Impyiko rya Corgnal Garcinoma Patcinoma Patcinoma Patcinoma Yuzuye: RCC) ni indwara zitoroshye, kandi usobanukirwe na patologiya yayo ni ngombwa kugirango usuzume no kuvura. Aka gatabo gatanga incamake yuzuye ya renal selile karcinoma patcinoma pathiology, Gupfuka ibintu byerekeza byerekana, subtypes, no gusuzuma.
Amashusho ye yerekana ko renal karcinoma
Gukuramo Akagari ka karutu
Subtypes isanzwe ya RCC, Karcinoma isobanutse, irangwa na cytoplasm nziza. Ibi biterwa no kwegeranya lipid na glycogen muri selile. Microscopipique, uzabona selile zateguwe mubyari cyangwa papillae, hamwe na nuclei ikomeye. Kubaho kwa eosinophilic granulandm ya eosinomes nayo irasanzwe. Indangamuntu Yukuri Yishingikirije ku kizamini cyiza cyera, akenshi cyuzuzwa na ImyunoStochemieged kugirango yemeze kwisuzumisha. Iperereza ryinshi rishobora kubamo kugerageza genetike kugirango tumenye ihinduka ryabigenewe, kumenyesha ingamba zifatika.
Papillary Renal Carcinoma
Papillary RCC nubundi subype ikomeye yatandukanijwe nuburyo bwo gukura kwa papirary. Ingirabuzimafatizo zikunda gutegurwa muri papillae itandukanye, akenshi igaragaza ibyo uhimbano. ATSPIYA ya kirimbuzi iratandukanye bitewe n'icyiciro, hamwe n'amanota yo hejuru yerekana ibintu bidasanzwe. Impungoohistochemical Stainic irashobora gufasha kubitandukanya na RCC Subtypes na Carcinoma ya Uroteolial. Kugirango ubyumve byimbitse, gushakisha inyandiko zihariye za patologiya no kumurongo mubigo bizwi nkikigo cyigihugu cya kanseri (NCI) birashobora kuba ingirakamaro.
Chromosophobe renal carcinoma
Chromoso RCC, nkuko izina ryerekana, rirangwa na selile zifite ibara ryijimye, risobanutse na cytoplasm, igororotse rya selire zitandukanye. Nuclei akenshi irazenguruka kandi iri hagati. Iyi subtype akenshi yerekana halo ya peteroli. Iyi morfologiya itandukanye mubisanzwe ihagije yo gusuzuma, nubwo immunohictochemie irashobora gufasha mukwemeza kwisuzumisha kandi ukuyemo izindi ndwara. Tekinoroji yateye imbere nka commography (ct) nazo zikoreshwa mukumenya urugero rwibibyimba.
Izindi subtypes ya renal selile karcinoma
Kurenga icya gatatu gikomeye, ibintu byinshi bidafite ishingiro bihari, harimo gukusanya umuyoboro wa Carcinoma, Melullary RCC, na mucone tubular na swinle karcinoma. Shandong Baofa Kanseri Ikigo cy'ubushakashatsi (https://www.baofahopapitan.com/) itanga ubushobozi bwo gusuzuma hamwe nubuhanga mugukemura ibibazo bidasanzwe. Itsinda ryabo ryabigenewe kubakunzi ba Patologiste rikoresha ikoranabuhanga rigezweho kugirango tumenye neza kandi ku gihe.
Gusuzuma na ImnunohIstochemie
Gusuzuma
renal selile karcinoma Mubisanzwe bikubiyemo guhuza tekinike yamashusho (nka CT Scan na MRI) hamwe nisuzuma ryerekana ibinyabuzima bya Tissue. ImpfunohistoChiphie igira uruhare runini mu rwego rwo gushyira ahagaragara subtypes zitandukanye no guhanura prognose. Ibimenyetso byihariye, nka CD10, vimentin, na AMR, bikunze gukoreshwa mugutandukanya subtypes zitandukanye. Shandong Baofa Kanseri Ikigo cy'ubushakashatsi gikoresha akanama kavukiye kamunoostochechestochemique mu bikorwa byabo byo gusuzuma kugira ngo bisuzume neza.
Impamvu mbi
Prognose kubarwayi batandukana na RCC zitandukanye cyane bitewe nibintu bitandukanye, harimo icyiciro cyikibyimba, amanota, na subtype. Sisitemu ya TNM ikoreshwa mu rwego rwo gukwirakwiza urugero rwa kanseri. Gusobanukirwa ibintu bikabije ni ngombwa mu kuyobora ibyemezo byo kuvura no gucunga ibyateganijwe. Amakuru yatanzwe mururugo agenewe intego zuburezi kandi ntagomba gusimbuza inama mubuvuzi bwujuje ibyangombwa. Buri gihe ushake ubuvuzi bwumwuga.
Imbonerahamwe: Kugereranya RCC Subtypes
Subtype | Amashusho ye | Ingaruka zikomeye |
Selile isobanutse | Ibura rya cytoplasm, ibyari / papillae | Impinduka, akenshi zishingiye kuri stage |
Papillary | Gukura kwa Papillary Icyitegererezo, pseudostafication | Mubisanzwe pregnoseable ugereranije nukagari |
Chromosophop | Ibara rya cytoplasm, imipaka itandukanye | Muri rusange prognoses |
Iyi ncamake itanga umusingi wo gusobanukirwa renal selile karcinoma patcinoma pathiology. Kugirango wirinde cyane mubice byihariye, hasabwa ubuvuzi bukenewe hamwe nubucuruzi buzwi kumurongo birasabwa. Wibuke guhora ugisha inama yumwuga wubuvuzi kubijyanye no gutegura ibibazo byihariye.
Kwamagana: Aya makuru ni agace gashinzwe kwigisha gusa kandi ntigomba gufatwa inama zubuvuzi. Buri gihe ujye ubaza umunyamwuga wujuje ubuziranenge wubuzima bwo gusuzuma no kuvurwa.
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