Ubushinwa impyiko kanseri ya kanseri yindwara hafi yanjye

Gusobanukirwa Ubushinwa Impyiko Yumubiri Carcinoma Pathology

Aka gatabo karatanga incamake irambuye y’indwara zifata kanseri yimpyiko (RCC), yibanda ku ngingo zijyanye n’abarwayi n’inzobere mu buvuzi mu Bushinwa. Tuzasesengura ibintu by'ingenzi biranga, uburyo bwo gusuzuma, hamwe n'ibitekerezo byo kuvura bifitanye isano na RCC, bigufasha kumva neza iyi ndwara igoye. Ibisobanuro byatanzwe hano bigamije uburezi kandi ntibigomba gufatwa nkinama zubuvuzi. Buri gihe ujye ubaza inzobere mu by'ubuzima kugirango isuzume kandi ivurwe.

Ubwoko nibiranga kanseri yimpyiko

Kuraho kanseri yimpyiko selile Carcinoma

Sobanura selile RCC (ccRCC) nubwoko busanzwe bwa Ubushinwa kanseri yimpyiko, bingana na 70-80% by'imanza zose. Irangwa na cytoplazme isobanutse muri selile yibibyimba bitewe na glycogene nyinshi hamwe na lipide. Gusobanukirwa ibiranga amateka ya ccRCC ningirakamaro mugupima neza no guhanura. Iperereza ryakozwe ku ihinduka ry’imiterere yihariye itwara ccRCC mu baturage b’Ubushinwa ni agace k’ubushakashatsi bukomeje.

Papillary Renal Cell Carcinoma

Papillary RCC nubundi bwoko bwingenzi bwa RCC, burangwa nuburyo bwo gukura bwa papillary. Bikunze guhuzwa no kumenya neza kuruta selile RCC isobanutse, ariko ibi birashobora gutandukana bitewe nibintu bitandukanye, harimo urwego rwibibyimba na stade. Isuzuma ry’indwara ya papillary RCC risaba gusuzuma neza imiterere yububiko hamwe na atypia ya kirimbuzi.

Chromophobe Renal Cell Carcinoma

Chromophobe RCC ni ubwoko budasanzwe, bukunze kwerekana cytoplazme ya eosinofilique hamwe nibiranga kirimbuzi bitandukanye. Indwara yawo itandukanye na ccRCC na papillary RCC, kandi ubushakashatsi burakenewe kugira ngo dusobanukirwe ubwinshi bwayo n'ibiranga umwihariko mu baturage b'Abashinwa. Tekinike yihariye yo gusuzuma irashobora gukenerwa kugirango imenyekane neza.

Uburyo bwo gusuzuma indwara ya kanseri yimpyiko mu Bushinwa

Uburyo bwo Kwerekana

Kwerekana amashusho bigira uruhare runini mugushakisha no gutunganya Ubushinwa kanseri yimpyiko. Ubuhanga nka CT scan, MRI, na ultrasound bikoreshwa muburyo bwo kureba ikibyimba, gusuzuma ingano yacyo n'aho biherereye, no gusuzuma urugero ibitero byaho na metastasis. Ibisobanuro by'aya mashusho bisaba ubuhanga no gutekereza neza kubiranga abarwayi kugiti cyabo.

Ikizamini cya Biopsy na Histopathologique

Biopsy ya tissue ningirakamaro mugupima neza. Isuzumabumenyi rya Histopathologique yerekana urugero rwa biopsy ryemerera abahanga mu bumenyi bw'indwara gushyira mu byiciro ubwoko bwa RCC, gusuzuma igipimo cy’ibibyimba (kigaragaza ubukana bwa kanseri), no kumenya ibindi bintu byose by’indwara, bitanga amakuru y'ingenzi yo gutegura imiti. Ukuri kuriki gikorwa gushingiye cyane kubuhanga bwabapologiste kabuhariwe muri genitourinary patology.

Amahitamo yo kuvura no gutekereza

Uburyo bwo kuvura RCC buratandukanye bitewe nicyiciro cya kanseri, ubuzima bwumurwayi muri rusange, nibindi bintu. Gukuraho ikibyimba (nephrectomy igice cyangwa nephrectomy radical) nuburyo busanzwe kuri RCC yaho. Indwara zateye imbere cyangwa metastatike, hashobora gutekerezwa imiti igamije, immunotherapie, na chimiotherapie. Kugera kuri ubu buryo bwo kuvura buhanitse hamwe ningaruka zabyo muri sisitemu yubuzima bwubushinwa nigitekerezo cyingenzi.

Imiterere ya Pathologiya n'umutungo

Kubindi bisobanuro birambuye kuri Ubushinwa impyiko kanseri ya kanseri yerekana indwara nibikoresho bifitanye isano, urashobora kwifuza gushakisha amakuru yubuvuzi azwi kumurongo nka PubMed. Byongeye kandi, ibigo byinshi byubuvuzi bikomeye mubushinwa, nka Shandong Baofa Ikigo Cyubushakashatsi Kanseri, tanga ubumenyi nubushobozi muriki gice. Buri gihe ujye inama ninzobere mubuvuzi babishoboye kugirango basuzume kandi bavurwe.

Umwanzuro

Gusobanukirwa na patologiya ya RCC ningirakamaro mugupima neza, kuvura, no guhanura. Aka gatabo gatanga gusobanukirwa shingiro rya Ubushinwa kanseri yimpyiko patologiya, yerekana ibintu by'ingenzi bireba abarwayi n'abashinzwe ubuzima. Ubundi bushakashatsi bwibanze ku miterere yihariye n’uburyo bwo kuvura RCC mu baturage b’Ubushinwa burakomeje kandi bizadufasha kurushaho gusobanukirwa no gucunga iyi ndwara.