kalafo ea papillary renal cell carcinoma

Kalafo ea Papillary Renal Cell Carcinoma: Tataiso e FeletsengKutloisisa Papillary Renal Cell Carcinoma: Tataiso ea Mokuli Tataiso ena e fana ka kakaretso e akaretsang ea papillary renal cell carcinoma (kalafo ea papillary renal cell carcinoma), ho kenyeletsoa tlhahlobo ea eona, likhetho tsa kalafo, le prognoza. Re tla hlahloba mekhoa e fapaneng, re buisane ka litla-morao tse ka bang teng, le ho totobatsa bohlokoa ba tlhokomelo ea motho ka mong ho laola mofuta ona oa mofetše oa liphio. Lintlha tse mona ke tsa merero ea thuto 'me ha lia lokela ho nkoa e le keletso ea bongaka. Kamehla buisana le mofani oa tlhokomelo ea bophelo bakeng sa merero ea hau ea phekolo.

Ho utloisisa Papillary Renal Cell Carcinoma

Papillary Renal Cell Carcinoma ke eng?

Papillary renal cell carcinoma (PRCC) ke mofuta oa mofetše oa liphio o hlahang lera la li-tubules tsa liphio. E arotsoe ka mofuta oa 1 le mofuta oa 2, 'me mofuta oa 1 o atile haholo mme ka kakaretso o na le ponelopele e betere. Lisele tsa mofetše li hlaha ka tlas'a microscope li na le likhakanyo tsa papillary (joaloka menoana). Ho lemoha kapele ho bohlokoa bakeng sa katleho kalafo ea papillary renal cell carcinoma.

Tlhahlobo ea PRCC

Hangata tlhahlobo e qala ka liteko tsa litšoantšo tse kang ultrasound, CT scan, kapa MRI. Hangata biopsy ea hlokahala ho netefatsa tlhahlobo le ho fumana mofuta o itseng le sethala sa mofetše. Liteko tsa mali, joalo ka ho lekola maemo a holimo a li-biomarker tse itseng, le tsona li ka etsoa.

Khetho ea Kalafo bakeng sa Papillary Renal Cell Carcinoma

Molemo ka ho fetisisa kalafo ea papillary renal cell carcinoma mokhoa oa ho atamela o itšetlehile ka lintlha tse 'maloa, ho kenyeletsa boemo ba mofetše, bophelo bo botle ba mokuli, le mofuta o itseng oa PRCC.

Likhetho tsa ho Buoa

Hangata opereishene ke eona phekolo ea mantlha bakeng sa PRCC ea lehae. Khetho e kenyelletsa nephrectomy e sa fellang (ho tlosoa ha hlahala le karolo e nyenyane ea liphio) kapa nephrectomy e feteletseng (ho tlosoa ha liphio kaofela). Mekhoa e fokolang ea ho buoa, joalo ka laparoscopy kapa opereishene ea thuso ea robotiki, hangata e ratoa bakeng sa ho fokotseha ha eona. Khetho ea mokhoa oa ho buuoa e khethoa ke lintlha tse kang boholo ba hlahala, sebaka le bophelo bo botle ba mokuli. Setsing sa Lipatlisiso sa Kankere sa Shandong Baofa (https://www.baofahospital.com/), re sebelisa mekhoa e tsoetseng pele ea ho buoa ho netefatsa liphello tse ntle ho bakuli ba rona.

Targeted Therapy

Litlhare tse reriloeng ke lithethefatsi tse etselitsoeng ho hlasela lisele tse itseng tsa mofetše ha li ntse li fokotsa tšenyo ea lisele tse phetseng hantle. Meriana ena e ka sebelisoa e le mong kapa e kopane le liphekolo tse ling, joalo ka opereishene kapa immunotherapy. Khetho ea phekolo e lebisitsoeng e itšetlehile ka liphetoho tse itseng tsa lefutso tse teng ka har'a hlahala.

Immunotherapy

Immunotherapy e sebelisa matla a sesole sa 'mele ho loantša mofetše. E akarelletsa ho sebelisa meriana e susumetsang sesole sa 'mele ho lemoha le ho senya lisele tsa mofetše. Mokhoa ona o bontšitse ts'episo e kholo ea ho phekola PRCC e tsoetseng pele.

Phekolo ea Mahlaseli

Kalafo ea radiation e sebelisa mahlaseli a matla a phahameng ho bolaea lisele tsa mofetše. E ka sebelisoa ho fokotsa lihlahala pele ho opereishene kapa ho phekola PRCC e tloaelehileng kapa ea metastatic.

Chemotherapy

Chemotherapy e kenyelletsa ho sebelisa lithethefatsi ho bolaea lisele tsa mofetše. Le hoja e se hangata phekolo ea mantlha ea PRCC, e ka sebelisoa maemong a itseng, joalo ka ho phekola lefu le tsoetseng pele kapa la metastatic.

Boemo le Boprofeta

Sethala sa kalafo ea papillary renal cell carcinoma e ama haholo ho fola le liqeto tsa kalafo. Staging e akarelletsa ho fumana boholo ba hlahala, hore na e nametse ho lymph nodes tse haufi kapa litho tse hōle, le bophelo bo botle ba mokuli ka kakaretso. Sistimi ea sethala ea TNM hangata e sebelisoa ho arola PRCC.

Ho phela le PRCC

Ho phela le PRCC ho hloka mokhoa o akaretsang. Ho kopana khafetsa le oncologist ea hau ho bohlokoa bakeng sa ho lekola mofetše le ho lokisa kalafo ha ho hlokahala. Khokahano ea tšehetso ea lelapa, metsoalle, le lihlopha tsa tšehetso li ka fana ka thuso ea maikutlo le e sebetsang nakong ena.

Lipotso Tse Botsoang Hangata

Karolo ena e tla atolosoa lintlafatsong tse tlang ho kenyelletsa likarabo tsa lipotso tse tloaelehileng tsa bakuli.

Lethathamo: Ho bapisa Likhetho tsa Kalafo bakeng sa PRCC

Mofuta oa Kalafo	Tlhaloso	Melemo	Mefokolo
Opereishene (Nephrectomy e sa Feleng/E Khōlō)	Ho tlosa hlahala kapa liphio ka ho buoa.	E ka phekolang mafu a sebakeng seo.	E ka ba le litla-morao joalo ka bohloko, tšoaetso, kapa ho tsoa mali.
Targeted Therapy	Lithethefatsi tse shebaneng le lisele tse itseng tsa mofetše.	E ka fokotsa lihlahala le ho ntlafatsa bophelo.	E ka ba le litla-morao, ho kenyelletsa mokhathala, ho nyekeloa ke pelo, le lekhopho la letlalo.
Immunotherapy	E susumetsa sesole sa 'mele ho loantša mofetše.	E ka sebetsa hantle bakeng sa lefu le tsoetseng pele.	E ka ba le litlamorao, ho kenyelletsa mokhathala, lekhopho la letlalo, le mathata a amanang le 'mele oa ho itšireletsa mafung.

Boitlhotlhollo: Litaba tsena ke tsa sepheo sa thuto feela 'me ha lia lokela ho nkoa e le keletso ea bongaka. Ikopanye le mofani oa tlhokomelo ea bophelo bakeng sa mathata leha e le afe a bophelo.