Ukuqonda iselfowuni ye-Renal CarCnoma: I-Pathologlines kunye neenketho zonyango lwasesibhedlele ze-recinoma (i-RCC) ifuna indlela ye-rickoma (i-RCC) ifuna indlela ye-rickoma (i-RCC) ifuna indlela ye-Procinoma (idibanisa imeko ye-pathology, i-radiology, kunye nengcali ye-radiology, kunye ne-oncology yobungcali be-radiology. Esi sikhokelo sibanzi siphonononga uluhlu lwe-pathology ye-RCCC, ukubhengeza iimpawu zokuxilonga okuphambili, izigqibo kunye neendlela zonyango ezikhoyo kwizibhedlele ezikhokelayo.
I-Renalin Calculama: Imbonakalo ye-pathological
Iseli ye-renalic carcinoma (
Unyango lwe-recinoma parcinoma pathology ichaza izibhedlele) lolona hlobo luqhelekileyo lomhlaza wesintso, ovela kwiiseli ezichazayo ze-tubus yeRenal. Ukuchaneka kwendalo ye-pathoical kubalulekile ekukhokeleni izigqibo zonyango kunye nokuqikelela isifo. UVAVANYO LWEZIBONELELO LONYAKA Kutyhila iintlobo ezahlukeneyo zeseli, ichaphazela impendulo yobuqhetseba kunye nempendulo yonyango. Izityholo eziphambili zibandakanya iseli ecacileyo ye-RCC (i-CCRCc), i-PCCCE RCC, i-chromophobe i-RCC, kunye nabanye. I-subtype nganye ibonakalisa iimpawu ze-microscopic ezizodwa, ichaphazela iindlela zokuphumelela kunye neendlela zonyango.
Cima iselfowuni yeseli renali (i-CCRCC)
Iiakhawunti ze-CCRCc zangoninzi lwamatyala e-RCC. Ngokuzenzekelayo, ibonakaliswa yi-cytoplasm ecacileyo kwiiseli ze-tumor ngenxa ye-glycogen ye-glycogen kunye ne-lipid. Ezi seli zihlala zibonisa iphethini eyahlukileyo yokukhula, ukwenza izidleke okanye iityhubhu. Ubukho botshintsho oluthile lwemvelo, olunjengokuguqulwa kwe-vhlere, kuqatshelwa rhoqo.
I-papillary renal carcinoma
I-Papillary i-RCC yahlulahlulwe yipateni yokukhula kwayo yokukhula, kunye neeseli ezenza amaqabantsho okanye i-papillae. Ngokungafaniyo ne-CCTCC, i-cytoplasm ayicacanga. Iimpawu ezimbini eziphantsi zikho: Chwetheza 1 kunye nohlobo 2, ngohlobo 2 ukunxulunyaniswa kweyona nto imbi kakhulu.
I-chromophobe ye-chromophobe i-renal carcinma
I-Chromophobe i-RCC ayiqhelekanga kwaye iphawulwe ziiseli ezimnyama, i-eosinophilic cytoplasm kunye nembonakalo yenyukliya. Ihlala inepateni eyahlukileyo yokukhula, ukwenza izidleke okanye amashiti.
Ezinye izinto eziphantsi
Ezinye iindlela ezininzi ezingaphantsi zongangamileyo zikho, kubandakanya ukuqokelela i-DUCT CACCCINA, iRCCRY RCC, kunye ne-RCC engaqhelekanga. Ezi mpotshisi zihlala zifuna ubuchule obukhethekileyo bokuchonga nokucwangciswa konyango.
Izinto ezizezona kunye nezaqongothi kwi-RCC
Ukuma kwe-pathological, ngokusekelwe kwinkqubo ye-TNM (ubungakanani be-tuma, ukubandakanyeka kwe-tumal, kunye ne-metastasis ekude), kubalulekile ukwenza ubungakanani besi sifo. Olu lwazi, ecaleni kwe-RCC ethile ye-RCC kunye nezinye izinto eziqinisekileyo ezifana neBanga (indlela ezinobundlobongela zivela njani phantsi kwe-microscope), zinefuthe lobuchule. Inqanaba eliphezulu, kokukhona unyango olubanzi lubanzi ngokubanzi.
