Zipatala za renal cell carcinoma pathology

Kumvetsetsa Renal Cell Carcinoma Pathology: Buku Lothandizira Odwala ndi Mabanja

Bukuli limafotokoza za matenda a renal cell carcinoma (RCC), kupereka chidziwitso chofunikira kwa anthu ndi mabanja awo omwe amayang'anira matendawa. Tifufuza zamitundu yosiyanasiyana ya RCC, njira zodziwira matenda, komanso gawo lofunikira lomwe ma pathology amatenga pozindikira njira zamankhwala. Kumvetsetsa ma pathology anu renal cell carcinoma ndizofunikira pakuwongolera bwino komanso zotulukapo zabwino.

Kodi Renal Cell Carcinoma (RCC) ndi chiyani?

Renal cell carcinoma, yomwe imadziwikanso kuti khansa ya impso, imayambira m'kati mwa tubules za impso. Ndilo mtundu wofala kwambiri wa khansa ya impso, yomwe imawerengera pafupifupi 90% ya khansa zonse za impso. RCC imagawika m'magulu angapo, iliyonse ili ndi mawonekedwe apadera a matenda komanso zotsatira zake pamankhwala. Kumvetsetsa ma subtypes awa ndikofunikira pakukonzekera bwino kwamankhwala.

Mitundu ya Renal Cell Carcinoma

Chotsani Cell Renal Cell Carcinoma

Clear cell RCC ndi subtype yofala kwambiri, yodziwika ndi cytoplasm yomveka bwino m'maselo otupa. Maonekedwe awa pansi pa maikulosikopu ndi chifukwa cha kuchuluka kwa glycogen. Zomwe zimapangidwira komanso njira zamankhwala zimatha kusiyanasiyana malinga ndi siteji ndi kalasi ya RCC yowonekera bwino. Malipoti apamwamba ndi ma pathologies ndizofunikira pakuzindikiritsa kolondola komanso mawonekedwe.

Papillary Renal Cell Carcinoma

Papillary RCC imadziwika ndi kukula kwa papillary (ngati chala). Pali ma subtypes awiri: mtundu 1 ndi mtundu 2, iliyonse ili ndi mawonekedwe apadera. Mtundu woyamba umalumikizidwa ndi chidziwitso chabwino kwambiri kuposa mtundu wachiwiri. Kusintha kwa ma genetic kumathandizanso pakukula ndi kupitilira kwa papillary RCC.

Chromophobe Renal Cell Carcinoma

Chromophobe RCC ndi kagulu kakang'ono kakang'ono komwe kamawonetsa maselo otuwa, kapena chromophobe, cytoplasm. Nthawi zambiri zimagwirizanitsidwa ndi maphunziro osasamala, kutanthauza kupita pang'onopang'ono. Komabe, kuyezetsa kolondola ndi kuwerengera kumakhalabe kofunikira kuti pakhale chisankho choyenera chamankhwala.

Ma Subtypes Ena

Ma subtypes ena ocheperako a renal cell carcinoma zikuphatikizapo kusonkhanitsa duct carcinoma, medullary carcinoma, ndi unclassified RCC. Ma subtypes awa nthawi zambiri amakhala ndi mawonekedwe apadera ndipo angafunike njira zapadera zowunikira komanso njira zamankhwala.

Udindo wa Pathology mu RCC Kuzindikira ndi Kuchiza

Pathology imagwira ntchito yofunika kwambiri pakuzindikira komanso kupanga renal cell carcinoma. Biopsy, yomwe nthawi zambiri imapezeka kudzera mu singano yolakalaka kapena opaleshoni, ndiyofunikira pakuwunika kwapang'onopang'ono. Katswiriyu adzawunika mawonekedwe a chotupacho, kuphatikiza kukula kwake, kalasi yake, komanso kupezeka kwa metastases (kufalikira kwa khansa kumadera ena a thupi). Chidziwitsochi ndi chofunikira kwambiri pakuzindikira siteji ya khansa ndikusankha njira yoyenera yochizira.

Kupeza Katswiri Wosamalira Renal Cell Carcinoma

Pamene akukumana ndi matenda a renal cell carcinoma, kusankha chipatala chokhala ndi akatswiri odziwa za matenda ndi oncologists ndikofunikira. Zipatala zokhala ndi zipatala zambiri za khansa nthawi zambiri zimapereka magulu osiyanasiyana, kuwonetsetsa kuti odwala akulandira chithandizo chokwanira komanso kupita patsogolo kwamankhwala kwaposachedwa. Mwachitsanzo, a Shandong Baofa Cancer Research Institute imaperekedwa kuti ipereke chisamaliro chapamwamba kwa odwala khansa, yopereka luso lamakono la matenda ndi njira zothandizira.

Kukonzekera ndi Kuyika kwa Renal Cell Carcinoma

Gawo la renal cell carcinoma zimasonyeza kukula kwa khansa kufalikira, pamene kalasi imasonyeza kuopsa kwa chotupa maselo. Onse siteji ndi giredi ndi zofunika kudziwa kuneneratu ndi kukonzekera mankhwala. Malipoti a Pathology amapereka chidziwitso chatsatanetsatane pazinthu izi, kuwongolera madotolo posankha chithandizo chawo.

Njira Zochizira Renal Cell Carcinoma

Chithandizo cha renal cell carcinoma zimasiyanasiyana malinga ndi zinthu zingapo, kuphatikizapo siteji ndi kalasi ya khansa, thanzi lonse la wodwalayo, ndi zomwe amakonda. Zosankha zingaphatikizepo opaleshoni, chithandizo chomwe mukufuna, immunotherapy, chithandizo cha radiation, kapena kuphatikiza kwa njira izi. Zomwe akatswiri apeza zimagwira ntchito yofunika kwambiri potsogolera kusankha chithandizo choyenera kwambiri.

Chodzikanira: Izi ndi zongophunzitsa zokha ndipo siziyenera kutengedwa ngati upangiri wachipatala. Nthawi zonse funsani akatswiri azachipatala kuti mudziwe ndi kuchiza matenda aliwonse.