Daim ntawv tshaj tawm tshiab ntawm Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Ntiaj Teb Kev faib tawm ntawm cov nqaij mos thiab pob txha pob txha, luam tawm thaum lub Plaub Hlis 2020, faibsarcomasua 3 pawg: sfeem ntau cov qog nqaij hlav, pob txha hlav, thiab cov qog ntawm cov pob txha thiab cov nqaij mos uas tsis txawv txav me me(xws li EWSR1-tsis-ETS fusion round cell sarcoma).
“Tus Mob Cancer”
Sarcoma yog ib hom tsis tshua muajmob qog noj ntshav hauv cov neeg laus, accounting rau txog1%ntawm txhua tus neeg mob qog noj ntshav, feem ntau hu ua "Tus Mob Cancer Tsis Nco Qab."Txawm li cas los xij, nws kuj yogfeem ntau ntawm cov menyuam yaus, accounting rau ib ncig15% mus rau 20%ntawm tag nrho cov mob qog noj ntshav thaum yau.Nws tuaj yeem tshwm sim nyob rau hauv ib feem ntawm lub cev, feem ntau nyob rau hauv lubcaj npab los yog ceg(60%), ua raws li covlub cev los yog lub plab(30%), thiab thaum kawg lubtaub hau lossis caj dab(10%).
Nyob rau hauv xyoo tas los no, qhov tshwm sim ntawm cov pob txha thiab cov nqaij mos hlav tau maj mam nce.Cov qog nqaij hlav qog nqaij hlav hauv lub hauv paus muaj ntau dua rau cov tub ntxhais hluas thiab cov neeg laus hnub nyoog nruab nrab thiab suav nrog osteosarcoma, Ewing sarcoma, chondrosarcoma, malignant fibrous histiocytoma, thiab chordoma, thiab lwm yam.Feem ntau cov nqaij mos malignant qog muaj xws li synovial sarcoma, fibrosarcoma, liposarcoma, thiab rhabdomyosarcoma.Cov pob txha metastases muaj ntau dua nyob rau hauv cov neeg laus thiab cov laus, nrog rau cov qog nqaij hlav hauv lub ntsws, mob qog noj ntshav, mob raum, mob qog noj ntshav, thiab mob qog noj ntshav, thiab lwm yam.
Kev Tshawb Nrhiav Thaum Ntxov, Kev Kho Mob Thaum Ntxov - Teeb pom kev zais "cov qog"
Vim tias qhov kev rov ua tau zoo tag nrho ntawm sarcomas, ntau cov qog nqaij hlav tsis meej qhov kev kuaj mob ua ntej thiab tsis muaj kev kuaj xyuas kom ntxaws.Qhov no feem ntau ua rau kev tshawb pom thaum lub sij hawm phais uas cov qog tsis yooj yim li kwv yees ua ntej, ua rau tsis tiav resection.Postoperative recurrence lossis metastasis yuav tshwm sim, ua rau cov neeg mob tsis tuaj yeem kho qhov zoo tshaj plaws.Yog li ntawd,Kev kuaj pom ntxov, kuaj pom tseeb, thiab kev kho mob raws sij hawm muaj qhov cuam tshuam tseem ceeb rau cov neeg mob qhov kev mob tshwm sim. Niaj hnub no, peb xav qhia tus kws tshaj lij uas muaj ze li ntawm 20 xyoo ntawm kev paubnyob rau hauv tus qauv kuaj mob thiab kho tus kheej ntawm cov nqaij mos sarcoma, thiab tau txais txiaj ntsig zoo los ntawm kev lag luam thiab cov neeg mob -Tus kws kho mobLiu Jiayonglos ntawm Department of Bone and Soft Tissue ntawm Peking University Cancer Hospital.
Unveiling the Expert with In-depth Knowledge of Bone and Flesh Pain – Dr.Liu Jiayong
Kws Kho Mob, Tus Kws Kho Mob, Tus Kws Lij Choj.Kawm hauv Anderson Cancer Center hauv Tebchaws Meskas.
Kev txawj ntse:Kev kho mob ntawm cov nqaij mos sarcomas (kev phais phais thiab rov tsim kho dua tshiab; chemotherapy, kev kho mob, thiab kev tiv thaiv kab mob);phais kho melanomas.
