Nkag siab thiab tswj lub raum Cell Carcinoma (RCC) TreatmentTreatment options for renal cell carcinoma (RCC) muaj ntau yam sib txawv thiab nyob ntawm ntau yam, nrog rau theem ntawm cov qog nqaij hlav, tus neeg mob tag nrho kev noj qab haus huv, thiab cov yam ntxwv tshwj xeeb ntawm cov qog. Phau ntawv qhia ntxaws no tshawb txog ntau yam kev kho mob mus kom ze rau RCC, muab kev nkag siab rau lawv cov kev ua tau zoo thiab cov kev mob tshwm sim. Peb mam li delve rau hauv cov kev xaiv phais, hom kev kho mob, immunotherapy, thiab hluav taws xob, muab kev nkag siab zoo dua ntawm tus kab mob no.
Nkag siab rau lub raum Cell Carcinoma (RCC)
Lub raum cell carcinoma (
RCC) yog ib hom mob qog nqaij hlav hauv lub raum uas tshwm sim hauv cov kab mob hauv lub raum. Feem ntau hom yog ntshiab cell
RCC, tab sis lwm yam subtypes muaj nyob, txhua tus muaj nws tus yam ntxwv tshwj xeeb thiab kev saib xyuas kev kho mob. Kev tshawb pom ntxov ua tau zoo txhim kho txoj hauv kev ua tiav
kev kho mob. Cov xwm txheej txaus ntshai muaj xws li haus luam yeeb, rog rog, ntshav siab, thiab tsev neeg keeb kwm ntawm mob raum. Cov tsos mob tuaj yeem hloov maj mam lossis tsis muaj nyob rau theem pib, tab sis tuaj yeem suav nrog cov ntshav hauv cov zis, mob flank, thiab palpable plab.
Staging thiab Diagnosis ntawm RCC
Qhov tseeb staging yog qhov tseem ceeb rau kev txiav txim siab qhov tsim nyog
kev kho mob npaj rau
RCC. Qhov no suav nrog cov txheej txheem kev yees duab xws li CT scans thiab MRI scans txhawm rau ntsuas qhov luaj li cas ntawm cov qog thiab nws kis mus rau cov qog ntshav nyob ze lossis lwm yam kabmob. Ib qho biopsy tej zaum yuav tsim nyog los xyuas kom meej qhov kev kuaj mob thiab txiav txim seb hom tshwj xeeb ntawm
RCC. Staging systems, xws li TNM system, pab oncologists cais cov qog nqaij hlav thiab kwv yees kwv yees.
Kev Xaiv Kev Kho Mob rau RCC
Kev kho mob rau
RCC Nws txawv raws li theem thiab cov yam ntxwv ntawm tus mob qog noj ntshav. Qhov tseem ceeb
kev kho mob cov kev xaiv muaj xws li:
Kev tshem tawm ntawm lub raum (Nephrectomy)
Rau localized
RCC, nephrectomy - kev phais tshem tawm ntawm lub raum cuam tshuam - feem ntau yog thawj
kev kho mob. Qhov no tuaj yeem ua tau los ntawm kev phais qhib, laparoscopy, lossis kev phais neeg hlau. Kev xaiv ntawm txoj kev phais yog nyob ntawm cov yam xws li qhov loj thiab qhov chaw ntawm cov qog thiab tus neeg mob qhov kev noj qab haus huv tag nrho. Ib nrab nephrectomy, uas tsuas yog tshem tawm cov qog thiab ib feem me me ntawm lub raum, tej zaum yuav yog ib qho kev xaiv rau qee qhov kev khaws cia raum ua haujlwm.
Hom Kev Kho Mob
Targeted therapies yog cov tshuaj uas tshwj xeeb tsom rau cov qog nqaij hlav cancer, txo qis kev puas tsuaj rau cov hlwb noj qab haus huv. Ob peb hom tshuaj kho mob tau ua pov thawj zoo hauv kev kho mob siab heev
RCC. Cov tshuaj no ua haujlwm los ntawm inhibiting cov proteins tshwj xeeb lossis txoj hauv kev koom nrog hauv kev loj hlob ntawm cov qog nqaij hlav cancer thiab kev ciaj sia. Piv txwv xws li sunitinib, sorafenib, pazopanib, thiab axitinib. Cov kev mob tshwm sim tuaj yeem suav nrog qaug zog, ntshav siab, thiab mob tes taw.
Immunotherapy
Immunotherapy harnesses lub cev lub cev tiv thaiv kab mob tiv thaiv kab mob. Cov tshuaj tiv thaiv kab mob tiv thaiv kab mob, xws li nivolumab thiab ipilimumab, tau hloov pauv cov tshuaj tiv thaiv kab mob.
kev kho mob ntawm advanced
RCC. Cov tshuaj no 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. Txawm hais tias muaj txiaj ntsig zoo rau qee tus neeg mob, kev siv tshuaj tiv thaiv kab mob kuj tuaj yeem muaj cov kev mob tshwm sim tseem ceeb, suav nrog cov tshuaj tiv thaiv autoimmune.
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 feem ntau tsis yog thawj
kev kho mob rau
RCC tab sis tej zaum yuav siv tau rau qee qhov xwm txheej, xws li txhawm rau txo qhov mob los ntawm kab mob metastatic lossis kho qhov rov tshwm sim hauv zos tom qab kev phais.
Lwm yam kev kho mob
Lwm yam
kev kho mob Cov kev hloov kho, xws li kev siv tshuaj khomob thiab kev kho mob lom neeg, tuaj yeem siv rau hauv cov xwm txheej tshwj xeeb nyob ntawm tus neeg mob cov ntaub ntawv thiab cov yam ntxwv ntawm mob qog noj ntshav. Ib pab neeg ua haujlwm ntau txoj hauv kev, suav nrog urologists, oncologists, thiab lwm tus kws kho mob, ua kom cov neeg mob tau txais kev saib xyuas zoo tshaj plaws thiab tus kheej.
Xaiv Txoj Kev Npaj Kho Mob Zoo
Xaiv qhov tsim nyog tshaj plaws
kev kho mob rau
RCC yuav tsum tau ua tib zoo xav txog ntau yam. Qhov kev txiav txim siab no yuav tsum tau ua nyob rau hauv kev sab laj nrog tus kws tshaj lij oncologist, coj mus rau hauv tus account theem thiab hom
RCC, tus neeg mob qhov kev noj qab haus huv tag nrho, thiab muaj peev xwm txaus ntshai thiab cov txiaj ntsig ntawm txhua tus
kev kho mob kev xaiv. Cov
Shandong Baofa Cancer Research Institute muab cov chaw zoo tshaj plaws thiab cov kws paub txog kev paub txog kev kuaj mob thiab
kev kho mob ntawm ntau yam mob qog noj ntshav, suav nrog
RCC.
Xaus
Cov
kev kho mob toj roob hauv pes rau
RCC tau hloov zuj zus mus tas li, nrog cov kev kho tshiab thiab kev nce qib uas muab cov txiaj ntsig zoo dua rau cov neeg mob. Thaum ntxov nrhiav tau thiab sai
kev kho mob yog qhov tseem ceeb rau kev ua tau zoo. Phau ntawv qhia no muab cov ntsiab lus ntawm ntau yam
kev kho mob cov kev xaiv muaj, tab sis nws yog ib qho tseem ceeb uas yuav tau sab laj nrog tus kws kho mob rau kev taw qhia tus kheej thiab kho kom haum
kev kho mob npaj.