Pancreatic mob cancer

Kev mob kheesxaws (Pancreatic cancer) yog mob cancer uas pib ua rau txiav.

Qhov txiav ua kab mob yog ib qho kabmob loj nyob tom qab ntawm lub plab. Nws ua thiab tso tawm cov enzymes rau hauv cov hnyuv uas pab lub cev zom thiab nqus cov zaub mov, tshwj xeeb tshaj yog cov rog. Lub txiav ua ke kuj ua thiab tso cov tshuaj insulin thiab glucagon. Cov no yog cov tshuaj hormones uas pab lub cev tswj ntshav hauv cov ntshav qab zib.

Nws muaj ntau hom qog dev vwm. Yam nyob ntawm tus kabmob muaj nyob rau ntawm lub cell. Piv txwv li:

• Adenocarcinoma, hom mob khees xaws ntau tshaj plaws ntawm kab mob hlwb
• Lwm hom tsis tshua muaj ntau yam xws li glucagonoma, insulinoma, islet cell hlav, VIPoma

Qhov tseeb ntawm qhov ua rau mob qog nqaij hlav pancreatic tsis paub meej. Nws muaj ntau dua hauv cov neeg uas:

• Yog rog
• Muaj zaub mov noj muaj rog thiab muaj roj thiab txiv hmab txiv ntoo tsawg
• Muaj ntshav qab zib
• Ntev mus ntev rau qee cov tshuaj
• Ua rau mob hlab ntsws ntev ntev (mob ua rau tus kab mob ua paug)
• Haus luam yeeb

Txoj kev pheej hmoo rau mob qog noj qab zib nce nrog lub hnub nyoog. Tsev neeg muaj keeb kwm muaj tus kab mob no kuj tseem me ntsis yuav pab tau tus kabmob no.

Mob qog (hlav) nyob rau hauv lub txiav yuav loj hlob yam tsis muaj cov tsos mob thaum xub thawj. Qhov no txhais tau tias tus kabmob kheesxaws feem ntau dhau lawm thaum nws pom pom.

Cov tsos mob ntawm tus mob pancreatic muaj xws li:

• Zawv plab
• Tsaus zis thiab cov quav pleev xim av
• Qaug zog thiab qaug zog
• Kev nce hauv cov ntshav qab zib theem (ntshav qab zib) cia li nce
• Jaundice (xim daj nyob rau ntawm daim tawv nqaij, ua pa ntawm lub cev, lossis dawb ntawm lub qhov muag) thiab khaus ntawm daim tawv nqaij
• Tsis qab los noj thiab yuag poob
• Xeev siab thiab ntuav
• Mob los yog tsis xis nyob sab sauv los yog hauv plab

Tus kws kho mob yuav kuaj ib ce thiab nug txog koj cov tsos mob. Thaum lub sijhawm kuaj mob, tus kws kho mob yuav hnov ​​mob ib daim hauv koj lub plab.

Kev kuaj ntshav uas yuav raug txiav txim yog:

• Ua kom tiav cov ntshav suav (CBC)
• Kev kuaj mob siab ua haujlwm
• Ntshav dej bilirubin

Kev ntsuam xyuas cov duab uas yuav raug txiav txim suav nrog:

• CT scan ntawm lub plab mog
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Endoscopic ultrasound
• MRI ntawm lub plab mog

Kev kuaj xyuas tus mob qog nqaij hlav cancer (thiab hom dab tsi) yog ua los ntawm kev txiav txim siab nqaij hlav ua ntshav (pancreatic biopsy).

Yog hais tias kev kuaj pom tias koj muaj mob qog nqaij hlav txiav ntshav, ntau yam kev kuaj yuav kuaj saib tus mob cancer kis tau rau sab hauv thiab sab nrauv licas. Qhov no hu ua staging. Cov ntawv sau cia pab qhia kev kho mob thiab muab ib lub tswv yim dab tsi ntawm kev cia siab.

Kev kho mob adenocarcinoma nyob ntawm theem ntawm cov qog.

