Tsab ntawv tshaj tawm tshiab tshaj plaws ntawm Lub Koom Haum Kev Noj Qab Haus Huv Ntiaj Teb's Classification of Soft Tissue and Bone Tumors, luam tawm thaum Lub Plaub Hlis 2020, faib ua pawgcov mob sarcomaua peb pawg: sfeem ntau cov qog nqaij hlav, cov qog nqaij hlav pob txha, thiab cov qog nqaij hlav ntawm cov pob txha thiab cov nqaij mos uas muaj cov hlwb me me uas tsis sib txawv(xws li EWSR1-non-ETS fusion round cell sarcoma).
"Tus Mob Cancer Uas Tsis Nco Qab"
Sarcoma yog ib hom mob tsis tshua muajmob qog noj ntshav hauv cov neeg laus, suav txog li1%ntawm txhua tus mob qog noj ntshav rau cov neeg laus, feem ntau hu ua "The Forgotten Cancer." Txawm li cas los xij, nws yog qhov sib pivfeem ntau rau cov menyuam yaus, suav txog ib ncig ntawm15% txog 20%ntawm txhua yam mob qog nqaij hlav thaum yau. Nws tuaj yeem tshwm sim rau txhua qhov ntawm lub cev, feem ntau yog nyob rau hauvcaj npab los yog ceg(60%), ua raws li covlub cev los yog lub plab(30%), thiab thaum kawgtaub hau los yog caj dab(10%).
Nyob rau xyoo tas los no, qhov tshwm sim ntawm cov pob txha thiab cov nqaij mos mos tau maj mam nce ntxiv. Cov pob txha mob hnyav thawj zaug feem ntau pom muaj ntau dua rau cov hluas thiab cov neeg hnub nyoog nruab nrab thiab suav nrog osteosarcoma, Ewing sarcoma, chondrosarcoma, malignant fibrous histiocytoma, thiab chordoma, thiab lwm yam. Cov pob txha mob hnyav feem ntau suav nrog synovial sarcoma, fibrosarcoma, liposarcoma, thiab rhabdomyosarcoma. Cov pob txha metastases feem ntau pom muaj ntau dua rau cov neeg hnub nyoog nruab nrab thiab cov neeg laus, nrog rau cov pob txha thawj zaug feem ntau yog mob qog noj ntshav ntsws, mob qog noj ntshav mis, mob qog noj ntshav raum, mob qog noj ntshav prostate, thiab mob qog noj ntshav thyroid, thiab lwm yam.
Kev Tshawb Pom Thaum Ntxov, Kev Kho Mob Thaum Ntxov - Ua kom pom cov "qog" uas zais cia
Vim muaj tus nqi rov tshwm sim ntau ntawm cov mob sarcomas, ntau cov qog nqaij hlav tsis meej pem ua ntej kev phais thiab tsis muaj kev kuaj duab ntxaws ntxaws. Qhov no feem ntau ua rau pom thaum lub sijhawm phais mob tias cov qog nqaij hlav tsis yooj yim li kwv yees ua ntej kev phais mob, ua rau kev phais mob tsis tiav. Kev rov tshwm sim tom qab kev phais mob lossis metastasis yuav tshwm sim, ua rau cov neeg mob plam lub sijhawm kho mob zoo tshaj plaws. Yog li ntawd,kev kuaj pom thaum ntxov, kev kuaj mob kom raug, thiab kev kho mob raws sijhawm muaj feem cuam tshuam tseem ceeb rau tus neeg mob txoj kev kwv yees. Niaj hnub no, peb xav qhia txog ib tus kws tshaj lij uas muaj kev paub txog yuav luag 20 xyoohauv kev kuaj mob tus qauv thiab kev kho mob tus kheej ntawm cov nqaij mos sarcoma, thiab tau txais kev qhuas los ntawm ob qho tib si kev lag luam thiab cov neeg mob -Kws Kho MobLiu Jiayonglos ntawm Lub Tsev Haujlwm Saib Xyuas Pob Txha thiab Cov Nqaij Mos ntawm Peking University Cancer Hospital.
Qhia Txog Tus Kws Paub Txog Kev Paub Txog Pob Txha Thiab Mob Nqaij - Dr..Liu Jiayong
Kws Kho Mob, Tus Kws Kho Mob Tseem Ceeb, Tus Xib Fwb Pab Koom Tes. Kawm ntawv hauv Anderson Cancer Center hauv Tebchaws Meskas.
Kev Paub Txog:Kev kho mob dav dav ntawm cov qog nqaij mos mos (phais thiab kho dua tshiab; tshuaj kho mob qog noj ntshav, kev kho mob tsom mus rau ib qho, thiab kev kho mob tiv thaiv kab mob); phais kho cov qog nqaij melanomas.
