Tus Sau: Eugene Taylor
Hnub Kev Tsim: 7 Lub Yim Hli Ntuj 2021
Hloov Hnub: 9 Lub Kaum Ib Hli Ntuj 2024
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Qhia txog tus neeg pw tsis tsaug zog yuav ua li cas
Daim Duab: Qhia txog tus neeg pw tsis tsaug zog yuav ua li cas

Zoo Siab

Txheej txheem cej luam

Peb lub cev tsim los ntawm ntau phaum hlwb. Feem ntau, cov cell tshiab hloov lub hlwb qub lossis puas thaum lawv tuag.

Qee zaum, lub xovtooj ntawm DNA poob zuj zus. Kev tiv thaiv kab mob hauv lub cev feem ntau tuaj yeem tswj hwm qee lub cev tsis tshua muaj zog tiv thaiv kev puas tsuaj ntxiv rau peb lub cev.

Kab mob kheesxaws tshwm sim thaum muaj ntau cov hlwb txawv dua li lub cev tiv thaiv kab mob tuaj yeem kho. Hloov chaw ntawm kev tuag, cov qog ua haujlwm tsis tu ncua ntxiv zuj zus thiab sib faib, ua ib pawg ntawm cov qog. Nws thiaj li, qhov kev txhim kho uas tsis tau tswj hwm ua rau cov hlwb tsis zoo ua rau cov leeg cov leeg.

Muaj ntau hom mob cancer npe rau cov ntaub so ntswg lossis cov kabmob uas lawv xub pib. Txhua tus muaj peev xwm kis tau, tab sis qee qhov kev txhoj puab heev dua lwm tus.

Txuas ntxiv nyeem ntawv kom paub tias mob cancer kis mob li cas, nws mob li cas, thiab kho ntau yam ua haujlwm li cas.

Vim li cas mob cancer kis mus

Kab mob kheesxaws tsis teb cov cim qhia lawv txog sijhawm tuag, yog li lawv txuas ntxiv faib sai thiab sib npaug. Thiab lawv tau zoo heev ntawm kev zais ntawm kev tiv thaiv kab mob.


Thaum cov qog nqaij hlav cancer tseem tseem muaj nyob hauv cov ntaub so ntswg uas lawv tsim, nws hu ua carcinoma hauv situ (CIS). Thaum cov qog no ua rau sab hauv cov ntaub so ntswg, nws hu ua qog noj ntshav siab.

Kev sib kis mob cancer los ntawm qhov chaw nws pib rau lwm qhov chaw hu ua metastasis. Tsis muaj ib qho chaw nyob hauv lub cev nws kis mus, tus mob cancer tseem yog npe rau qhov chaw nws keeb kwm. Piv txwv, kev mob qog nqaij hlav prostate uas kis mus rau lub siab tseem mob qog nqaij hlav cancer, tsis yog mob qog noj ntshav, thiab kev kho yuav cuam tshuam ntawd.

Txawm hais tias cov qog cov tawv nqaij yog qhov tseem ceeb ntawm ntau hom mob cancer, uas tsis yog txhua zaus. Piv txwv, leukemias yog mob qog nqaij hlav ntshav uas kws kho mob hu tias "qog ua kua."

Raws nraim qhov twg cov qog nqaij hlav mob cancer yuav kis mus ntxiv yog nyob ntawm lawv qhov chaw hauv lub cev, tab sis nws yuav kis tau rau ze ua ntej. Kab mob qog yuav kis thoob:

  • Ntaub so ntswg. Mob qog yuav tuaj yeem thawb mus rau cov nqaij lossis cov kabmob. Cov qog nqaij hlav cancer los ntawm thawj cov qog tuaj yeem ua kom deb thiab tsim cov qog tshiab nyob ze.
  • Cov lymph system. Cov qog nqaij hlav cancer los ntawm qog tuaj yeem nkag mus rau cov qog ntshav nyob ze. Txij ntawd los, lawv tuaj yeem mus ncig tag nrho cov kab mob qog nqaij hlav thiab pib ua cov qog tshiab hauv lwm qhov chaw ntawm lub cev.
  • Cov hlab ntsha ntshav. Cov qog ua rog xav tau oxygen thiab lwm yam khoom noj kom loj hlob tuaj. Los ntawm cov txheej txheem hu ua angiogenesis, qog cov qog tuaj yeem tsim cov hlab ntshav tshiab kom ntseeg tau tias lawv muaj sia nyob. Cov cell kuj tuaj yeem nkag mus rau hauv cov hlab ntshav thiab taug kev mus rau qhov chaw deb.

