
China Renal Cell Carcinoma Pathology OutlinesKunzwisisa Pathology yeRenal Cell Carcinoma muChinaChinyorwa ichi chinopa mucherechedzo wakadzama wezvirwere zverenal cell carcinoma (RCC) muChina, zvichitarisa pane zvakajairika subtypes, nzira dzekuongorora, uye zvinokonzeresa. Tichaongorora tsvagiridzo yazvino uye nhungamiro yekiriniki kuti tipe kunzwisisa kwakajeka kweiyi gomarara rapararira. Ichi chinyorwa chakagadzirirwa vashandi vehutano uye vaongorori vanofarira RCC pathology.
Renal cell carcinoma inomiririra dambudziko rehutano hweveruzhinji muChina. Nepo mwero chaiwo wezviitiko uchisiyana mudunhu, ongororo dzinoratidza maitiro ari kusimukira, kuratidza maitiro epasirese. Zvakawanda zvine njodzi zvinokonzeresa kukura kweRCC, kusanganisira kuputa, kufutisa, hypertension, uye nhoroondo yemhuri. Uyezve, kuratidzwa kune imwe chepfu yezvakatipoteredza inogona kuita basa. Kunzwisisa njodzi idzi kwakakosha pakushandisa nzira dzekudzivirira dzinoshanda.
Iyo inonyanya kukosha histological subtype ye China renal cell carcinoma yakajeka sero RCC (ccRCC), inoverengera akakosha akawanda enyaya. Nekudaro, mamwe masubtypes, akadai sepapillary RCC, chromophobe RCC, uye kuunganidza duct RCC, zvinoitikawo. Yakarurama pathological classification yakakosha pakutungamira sarudzo dzekurapa uye kufanotaura fungidziro. Maitiro emazuva ano ezvirwere, kusanganisira immunohistochemistry uye molecular profiling, ari kuwedzera kushandiswa kunatsiridza kuongororwa kwechokwadi.
ccRCC inoratidzwa ne cytoplasm yakajeka mumasero emamota nekuda kwekuwanda kweglycogen uye lipid yemukati. Inowanzoratidza muenzaniso wematendere akasimba uye tubules. Kunyatso shanduka kwema molecular, senge VHL gene mutations, inowanzobatanidzwa ne ccRCC. Kunzwisisa aya mamorekuru maitiro kwakakosha pakuvandudza kurapa kwakanangwa.
Papillary RCC inoratidzirwa nepillae-senge zvimiro, kazhinji ichiratidza fungidziro yakanaka kupfuura ccRCC. Chromophobe RCC haina kuwanda uye inoratidza maitiro eosinophilic cytoplasm. Kuunganidza duct RCC ishoma uye ine hukasha subtype. Kusiyanisa kwakaringana pakati peaya masubtypes kwakakosha kune akagadzirirwa nzira dzekurapa.
Kuongororwa kwe China renal cell carcinoma kazhinji zvinosanganisira musanganiswa wezvidzidzo zvekufungidzira (CT, MRI) uye histopathological ongororo yebiopsy kana yekuvhiya sampuli. Kufambira mberi muhunyanzvi hwekufungidzira, kusanganisira multiphasic CT, inosimudzira kucherechedzwa uye hunhu hwerenal masses. Fine-needle aspiration biopsy inogona kupa preliminary cytological information, ukuwo kuvhiyiwa resection kunobvumira kujekesa pathological diagnosis.
Zvinhu zvakati wandei zvinopesvedzera kufungidzira kweRCC, kusanganisira tumor stage (TNM staging), histological giredhi, uye kuvapo kwemetastasis. Iyo TNM staging system inopa yakajairika nzira yekuisa njodzi stratification. Uyezve, iyo Fuhrman grading system inoongorora zvinhu zvenyukireya zveRCC maseru kufanotaura hukasha. Izvi zvinhu zvinotungamira sarudzo dzekurapa, kubva pakuvhiya kuvhiya kuenda kune kwakanangwa marapirwo uye immunotherapy.
Tsvagiridzo irikuenderera mberi muChina yakanangana nekuvandudza kukurumidza kuonekwa, kunatsa nzira dzekuongorora, nekugadzira riwani remishonga yekurapa. China renal cell carcinoma. Izvi zvinosanganisira kuferefeta muma biomarkers ekukurumidza kuonekwa, kuongororwa kwezvitsva zvekurapa zvinangwa, uye miedzo yekiriniki inoongorora nzira itsva dzekurapa. Kudyidzana pakati pevaongorori, varapi, uye vanoita zvemitemo kwakakosha kusimudzira kunzwisisa uye manejimendi eRCC muChina.
| Subtype | Histological Features | Prognosis |
|---|---|---|
| Bvisa Cell RCC | Clear cytoplasm, matendere akasimba, tubules | Variable, kazhinji hasha |
| Papillary RCC | Papillae-kufanana zvivako | Kazhinji zvakanaka |
| Chromophobe RCC | Eosinophilic cytoplasm | Intermediate prognosis |
Disclaimer: Ruzivo urwu nderwezvinangwa zvekudzidzisa chete uye harufanirwe kutorwa sezano rekurapa. Gara uchibvunzurudza nenyanzvi yezvehutano kune chero matambudziko ehutano kana usati waita chero sarudzo dzine chekuita nehutano hwako kana kurapwa.
Kuti uwane rumwe ruzivo nezve cancer yekutsvaga uye nzira dzekurapa, ndapota shanya Shandong Baofa Cancer Research Institute.
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