Mob ntsws cancer - me me cell

Khees xawj me me hauv lub cev (SCLC) yog hom qog nqaij hlav cancer sai sai. Nws kis tau ntau dua nrawm dua li qhov tsis mob qog nqaij hlav hauv hlwb.

Nws muaj ob hom SCLC:

• Cov nqaij hlav cell me (oat cell mob)
• Muab cov carcinoma me me ua ke

Feem ntau SCLC yog ntawm hom oat cell.

Txog 15% ntawm tag nrho cov mob qog mob cancer yog SCLC. Cov mob ntsws me hauv lub ntsws feem ntau me dua cov txiv neej dua li poj niam.

Yuav luag txhua zaus ntawm SCLC yog vim haus luam yeeb. SCLC tsis tshua muaj neeg hauv cov neeg uas tsis tau haus luam yeeb.

SCLC yog daim ntawv tshaj plaws ntawm kev mob qog noj ntshav. Feem ntau nws pib hauv txoj hlab ua pa (bronchi) hauv nruab nrab ntawm lub hauv siab. Txawm hais tias cov qog nqaij hlav cancer me me xwb, lawv loj hlob sai heev thiab tsim cov qog loj. Cov hlav no feem ntau kis tau sai heev (metastasize) rau lwm qhov ntawm lub cev, suav nrog rau lub hlwb, daim siab, thiab pob txha.

Cov tsos mob ntawm SCLC suav nrog:

• Ntshav hnoos qeev (phlegm)
• Kev mob hauv siab
• Hnoos
• Tsis qab los noj mov
• Ua tsis taus pa
• Lub cev yuag
• Hawb pob

Lwm tus tsos mob uas yuav tshwm sim nrog tus kab mob no, tshwj xeeb yog cov theem kawg, suav nrog:

• Lub ntsej muag o
• Ua npaws
• Hoarseness lossis hloov lub suab
• Nqos nyuaj
• Neeg tsis muaj zog

Tus kws kho mob yuav kuaj ib ce thiab nug txog koj li keeb kwm kho mob. Yuav nug koj seb koj haus luam yeeb, thiab yog li ntawd, ntau npaum li cas thiab ntev npaum li cas.

Thaum mloog koj lub hauv siab nrog lub stethoscope, tus kws kho mob yuav hnov ​​cov kua qog nyob ib ncig ntawm lub ntsws lossis thaj chaw uas lub ntsws tau tawg lawm. Txhua ntawm qhov kev tshawb pom no yuav hais qhia tias mob qog noj ntshav.

SCLC ib txwm kis rau lwm qhov hauv koj lub cev los ntawm lub sijhawm kuaj.

Kev ntsuam xyuas uas yuav ua muaj:

• Cov pob txha scan
• Kev ntsuas hluav taws xob xoo
• Ua kom tiav cov ntshav suav (CBC)
• Iav scan
• Kev kuaj mob siab ua haujlwm
• MRI scan
• Positron emission tomography (PET) scan
• Tshuaj hnoos qeev (kom pom cov qog nqaij hlav cancer)
• Thoracentesis (tshem tawm cov dej tawm ntawm lub hauv siab nyob ib ncig ntawm lub ntsws)

Feem ntau, ib daim ntawv voos raug tshem tawm ntawm koj lub ntsws los yog lwm qhov chaw mus kuaj hauv lub tshuab tsom. Qhov no yog hu ua biopsy. Muaj ntau txoj hauv kev los kuaj:

• Bronchoscopy ua ke nrog biopsy
• Siv rab koob xaij (CT scan-Directed koob)
• Txoj hlab pas txoj hlab ntaws lossis txoj hlab ntsws txoj hlab pa nrog qhov me me
• Mediastinoscopy nrog kev kuaj me
• Siv lub tshuab kuaj kab mob tawm
• Tso me me
• Yees duab-pab thoracoscopy

Feem ntau, yog tias kev txiav tawm nqaij hlav mus kuaj mob qog nqaij hlav, kev ntsuas ntau dua los ntsuas kom paub qhov theem ntawm tus kabmob. Theem txhais tau hais tias lub pob loj npaum li cas thiab nws kis tau deb npaum li cas. SCLC tau faib ua ib qho:

• Txwv Tsis Pub - Cancer tsuas nyob hauv siab thiab tuaj yeem kho tau mob hluav taws xob.
• Cuam Tshuam - Kab Mob Cancer tau kis rau thaj chaw sab nraud uas tuaj yeem npog ntawm cov hluav taws xob.

Vim tias SCLC kis tau sai thoob plaws hauv lub cev, kev kho yuav suav nrog kev siv tshuaj tua kabmob kheesxaws (tshuaj khomob), uas feem ntau yog muab los ntawm txoj hlab ntshav (los ntawm IV).

Kev kho mob nrog tshuaj tua hluav taws xob thiab tshuaj tua hluav taws yuav ua rau cov neeg uas muaj SCLC tau kis thoob plaws lub cev (feem ntau mob). Hauv qhov no, txoj kev kho tsuas yog pab txo cov tsos mob thiab ntev lub neej, tab sis tsis kho tus mob.

Kev siv hluav taws xob tuaj yeem siv nrog kev siv tshuaj khomob yog tias phais tsis tau. Kev siv hluav taws xob los siv duab xoo hluav taws xob zoo lossis lwm yam hluav taws xob txhawm rau tua cov qog nqaij hlav cancer.

Yuav siv hluav taws xob mus rau:

• Kho cov qog ntshav, nrog rau kev siv tshuaj kho mob, yog tias tsis tuaj yeem phais.
• Pab daws cov tsos mob tshwm sim los ntawm mob cancer, xws li ua pa nyuaj thiab o.
• Pab pab txo mob qog nqaij hlav thaum mob cancer tau kis rau cov pob txha.