Sai-thiab qeeb qeeb-kis cov qog nqaij hlav

Cov qog nqaij hlav cancer uas muaj kev puas tsuaj ntau dua caj ces (cov tsis zoo sib xws) feem ntau loj hlob sai dua li cov qog nqaij hlav cancer uas muaj kev puas tsuaj tsawg (zoo txawv). Raws li qhov txawv txav li cas lawv tshwm sim hauv lub tshuab tsom, qog cov qog yog ua raws li hauv qab no:


  • GX: tsis paub meej
  • G1: zoo sib xws los yog qib qis
  • G2: Muaj qauv sib txawv los yog qib nrab-qib
  • G3: kev tsis zoo lossis kev kawm qeb siab
  • G4: undifferentiated los yog qib siab

Qee cov qog nqaij hlav uas feem ntau qeeb qeeb yog:

  • mob qog nqaij hlav mis, xws li cov tshuaj estrogen receptor-positive (ER +) thiab tib neeg txoj kev loj hlob qhov ua kom haum receptor 2-negative (HER2-)
  • mob ntsws lymphocytic (CLL)
  • mob hnyuv thiab mob nqaij hlav
  • feem ntau hom mob prostate

Qee qhov mob qog noj ntshav, xws li mob qog nqaij hlav prostate, tuaj yeem loj hlob qeeb qeeb uas koj tus kws kho mob yuav pom zoo kom "tos ntsoov" mus kom ze rau kev kho tam sim. Qee tus yuav tsis tas siv tshuaj kho.

Piv txwv ntawm cov qog nqaij hlav sai uas yog:

  • mob leememia siab (TAS) thiab mob tus mob myeloid zoo li tus mob (AML)
  • qee yam mob cancer mis, xws li mob cancer mis o (IBC) thiab mob cancer mis triple-negative (TNBC)
  • loj B-cell lymphoma
  • mob ntsws
  • tsawg kawg kua ntshav kua qog nqaij hlav xws li mob me me-cell carcinomas lossis lymphomas

Muaj mob qog nqaij hlav sai tsis tas txhais tau tias koj muaj qhov tsis paub meej. Ntau yam mob khees xaws no tuaj yeem kho tau zoo. Thiab qee cov qog nqaij hlav tsis tas yuav loj hlob sai dua, tab sis tsis tshua pom tus kab mob mus txog thaum lawv tau txaws metastasized.


Cov theem twg yuav tau ua nrog kis mob cancer

Cov qog nqaij hlav tau teev tseg raws li cov qog loj thiab ntev li cas nws tau kis thaum lub sijhawm kuaj mob. Cov theem pab cov kws kho mob txiav txim siab uas kho mob feem ntau yuav ua haujlwm thiab muab kev xam pom dav dav.

Nws muaj ntau hom sib tshooj thiab qee yam tshwj xeeb qee yam hom mob cancer. Cov hauv qab no yog cov theem pib ntawm kev mob qog noj ntshav:

  • Hauv situ. Cov kab mob hauv hlwb muaj tau pom, tab sis lawv tsis kis mus rau cov ntaub so ntswg ib puag ncig.
  • Laus. Cov kab mob cancer tsis kis mus rau lwm qhov.
  • Cheeb Tsam. Kab mob kheesxaws tau kis rau cov qog ntshav, cov nqaij, lossis kabmob.
  • Deb. Tus kabmob kheesxaws tau mus txog cov kabmob lossis cov nqaij mos.
  • Tsis paub. Tsis muaj cov ntaub ntawv txaus los txiav txim rau theem.

Lossis:

  • Theem 0 lossis CIS. Cov hlwb tsis zoo tau pom tab sis tsis tau kis mus rau lwm qhov nqaij. Qhov no tseem hu ua precancer.
  • Theem 1, 2, thiab 3. Kev kuaj mob cancer yog paub tseeb. Cov naj npawb sawv cev loj npaum li cas thawj cov qog tau loj hlob thiab ntev npaum li cas cov mob cancer tau kis.
  • Theem 4. Mob khees xaws tau metastasized mus rau qhov chaw deb ntawm lub cev.