Kev phais mob yuav ua tau yog tias lub pob tsis tau kis lossis kis mob tsawg heev. Ua ke nrog kev phais mob, kev siv tshuaj kho mob lossis kho hluav taws xob lossis ob qho tib si yuav siv ua ntej lossis tom qab phais. Coob tus neeg mob tuaj yeem kho nrog txoj kev kho mob no.

Thaum cov qog tsis kis tawm ntawm cov txiav tawm tab sis tsis tuaj yeem tshem tawm phais mob, kev siv tshuaj kho mob thiab kev siv hluav taws xob ua ke yuav pom zoo.

Thaum cov qog tau kis (metastasized) mus rau lwm yam kabmob xws li lub siab, tshuaj kho ib leeg ib txwm siv.

Nrog kev mob qog nce qib, lub hom phiaj ntawm kev kho mob yog tswj cov mob thiab lwm yam tsos mob. Piv txwv li, yog tias lub raj uas nqa cov kua tsib los ntawm lub qog nqaij hlav hauv pancreatic, txoj kev ua kom tso lub raj me me (stent) tuaj yeem ua kom qhib qhov txhaws. Qhov no tuaj yeem pab txo cov nqaij tawv daj, thiab khaus ntawm daim tawv nqaij.

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.

Qee cov neeg uas muaj mob qog nqaij hlav uas tuaj yeem phais tau zoo tuaj yeem kho tau. Tab sis feem ntau ntawm cov neeg, lub qog tau nthuav dav thiab tsis tuaj yeem tshem tawm tag nrho thaum lub sijhawm kuaj xyuas.

Kev siv tshuaj kho mob thiab tshuaj tua hluav taws xob feem ntau raug muab tom qab kev phais mob txhawm rau nce kho tus mob (qhov no hu ua kev kho mob rau qhov tsis zoo). Rau kev mob qog nqaij hlav uas tsis tuaj yeem tshem tawm tag nrho nrog kev phais mob lossis mob qog nqaij hlav uas tau kis dhau tus neeg mob hlwb, tsis tuaj yeem kho tau. Hauv qhov no, kev siv tshuaj kho mob tau muab txhawm rau txhim kho thiab txuas ntxiv tus neeg lub neej.

Hu mus teem sijhawm nrog koj tus kws khomob yog koj muaj:

• Mob plab los yog mob duav uas tsis ploj mus
• Puag tas li tsis qab los noj mov
• Cov neeg ua haujlwm yuag uas tsis paub yuag lossis poob ceeb thawj
• Lwm cov tsos mob ntawm tus mob no

Cov kev tiv thaiv muaj xws li:

• Yog tias koj haus luam yeeb, tam sim no yog lub sijhawm txiav luam yeeb.
• Noj cov khoom noj uas muaj txiv ntoo, zaub, thiab nplej kom ntau.
• Kev tawm dag zog tsis tu ncua kom lub cev noj qab nyob zoo.

Pancreatic mob cancer; Mob Khees - pancreas

• Lub plab zom mov
• Cov qog endocrine
• Txoj kev mob ntsws hlav, CT scan
• Qos Yis
• Kev thaiv ob tog - series

Yexus-Acosta AD, Narang A, Mauro L, Herman J, Jaffee EM, Laheru DA. Carcinoma ntawm lub txiav. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 78.

Lub koom haum Cancer National website. Kev kho mob qog noj ntshav (PDQ) - kev noj qab haus huv cov qauv. www.cancer.gov/types/pancreatic/hp/pancreatic-nyuj-pdq. Hloov kho Lub Xya Hli 15, 2019. Nkag mus Lub Yim Hli 27, 2019.

Lub Tebchaws National Comprehensive Cancer Network lub vev xaib. NCCN kev soj ntsuam kev coj ua hauv oncology: pancreatic adenocarcinoma. Version 3.2019. www.nccn.org/professionals/physician_gls/pdf/pancreatic.pdf. Hloov kho Lub Xya Hli Tim 2, 2019. Nkag Mus Siv Lub Yim Hli 27, 2019.

Cov Hluav Taws Xob GT, Wilfong LS. Pancreatic mob cancer, cystic pancreatic neoplasms, thiab lwm yam kev tsis muaj hlwb. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 60.