Ubu buyobozi bwuzuye butanga ibitaro bifite imvugo irambuye ya renal selile karcinoma patcinoma pathologiya, Gupfuka ibintu by'ingenzi byo gusuzuma, subtypes, sisitemu yo gutanga amanota, n'ibipimo byaharanira inyungu. Turashakisha iterambere riheruka mu gusobanukirwa no gushyira ahagaragara kanseri igoye, kugereranya patologiste hamwe namakuru akenewe mugupima neza no gutegura kuvura. Gusobanukirwa noison ya renal selile karcinoma patcinoma pathologiya ni ngombwa kubarwayi beza.
Renal selile karcinoma (RCC) ni ubwoko bwa kanseri yimpyiko, bikomoka mu ndirimbo ya tubules yimpyiko. Irangwa no guhinduranya exsopi, buri kimwe gifite imyitwarire yubuvuzi idasanzwe hamwe nibisubizo byo kuvura. Gusuzumwa neza kwibintu ni ngombwa mugutegura prognose no kuyobora ingamba za Trapepeutic.
Subtypes nyinshi za RCC zirahari, harimo na selile isobanutse (CCRCC), Papillary RCC (PMCH), CHCHOPHOBE RCC (ChRCCC), nabandi. Buri subtype igaragaza imiterere yihariye ya morfologiya munsi ya microscopique. Kumenyekanisha neza subtype nibyingenzi mu guhanura amasomo yubuvumbuzi no guhitamo uburyo bukwiye bwo kuvura. Shandong Baofa Kanseri Ikigo cyubushakashatsi (https://www.baofahospasdatan.com/) ni ikigo kigezweho mu gusuzuma no kuvura kanseri y'impyiko, kanseri mu iterambere rirambye muri renal selile karcinoma patcinoma pathologiya.
Gusuzuma pathologiya ya renal selile karcinoma birimo isuzuma rirambuye rya microscopique yicyitegererezo cya tissue cyabonetse binyuze muri biopsy cyangwa nephrectomy. Ibiranga ibyingenzi byasuzumwe birimo morphologiya ngendanwa, ibiranga ibirango bya kirimbuzi, hariho ivugurura rya cytoplasimic (muri CCRCC), no gukura. Ibisobanuro nyabyo bisaba kumva cyane ibipimo byo gusuzuma kuri buri rusctype.
Sisitemu yo gutanga amanota ya Fuhrman ikoreshwa mucyiciro cya RCC ishingiye ku bintu bya kirimbuzi, itanga ibimenyetso byerekana ibibyimba. Ibindi bipimo byambere, harimo icyiciro cya TNOR), guterana amagambo, na lymphovasCular igitero, nacyo gikomeye cyo gusuzuma umurwayi Pregnose na Gahunda yo kuvura abarwayi. Gusuzuma neza ibyo bintu ni ngombwa mu ngamba zo kuvura umuntu ku giti cye.
ImhungoohistoChicges (IHC) ifite uruhare runini mugutandukanya RCC subtypes no gusuzuma imvugo yibinyabuzima bitandukanye bishobora gutanga amakuru ya pregnostic. Ubuhanga bwa patologiya ya molekile, harimo gukurikiranwa-igisekuru gikurikira (Ngs), bigenda bikoreshwa mu kumenya impinduka zihariye za geneti zishobora guhanura igisubizo nubuyobozi bwifashe ibyemezo. Ubu buryo bwateye imbere bunosora inzira yo gusuzuma ya renal selile karcinoma patcinoma pathologiya.
Nubwo iterambere rikomeye, ibibazo bikomeje kuba mu gusuzuma no gushyira mu byiciro bya RCC, cyane cyane mugutandukanya ibintu bidasanzwe no gucunga ibibazo bitoroshye. Gukomeza Ubushakashatsi no Gutezimbere Ibikoresho byo gusuzuma no kwisuzumisha renal selile karcinoma patcinoma pathologiya.
Ibitaro bigomba gushyiraho uburyo busobanutse neza (SOP) kugirango butunganyirize, gusuzuma, no gutanga raporo ya renal selile karcinoma ingero. Izi sops zigomba guhuza namabwiriza yashyizweho nibikorwa byiza kugirango hakemurwe neza kandi neza mu buryo bwo gusuzuma. Amahugurwa asanzwe hamwe no kuvugurura abaterankunga nabakozi ba laboratoire ni ngombwa.
Gucunga neza renal selile karcinoma Isaba uburyo bwinshi burimo pathologiste, abatezi ba onecologuste, abavelogiste, nabaramo. Ubufatanye n'itumanaho muri abo byihanga ni ngombwa mu guhitamo kwita ku kwihangana no kwemeza imyanzuro ikwiye yo kuvura.
RCC Subtype | Ibiranga | Ingaruka zikomeye |
---|---|---|
Selile isobanutse rcc | Kurahobtoplasm, nucleoli ikomeye | Impinduka, akenshi zirakaze |
Papillary RCC | Ikibanza cya papillary, byoroshye vasculature | Mubisanzwe ntibikemuke kuruta ccrccc |
Chromosophobe rcc | Ibara rya cytoplasm, ibiranga ibiranga kirimbuzi | Ugereranije nonolent |
ICYITONDERWA: Aya makuru ni agace gashinzwe kwigisha gusa kandi ntigomba gufatwa inama zubuvuzi. Buri gihe ujye ugisha inama inzobere mu buvuzi kubibazo byose byubuzima.
p>kuruhande>
umubiri>