Ukuqonda ama-renal cell carcinoma pathology kanye nezinketho zokwelashwa ezibhedlela eziholayo

Lo mhlahlandlela ophelele uhlola i-pathology ye-renal cell carcinoma (RCC) futhi ubonise izinketho zokwelashwa ezitholakala ezibhedlela ezihamba phambili ezibhedlela i-Oncology. Sizokwelulwa ezinhlotsheni ezahlukahlukene ze-RCC, izindlela zokuxilonga, izinqubo zezitebhisi, kanye nemininingwane ehlukahlukene yokwelashwa okubandakanya ukuhlinzwa, ukwelashwa okuhlosiwe, i-immunotherapy, kanye nokwelashwa kwemisebe. Imininingwane enikeziwe ihlose ukunika amandla abantu abafuna imininingwane mayelana Ukwelashwa Renal Cell Carcinoma Pathology Pazology nezinketho zabo.

Yini i-renal cell carcinoma (RCC)?

I-Renal Cell Carcinoma (RCC) uhlobo lomdlavuza wezinso ovela ku-lining amashubhu amancane (amabhuzu) ngaphakathi kwezinso. Kubandisa iningi lomdlavuza wezinso. Ukuqonda i-pathology ethile ye-RCC kubalulekile ekunqumeni okusebenzayo kakhulu Ukwelashwa Renal Cell Carcinoma Pathology Pazology inganikeza. Umbiko we-Pathology uhlinzeka ngemininingwane enemininingwane mayelana nezimpawu ze-TUSUS, kufaka phakathi ibanga layo nesiteji, esithonya kakhulu izinqumo zokwelashwa.

Izinhlobo kanye ne-Pathology of Renal Cell Carcinoma

Ama-subtypes amaningana e-RCC akhona, ngalinye linezici ezihlukile ze-pathological kanye nezimpendulo zokwelashwa ezingaba khona. Ama-subtypes ajwayelekile ahlanganisa:

Sula Cell Renal Cell Carcinoma

Lolu uhlobo oluvame kakhulu lwe-RCC, olubonakala ngokucacile cytoplasm kumaseli womdlavuza ngaphansi kwesibonakhulu. I-pathology yayo imvamisa ithonya izinqumo zokwelashwa, ngezindlela zokwelapha ezihlosiwe zivame ukusebenza ngempumelelo.

I-Papillary Renal Cell Carcinoma

I-Papillary RCC ifaka ama-papillary (afana neminwe). I-pathology yayo imvamisa idinga indlela ehlukile ngokuqhathaniswa ne-cell RCC ecacile.

I-Chromophobe Renal Cell Carcinoma

Le subtype ibonakala ngamaseli alala kabi ngodayi olujwayelekile. I-pathology yayo ehlukile ivame ukuchaza imigomo ehlukile yokwelashwa.

Amanye ama-subtypes

Ama-subtypes amancane ajwayelekile we-RCC akhona, kufaka phakathi ukuqoqa i-carcinoma ye-duct carcinoma ne-RCC engaqondakali, ngalinye linezinto ezithile ze-pathological ezidinga ukunakwa okukhethekile kusuka Ukwelashwa Renal Cell Carcinoma Pathology Pazology.

Ukuxilongwa kanye nokuhlanza i-renal cell carcinoma

Ukuxilongwa okunembile kanye nokugabha kubalulekile ekuhleleni okusebenzayo kokwelashwa. Izinqubo zokuxilonga zivame ukufaka:

Izifundo zokucabanga

Ukuskena kwe-CT, ama-MRI Scans, ne-ultrasound asetshenziselwa ukubona ngeso lengqondo izinso futhi athole isimila. Lawa masu wokucabanga asiza ekutholeni usayizi nendawo yendawo yesimila, kanye nokuba khona kwama-metastases (asakazekele kwezinye izingxenye zomzimba).

Biopsy

I-biopsy ifaka ukususa isampula elincane lezicubu kusuka ku-tumor ukuze kuhlolwe ama-microscopic. Ukuhlaziywa kwe-Pathological of the biopsy kubalulekile ekuqinisekiseni ukuxilongwa, ukunquma uhlobo oluthile lwe-RCC, nokuhlola ibanga le-TUSS (ulaka).

Indawo emiphi

Amasu wokugabha, njengohlelo lwe-TNM, ahlukanise i-RCC ngokususelwa kusayizi, indawo, asakazekele ukuya ezindaweni eziseduze zama-lymph, kanye nama-metastase akude. Isiteji sithonya kakhulu izincomo zokwelashwa.

Izinketho zokwelashwa zeRenal Cell Carcinoma

Izinketho zokwelashwa ze-RCC zincike ezicini eziningana, kufaka phakathi isigaba somdlavuza, impilo yesiguli yonke, kanye nohlobo oluthile lwe-RCC. Sihola Ukwelashwa Renal Cell Carcinoma Pathology Pazology Nikeza uhla lwezindlela zokwelapha, ezingafaka:

Indawo kadokotela

Ukuhlinzwa, okufana ne-nephrectomy okuyingxenye (ukususwa kwesimila kuphela) noma i-naphrectomy ebabazekayo (ukususwa kwazo zonke izinso), kuyindlela evamile yokwelashwa ye-RCC yasendaweni. Uhlobo lokuhlinzwa luxhomeke ezicini eziningana kufaka phakathi usayizi we-tumor nendawo.

Ukwelashwa okuhlosiwe

Izindlela zokwelapha ezihlosiwe zisebenzisa izidakamizwa ezibhekise ngqo amaseli omdlavuza, ukunciphisa ukulimala kwamaseli anempilo. Le mithi ivame ukuvimba amaprotheni athile ahilelekile ekukhuleni komdlavuza nokusinda.

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amasosha omzimba uqobo ukuze alwe namaseli womdlavuza. Kubandakanya ukusebenzisa imithi noma ukwelashwa okusiza amasosha omzimba akhombe futhi acekele phansi amaseli omdlavuza.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukubulala umdlavuza amaseli. Ngenkathi isetshenziswa kaningi njengokwelashwa okuyinhloko kwe-RCC, ingadlala indima ekunakekelweni kwe-palluative noma ukuphatha ukuphindaphindeka kwasendaweni.

Ukukhetha isibhedlela esifanele izidingo zakho

Ukukhetha isibhedlela ngobuchwepheshe be-Oncology ye-Uralogical kanye nerekhodi elinamandla lokulandela iRCH kubalulekile. Izici okufanele zicatshangelwe zifaka okuhlangenwe nakho kwesibhedlela ngohlobo oluthile lwe-RCC, ukufinyelela ubuchwepheshe obuthuthukile bokuxilonga kanye nokwelashwa, kanye nendlela yethimba leqembu elihlangene lokunakekelwa komdlavuza. I-Shandong Baafa Cancer Research Institute Isikhungo esihlonishwayo esihlinzeka ngokunakekela okuphelele kweziguli ezine-renal cell carcinoma.

Nesitatimende

Imininingwane enikezwe kule ndatshana yenzelwe izinjongo zokufundisa kuphela futhi akufanele ibhekwe njengezeluleko zokwelashwa. Hlala uthintana nomuntu ochwepheshe bezokunakekelwa kwezempilo ofanelekayo kunoma yikuphi ukukhathazeka ngempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma yokwelashwa kwakho.