Cov kev kho mob rau theem 3 tsis yog-me me cell mob qog

Theem 3 tsis yog pob mob cancer me me cancer (NSCLC) nthuav tawm cov kev sib tw tsis zoo, xav tau kev kho mob ntau yam. Qhov kev qhia dav dav no pab qhia txog cov kev xaiv ntau yam, ua haujlwm tau zoo, cov kev mob tshwm sim tshwm sim los ntawm tus neeg mob cov yam ntxwv. Kev nkag siab cov kev xaiv yog qhov tseem ceeb rau kev ua cov kev txiav txim siab nrog rau koj tus kheej.

Kawm Ntawv Qib 3 NSCLC

Theem 3 NSCLC yog categorized rau theem IIRO thiab IIIB, qhia txog qhov ua tau cov kabmob kis cancer. Theem IIR tau cuam tshuam cancer uas tau kis rau cov qog nqaij hlav nyob ze ntawm cov qog noj ntshav, thaum theem IIib encompasses ntau cov lymph ntawm kev koom tes thiab kis mus rau cov qauv lymphpass ntau. Raug staging los ntawm kev ntsuam xyuas (ct scans, tsiaj scans) thiab biopsies yog qhov tseem ceeb rau kev txiav txim siab qhov tsim nyog tshaj plaws Kho Theem 3 Cov Kev Kho Mob Cell Tsis Muaj Me Cancy By Dancer Npaj.

Kev Kho Mob Qauv rau theem 3 NSCLC

Kev phais plab

Kev phais mob yuav yog qhov kev xaiv rau xaiv QIB IIIA cov neeg mob uas muaj kev koom tes tsawg thiab kev noj qab haus huv thoob plaws. Qhov no tuaj yeem koom nrog kev vam meej (tshem tawm lub ntsws lung lobe) lossis pneumonectomy (tshem tawm ib qho ntsws tag nrho). Kev phais mob rov qab yog feem ntau ua raws li kev kho mob (kuaj tshuaj lossis hluav taws xob) kom txo qis kev pheej hmoo ntawm kev rov muaj dua. Qhov kev txiav txim siab mus nrog kev phais mob yog nyob ntawm ntau yam, suav nrog qhov chaw thiab qhov loj me ntawm kev noj qab haus huv, thiab cov ntawm Lymph ntawm kev koom tes. Shanga Cancer Tshawb Fawb Txog Lub Koom Haum Muaj cov kws tshaj lij kev phais mob ntsws.

Kev Siv Tshuaj Kho Mob

Kev siv tshuaj kho mob, siv tshuaj siv hluav taws xob muaj zog los tua cov kabmob kheesxaws, yog ib yam Kho Theem 3 Cov Kev Kho Mob Cell Tsis Muaj Me Cancy By Dancer Rau theem IIIA thiab IIIB NSCLC. Regimens sib txawv raws cov yam ntxwv platinum-raws li cov tshuaj platinum (cisplatin lossis carboplatin) ua ke nrog lwm cov neeg sawv cev xws li pemetraxed lossis Diletaxed. Kev siv tshuaj khomob tuaj yeem tswj ua ntej phais mob qog nqaij hlav, tom qab kev kho mob ntxiv, lossis ua kev kho mob tseem ceeb. Cov kev mob tshwm sim muaj zog thiab muaj peev xwm suav nrog xeev siab, qaug zog, thiab plaub hau poob; Txawm li cas los xij, cov no feem ntau tau tswj nrog kev pab txhawb nqa.

Kev Siv Hluav Taws Xob Hluav Taws Xob

Kev siv hluav taws xob hluav taws xob siv hluav taws xob siab kom rhuav tshem cov mob cancer hlwb. Nws tuaj yeem siv nyob ib leeg lossis ua ke nrog kev siv tshuaj kho mob. Kev kho hluav taws xob yuav siv tau ua ntej kev phais mob (neoutjuvant) mus rau kev phais mob qog nqaij hlav, lossis ua kev kho mob tseem ceeb, tshwj xeeb rau cov neeg mob uas tsis phais neeg sib txawv. Stereotactic lub cev hluav taws xob hluav taws xob hluav taws xob (SBRT) yog daim ntawv kho kom meej uas tshem cov tshuaj tawg siab rau cov qog noj qab haus huv. Cov hom tshwj xeeb thiab kev siv hluav taws xob ntawm kev siv hluav taws xob yog nyob ntawm tus neeg qhov xwm txheej.

