov tseem ceeb ntawm kev saib xyuas tus kheej hauv kev tswj xyuas hom mob qog noj ntshav raum no. Cov ntaub ntawv ntawm no yog rau kev kawm thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov nrog koj tus kws kho mob tham txog cov kev npaj kho mob tus kheej.
Nkag siab txog Papillary Renal Cell Carcinoma
Papillary Renal Cell Carcinoma yog dab tsi?
Papillary renal cell carcinoma (PRCC) yog ib hom mob qog noj ntshav raum uas tshwm sim nyob rau hauv cov kab mob ntawm lub raum tubules. Nws tau muab faib ua hom 1 thiab hom 2, nrog rau hom 1 muaj ntau dua thiab feem ntau muaj qhov zoo dua. Cov qog nqaij hlav qog nqaij hlav tshwm sim nyob rau hauv lub tshuab kuaj kab mob raws li muaj papillary (zoo li ntiv tes) qhov projections. Kev tshawb pom ntxov yog qhov tseem ceeb rau kev ua tiav
Kev kho mob papillary raum cell carcinoma.
Kev kuaj mob ntawm PRCC
Kev kuaj mob feem ntau pib nrog kev kuaj pom xws li ultrasound, CT scan, lossis MRI. Ib qho biopsy feem ntau tsim nyog los xyuas kom meej qhov kev kuaj mob thiab txiav txim seb hom thiab theem ntawm tus mob qog noj ntshav. Kev kuaj ntshav, xws li kuaj xyuas cov qib siab ntawm qee yam biomarkers, kuj tuaj yeem ua.
Kev Xaiv Kev Kho Mob rau Papillary Renal Cell Carcinoma
Qhov zoo tshaj plaws
Kev kho mob papillary raum cell carcinoma txoj hauv kev yog nyob ntawm ntau yam, suav nrog theem ntawm tus mob qog noj ntshav, tus neeg mob txoj kev noj qab haus huv tag nrho, thiab hom tshwj xeeb ntawm PRCC.
Kev xaiv phais
Kev phais feem ntau yog thawj qhov kev kho mob rau PRCC hauv zos. Cov kev xaiv muaj xws li ib nrab nephrectomy (tshem tawm ntawm cov qog thiab ib feem me me ntawm lub raum) lossis radical nephrectomy (tshem tawm tag nrho lub raum). Cov txheej txheem phais me me, xws li laparoscopy lossis kev phais neeg hlau, feem ntau nyiam rau lawv qhov txo qis. Kev xaiv ntawm txoj kev phais yog txiav txim siab los ntawm yam xws li qog loj, qhov chaw, thiab kev noj qab haus huv tag nrho ntawm tus neeg mob. Ntawm Shandong Baofa Cancer Research Institute (
https://www.baofahospital.com/), peb siv cov txheej txheem phais mob siab heev los xyuas kom meej cov txiaj ntsig zoo rau peb cov neeg mob.
Hom Kev Kho Mob
Cov phiaj xwm kho mob yog cov tshuaj tsim los tua cov qog nqaij hlav tshwj xeeb thaum txo qis kev puas tsuaj rau cov hlwb noj qab haus huv. Cov tshuaj no yuav siv tau ib leeg lossis ua ke nrog lwm yam kev kho mob, xws li kev phais lossis kev tiv thaiv kab mob. Kev xaiv cov hom phiaj kho yog nyob ntawm qhov kev hloov pauv caj ces tshwj xeeb tam sim no hauv cov qog.
Immunotherapy
Immunotherapy siv lub zog ntawm lub cev tiv thaiv kab mob los tiv thaiv qog noj ntshav. Nws suav nrog kev siv tshuaj uas txhawb lub cev tiv thaiv kab mob kom paub txog thiab rhuav tshem cov qog nqaij hlav cancer. Txoj hauv kev no tau pom cov lus cog tseg tseem ceeb hauv kev kho PRCC siab heev.
Kev kho hluav taws xob
Kev kho hluav taws xob siv hluav taws xob muaj zog los tua cov qog nqaij hlav cancer. Nws tuaj yeem siv los txo cov qog ua ntej kev phais lossis kho mob rov qab los yog metastatic PRCC.
Tshuaj kho mob
Kev kho mob yog siv tshuaj tua kab mob qog noj ntshav. Txawm hais tias feem ntau tsis yog thawj qhov kev kho mob rau PRCC, nws yuav siv tau rau qee qhov xwm txheej, xws li kev kho mob lossis kab mob metastatic.
Staging thiab Prognosis
The stage of
Kev kho mob papillary raum cell carcinoma cuam tshuam loj heev rau kev kwv yees thiab kev txiav txim siab kho mob. Staging suav nrog kev txiav txim siab qhov loj ntawm cov qog, seb nws puas tau kis mus rau cov qog nqaij hlav nyob ze lossis cov kab mob nyob deb, thiab tag nrho kev noj qab haus huv ntawm tus neeg mob. TNM staging system feem ntau yog siv los faib PRCC.
Nyob nrog PRCC
Nyob nrog PRCC yuav tsum muaj txoj hauv kev zoo. Kev teem sij hawm ua raws li niaj zaus nrog koj tus kws kho mob oncologist yog qhov tseem ceeb rau kev saib xyuas mob qog noj ntshav thiab kho kho raws li xav tau. Ib qho kev txhawb nqa ntawm tsev neeg, phooj ywg, thiab pab pawg txhawb nqa tuaj yeem muab kev pabcuam kev xav thiab siv tau rau lub sijhawm no.
Cov lus nug nquag
Tshooj lus no yuav nthuav dav ntxiv rau yav tom ntej kom muaj cov lus teb rau cov lus nug ntawm tus neeg mob.
Table: Sib piv cov kev xaiv kho mob rau PRCC
| Hom Kev Kho Mob | Kev piav qhia | Qhov zoo | Qhov tsis zoo |
| Kev phais (Partial / Radical Nephrectomy) | Kev phais tshem tawm cov qog lossis lub raum. | Muaj peev xwm kho tau rau cov kab mob hauv zos. | Tej zaum yuav muaj kev phiv xws li mob, kis kab mob, lossis los ntshav. |
| Hom Kev Kho Mob | Cov tshuaj tsom rau cov qog nqaij hlav tshwj xeeb. | Yuav txo cov qog thiab txhim kho txoj sia nyob. | Tej zaum yuav muaj kev phiv, xws li qaug zog, xeev siab, thiab pob khaus ntawm daim tawv nqaij. |
| Immunotherapy | Stimulates lub cev tiv thaiv kab mob los tiv thaiv qog noj ntshav. | Yuav ua tau zoo rau cov kab mob siab heev. | Tej zaum yuav muaj kev phiv, nrog rau qaug zog, ua pob khaus ntawm daim tawv nqaij, thiab kev tiv thaiv kab mob. |
Disclaimer: Cov ntaub ntawv no yog siv rau kev kawm nkaus xwb thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nrog koj tus kws kho mob tham txog txhua yam kev txhawj xeeb txog kev noj qab haus huv.