
Tataiso ena e felletseng e fana ka kakaretso e felletseng ea lefu la renal cell carcinoma (RCC), e shebaneng le lintlha tse amanang le bakuli le litsebi tsa bongaka China. Re tla hlahloba litšobotsi tsa bohlokoa, mekhoa ea ho hlahloba, le mekhoa ea phekolo e amanang le RCC, ho u thusa ho utloisisa lefu lena le rarahaneng hamolemo. Lintlha tse fanoeng mona ke tsa merero ea thuto 'me ha lia lokela ho nkoa e le keletso ea bongaka. Kamehla buisana le setsebi sa tlhokomelo ea bophelo bakeng sa tlhahlobo le kalafo.
Clear cell RCC (ccRCC) ke mofuta o tloaelehileng haholo oa China renal cell carcinoma, e nkang hoo e ka bang 70-80% ea linyeoe tsohle. E tšoauoa ka cytoplasm e hlakileng ka har'a lisele tsa tumor ka lebaka la glycogen e ngata le litaba tsa lipid. Ho utloisisa likarolo tsa histological tsa ccRCC ho bohlokoa bakeng sa tlhahlobo e nepahetseng le ponelopele. Lipatlisiso tse ling mabapi le liphetoho tse itseng tsa lefutso tse tsamaisang ccRCC har'a baahi ba China ke sebaka sa lipatlisiso tse tsoelang pele.
Papillary RCC ke mofuta o mong oa bohlokoa oa RCC, o khetholloang ka mekhoa ea kholo ea papillary. Hangata e amahanngoa le ponelopele e betere ho feta lisele tse hlakileng tsa RCC, empa sena se ka fapana ho latela lintlha tse fapaneng, ho kenyeletsoa boemo ba hlahala le sethala. Tlhahlobo ea pathological ea papillary RCC e hloka tlhahlobo e hlokolosi ea likarolo tsa eona tsa meralo le nyutlelie atypia.
Chromophobe RCC ke mofuta o sa tloaelehang haholo, hangata o bonts'a eosinophilic cytoplasm le likarolo tse ikhethang tsa nyutlelie. Pathogenesis ea eona e fapana le ccRCC le papillary RCC, 'me lipatlisiso tse ling lia hlokahala ho utloisisa ho ata le litšobotsi tse ikhethang har'a baahi ba China. Ho ka 'na ha hlokahala mekhoa e khethehileng ea tlhahlobo bakeng sa boitsebiso bo nepahetseng.
Ho etsa litšoantšo ho phetha karolo ea bohlokoa ho lemoheng le ho beheng ha China renal cell carcinoma. Mekhoa e kang CT scans, MRI, le ultrasound hangata e sebelisoa ho bona hlahala, ho lekola boholo ba eona le sebaka sa eona, le ho lekola boholo ba tlhaselo ea lehae le metastasis. Tlhaloso ea litšoantšo tsena e hloka botsebi le ho shebisisa ka hloko litšobotsi tsa mokuli ka mong.
Biopsy ea lisele e bohlokoa bakeng sa tlhahlobo e hlakileng. Tlhahlobo ea histopathological ea sampole ea biopsy e lumella litsebi tsa mafu ho khetholla mofuta oa RCC, ho lekola boemo ba tumor (e bonts'ang bohale ba mofets'e), le ho tseba likarolo tse ling tsa bohlokoa tsa pathological, ho fana ka tlhaiso-leseling ea bohlokoa bakeng sa moralo oa kalafo. Ho nepahala ha ts'ebetso ena ho itšetlehile haholo ka tsebo ea litsebi tsa mafu a amanang le genitourinary pathology.
Mekhoa ea kalafo ea RCC e fapana ho latela boemo ba mofetše, bophelo bo botle ba mokuli ka kakaretso le lintlha tse ling. Ho tlosoa ha hlahala ka mokhoa oa ho buuoa ( nephrectomy e itseng kapa radical nephrectomy ) ke mokhoa o tloaelehileng bakeng sa RCC ea sebakeng seo. Bakeng sa lefu le tsoetseng pele kapa la metastatic, litlhare tse lebisitsoeng, immunotherapy, le chemotherapy li ka nahanoa. Ho fihlella likhethong tsena tse tsoetseng pele tsa kalafo le katleho ea tsona ka har'a sistimi ea tlhokomelo ea bophelo ea China ke taba ea bohlokoa eo ho nahanoang ka eona.
Bakeng sa lintlha tse qaqileng ka China renal cell carcinoma pathology le lisebelisoa tse amanang le tsona, u ka lakatsa ho hlahloba li-database tse tsebahalang tsa bongaka tse kang PubMed. Ho feta moo, litsi tse 'maloa tse etellang pele tsa bongaka China, joalo ka Setsi sa Lipatlisiso sa Kankere sa Shandong Baofa, fana ka botsebi le lisebelisoa lefapheng lena. Kamehla buisana le litsebi tsa bongaka tse tšoanelehang bakeng sa tlhahlobo le kalafo.
Ho utloisisa lefu la RCC ho bohlokoa bakeng sa tlhahlobo e sebetsang, kalafo, le prognoza. Tataiso ena e fana ka kutloisiso ea motheo ea China renal cell carcinoma pathology, e totobatsang lintlha tsa bohlokoa tse amanang le bakuli le bafani ba tlhokomelo ea bophelo. Lipatlisiso tse ling tse shebaneng le litšobotsi tse khethehileng le mekhoa ea phekolo ea RCC har'a baahi ba Chaena li ntse li tsoela pele 'me li tla ntlafatsa kutloisiso ea rona le taolo ea lefu lena.
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