Cov qog nqaij hlav cancer - papillary carcinoma

Papillary carcinoma ntawm lub qog yog feem ntau mob cancer ntawm cov thyroid caj pas. Cov thyroid caj pas yog nyob sab hauv ntawm sab xub ntiag.

Kwv yees li 85% ntawm tag nrho cov mob qog hais tias mob qog nqaij hlav cancer hauv tebchaws Asmeskas yog papillary carcinoma hom. Nws yog cov poj niam ntau dua li cov txiv neej. Tej zaum nws yuav tshwm sim thaum menyuam yaus, tab sis feem ntau pom rau cov neeg laus hnub nyoog 20 txog 60 xyoo.

Cov ua kom mob cancer no tseem tsis tau paub. Kev mob caj ces lossis tsev neeg keeb kwm ntawm tus kab mob no tej zaum yog qhov txaus ntshai.

Cov hluav taws xob hluav taws xob ua rau muaj kev pheej hmoo ntau dua ntawm kev mob qog noj ntshav. Raug tej zaum yuav tshwm sim los ntawm:

• Kev siv tshuaj kho hluav taws xob sab nraud siab rau caj dab, tshwj xeeb tshaj yog thaum menyuam yaus, siv los kho mob qog noj ntshav thaum menyuam yaus lossis qee qhov xwm txheej tsis zoo lub neej thaum yau
• Raug hluav taws xob tawg los ntawm cov tshuaj nuclear tawg

Cov hluav taws xob tawg tau muab los ntawm cov leeg ntshav (los ntawm IV) thaum kev kuaj mob thiab kev kho mob tsis ua rau muaj kev pheej hmoo ntawm kev mob qog nqaij hlav cancer.

Cov qog nqaij hlav cancer pib muaj feem ntau ua cov qog ntshav me me hauv lub qog ua cov thyroid caj pas.

Thaum qee qhov qog me me tuaj yeem mob qog noj ntshav, feem ntau (90%) cov thyroid nodules tsis muaj teebmeem thiab tsis mob qog.

Feem ntau, tsis muaj lwm yam tsos mob.

Yog tias koj mob qog ntawm koj lub qog, koj tus kws kho mob yuav yuam kom kuaj:

• Kuaj ntshav.
• Ultrasound ntawm lub qog caj pas thiab lub caj dab.
• CT scan ntawm caj dab lossis MRI los txiav txim qhov loj ntawm qog.
• Laryngoscopy kom ntsuas cov suab nrov lub suab sib luag.
• Kev hno koob txhaj tshuaj kom nruj me ntsis (FNAB) los txiav txim seb lub qog puas yog mob. FNAB tuaj yeem ua yog tias lub ultrasound qhia pom tias cov pob me dua li 1 centimeter.

Kev kuaj raws caj ces ua tau rau ntawm qhov hnoos qeev coj mus kuaj seb cov kev hloov caj dab (hloov zuj zus) tuaj li cas. Paub txog qhov no yuav pab qhia tswv yim kho mob.

Kev kuaj ntshav lub qog ua haujlwm feem ntau ib txwm muaj rau cov neeg muaj mob qog noj ntshav.

Kev kho tus mob qog noj ntshav kuj yuav suav nrog:

• Kev phais mob
• Kev siv tshuaj hluav taws xob rau hluav taws xob
• Txoj kev kho cov thyroid (txoj kev hloov kho cov thyroid hormones txaus)
  
• Kev kho hluav taws xob sab nraud sab nraud txoj kev kho (EBRT)
  

Kev phais mob yog ua tiav kom tshem tawm cov qog ntshav ntau npaum li ua tau. Qhov loj dua qog, ntau dua ntawm cov thyroid caj pas yuav tsum tau muab tshem tawm. Feem ntau, tag nrho cov caj pas tawm mus.

Tom qab qhov kev phais mob, koj yuav tau txais kev kho mob radioiodine, uas feem ntau noj ntawm qhov ncauj. Qhov tshuaj no tua cov kab mob uas tseem nyob rau cov thyroid. Nws kuj tseem yuav pab ua cov duab kho kom meej dua, yog li cov kws kho mob tuaj yeem pom tias puas muaj mob qog ntshav lossis tom qab nws rov mob dua.

Kev tswj xyuas koj mob qog nqaij txuas ntxiv yuav nyob ntawm ntau yam xws li:

• Qhov loj me ntawm cov qog tam sim no
• Qhov chaw ntawm lub qog
• Kev loj hlob npaum li cas ntawm cov qog
• Cov tsos mob koj yuav muaj
• Koj tus kheej nyiam

Yog tias kev phais mob tsis yog qhov kev xaiv, kev kho hluav taws xob sab nraud tuaj yeem siv tau.

