
Aka gatabo kasesenguye indwara ya kanseri yimpyiko (RCC), itanga amakuru yingenzi kubantu nimiryango yabo bayobora iri suzuma. Tuzacengera muburyo butandukanye bwa RCC, uburyo bwo gusuzuma, nuruhare rukomeye patologi igira muguhitamo ingamba zo kuvura. Sobanukirwa na patologiya yawe kanseri y'impyiko ni cyo cyambere mu micungire inoze no kunoza ibisubizo.
Kanseri y'impyiko, izwi kandi nka kanseri y'impyiko, ikomoka mu murongo w'impyiko. Nubwoko bwa kanseri yimpyiko, bingana na 90% bya kanseri zose zimpyiko. RCC ishyizwe mubice bitandukanye, buri kimwe gifite imiterere yihariye ya pathologiya hamwe ningaruka zo kuvura. Gusobanukirwa ubu buryo ni ngombwa mugutegura neza imiti.
Selile isobanutse RCC nubwoko bwiganje cyane, burangwa na cytoplazme isobanutse muri selile yibibyimba. Uku kugaragara munsi ya microscope biterwa nibirimo glycogene nyinshi. Amahitamo yo kuvura no kuvura arashobora gutandukana ukurikije urwego nicyiciro cya selile isobanutse RCC. Raporo yambere yerekana amashusho na patologiya ni ngombwa mugupima neza no kuyitegura.
Papillary RCC irangwa nuburyo bwo gukura bwa papillary (busa nintoki). Hariho ubwoko bubiri: ubwoko bwa 1 nubwoko bwa 2, buri kimwe gifite ibimenyetso byihariye bya patologi. Ubwoko bwa 1 busanzwe bujyanye no guhanura neza kuruta ubwoko bwa 2. Guhindura ingirabuzima fatizo nabyo bigira uruhare mu iterambere no gutera imbere kwa papillary RCC.
Chromophobe RCC ni ubwoko buto busanzwe bwerekana selile zifite ibara ryera, cyangwa chromophobe, cytoplazme. Bikunze kuba bifitanye isano n'amasomo asa naho adashaka, bivuze gutera imbere gahoro. Nyamara, gusuzuma neza no kubika bikomeje kuba ingenzi kubyemezo bifatika byo kuvura.
Ibindi bitamenyerewe muburyo bwa kanseri y'impyiko harimo gukusanya kanseri ya duct, kanseri ya medullary, na RCC idafite ibyangombwa. Ubu buryo butandukanye bugaragaza ibintu byihariye kandi bushobora gusaba uburyo bwihariye bwo gusuzuma hamwe nuburyo bwo kuvura.
Inzobere zifite uruhare runini mu gusuzuma no gutunganya kanseri y'impyiko. Biopsy, akenshi iboneka binyuze mubyifuzo byinshinge cyangwa uburyo bwo kubaga, ni ngombwa mugupima microscopique. Inzobere mu bijyanye n’indwara zizasuzuma ibiranga ikibyimba, harimo ingano yacyo, urwego, ndetse no kuba hari metastase (ikwirakwizwa rya kanseri mu bindi bice by'umubiri). Aya makuru ni ingenzi mu kumenya icyiciro cya kanseri no guhitamo uburyo bukwiye bwo kuvura.
Mugihe uhuye nisuzuma rya kanseri y'impyiko, guhitamo ibitaro bifite abapologiste babimenyereye naba oncologiste ni ngombwa. Ibitaro bifite ibigo bya kanseri byuzuye bitanga amatsinda atandukanye, bigatuma abarwayi bahabwa ubuvuzi bwuzuye hamwe niterambere rigezweho. Kurugero ,. Shandong Baofa Ikigo Cyubushakashatsi Kanseri yitangiye gutanga ubuvuzi buhanitse ku barwayi ba kanseri, butanga ubushobozi bugezweho bwo gusuzuma no kuvura.
Icyiciro cya kanseri y'impyiko yerekana urugero rwa kanseri ikwirakwira, mugihe urwego rugaragaza ubukana bwa selile yibibyimba. Ibyiciro n'ibyiciro byombi nibyingenzi muguhitamo prognoza no gutegura gahunda yo kuvura. Raporo ya Pathology itanga amakuru arambuye kuriyi ngingo, iyobora abaganga mubyemezo byabo byo kuvura.
Umuti wa kanseri y'impyiko biratandukanye bitewe nibintu byinshi, harimo icyiciro nicyiciro cya kanseri, ubuzima bwumurwayi muri rusange, hamwe nibyo akunda. Amahitamo arashobora kubagwa, kuvura intego, kuvura immunotherapi, kuvura imirasire, cyangwa guhuza ubu buryo. Ibyavuye mu bumenyi bw'indwara bigira uruhare runini mu kuyobora ihitamo ry'ubuvuzi bukwiye.
| Ubwoko bwa RCC | Ibiranga | Ingero ziteganijwe |
|---|---|---|
| Sobanura Akagari | Sobanura cytoplazme, ibirimo glycogene nyinshi | Ibihinduka, biterwa na stade n'amanota |
| Papillary | Uburyo bwo gukura bwa papillary, ubwoko bwa 1 na 2 | Ubwoko bwa 1 muri rusange nibyiza guhanura kuruta Ubwoko bwa 2 |
| Chromophobe | Cytoplasme yera | Akenshi inzira idahwitse |
Inshingano: Aya makuru agenewe intego zuburezi gusa kandi ntagomba gufatwa nkinama zubuvuzi. Buri gihe ujye ubaza inzobere mu by'ubuzima kugira ngo zisuzume kandi zivure indwara iyo ari yo yose.