
Tataiso ena e akaretsang e fa lipetlele lintlha tse qaqileng tsa Pathology ea renal cell carcinoma, e koahelang likarolo tsa bohlokoa tsa tlhahlobo, li-subtypes, litsamaiso tsa maemo, le matšoao a prognostic. Re hlahloba tsoelo-pele ea morao-rao ea ho utloisisa le ho arola mofetše ona o rarahaneng, ho fa litsebi tsa mafu ka boitsebiso bo hlokahalang bakeng sa tlhahlobo e nepahetseng le moralo oa phekolo. Ho utloisisa menahano ea Pathology ea renal cell carcinoma e bohlokoa bakeng sa tlhokomelo e nepahetseng ea bakuli.
Renal cell carcinoma (RCC) ke mofuta o atileng haholo oa mofetše oa liphio, o hlahang lera la liphio. E tšoauoa ka li-subtypes tse fapaneng tsa histological, e 'ngoe le e' ngoe e na le boits'oaro bo ikhethang ba bongaka le likarabo tsa kalafo. Tlhahlobo e nepahetseng ea pathological ke ea bohlokoa bakeng sa ho tseba hore na boemo ke bofe le ho tataisa mekhoa ea phekolo.
Ho na le li-subtypes tse 'maloa tsa RCC, ho kenyelletsa le cell cell RCC (ccRCC), papillary RCC (pRCC), chromophobe RCC (chRCC), le tse ling. Mofuta o mong le o mong o monyane o hlahisa litšobotsi tse ikhethang tsa morphological tlas'a tlhahlobo ea microscopic. Khetho e nepahetseng ea mofuta o tlase ke ea bohlokoa bakeng sa ho bolela esale pele thuto ea kliniki le ho khetha mekhoa e nepahetseng ea kalafo. The Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) ke setsi se etelletseng pele tlhahlobong le kalafong ea mofets'e oa liphio, se ikhethileng ka tsoelopele ea morao-rao ho Pathology ea renal cell carcinoma.
Tlhahlobo ea mafu a Renal cell carcinoma e kenyelletsa tlhahlobo e qaqileng ea microscopic ea lisampole tsa lisele tse fumanoeng ka biopsy kapa nephrectomy. Likarolo tsa bohlokoa tse hlahlobiloeng li kenyelletsa sebopeho sa lisele, litšobotsi tsa nyutlelie, boteng ba cytoplasmic clearing (ho ccRCC), le mokhoa oa kholo. Tlhaloso e nepahetseng e hloka kutloisiso e tebileng ea litekanyetso tsa tlhahlobo ea mofuta o mong le o mong oa RCC.
Sistimi ea ho hlophisa ea Fuhrman hangata e sebelisoa ho hlopha RCC ho ipapisitsoe le likarolo tsa nyutlelie, e fana ka sesupo sa bohale ba hlahala. Matšoao a mang a prognostic, ho kenyelletsa le tumor stage (TNM staging), tlhaselo ea vascular, le lymphovascular invasion, le tsona li bohlokoa bakeng sa ho hlahloba boemo ba mokuli le moralo oa phekolo. Tlhahlobo e hlokolosi ea lintlha tsena e bohlokoa bakeng sa maano a motho ka mong a kalafo.
Immunohistochemistry (IHC) e bapala karolo ea bohlokoa ho khethollang li-subtypes tsa RCC le ho lekola polelo ea li-biomarker tse fapaneng tse ka fanang ka tlhaiso-leseling ea bokamoso. Mekhoa ea limolek'hule tsa pathology, ho kenyelletsa le tatellano ea moloko o latelang (NGS), e ntse e sebelisoa ka ho eketsehileng ho khetholla liphetoho tse itseng tsa lefutso tse ka 'nang tsa bolela esale pele karabelo ea phekolo le ho tataisa liqeto tse lebisitsoeng tsa phekolo. Mekhoa ena e tsoetseng pele e ntlafatsa mokhoa oa ho hlahloba Pathology ea renal cell carcinoma.
Leha ho na le tsoelo-pele e kholo, liphephetso li ntse li le teng tlhahlobong le ho hlophisoa ha RCC, haholoholo ho khetholleng mefuta e sa tloaelehang le ho laola linyeoe tse thata. Patlisiso e tsoelang pele le nts'etsopele ea lisebelisoa tse ncha tsa tlhahlobo le mekhoa e tla ba tsa bohlokoa bakeng sa ho ntlafatsa ho nepahala le katleho ea Pathology ea renal cell carcinoma.
Lipetlele li lokela ho theha mekhoa e hlakileng ea ts'ebetso (SOPs) bakeng sa ts'ebetso, tlhahlobo le tlaleho ea Renal cell carcinoma mehlala. Li-SOP tsena li lokela ho ikamahanya le litataiso tse thehiloeng le mekhoa e metle ho netefatsa botsitso le ho nepahala litlhahlobong tsa tlhahlobo. Koetliso ea kamehla le lintlafatso bakeng sa litsebi tsa mafu le basebetsi ba laboratori li bohlokoa.
Tsamaiso e sebetsang ea Renal cell carcinoma e hloka mokhoa o fapaneng o kenyelletsang litsebi tsa mafu, oncologists, urologists, le radiologists. Tšebelisano le puisano har'a litsebi tsena li bohlokoa bakeng sa ho ntlafatsa tlhokomelo ea bakuli le ho netefatsa liqeto tse nepahetseng ka ho fetisisa tsa kalafo.
| Mofuta o monyenyane oa RCC | Likarolo tsa Litšobotsi | Liphello tsa Prognostic |
|---|---|---|
| Hlakola Cell RCC | Cytoplasm e hlakileng, nucleoli e hlahelletseng | E feto-fetohang, hangata e mabifi |
| Papillary RCC | Mehaho ea papillary, vasculature e boreleli | Ka kakaretso ha e na mabifi ho feta ccRCC |
| Chromophobe RCC | Pale cytoplasm, litšobotsi tsa nyutlelie | E batla e le botsoa |
Tlhokomeliso: Lintlha tsena ke tsa merero ea thuto feela 'me ha lia lokela ho nkoa e le keletso ea bongaka. Kamehla buisana le setsebi sa tlhokomelo ea bophelo bakeng sa mathata afe kapa afe a bophelo.
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