Tom qab phais mob los yog kho radioiodine, koj yuav tsum tau noj tshuaj hu ua levothyroxine mus tas koj lub neej. Qhov no hloov cov tshuaj hormones cov qog ib txwm ua.

Koj tus kws kho mob yuav kom koj mus kuaj ntshav txhua ob peb hlis mus kuaj seb koj cov ntshav muaj qog licas. Lwm qhov kev soj ntsuam taug qab uas yuav ua tau tom qab kho cov qog nqaij hlav cancer muaj xws li:

• Ultrasound ntawm lub qog
• Qhov ntsuam xyuas hu ua radioactive iodine (I-131) uptake scan
• Rov ua FNAB

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.

Tus muaj sia nyob feem ntau rau kev muaj mob qog ua cancer papillary yog ib qho zoo heev. Ntau dua 90% ntawm cov neeg laus uas muaj tus kabmob no muaj sia nyob tsawg kawg yog 10 txog 20 xyoo. Kev kuaj mob tau zoo dua rau cov neeg uas muaj hnub nyoog qis dua 40 xyoo thiab rau cov neeg muaj qog nqaij hlav me.

Cov xwm txheej hauv qab no tuaj yeem txo qis kev ua kom ciaj sia:

• Hnub nyoog qis dua 55 xyoos
• Kab mob khees-xaws tau kis mus rau deb ntawm lub cev
• Kab mob khees xaws uas tau kis mus rau cov nqaij mos
• Cov mob qog loj

Cov teeb meem suav nrog:

• Kev raug tshem tawm ntawm cov qog ntshav parathyroid, uas pab tswj ntshav hauv cov ntshav calcium
• Kev puas tsuaj rau cov hlab ntsha uas tswj lub suab pob ntseg
• Kis tus mob cancer rau cov qog ntshav (tsawg)
• Kis tus kabmob mus rau lwm qhov chaw (metastasis)

Hu rau koj tus kws kho mob yog tias koj muaj mob hauv koj lub caj dab.

Papillary carcinoma ntawm lub qog; Papillary cov qog mob cancer; Papillary cov thyroid carcinoma

• Cov qog endocrine
• Mob qog noj ntshav - CT scan
• Mob qog noj ntshav - CT scan
• Lub qog ua kom loj hlob - scintiscan
• Lub qog ua haujlwm

Haddad RI, Nasr C, Bischoff L. NCCN Cov Lus Taw Qhia Insights: Cov thyroid Carcinoma, Version 2.2018. J Natl Compr Canc NetwCov. 2018; 16 (12): 1429-1440. PMID: 30545990 pubmed.ncbi.nlm.nih.gov/30545990/.

Haugen BR, Alexander Erik K, Ntawv Vajtswv KC, li al. 2015 American Thyroid Association Kev Tswj Kev Qhia rau cov neeg mob qog nqaij hlav ntshav qab zib thiab cov mob qog nqaij hlav sib txawv: Cov Neeg Asmeskas Cov thyroid Koom Tes Kev Ua Haujlwm ntawm Cov thyroid Nodules thiab Ua Rau Kawv Mob Cancer. Lub qogCov. 2016; 26 (1): 1-133. PMID: 26462967 pubmed.ncbi.nlm.nih.gov/26462967/.

Kwon D, Lee S. Caum neeg mob qog noj ntshav. Hauv: Myers EN, Snyderman CH, eds. Kev Koom Tes Otolaryngology Lub Taub Hau thiab Caj DabCov. 3lawm ed. Philadelphia, PA: Elsevier; 2018: chap 82.

Lub koom haum Cancer National website. Kev kho mob qog noj ntshav (cov neeg laus) (PDQ) - cov ntawv muaj noj qab haus huv. www.cancer.gov/cancertopics/pdq/treatment/thyroid/HealthProfessional. Hloov kho Lub Ib Hlis 30, 2020. Nkag mus rau Lub Ob Hlis 1, 2020.

Thompson LDR. Malignant neoplasms ntawm cov ua cov thyroid caj pas. Hauv: Thompson LDR, Npis Sov JA, eds. Taub hau thiab caj dab PathologyCov. 3lawm ed. Philadelphia, PA: Elsevier; 2019: chap 25.

Qhia RM thiab Alzahrani AS. Txoj kev pheej hmoo stratification hauv kev hloov kho mob qog nqaij hlav sib txawv: los ntawm kev kuaj pom mus txog qhov kev soj qab zaum kawg. J Clin Endocrinol Metab. 2019; 104 (9): 4087-4100. PMID: 30874735 pubmed.ncbi.nlm.nih.gov/30874735/.