Daim siab mob cancer - hepatocellular carcinoma

Hepatocellular carcinoma yog mob qog nqaij hlav uas pib tawm hauv lub siab.

Hepatocellular carcinoma tso nyiaj rau feem ntau daim siab ua cancer. Hom mob cancer no feem ntau rau cov txiv neej dua li poj niam. Feem ntau yog kuaj rau cov neeg muaj hnub nyoog 50 lossis tshaj saud.

Kab mob siab Hepatocellular carcinoma tsis zoo li metastatic cancer mob cancer, uas pib rau lwm qhov (xws li mis los sis mob hnyuv) thiab kis mus rau lub siab.

Feem ntau, qhov ua rau daim siab mob qog yog kev puas tsuaj mus ntev thiab kev ua plaub hau yog mob rau daim siab (mob ntsws). Kab mob txhaws los ntawm:

• Cawv kev quav cawv
• Cov kab mob autoimmune ntawm daim siab
• Kab mob siab B lossis kab mob siab C kis tus kab mob
• Kev mob ntawm daim siab uas yog mob ncua ntev (mob ntev)
• Iron ntau dhau nyob rau hauv lub cev (hemochromatosis)

Cov neeg muaj kab mob siab B lossis C muaj feem yuav muaj mob qog noj ntshav siab, txawm tias lawv tsis mob qog ntshav siab.

Cov tsos mob ntawm tus mob cancer mob siab tej zaum yuav muaj xws li cov hauv qab no:

• Mob plab los yog mob, tshwj xeeb tshaj yog nyob rau sab saud
• Ua kom doog ntshav yooj yim lossis los ntshav
• Tsa plab (ascites)
• Daim tawv daj lossis qhov muag daj (daj daj)
• Kev yuag yuag uas tsis yoo

Tus kws kho mob yuav kuaj ib ce thiab nug txog koj cov tsos mob. Kev kuaj mob lub cev yuav qhia ua mob siab, mob siab lossis lwm cov tsos mob ntawm tus mob ntsws.

Yog tias tus kws khomob xav tias muaj mob qog noj ntshav, kuaj uas yuav yuam kom muaj:

• Mob plab hauv TV
• Mob plab MRI scan
• Mob plab hauv ultrasound
• Mob siab me me
• Kev kuaj mob siab ua haujlwm
• Ntshav alpha fetoprotein

Qee tus neeg uas muaj feem yuav muaj mob qog noj ntshav siab yuav mus kuaj ntshav thiab kuaj seb puas muaj mob hlav.

Txhawm rau kom paub tseeb txog cov kab mob hepatocellular carcinoma, yuav tsum kuaj me me ntawm lub qog nqaij hlav.

Kev kho yog nyob ntawm seb nws muaj tus kabmob siab npaum li cas.

Yuav phais tau yog tias lub qog tsis kis mus. Ua ntej kev phais mob, cov qog yuav raug kho nrog tshuaj kho kom txo nws qhov loj me. Qhov no yog ua los ntawm xa cov tshuaj ncaj nraim mus rau hauv lub siab nrog lub raj (catheter) lossis los ntawm kev muab tshuaj rau nws (los ntawm IV).

Kev siv hluav taws xob ntau nyob hauv thaj chaw ntawm mob qog noj ntshav kuj yuav pab tau.

Ablation yog lwm txoj kev siv uas yuav raug siv. Ablate txhais tau tias rhuav pov. Hom kev rho tawm tsis pub siv:

• Lub xov tooj cua ib vuag lossis microwaves
• Ethanol (cawv) los yog kua qaub (vinegar)
• Huab txias (cryoablation)

Kev pom zoo ua daim siab tuaj yeem pom zoo.

Yog tias mob cancer tsis tuaj yeem raug phais lossis kis mus rau lwm lub siab, feem ntau tsis muaj sijhawm ntev los kho. Txoj kev kho yog hais txog kev txhim kho thiab txuas ntxiv tus neeg lub neej. Txoj kev kho tus mob no yuav siv kho nrog cov tshuaj tuaj yeem siv tshuaj ntsiav tau zoo. Cov tshuaj txhaj tiv thaiv kab mob tshiab kuj tseem siv 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.

Yog hais tias kho tsis tau tus mob cancer, tus kab mob feem ntau yuav tuag. Tab sis kev muaj sia nyob tuaj yeem sib txawv, nyob ntawm seb tus kabmob siab npaum li cas thaum kuaj pom thiab kho tau zoo npaum li cas.

Hu rau koj tus kws kho mob yog tias koj muaj mob mob hauv plab, tshwj xeeb yog tias koj muaj keeb kwm muaj kab mob siab.

Cov kev tiv thaiv muaj xws li:

• Kev tiv thaiv thiab kho kab mob viral tuaj yeem txo koj txoj kev pheej hmoo. Kev txhaj tshuaj tiv thaiv menyuam yaus tiv thaiv kab mob siab B yuav txo qis kev pheej hmoo mob qog ntshav siab rau yav tom ntej.
• Tsis txhob haus cawv ntau dhau.
• Cov neeg muaj qee hom mob hemochromatosis (hlau ntau dhau) yuav tsum tau kuaj mob qog nqaij hlav cancer.
• Cov neeg muaj kab mob siab B lossis C lossis kab mob siab ntsws tuaj yeem pom zoo kuaj mob qog noj ntshav.

Thawj lub siab mob cell carcinoma; Mob Qog - mob siab; Cancer - mob siab; Hepatoma

• Lub plab zom mov
• Mob siab me me
• Hepatocellular mob cancer - CT scan

Abou-Alfa GK, Jarnagin W, Dika IE, li al. Mob siab thiab kua tsib mob cancer. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: tshooj 77.

Di Bisceglie AM, Befeler AS. Hepatic hlav thiab hlwv. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob Qog: Kab Mob Rau Ib Tus Mob / Tshuaj Ntsuam Xyuas / TswjCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: tshooj 96.

Lub koom haum Cancer National website. Cov laus kev kho tus mob siab ua ntej (PDQ) - kev paub txog kev noj qab haus huv. www.cancer.gov/types/liver/hp/adult-liver-xav-pdq. Hloov kho Lub Peb Hlis 24, 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: kab mob qog nqaij hlav. Version 3.2019. www.nccn.org/professionals/physician_gls/pdf/hepatobiliary.pdf. Hloov kho Lub Yim Hli 1, 2019. Nkag Mus Siv Lub Yim Hli 27, 2019.