Nrog ze li ntawm 20 xyoo ntawm kev paub txog kev kho mob, Kws Kho Mob Liu Jiayong tau muaj kev paub txog kev kho mob thiab phais mob ntau yam hauvkev kuaj mob tus qauv thiab cov phiaj xwm kho mob tus kheejrau cov nqaij mos mos sarcomas xws li undifferentiated pleomorphic sarcoma, liposarcoma, leiomyosarcoma, synovial sarcoma, adenocystic carcinoma-like sarcoma, epithelioid sarcoma, fibrosarcoma, angiosarcoma, thiab infiltrative fibromatosis. Nws yog tshwj xeeb tshaj yogtxawj ntse tswj cov hlab ntsha thiab cov hlab ntsha thaum lub sijhawm phais mob sarcoma ntawm ceg, nrog rau kho thiab rov tsim cov qhov tsis zoo ntawm cov nqaij mos ntawm daim tawv nqaij.Kws Kho Mob Liu ua siab ntev mloog txhua tus neeg mob, nug txog lawv keeb kwm kev kho mob kom zoo, thiab sau cov ntaub ntawv kho mob kom zoo. Nws ua tib zoo saib xyuas qhov kev hloov pauv ntawm tus neeg mob lub cev thaum lub sijhawm sib txawv, xws li ua ntej thiab tom qab phais, thaum lub sijhawm kho mob, saib xyuas tom qab, thiab kev nce qib ntawm tus kab mob, txiav txim siab kom raug thiab hloov kho cov phiaj xwm kho mob raws sijhawm.
Tus kws kho mob Liu Jiayong tam sim no ua haujlwm ua ib tug tswv cuab ntawm Soft Tissue Sarcoma thiab Melanoma Group ntawm Suav Anti-Cancer Association, thiab yog ib tug tswv cuab ntawm Bone Tumor Group ntawm Beijing Society of Orthopedics ntawm Suav Medical Association.Xyoo 2010, nws yog thawj tus neeg hauv Suav teb uas txhais lus thiab luam tawm "NCCN Clinical Practice Guidelines in Soft Tissue Sarcoma," txhawb kev kho mob sarcomas ntawm cov nqaij mos.Txawm hais tias nws muaj neeg mob coob heev los, nws tseem niaj hnub siv zog nrhiav kev vam meej hauv kev tshawb fawb txog kev kho mob thiab kev tshawb fawb. Nws mob siab rau thiab lav ris rau txhua tus neeg mob uas nws kho, thiab thaum muaj tus kab mob sib kis, nws tau daws cov teeb meem uas cov neeg mob ntsib los ntawm kev teb sai sai rau cov lus sab laj ntawm cov neeg mob, tshuaj xyuas cov txiaj ntsig tom qab, thiab muab cov lus qhia kho mob kom tsim nyog los ntawm cov platform sab laj online xws li Good Doctor's Patient Group.
Cov Ntaub Ntawv Tsis Ntev Los No
Mr. Zhang, ib tug neeg mob hnub nyoog 35 xyoo, tau poob qhov muag thaum pib xyoo 2019. Tom qab ntawd, nws tau phais qhov muag sab laug vim muaj kev nce siab ntawm lub qhov muag. Cov kab mob tom qab phais tau qhia tias muaj qog nqaij hlav o. Thaum lub caij ntuj sov ntawm tib lub xyoo, ntau lub ntsws tau pom thaum lub sijhawm kuaj mob tom qab, tab sis tsis muaj cov qog nqaij hlav pom los ntawm kev siv koob txhaj tshuaj. Cov kev kuaj mob tom qab ntxiv tau qhia tias muaj ntau lub pob txha thiab lub ntsws kis mus rau lwm qhov. Cov kev sab laj ntawm cov tsev kho mob hauv zos thiab qib siab tau kuaj pom tias nws muaj qog nqaij hlav myofibroblastic o. Thaum Lub Yim Hli 2022, nws tau txais kev kho mob chemotherapy ntau, uas ua rau nws mob me ntsis tab sis tsis pom kev zoo dua ntawm cov qhov txhab thaum rov ntsuam xyuas dua. Nws lub cev kuj tsis muaj zog. Txawm li cas los xij, nws tsev neeg yeej tsis tso tseg kev cia siab. Tom qab nrhiav ntau lub tswv yim, lawv tau mus cuag Kws Kho Mob Liu Jiayong thaum Lub Kaum Ib Hlis 2022. Tom qab ua tib zoo saib xyuas keeb kwm kho mob ntawm tus neeg mob, txhua cov ntaub ntawv kho mob, kev kuaj mob, thiab cov ntaub ntawv duab,Kws Kho MobLiu tau tawm tswv yim txog kev kho mob chemotherapy uas muaj cov tshuaj methotrexate tsawg thiab Changchun Ruibin.Cov kev kho mob chemotherapy no pheej yig thiab muaj cov kev mob tshwm sim tsawg heev. Tom qab 35 hnub ntawm kev siv tshuaj, kev soj ntsuam CT tom qab ntawd qhia tau tias qhov qog hauv lub ntsws sab xis tau ploj mus, qhia tias nws tswj tau qhov qog zoo.Tsis ntev los no, kev kuaj mob tom qab ntawm Beijing South Region Oncology Hospital qhia tau tias lub ntsws ruaj khov, thiab Kws Kho Mob Liu tau pom zoo kom mus ntsib kws kho mob tsis tu ncua. Tus neeg mob thiab nws tsev neeg tam sim no muaj kev ntseeg siab ntau dua rau kev kho mob tom ntej, puv npo nrog kev cia siab. Lawv xav tias lawv tau pom lub teeb ci ntsa iab hauv txoj kev kho mob thiab qhia lawv txoj kev ris txiaj los ntawm kev muab daim ntawv ua tsaug.
Lub sijhawm tshaj tawm: Lub Yim Hli-25-2023