
Esi sikhokelo esibanzi sinika inkcazo ecacileyo ye-renal cell carcinoma (RCC) ye-pathology, igxininise kwiinkalo ezifanelekileyo kwizigulane kunye neengcali zonyango e-China. Siza kuphonononga iimpawu eziphambili, iindlela zokuxilonga, kunye neengqwalasela zonyango ezinxulumene ne-RCC, kukunceda usiqonde ngcono esi sifo sinzima. Ingcaciso enikelwe apha yeyokufundisa kwaye ayifanelanga kuthathwa njengengcebiso yezonyango. Soloko udibana nengcali yezempilo ukuze uxilongwe kwaye unyangwe.
I-Clear cell RCC (ccRCC) lolona hlobo luqhelekileyo lwe China renal cell carcinoma, ibalwa malunga ne-70-80% yazo zonke iimeko. Ibonakaliswa yicytoplasm ecacileyo kwiiseli zethumba ngenxa ye-glycogen ephezulu kunye nomxholo welipid. Ukuqonda iimpawu ze-histological ze-ccRCC kubalulekile kuxilongo oluchanekileyo kunye noxilongo. Uphando olongezelelweyo kwiinguqu ezithile zofuzo eziqhuba i-ccRCC phakathi kwabemi baseTshayina yindawo yophando oluqhubekayo.
I-Papillary RCC yenye i-subtype ebalulekileyo ye-RCC, ebonakaliswe ngeendlela zokukhula kwe-papillary. Ihlala inxulunyaniswa ne-prognosis engcono kune-RCC yeseli ecacileyo, kodwa oku kunokwahluka ngokuxhomekeke kwizinto ezahlukeneyo, kubandakanya ibakala lethumba kunye nenqanaba. Uvavanyo lwezifo ze-papillary RCC lufuna uhlolo ngononophelo lweempawu zayo zokwakha kunye ne-atypia yenyukliya.
I-Chromophobe RCC luhlobo olungaxhaphakanga kangako, oluhlala lubonisa i-eosinophilic cytoplasm kunye neempawu zenyukliya ezahlukileyo. I-pathogenesis yayo iyahluka kwi-ccRCC kunye ne-papillary RCC, kwaye uphando olongezelelweyo luyafuneka ukuze kuqondwe ukuxhaphaka kunye neempawu ezizodwa phakathi kwabemi baseTshayina. Iindlela ezikhethekileyo zokuxilonga zinokufuneka ukuze kuchongwe ngokuchanekileyo.
Imifanekiso idlala indima ebalulekileyo ekubhaqweni nasekumisweni kwe China renal cell carcinoma. Ubuchwephesha obunje nge-CT scans, i-MRI, kunye ne-ultrasound zidla ngokusetyenziswa ukujonga ithumba, ukuvavanya ubungakanani balo kunye nendawo, kunye nokuvavanya ubungakanani bohlaselo lwasekhaya kunye ne-metastasis. Ukuchazwa kwale mifanekiso kufuna ubuchule kunye nokuqwalaselwa ngenyameko kweempawu zesigulane ngasinye.
I-tissue biopsy ibalulekile kuxilongo oluqinisekileyo. Uviwo lwe-Histopathological yesampulu ye-biopsy ivumela ii-pathologists ukuba zihlele uhlobo lwe-RCC, ukuvavanya ibakala le-tumor (elibonisa ubundlongondlongo bomhlaza), kunye nokuchonga nayiphi na enye impawu ebalulekileyo ye-pathological, inika ulwazi oluxabisekileyo locwangciso lonyango. Ukuchaneka kwale nkqubo kuxhomekeke kakhulu kubuchwephesha bee-pathologists ezigxile kwi-genitourinary pathology.
Iindlela zonyango ze-RCC ziyahluka ngokuxhomekeke kwinqanaba lomhlaza, impilo yesigulana iyonke, kunye nezinye izinto. Ukususwa ngotyando lwethumba (i-nephrectomy engaphelelanga okanye i-nephrectomy enkulu) yindlela eqhelekileyo ye-RCC yendawo. Kwizifo eziphambili okanye ze-metastatic, unyango olujoliswe kuyo, i-immunotherapy, kunye ne-chemotherapy inokuqwalaselwa. Ukufikelela kwezi ndlela zonyango eziphambili kunye nokusebenza kwazo ngaphakathi kwenkqubo yokhathalelo lwempilo yaseTshayina yingqwalasela ebalulekileyo.
Ukufumana ulwazi oluthe vetshe kwi I-China renal cell carcinoma pathology ibonisa kunye nezixhobo ezinxulumeneyo, unokunqwenela ukuphonononga ugcino lweenkcukacha zonyango ezikwi-intanethi ezinje ngePubMed. Ukongeza, amaziko ezonyango aphambili eTshayina, afana ne IZiko loPhando ngoMhlaza laseShandong Baofa, nikela ngobuchule kunye nezibonelelo kulo mmandla. Soloko udibana neengcali zonyango eziqeqeshiweyo ukuze uxilongwe kwaye unyangwe.
Ukuqonda i-pathology ye-RCC kubalulekile kuxilongo olusebenzayo, unyango, kunye noxilongo. Esi sikhokelo sinika isiseko sokuqonda China renal cell carcinoma I-pathology, igxininisa imiba ephambili efanelekileyo kwizigulane kunye nababoneleli bezempilo. Uphando olongezelelweyo olugxile kwiimpawu ezithile kunye neendlela zonyango lwe-RCC phakathi kwabemi baseTshayina luyaqhuba kwaye luya kuphucula ukuqonda kwethu kunye nolawulo lwesi sifo.
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