
Cov lus qhia dav dav no tshawb txog ntau yam kev kho mob muaj rau squamous non-me me cell ntsws cancer (NSCLC). Peb delve rau hauv qhov tseeb kev nce qib hauv kev kho mob, suav nrog kev phais, kws khomob, kev kho hluav taws xob, kev kho lub hom phiaj, thiab kev siv tshuaj tiv thaiv kab mob, muab kev nkag siab meej ntawm txhua txoj kev ua tau zoo thiab cov kev mob tshwm sim. Kawm paub txog theem, kev kuaj mob, thiab qhov tseem ceeb ntawm tus kheej kev kho mob npaj rau kev tswj tus kab mob no complex. Peb kuj hais txog kev txhawb nqa kev saib xyuas los txhim kho lub neej zoo thaum lub sijhawm thiab tom qab kev kho mob.
Squamous cell carcinoma yog ib hom kab mob NSCLC uas tshwm sim nyob rau hauv ob sab phlu ntawm cov pa loj nyob rau hauv lub ntsws. Nws feem ntau cuam tshuam nrog keeb kwm ntawm kev haus luam yeeb. Kev tshawb pom ntxov yog qhov tseem ceeb rau kev ua tiav kev kho mob. Cov kev kho mob mus kom ze yog tus kheej heev thiab nyob ntawm theem ntawm mob qog noj ntshav thiab tus neeg mob txoj kev noj qab haus huv tag nrho.
Staging suav nrog kev txiav txim siab txog qhov kev kis mob qog noj ntshav. Qhov no yog qhov tseem ceeb hauv kev txiav txim siab qhov kev kawm zoo tshaj plaws kev kho mob rau squamous non-me me cell ntsws cancer. Staging feem ntau yog ua los ntawm kev kuaj duab (CT scans, PET scans), biopsies, thiab tejzaum nws bronchoscopy. Theem (I-IV) influences kev kho mob kev txiav txim siab, thiab cov neeg mob raug txhawb kom tham txog qhov tshwj xeeb ntawm lawv qhov kev kuaj mob thiab theem nrog lawv tus kws kho mob oncologist. Nkag siab txog koj theem yuav tso cai rau koj los sib koom ua ke npaj qhov tsim nyog tshaj plaws kev kho mob tswv yim.
Kev phais feem ntau yog qhov tseem ceeb kev kho mob kev xaiv rau theem pib squamous non-me me cell ntsws cancer. Nyob ntawm qhov chaw thiab qhov loj ntawm cov qog, cov txheej txheem phais yuav siv tau. Qhov no yuav cuam tshuam nrog tshem cov qog thiab ib feem ntawm lub ntsws ib puag ncig (lobectomy lossis wedge resection). Qhov ua tau ntawm kev phais yog nyob ntawm ntau yam xws li tus neeg mob qhov kev noj qab haus huv tag nrho thiab qhov chaw thiab qhov loj ntawm cov qog.
Kev kho mob yog siv tshuaj tua kab mob qog noj ntshav. Nws yog feem ntau siv ua ke nrog lwm yam kev kho mob txoj kev, xws li kev kho hluav taws xob lossis kev phais, rau cov theem siab dua ntawm squamous non-me me cell ntsws cancer. Cov tshuaj chemotherapy uas siv rau NSCLC xws li cisplatin, carboplatin, thiab paclitaxel. Cov kev mob tshwm sim sib txawv, thiab kev tswj cov no yog ib qho tseem ceeb ntawm cov kev kho mob txheej txheem.
Kev kho hluav taws xob siv hluav taws xob hluav taws xob ua kom puas thiab ua kom puas cov qog nqaij hlav cancer. Nws tuaj yeem siv ua ntej kev phais kom txo cov qog nqaij hlav (kev kho neoadjuvant), tom qab kev phais kom tshem tawm cov qog nqaij hlav cancer ntxiv (adjuvant therapy), lossis ua thawj kev kho mob rau cov neeg mob uas tsis tsim nyog rau kev phais. Kev kho hluav taws xob kuj tseem siv tau los tswj cov tsos mob tshwm sim los ntawm kev mob qog noj ntshav siab.
Targeted therapy siv cov tshuaj uas tshwj xeeb rau cov qog nqaij hlav cancer nrog qee yam kev hloov caj ces. Txoj hauv kev no tuaj yeem ua tau zoo rau cov neeg mob uas cov qog muaj qee yam kev hloov pauv caj ces. Piv txwv li, qee qhov kev hloov pauv EGFR hauv NSCLC tuaj yeem teb tau zoo rau cov kev kho mob tshwj xeeb. Kev ntsuam xyuas caj ces yog qhov tseem ceeb los txiav txim qhov tsim nyog rau cov kev kho mob no.
Immunotherapy siv lub zog ntawm lub cev lub cev tiv thaiv kab mob los tua cov qog nqaij hlav cancer. Cov kev kho mob no ua haujlwm los ntawm kev txhawb nqa lossis txhim kho lub cev tiv thaiv kab mob los tua thiab rhuav tshem cov qog nqaij hlav cancer. Immunotherapy tau revolutionized lub kev kho mob ntawm ntau cov qog nqaij hlav, nrog rau qee hom NSCLC. Checkpoints inhibitors yog ib qho piv txwv loj ntawm hom no kev kho mob.
Tswj cov kev mob tshwm sim ntawm mob qog noj ntshav kev kho mob yog ib feem tseem ceeb ntawm kev saib xyuas tag nrho. Kev pab txhawb nqa suav nrog ntau yam kev pabcuam, suav nrog kev tswj qhov mob, kev txhawb nqa zaub mov, thiab kev tawm tswv yim, txhawm rau txhim kho tus neeg mob lub neej zoo thaum lub sijhawm thiab tom qab. kev kho mob. Kev sib tham nrog koj tus kws kho mob oncologist thiab lawv pab neeg saib xyuas yog qhov tseem ceeb hauv kev txiav txim siab txoj kev npaj kho mob zoo tshaj plaws.
Nws yog ib qho tseem ceeb kom nco ntsoov qhov ntawd kev kho mob rau squamous non-me me cell ntsws cancer yog tus kheej heev. Txoj hauv kev zoo tshaj plaws yog nyob ntawm ntau yam nrog rau theem ntawm tus mob qog noj ntshav, tus neeg mob txoj kev noj qab haus huv tag nrho, thiab muaj kev hloov pauv caj ces tshwj xeeb. Kev sib tham dav dav nrog tus kws kho mob oncologist yog qhov tseem ceeb los tsim kom muaj kev sib haum xeeb kev kho mob lub tswv yim uas ua kom muaj txiaj ntsig zoo thaum txo cov kev mob tshwm sim. Koj pab neeg saib xyuas kev noj qab haus huv yuav ua haujlwm nrog koj los tsim ib txoj kev npaj ua kom tau raws li koj tus kheej xav tau thiab cov hom phiaj.
Yog xav paub ntxiv lossis teem caij sib tham, thov mus saib Shandong Baofa Cancer Research Institute. Cov ntaub ntawv no yog tsim los 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 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.