kev kho mob theem 3 non me me cell lung cancer kho

Kev Xaiv Kev Kho Mob rau Theem 3 Tsis-Small Cell Lung Cancer

Qib 3 uas tsis yog-me me ntawm lub ntsws cancer (NSCLC) nthuav qhia cov teeb meem tshwj xeeb, yuav tsum muaj ntau txoj hauv kev los kho. Cov lus qhia dav dav no tshawb txog ntau yam kev kho mob, qhia txog lawv cov txiaj ntsig, cov kev mob tshwm sim, thiab kev tsim nyog nyob ntawm tus neeg mob yam xwm txheej. Nkag siab txog cov kev xaiv no yog qhov tseem ceeb rau kev txiav txim siab nrog koj tus kws kho mob oncologist.

Nkag siab theem 3 NSCLC

Theem 3 NSCLC yog categorized rau theem IIIA thiab IIIB, qhia txog kev kis mob qog noj ntshav. Theem IIIA cuam tshuam txog kev mob qog noj ntshav uas tau kis mus rau cov qog nqaij hlav nyob ze, thaum theem IIIB suav nrog kev koom tes ntawm cov qog ntshav qab zib ntau dua thiab / lossis kis mus rau cov qauv nyob ze. Qhov tseeb theem ntawm kev kos duab (CT scans, PET scans) thiab biopsies yog qhov tseem ceeb rau kev txiav txim siab qhov tsim nyog tshaj plaws. kev kho mob theem 3 uas tsis yog me me ntawm lub ntsws cancer kho npaj.

Kev Kho Mob rau Theem 3 NSCLC

Kev phais

Kev phais yuav yog ib qho kev xaiv rau xaiv theem IIIA cov neeg mob uas tsis muaj kev cuam tshuam nodal thiab kev noj qab haus huv tag nrho. Qhov no tuaj yeem koom nrog lobectomy (tshem tawm ntawm lub ntsws lobe) lossis pneumonectomy (tshem tawm tag nrho lub ntsws). Kev phais resection feem ntau ua raws li kev kho mob adjuvant (chemotherapy lossis hluav taws xob) kom txo tau qhov kev pheej hmoo ntawm kev rov tshwm sim. Qhov kev txiav txim siab mus rau kev phais yog nyob ntawm ntau yam, nrog rau qhov chaw thiab qhov loj ntawm cov qog, tus neeg mob qhov kev noj qab haus huv tag nrho, thiab qhov kev cuam tshuam ntawm cov qog ntshav qog ntshav. Shandong Baofa Cancer Research Institute muaj kev paub txog kev phais mob rau lub ntsws cancer.

Tshuaj kho mob

Kev siv tshuaj khomob, siv cov tshuaj muaj zog los tua cov kabmob kheesxaws, yog qhov tshwm sim kev kho mob theem 3 uas tsis yog me me ntawm lub ntsws cancer kho rau Theem IIIA thiab IIIB NSCLC. Cov kev cai sib txawv nyob ntawm tus kheej, thiab tej zaum yuav suav nrog cov tshuaj platinum (cisplatin lossis carboplatin) ua ke nrog lwm cov tshuaj xws li pemetrexed lossis docetaxel. Kev siv tshuaj khomob tuaj yeem siv ua ntej kev phais (neoadjuvant) kom txo cov qog, tom qab kev phais (adjuvant) kom tshem tawm cov qog nqaij hlav uas tseem tshuav, lossis ua thawj txoj kev kho mob. Cov kev mob tshwm sim muaj tshwm sim thiab tuaj yeem suav nrog xeev siab, qaug zog, thiab plaub hau poob; Txawm li cas los xij, cov no feem ntau tswj tau nrog kev txhawb nqa.