Feem ntau, SCLC twb kis tau mus rau lub hlwb lawm. Qhov no tuaj yeem tshwm sim txawm tias tsis muaj tsos mob lossis lwm yam cim qhia tias muaj mob qog nqaij hlav hauv lub hlwb. Raws li qhov tshwm sim, qee cov neeg muaj mob qog nqaij hlav me me, lossis tus neeg tau txais qhov zoo hauv lawv thawj zaug txheej txheem tshuaj lom neeg, yuav tau txais kev kho mob hluav taws xob rau lub hlwb. Txoj kev kho no yog tsim los tiv thaiv kev kis tus mob qog rau kom lub hlwb.

Kev phais mob pab tau tsawg leej neeg nrog SCLC vim tias tus kab mob tau kis mus tas li los ntawm lub sijhawm kuaj pom. Kev phais mob yuav ua tau thaum muaj tsuas yog ib lub qog loj loj uas tsis kis mus. Yog tias phais mob tas, siv tshuaj kho mob lossis duab hluav taws xob kuj tseem xav tau.

Koj tuaj yeem daws kev ntxhov siab ntawm kev muaj mob los ntawm kev koom nrog pawg pab txhawb mob qog noj ntshav. Faib qhia rau lwm tus uas muaj kev paub thiab teeb meem ntau yam tuaj yeem pab koj tsis txhob xav tias yog ib leeg.

Koj siv tau zoo npaum li cas yog nyob ntawm ntau npaum li cas mob ntsws kis tau nthuav dav. SCLC muaj neeg coob heev. Tsis muaj coob tus neeg muaj hom mob cancer no tseem muaj sia nyob 5 xyoo tom qab kuaj pom.

Cov kev kho mob feem ntau tuaj yeem rub tawm lub neej ntev li 6 mus rau 12 hlis, txawm tias mob cancer kis.

Muaj qee zaus, yog tias SCLC tau kuaj pom ntxov, kev kho yuav ua rau kho mob ntev ntev.

Hu rau koj tus kws kho mob yog tias koj muaj tsos mob ntsws mob ntsws, tshwj xeeb yog koj haus luam yeeb.

Yog tias koj haus luam yeeb, tam sim no yog lub sijhawm txiav luam yeeb. Yog tias koj muaj teeb meem txiav luam yeeb, tham nrog koj tus kws kho mob. Nws muaj ntau txoj hauv kev los pab koj txiav luam yeeb, los ntawm pab pawg txhawb nqa tshuaj mus rau cov tshuaj noj. Kuj tseem ua kom tsis txhob muaj txoj pa luam yeeb.

Yog koj haus luam yeeb lossis siv luam yeeb, tham nrog koj tus kws khomob txog kev kuaj mob qog nqaij hlav cancer. Txhawm rau kuaj mob, koj yuav tsum muaj CT scan ntawm lub hauv siab.

Cancer - mob ntsws - cell me; Cov kab mob ntsws me hauv lub cev me; SCLC

• Kev siv tshuaj kho mob - dab tsi yuav nug koj tus kws kho mob
• Hauv siab tawg - tso tawm
• Mob ntsws phais - kev tshem tawm
• Kev siv hluav taws xob kho - cov lus nug kom nug koj tus kws kho mob

• Bronchoscopy
• Lub ntsws
• Mob ntsws ntsws - xoo fais fab tom qab xoo
• Mob ntsws cancer - sab hauv siab xoo hluav taws xob
• Adenocarcinoma - hauv siab xoo hluav taws xob
• Mob ntsws hlav - CT scan
• Kab mob hlwb - mob xoo hluav taws xob
• Mob ntsws nrog squamous cell mob cancer - CT scan
• Mob ntsws cancer - siv cov tshuaj khomob
• Adenocarcinoma
• Cov nqaij hlav uas tsis yog cell me
• Cov roj carcinoma me me
• Squamous cell carcinoma
• Kev nqus tau pa luam yeeb thiab mob ntsws
• Mob ntsws thiab alveoli
• Kev ua pa system
• Kev haus luam yeeb txaus ntshai
• Bronchoscope

Araujo LH, Horn L, Merritt RE, Shilo K, Xu-Welliver M, Carbone DP. Mob kheesxaws hauv lub ntsws: tsis mob qog nqaij hlav hauv hlwb tsawg thiab mob ntsws me me. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 69.

Lub koom haum Cancer National website. Kev kho mob ntsws me me ntawm tes (PDQ) - kev paub txog kev noj qab haus huv. www.cancer.gov/types/lung/hp/small-cell-lung-txuj-pdq. Hloov kho Tsib Hlis 1, 2019. Nkag Mus Siv Lub Yim Hli 5, 2019.

Lub Tebchaws National Comprehensive Cancer Network lub vev xaib. NCCN kev soj ntsuam kev coj ua hauv oncology: kev mob ntsws me me ntawm tes mob ntsws. Daim Ntawv 2.2020. www.nccn.org/professionals/physician_gls/pdf/sclc.pdf. Hloov kho Kaum Ib Hlis 15, 2019. Nkag mus Lub Ib Hlis 8, 2020.

Silvestri GA, Pastis NJ, Tanner NT, Jett JR. Cov chaw soj ntsuam kab mob ntsws. Hauv: Broaddus VC, Mason RJ, Ernst JD, li al, eds. Murray thiab Nadel Cov Ntawv Phau Ntawv Qhia Txog Cov PaCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 53.