Lub hom phiaj kho

Kev Ntsuas Cov Tshuaj Siv Tshuaj Siv Tshuaj uas siv cov kabmob qog nqaij hlav rau lawv cov kev sib pauv. Qee yam kev hloov caj ces (xws li EGFR, Alk, Rosm, Ros1 hloov) muaj ntau nyob rau hauv NSCLC thiab yuav kwv yees lub luag haujlwm rau kev kho mob tshwj xeeb. Yog tias cov kev sib hloov no tau txheeb xyuas, tsom rau kev kho mob yuav yog lub hauv paus ntawm Kho Theem 3 Cov Kev Kho Mob Cell Tsis Muaj Me Cancy By Dancer, muaj peev xwm muab cov txiaj ntsig zoo thiab tsawg dua cov kev mob tshwm sim piv rau cov tshuaj kho mob ib txwm. Koj txoj kev tshawb xyuas tus cev yuav ua tau kev kuaj keeb kwm kom txiav txim siab yog tias kev kho mob yog qhov tsim nyog rau koj.

Kev txhaj tshuaj tiv thaiv kab mob

Cov immunotherapy harnesses lub zog ntawm lub cev tus kheej lub cev tiv thaiv kab mob los tua mob qog noj ntshav. Kev Txhaj Tshuaj Tiv Thaiv Intibitors Inhibitors, xws li Nivolumab lossis Pembrolizumab, yog siv los thaiv cov protein uas tiv thaiv cov tshuaj tiv thaiv kab mob los ntawm kev tawm tsam cov qog nqaij hlav cancer. Cov tshuaj tiv thaiv kab mob feem ntau siv ua ke nrog kev siv tshuaj kho mob thiab tej zaum yuav muaj kev xaiv rau cov neeg mob uas muaj tshwj xeeb caj ces rau lwm yam kev kho mob. Cov kev mob tshwm sim muaj peev xwm ua tau thiab sib txawv raws li cov tshuaj tshwj xeeb.

Xaiv txoj kev npaj kho txoj cai

Qhov zoo tshaj plaws Kho Theem 3 Cov Kev Kho Mob Cell Tsis Muaj Me Cancy By Dancer Lub tswv yim nyob ntawm ntau yam, suav nrog rau theem ntawm mob qog noj ntshav, tus neeg mob tag nrho kev noj qab haus huv, thiab muaj kev sib raug zoo. Pab neeg ua haujlwm ntau pawg ntawm oncologist, cov kws kho mob, thiab cov kws kho hluavtaws hluav taws xob yuav ua haujlwm sib koom tes rau tus kheej txoj kev npaj kho mob. Qhib kev sib txuas lus nrog koj tus kws kho mob yog qhov tseem ceeb kom nkag siab txog koj cov kev xaiv thiab ua kev txiav txim siab txog kev saib xyuas koj.

Cov ntaub ntawv no yog rau lub hom phiaj kev kawm nkaus xwb thiab tsis txhob txiav txim siab kho mob. Ib txwm sab laj nrog koj tus kws kho mob rau kev kuaj mob thiab kho cov mob.

Tsis paub tseeb: Cov ntaub ntawv no yog npaj rau kev paub dav dav thiab cov ntaub ntawv xov xwm nkaus xwb, thiab tsis yog cov lus qhia txog kev kho mob nkaus xwb. Nws yog qhov tseem ceeb los sab laj nrog tus kws kho mob tsim nyog rau kev txhawj xeeb lossis ua ntej txiav txim siab ntsig txog koj kev noj qab haus huv lossis kev kho mob. Cov ntaub ntawv muab no yuav tsum tsis raug suav hais tias yog hloov chaw rau cov lus qhia kho mob, kuaj mob, lossis kev kho mob.