Koj daim ntawv qhia txog kab mob kev siv dag zog tuaj yeem siv TNM staging system, uas qhia cov ncauj lus kom ntxaws ntxiv raws li hauv qab no:

T: Qhov loj me ntawm cov qog ua ntej

  • TX: mob tsis tuaj yeem ntsuas tau
  • T0: Thawj lub qog yuav tsis pom nyob
  • T1, T2, T3, T4: piav qhia qhov loj ntawm lub hauv paus loj thiab ntev npaum li cas nws yuav tau loj tuaj rau hauv cov nqaij mos uas nyob ib puag ncig

N: Tus naj npawb ntawm cov qog ntshav hauv cheeb tsam cuam tshuam los ntawm mob qog noj ntshav

  • NX: mob cancer rau cov leeg ntshav nyob ze tsis tuaj yeem ntsuas
  • N0: Tsis muaj mob khees-xaws pom nyob rau ntawm cov leeg ntshav nyob ze
  • N1, N2, N3: piav qhia txog tus naj npawb thiab chaw nyob ntawm cov qog ntshav cuam tshuam los ntawm mob qog noj ntshav

M: Kab mob khees xaws tau metastasized lossis tsis tau

  • MX: metastasis tsis tuaj yeem ntsuas
  • M0: cancer tsis kis mus rau lwm qhov ntawm lub cev
  • M1: mob cancer tau kis

Yog li, koj theem qog noj ntshav yuav zoo tej yam li no: T2N1M0.

Tumor kev loj hlob thiab nthuav tawm

Benign cov qog

Cov hlav hlav hlav tawm yog noncancerous. Lawv tau them nrog lub hlwb zoo li qub thiab tsis tuaj yeem nkag mus rau hauv cov ntaub so ntswg uas nyob ze lossis lwm yam kabmob. Cov qog hlav tuaj yeem tuaj yeem tsim qee qhov teeb meem yog tias lawv:

  • loj txaus los nias rau ntawm cov kabmob, ua rau mob, lossis tsis hnov ​​tsw
  • muaj nyob hauv lub hlwb
  • tso cov tshuaj hormones uas cuam tshuam rau lub cev hauv lub cev

Cov hlav hlav loj kuj tuaj yeem raug phais thiab zoo li yuav rov qab tsis tau.

Malignant hlav

Mob qog noj ntshav hu ua malignant. Cov kab mob qog nqaij hlav mis tsim thaum DNA txawv txav ua rau lub noob ua coj txawv dua li nws yuav tsum. Lawv tuaj yeem loj hlob mus rau cov ntaub so ntswg uas nyob ze, kis tau los ntawm cov hlab ntshav lossis cov qog ntshav, thiab kis tawm hauv lub cev. Cov hlav hlav malignant feem ntau yuav loj hlob sai dua li cov qog cov hlav.

Yuav ua li cas kho mob ua haujlwm kom tsis txhob kis mob cancer

Feem ntau hais lus, nws yooj yim dua los kho mob cancer ua ntej nws muaj feem kis tau. Kev kho yog nyob ntawm hom mob qog noj tshwj xeeb thiab theem. Feem ntau, kev kho yuav muaj ntau dua ib txoj kev kho.

Kev phais mob

Ua raws li hom mob cancer uas koj muaj, kev phais mob yuav yog kho thib ib. Thaum phais mob yog siv los tshem cov qog, tus kws phais tseem yuav tshem ib qho nqaij me me nyob ib ncig ntawm lub qog ua kom qis dua qhov uas yuav tawm hauv cov qog nqaij hlav mus ntxiv.

Kev phais mob tseem tuaj yeem pab ua qog nqaij hlav. Piv txwv, kuaj cov qog ntshav ze rau ntawm cov qog ntshav xub thawj tuaj yeem txiav txim siab yog tias mob cancer tau kis mob hauv zos.

Koj tseem yuav xav tau kev kho mob lossis kho hluav taws xob tom qab kev phais mob. Qhov no yuav yog kev ceev faj ntxiv yog tias qee cov keeb mob cancer raug tso tseg lossis tau mus txog rau cov ntshav lossis cov qog ntshav.

Yog tias lub qog tshem tawm tsis tau tag, koj tus kws phais yuav tshem tau ib feem. Qhov no tuaj yeem pab tau yog tias cov qog ntshav tau ua rau lub siab ntawm ib qho lossis ib qho ua rau mob.

