
Kab lus no muab cov ncauj lus kom ntxaws txog Kev kho mob raum cell carcinoma kev xaiv, npog ntau theem ntawm tus kab mob thiab txiav txim siab rau tus neeg mob yam tseem ceeb. Peb tshawb fawb txog kev phais mob, kev kho mob, kev tiv thaiv kab mob, thiab kev txhawb nqa kev kho mob, hais txog qhov tseem ceeb ntawm ntau txoj kev qhuab qhia kom tau txais txiaj ntsig zoo. Kawm paub txog qhov kev nce qib tshiab thiab cov tswv yim kho mob rau lub raum mob qog noj ntshav no.
Lub raum cell carcinoma (RCC), tseem hu ua mob qog noj ntshav hauv lub raum, yog mob qog noj ntshav uas tshwm sim hauv cov kab mob ntawm lub raum tubules. Hom thiab theem ntawm RCC cuam tshuam rau kev txiav txim siab kho mob. Kev tshawb pom ntxov yog qhov tseem ceeb rau kev ua tiav kev kho mob ntawm lub raum cell carcinoma. Cov tsos mob tuaj yeem suav nrog cov ntshav hauv cov zis, mob flank, thiab palpable plab plab, txawm hais tias ntau tus neeg tau kuaj pom qhov xwm txheej thaum kuaj pom rau lwm yam laj thawj.
Kev phais feem ntau yog qhov tseem ceeb kho rau lub raum cell carcinoma, tshwj xeeb tshaj yog nyob rau theem pib. Hom kev phais nyob ntawm tus qog qhov loj, qhov chaw, thiab kev noj qab haus huv tag nrho ntawm tus neeg mob. Cov kev xaiv muaj xws li nephrectomy ib nrab (tsuas yog tshem tawm ib feem ntawm lub raum), radical nephrectomy (tshem tag nrho lub raum), thiab kev phais ntau dua yog tias mob qog noj ntshav tau kis dhau lub raum. Lub koom haum Shandong Baofa Cancer Research Institute muaj cov txheej txheem phais mob siab heev, ua los ntawm cov kws phais neeg muaj peev xwm, kom tau txais txiaj ntsig zoo rau cov neeg mob. Yog xav paub ntxiv txog lawv cov kev pabcuam, thov mus saib lawv lub vev xaib: https://www.baofahospital.com/.
Targeted therapy tshuaj tsom rau cov molecules tshwj xeeb koom nrog hauv kev loj hlob qog noj ntshav. Cov tshuaj no tuaj yeem siv ib leeg lossis ua ke nrog lwm yam kev kho mob. Piv txwv suav nrog tyrosine kinase inhibitors (TKIs) xws li sunitinib, sorafenib, thiab pazopanib. Cov tshuaj no cuam tshuam nrog cov teeb liab uas txhawb cov qog loj hlob. Cov kev ua tau zoo thiab cov kev mob tshwm sim txawv ntawm cov tib neeg. Nws yog ib qho tseem ceeb los tham txog cov kev xaiv no nrog tus kws kho mob oncologist.
Immunotherapy harnesses lub cev lub cev tiv thaiv kab mob tiv thaiv kab mob. Qhov no txoj kev yog tshwj xeeb tshaj yog zoo nyob rau hauv ib co advanced mob ntawm lub raum cell carcinoma. Check-point inhibitors xws li nivolumab thiab ipilimumab pab txhawb lub cev tiv thaiv kab mob qog noj ntshav. Cov kev kho mob no tuaj yeem ua rau muaj kev txhim kho tseem ceeb hauv kev muaj sia nyob rau qee tus neeg mob.
Txawm hais tias tsis yog thawj kab kev kho mob rau RCC, kev kho hluav taws xob tuaj yeem siv rau hauv cov xwm txheej tshwj xeeb, xws li kev kho mob palliative rau cov kab mob siab heev lossis ua ke nrog lwm cov kev kho mob los tswj kev rov tshwm sim hauv zos.
Kev pab txhawb nqa tsom mus rau kev tswj cov tsos mob thiab txhim kho tus neeg mob lub neej zoo thaum lub sijhawm Kev kho mob raum cell carcinoma. Qhov no yuav suav nrog kev tswj qhov mob, kev txhawb nqa zaub mov, thiab tswj cov kev mob tshwm sim los ntawm lwm yam kev kho mob. Nws yog ib feem tseem ceeb ntawm txoj hauv kev zoo rau kev kho mob qog noj ntshav.
The stage of lub raum cell carcinoma cuam tshuam rau txoj kev npaj kho mob thiab kev kwv yees. Staging suav nrog kev ntsuas qhov loj ntawm cov qog, nws kis mus rau cov qog nqaij hlav nyob ze, thiab txhua qhov metastasis nyob deb. TNM staging system feem ntau yog siv los faib RCC, muab cov qauv txheej txheem rau kev kwv yees thiab kev npaj kho mob. Qhov tseeb theem yog qhov tseem ceeb rau kev txiav txim siab txoj kev kho mob zoo tshaj plaws.
Qhov zoo tshaj plaws kho rau lub raum cell carcinoma nyob ntawm ntau yam, suav nrog theem ntawm mob qog noj ntshav, tus neeg mob lub cev tag nrho, thiab kev nyiam ntawm tus kheej. Ib pab pawg kws tshaj lij, suav nrog cov kws kho mob oncologist, kws phais mob, kws kho hluav taws xob, thiab lwm tus kws kho mob, yog qhov tseem ceeb hauv kev tsim cov phiaj xwm kho tus kheej. Qhib kev sib txuas lus nrog koj pab neeg kho mob yog qhov tseem ceeb rau kev txiav txim siab paub txog koj txoj kev kho mob.
Kev tshawb fawb txuas ntxiv mus, ua rau kev kho tshiab thiab tshiab rau RCC. Cov kev sim tshuaj muaj kev nkag mus rau cov kev sim tshuaj uas yuav muab tau txiaj ntsig ntxiv rau cov neeg mob. Koj tus kws kho mob oncologist tuaj yeem tham txog seb kev koom nrog hauv kev sim tshuaj ntsuam xyuas yuav haum rau koj tus kheej li cas.
| Hom Kev Kho Mob | Qhov zoo | Qhov tsis zoo |
|---|---|---|
| Kev phais | Muaj peev xwm kho tau thaum ntxov | Tej zaum yuav tsis haum rau txhua tus neeg mob lossis theem |
| Hom Kev Kho Mob | Yuav txo cov qog, txhim kho cov tsos mob | Kev mob tshwm sim tuaj yeem yog qhov tseem ceeb |
| Immunotherapy | Cov lus teb ntev ntev ua tau | Kev tiv thaiv kab mob cuam tshuam |
Disclaimer: 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 tus kws kho mob 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.