
Cov lus qhia dav dav no tshawb txog cov kab mob ntawm lub raum cell carcinoma (RCC) thiab qhia txog cov kev kho mob uas muaj nyob hauv cov tsev kho mob tshwj xeeb hauv urological oncology. Peb yuav delve rau hauv ntau hom RCC, kev kuaj mob, txheej txheem theem, thiab ntau yam kev kho mob suav nrog kev phais, kev kho mob, kev tiv thaiv kab mob, thiab kev kho hluav taws xob. Cov ntaub ntawv muab los pab txhawb cov tib neeg nrhiav cov ntaub ntawv hais txog kho lub raum cell carcinoma pathology Tsev kho mob thiab lawv cov kev xaiv.
Lub raum cell carcinoma (RCC) yog ib hom mob qog noj ntshav hauv lub raum uas tshwm sim hauv cov hlab ntsha me (tubules) hauv ob lub raum. Nws suav rau feem ntau ntawm cov qog nqaij hlav hauv lub raum. Kev nkag siab txog cov kab mob tshwj xeeb ntawm RCC yog qhov tseem ceeb rau kev txiav txim siab zoo tshaj plaws kho lub raum cell carcinoma pathology Tsev kho mob muaj peev xwm muab. Daim ntawv qhia pathology muab cov ncauj lus kom ntxaws txog cov qog nqaij hlav, nrog rau nws qib thiab theem, uas cuam tshuam rau kev txiav txim siab kho mob.
Muaj ntau yam subtypes ntawm RCC muaj nyob, txhua tus muaj cov yam ntxwv tshwj xeeb thiab cov lus teb rau kev kho mob. Feem ntau cov subtypes muaj xws li:
Qhov no yog hom RCC uas nquag tshaj plaws, uas muaj cov cytoplasm ntshiab hauv cov qog nqaij hlav cancer hauv lub tshuab tsom. Nws cov kab mob feem ntau cuam tshuam rau kev xaiv kho mob, nrog rau kev kho mob feem ntau ua tau zoo.
Papillary RCC nta papillary (zoo li ntiv tes) qhov projections. Nws pathology feem ntau xav tau ib txoj hauv kev sib txawv piv rau cov cell RCC ntshiab.
Cov subtype no yog tus cwj pwm los ntawm cov hlwb uas tsis zoo nrog cov qauv dyes. Nws cov kab mob sib txawv feem ntau hais txog kev kho mob sib txawv.
Tsawg dua RCC subtypes muaj nyob, suav nrog kev sau cov kab mob qog noj ntshav thiab tsis muaj npe RCC, txhua tus muaj cov kab mob tshwj xeeb uas xav tau tshwj xeeb los ntawm kho lub raum cell carcinoma pathology Tsev kho mob.
Kev kuaj mob kom raug thiab theem theem yog qhov tseem ceeb rau kev npaj kho mob zoo. Cov txheej txheem diagnostic feem ntau muaj xws li:
CT scans, MRI scans, thiab ultrasound yog siv los pom lub raum thiab kuaj cov qog. Cov txheej txheem kev yees duab no pab txiav txim qhov loj thiab qhov chaw ntawm cov qog, nrog rau muaj cov metastases (kis mus rau lwm qhov ntawm lub cev).
Ib qho biopsy yuav tshem tawm ib qho qauv me me ntawm cov qog rau kev kuaj xyuas microscopic. Pathological tsom xam ntawm biopsy yog qhov tseem ceeb rau kev lees paub qhov kev kuaj mob, txiav txim siab yam tshwj xeeb ntawm RCC, thiab ntsuas qhov qog cov qib (kev txhoj puab heev).
Staging systems, xws li TNM system, faib RCC raws li cov qog loj, qhov chaw, kis mus rau cov qog nqaij hlav nyob ze, thiab cov metastases nyob deb. Cov theem tseem ceeb cuam tshuam cov lus pom zoo kho mob.
Kev kho mob rau RCC nyob ntawm ntau yam, suav nrog theem ntawm tus mob qog noj ntshav, tus neeg mob kev noj qab haus huv tag nrho, thiab hom tshwj xeeb ntawm RCC. Ua thawj kho lub raum cell carcinoma pathology Tsev kho mob muab ntau yam kev kho mob, uas tej zaum yuav muaj xws li:
Kev phais, xws li ib feem nephrectomy (tshem tawm cov qog nkaus xwb) lossis radical nephrectomy (tshem tawm tag nrho lub raum), yog ib qho kev xaiv kho mob rau hauv zos RCC. Hom kev phais nyob ntawm ntau yam xws li qog loj thiab qhov chaw.
Cov phiaj xwm kho mob siv cov tshuaj uas tshwj xeeb tsom rau cov qog nqaij hlav cancer, txo qis kev puas tsuaj rau cov hlwb noj qab haus huv. Cov tshuaj no feem ntau cuam tshuam cov proteins tshwj xeeb koom nrog hauv kev loj hlob ntawm qog noj ntshav thiab ciaj sia.
Immunotherapy siv lub cev lub cev tiv thaiv kab mob los tua cov qog nqaij hlav cancer. Nws suav nrog kev siv tshuaj lossis kev kho mob uas pab lub cev tiv thaiv kab mob txheeb xyuas thiab rhuav tshem cov qog nqaij hlav cancer.
Kev kho hluav taws xob siv hluav taws xob hluav taws xob ntau los tua cov qog nqaij hlav cancer. Txawm hais tias tsis tshua siv los ua kev kho mob tseem ceeb rau RCC, nws tuaj yeem ua lub luag haujlwm hauv kev kho mob palliative lossis kho qhov rov tshwm sim hauv zos.
Xaiv lub tsev kho mob nrog cov kws tshaj lij hauv urological oncology thiab cov ntaub ntawv muaj zog hauv kev kho RCC yog qhov tseem ceeb. Cov yam tseem ceeb uas yuav tsum xav txog suav nrog tsev kho mob cov kev paub dhau los nrog hom tshwj xeeb ntawm RCC, nkag mus rau kev tshuaj ntsuam xyuas thiab kev kho cov thev naus laus zis, thiab pab pawg neeg ntau txoj hauv kev rau kev kho mob qog noj ntshav. Shandong Baofa Cancer Research Institute yog ib lub chaw muaj koob npe nrov uas muab kev saib xyuas zoo rau cov neeg mob lub raum cell carcinoma.
Cov ntaub ntawv muaj nyob rau hauv tsab xov xwm no yog npaj rau kev kawm nkaus xwb thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob tsim nyog rau txhua yam kev txhawj xeeb txog kev noj qab haus huv lossis ua ntej txiav txim siab txog koj txoj kev noj qab haus huv lossis kev kho mob.