Nrog ze li ntawm 20 xyoo ntawm kev kho mob, tus kws kho mob Liu Jiayong tau sau ntau qhov chaw kho mob thiab phais kev kho mob tshwj xeeb hauvKev kuaj mob tus qauv thiab cov phiaj xwm kho tus kheejRau cov ntaub so ntswg uas muaj xws li undifferentiated pleomorphic sarcoma, liposarcoma, leiomyosarcoma, synovial sarcoma, adenocystic carcinoma zoo li sarcoma, epithelioid sarcoma, fibrosarcoma, angiosarcoma, thiab infiltrative fibrosis.Nws yog tshwj xeebpaub txog kev tuav cov hlab ntsha thiab cov hlab ntsha thaum lub sij hawm limb sarcoma resections, nrog rau kev kho thiab rov tsim kho cov nqaij mos ntawm daim tawv nqaij.Tus kws kho mob Liu ua siab ntev mloog txhua tus neeg mob, ua tib zoo nug txog lawv cov keeb kwm kho mob, thiab siv cov ntaub ntawv kho mob kom zoo.Nws them nyiaj tshwj xeeb rau cov kev hloov pauv ntawm tus neeg mob ntawm lub sijhawm sib txawv, xws li ua ntej thiab tom qab kev phais, thaum lub sijhawm kho, kev soj ntsuam, thiab kev loj hlob ntawm tus kab mob, txiav txim siab meej thiab hloov kho raws sijhawm.
Tus kws kho mob Liu Jiayong tam sim no yog ib tug tswv cuab ntawm Soft Tissue Sarcoma thiab Melanoma Group ntawm Tuam Tshoj Anti-Cancer Association, raws li zoo raws li ib tug tswv cuab ntawm lub pob txha qog Group ntawm lub Beijing Society of Orthopedics ntawm Tuam Tshoj Medical Association.Xyoo 2010, nws yog thawj tus nyob hauv Suav teb los txhais thiab tshaj tawm "NCCN Clinical Practice Guidelines in Soft Tissue Sarcoma," txhawb nqa cov txheej txheem kev kho mob ntawm cov nqaij mos sarcomas.Nws tseem siv zog rau kev nce qib hauv kev soj ntsuam thiab kev tshawb fawb, txawm tias muaj cov neeg mob loj.Nws mob siab rau thiab muaj lub luag haujlwm rau txhua tus neeg mob uas nws kho, thiab thaum lub sijhawm muaj kev sib kis, nws tau hais txog cov teeb meem uas cov neeg mob nrhiav kev kho mob los ntawm kev teb sai sai rau cov neeg mob kev sib tham, tshuaj xyuas cov txiaj ntsig tau tshwm sim, thiab muab cov lus pom zoo kho mob los ntawm kev sib tham hauv online xws li Good Doctor's Patient Group.
Tsis ntev los no Case
Mr. Zhang, tus neeg mob hnub nyoog 35 xyoo, dheev ntsib kev pom kev tsis pom kev thaum ntxov 2019. Tom qab ntawd, nws tau txais kev phais qhov muag sab laug vim qhov nce siab hauv cov hlab ntsha.Lub postoperative pathology qhia ib tug inflammatory pseudotumor.Nyob rau lub caij ntuj sov ntawm tib lub xyoo, ntau lub ntsws nodules tau pom thaum lub sij hawm soj ntsuam xyuas, tab sis tsis muaj cov qog hlwb raug kuaj pom los ntawm koob tshuaj biopsies.Kev soj ntsuam ntxiv tom qab tau pom ntau yam pob txha thiab lub ntsws metastases.Kev sab laj ntawm cov tsev kho mob hauv zos thiab qib siab tau kuaj pom nws muaj mob myofibroblastic qog.Thaum Lub Yim Hli 2022, nws tau txais kev kho mob siab ntau, uas txo nws qhov mob zoo tab sis tsis pom muaj kev txhim kho hauv cov kab mob thaum rov ntsuas dua.Nws lub cev kuj tsis muaj zog.Txawm li cas los xij, nws tsev neeg yeej tsis tso kev cia siab.Tom qab nrhiav ntau lub tswv yim, lawv tuaj rau Tus Kws Kho Mob Liu Jiayong qhov kev mloog thaum lub Kaum Ib Hlis 2022. Tom qab ua tib zoo tshuaj xyuas tus neeg mob cov keeb kwm kho mob, tag nrho cov ntaub ntawv kho mob, kuaj kab mob, thiab cov ntaub ntawv ntsuas,Tus kws kho mobLiu tau npaj cov tshuaj khomob uas muaj cov tshuaj methotrexate qis thiab Changchun Ruibin.Qhov kev siv tshuaj khomob no yog tus nqi-zoo thiab muaj kev phiv tsawg heev.Tom qab 35 hnub ntawm kev siv tshuaj, kev soj ntsuam CT soj ntsuam pom tau hais tias qhov loj hauv lub ntsws sab xis tau ploj mus, qhia tau tias muaj kev tswj xyuas zoo ntawm cov qog.Kev soj ntsuam tom qab tsis ntev los no ntawm Beijing South Region Oncology Tsev Kho Mob tau pom tias muaj mob ntsws ruaj khov, thiab tus 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 hauv kev kho mob tom ntej, muaj kev cia siab.Lawv xav tias lawv tau pom lub teeb ci ntsa iab hauv txoj kev taug kev ntawm kev kho mob thiab qhia lawv txoj kev ris txiaj los ntawm kev nthuav tawm ib daim ntawv lo ntawm kev txaus siab.
Post lub sij hawm: Aug-25-2023