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 tuaj yeem siv ib leeg lossis ua ke nrog tshuaj khomob. Kev kho hluav taws xob tuaj yeem siv ua ntej kev phais (neoadjuvant) kom txo cov qog, tom qab kev phais (adjuvant) txhawm rau tsom rau cov qog nqaij hlav cancer uas tseem tshuav, lossis ua thawj txoj kev kho mob, tshwj xeeb tshaj yog rau cov neeg mob uas tsis yog cov neeg phais. Stereotactic lub cev hluav taws xob kho mob (SBRT) yog ib daim ntawv meej ntawm cov hluav taws xob uas xa cov hluav taws xob ntau rau cov qog thaum sparing ib puag ncig cov ntaub so ntswg. Hom tshwj xeeb thiab ntau npaum li cas ntawm kev kho hluav taws xob yog nyob ntawm tus neeg qhov xwm txheej.

Hom Kev Kho Mob

Targeted therapy siv cov tshuaj uas tshwj xeeb tsom rau cov qog nqaij hlav cancer raws li lawv cov kev hloov caj ces. Qee qhov kev hloov pauv caj ces (xws li EGFR, ALK, ROS1 kev hloov pauv) muaj ntau hauv NSCLC thiab tuaj yeem kwv yees qhov kev teb rau cov kev kho tshwj xeeb. Yog tias qhov kev hloov pauv no raug txheeb xyuas, txoj kev kho mob yuav yog lub hauv paus ntawm kev kho mob theem 3 uas tsis yog me me ntawm lub ntsws cancer kho, muaj peev xwm muab cov txiaj ntsig tau zoo dua qub thiab tsawg dua cov kev mob tshwm sim piv rau cov tshuaj chemotherapy. Koj tus kws kho mob oncologist yuav ua qhov kev ntsuam xyuas caj ces los txiav txim seb qhov kev kho mob puas tsim nyog rau koj.

Immunotherapy

Immunotherapy siv lub zog ntawm lub cev lub cev tiv thaiv kab mob los tiv thaiv qog noj ntshav. Cov tshuaj tiv thaiv kab mob tiv thaiv kab mob, xws li nivolumab lossis pembrolizumab, yog siv los thaiv cov protein uas tiv thaiv lub cev tiv thaiv kab mob los ntawm kev tawm tsam cov qog nqaij hlav cancer. Immunotherapy feem ntau yog siv ua ke nrog kev kho mob thiab tej zaum yuav yog ib qho kev xaiv rau cov neeg mob uas muaj cov kab mob tshwj xeeb lossis cov neeg uas tsis tau teb zoo rau lwm yam kev kho mob. Kev mob tshwm sim tuaj yeem ua tau thiab sib txawv nyob ntawm cov tshuaj tshwj xeeb.

Xaiv Txoj Kev Npaj Kho Mob Zoo

Qhov zoo kev kho mob theem 3 uas tsis yog me me ntawm lub ntsws cancer kho lub tswv yim 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. Ib pab pawg kws tshaj lij ntawm cov kws kho mob oncologist, kws phais mob, thiab kws kho hluav taws xob yuav ua haujlwm sib koom tes los tsim cov phiaj xwm kho tus kheej. Qhib kev sib txuas lus nrog koj tus kws kho mob yog qhov tseem ceeb rau kev nkag siab txog koj cov kev xaiv thiab txiav txim siab paub txog koj txoj kev kho mob.

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. Nco ntsoov sab laj nrog koj tus kws kho mob kom kuaj xyuas thiab kho txhua yam mob.

Tsis lees paub: Cov ntaub ntawv no yog npaj rau kev paub dav dav thiab cov ntaub ntawv xov xwm nkaus xwb, thiab tsis yog cov lus qhia kho mob. Nws yog ib qho tseem ceeb kom sab laj nrog tus kws kho mob uas 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. Cov ntaub ntawv uas tau muab rau ntawm no yuav tsum tsis txhob suav tias yog qhov hloov pauv rau cov lus qhia kws kho mob, kev kuaj mob, lossis kev kho mob.