Kev siv hluav taws xob

Kev siv hluav taws xob yog siv hluav taws xob ntau los tua cov qog nqaij hlav cancer lossis qeeb lawv txoj kev loj hlob. Cov duab xoo hluav taws xob tau tsom thaj chaw ntawm lub cev uas tau pom muaj mob qog nqaij hlav.

Kev siv hluav taws xob tuaj yeem siv los tua cov qog lossis ua kom mob mob. Nws kuj tseem tuaj yeem siv tom qab kev phais mob txhawm rau tua qee cov qog nqaij hlav cancer uas tej zaum tom qab.

Kws khomob

Kev siv tshuaj kho mob yog ib qho kev siv tshuaj kho mob. Chemo tshuaj nkag mus rau koj cov hlab ntshav thiab taug kev thoob plaws koj lub cev kom pom thiab rhuav tshem cov hlwb sai.

Kev siv tshuaj kho mob yog siv los tua mob qog noj ntshav, qeeb nws txoj kev loj hlob, thiab txo qhov pheej hmoo tias cov qog ntshav tshiab yuav tshwm sim. Nws muaj txiaj ntsig thaum muaj mob qog nqaij hlav dhau ntawm thawj tus qog nqaij hlav los sis yog tias koj muaj mob qog ntshav uas tsis muaj kev kho mob tshwj xeeb.

Cov hom phiaj kho

Cov hom phiaj kho raws li hom mob cancer tshwj xeeb, tab sis tsis yog txhua txhua cov qog nqaij hlav muaj hom phiaj kho. Cov tshuaj no tua cov protein tshwj xeeb uas ua rau hlav hlav tuaj yeem loj thiab kis tau.

Angiogenesis inhibitors cuam tshuam nrog cov cim taw qhia uas ua rau cov qog tuaj yeem tsim cov roj ntsha tshiab thiab txuas ntxiv zuj zus. Cov tshuaj no tseem tuaj yeem ua rau cov leeg ntshav uas twb muaj lawm tuag, uas tuaj yeem ua rau lub qog.

Qee hom mob cancer, xws li prostate thiab mob qog mis feem ntau, xav tau cov tshuaj hormones kom loj hlob. Kev kho qog tuaj yeem nres koj lub cev los ntawm kev tsim cov tshuaj hormones uas pub muaj mob qog noj ntshav. Lwm qhov cheem cov tshuaj hormones no tsis cuam tshuam nrog cov qog noj ntshav. Kev pab kho tus pojniam kom zoo thiab pab tiv thaiv kom tsis txhob rov tshwm sim ntxiv.

Kev Txhaj Tshuaj Tiv Thaiv

Cov tshuaj txhaj tiv thaiv kab mob pab txhawb koj lub zog rau koj tus kheej lub cev los tiv thaiv mob qog noj ntshav. Cov tshuaj no tuaj yeem ua rau koj lub zog tiv thaiv kab mob thiab pab nws paub txog qog nqaij hlav cancer.

Lub cev qog lossis hloov hlwb pob txha

Kev hloov ntshav ntawm qia, qee zaum hu ua hloov hlwb pob txha, hloov cov hlwb ua kom puas ntshav nrog lub hlwb zoo. Cov txheej txheem yuav siv sijhawm tom qab muaj tshuaj kho mob ntau lossis siv hluav taws xob los tua cov qog nqaij hlav cancer thiab ua kom koj lub hlwb qia los ntawm kev tsim cov qog nqaij hlav cancer.

Kev hloov pauv ntawm cov qog tuaj yeem siv rau ntau hom mob qog nqaij hlav, nrog rau ntau yam mob myeloma thiab qee cov mob qog ntshav.

Cov nqa mus

Kab mob cancer tsis yog ib hom mob xwb. Muaj ntau ntau yam - thiab subtypes - ntawm mob cancer. Qee qhov muaj txhoj puab heev dua li lwm tus, tab sis muaj ntau yam hloov uas ua rau muaj cov yam ntxwv mob txawv txav.

Koj tus kws kho mob tuaj yeem pab koj nkag siab zoo txog kev coj tus cwj pwm txawv ntawm qee yam mob cancer raws qhov tshwj xeeb ntawm koj daim ntawv qhia txog kab mob pathology.

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