Iinketho zoNyango lwe-Carcinoma
Ukhetho lonyango luxhomekeke kwizinto ezahlukeneyo, kubandakanya inqanaba, inqanaba, kunye nempilo yempilo yesigulana. Ukhetho lwe-sundo ukusuka kwi-utyando (inxenye ye-nephrectomy okanye i-nephrectomy), i-ranotherap ejolise kuyo, i-gonotherapy, kunye nonyango lwe-radiation.
Ukupheliswa kwetyala
Ukususwa kwe-sundor yethumba kuhlala kungonyango oluphambili kwi-RCC ye-RCC. Inxalenye ye-nephrectomy igcina izicubu zezintso ezisempilweni, ngelixa i-nephrectomy yengqondo ibandakanya ukususa izintso zakho kunye neendawo ezingqongileyo ze-lymph. Ukukhetha kuxhomekeke kwizinto ezininzi, kubandakanya ubungakanani kunye nendawo ye-tumar, kunye nomsebenzi wesifo soguli.
Unyango olujolise kunyango
Unyango olujolise kulo, njenge-tyrosine inhibitors (i-TKIS), ijolise ngqo kuphiko olungaqhelekanga lwe-RCC. La machiza anokuguquka kuhlathwa unyango lwe-RCC, ukuphucula amaxabiso okusinda. Imizekelo ibandakanya iSunitrinib, uSorafenib, nasePayopanib.
I-gonotherapy
Ugonyo uhenyuza amajoni omzimba ukuze alwe iiseli zomhlaza. Ukujonga izinto zokujonga, ezinjengeNivolomab kunye ne-Iplimundab, lunyango olusebenzayo lwe-RCC. La machiza asebenza ngokukhulula iibhuleki kumkhosi womzimba, awuvumela ukuba uqaphele iiseli zomhlaza.
Unyango lwe-radiation
Unyango lwe-radiation lunokusetyenziswa kwiimeko ezithile, ezinje ngononophelo lwe-pallitive kwisifo esiphezulu okanye ngokudibeneyo nolunye unyango.
Ukukhetha isibhedlele sasekunene kunyango lwe-RCC
Ukukhetha isibhedlele esifanelekileyo
Unyango lwe-recinoma parcinoma pathology ichaza izibhedlele ibalulekile. Jonga amaziko aneqela elinamava anamaphepha amaninzi kubandakanya oochwephesha, oochwephesha be-oncologists, oochwephesha, kunye neengcali ze-roodiologings kwi-geneortures. IZiko loPhando lweShandong Bae
https: //www.baofitaspital.com/) Ngaba umzekelo wesibhedlele esizinikezelwe ekuboneleleni ngononophelo lomhlaza obanzi, kunye neengcali ezinamava ekuchongeni kunye nonyango lwe-carcinoma. Qwalasela izinto ezinje ngobuchule betekhnoloji, ukubandakanyeka kophando, kunye neenkonzo zenkxaso zoguli xa usenza isigqibo.
Ukuqukumbela
Iphumelele
Unyango lwe-recinoma parcinoma pathology ichaza izibhedlele Ifuna ukuxilongwa ngokuchanekileyo, ukucaciswa ngokuchanekileyo, kunye nesicwangciso sonyango esinezilungiso. Ngokuqonda iimpawu ze-pathological ze-RCC, imisonto yayo eyahlukeneyo, kunye nokukhethwa konyango, izigulana zinokwenza izigqibo ezinolwazi ngokubambisana neqela labo lezempilo. UKHETHA OKHONA OKANYE LOKHETHO LESITOLO LULULA KUPHELA EZIZODWA.