ʻO ka paʻi hou loa o ka World Health Organization's Classification of Soft Tissue and Bone Tumors, i paʻi ʻia ma ʻApelila 2020, hoʻokaʻawale ʻia.sarcomai ʻekolu ʻāpana: sʻo ka nui o nā ʻiʻo ʻiʻo, nā ʻiʻo iwi, a me nā ʻōpū o nā iwi a me nā ʻiʻo palupalu me nā pūnaewele poʻe liʻiliʻi liʻiliʻi.(e like me EWSR1-non-ETS fusion round cell sarcoma).
“Ka maʻi maʻi poina”
ʻO Sarcoma kahi ʻano kakaikahi oka ma'i 'a'ai ma nā mākua, e helu ana ma kahi o1%o na ma'i ma'i ma'i makua a pau, i kapa pinepine 'ia "The Forgotten Cancer."Eia naʻe, he mea pilimea maʻamau i nā keiki, helu no a puni15% a 20%o na ma'i ma'i ma'i kamali'i a pau.Hiki ke loaʻa i kēlā me kēia ʻāpana o ke kino, ka mea maʻamau i kalima a wāwae paha(60%), i ukaliia e kakumu a i ʻole ʻōpū(30%), a hope loa kapoʻo a ʻāʻī paha(10%).
I nā makahiki i hala iho nei, ua piʻi mālie ka maʻi o ka iwi a me ka ʻiʻo palupalu.ʻOi aku ka maʻamau o nā ʻōpū o ka iwi maʻi mua i nā ʻōpio a me nā poʻe waena a me ka osteosarcoma, Ewing sarcoma, chondrosarcoma, malignant fibrous histiocytoma, a me chordoma, a me nā mea ʻē aʻe.ʻO nā maʻi maʻi palupalu maʻamau maʻamau ka synovial sarcoma, fibrosarcoma, liposarcoma, a me rhabdomyosarcoma.ʻOi aku ka maʻamau o nā metastases iwi ma waena o nā makahiki waena a me nā poʻe ʻelemakule, me nā maʻi maʻamau maʻamau ʻo ia ka maʻi kanesa, ka maʻi ʻaʻai umauma, ka maʻi maʻi ʻaʻai, ka maʻi prostate, a me ka maʻi maʻi thyroid, a me nā mea ʻē aʻe.
ʻIke mua, lapaʻau mua - Hoʻomālamalama i nā "Tumor" huna.
Ma muli o ke kiʻekiʻe kiʻekiʻe o ka hoʻi hou ʻana o nā sarcomas, nui nā maʻi maʻi i ʻike ʻole ʻia i nā diagnoses preoperative a nele i nā hoʻokolohua kiʻi kikoʻī.Ke alakaʻi pinepine nei kēia i ka ʻike ʻana i ka wā o ka ʻoki ʻana ʻaʻole maʻalahi ka maʻi koko e like me ka mea i manaʻo ʻia ma mua o ka hana ʻana, ka hopena i ka wehe ʻole ʻana.Hiki ke hoʻi hou a i ʻole ka metastasis ma hope o ka hoʻopaʻa ʻana, e hōʻemi ana i ka poʻe maʻi i ka manawa lapaʻau maikaʻi loa.No laila,ʻO ka ʻike mua ʻana, ka ʻike pololei, a me ka mālama ʻana i ka manawa he hopena koʻikoʻi i ka wānana o nā maʻi. I kēia lā, makemake mākou e hoʻolauna i kahi loea hanohano nona kahi kokoke i 20 mau makahiki o ka ʻikei ka maʻi maʻamau a me ka mālama pilikino ʻana i ka sarcoma kiko palupalu, a mahalo nui ʻia e ka ʻoihana a me nā maʻi -KaukaLiu Jiayongmai ke Keʻena o ka iwi a me ka ʻiʻo palupalu ma ka Halemai maʻi maʻi maʻi ʻo Peking University.
ʻO ka wehe ʻana i ka loea me ka ʻike hohonu o ka ʻeha iwi a me ka ʻiʻo - Dr.Liu Jiayong
Kauka Lapaʻau, Kauka Nui, Polopeka Hokua.Ua aʻo ʻia ma ka Anderson Cancer Center ma ʻAmelika Hui Pū ʻIa.
ʻike:ʻO ka hoʻomaʻamaʻa piha ʻana i nā sarcomas ʻiʻo palupalu (ka ʻoki ʻana a me ke kūkulu hou ʻana; ka chemotherapy, ka lāʻau lapaʻau i manaʻo ʻia, a me ka immunotherapy);ka mālama ʻana i nā melanomas.
Me kahi kokoke i 20 mau makahiki o ka ʻike lapaʻau, ua hōʻiliʻili ʻo Kauka Liu Jiayong i nā loea lapaʻau nui a me nā ʻokiʻoki.hōʻailona maʻamau a me nā hoʻolālā lapaʻau pilikinono nā maʻi maʻi palupalu maʻamau e like me ka sarcoma pleomorphic undifferentiated, liposarcoma, leiomyosarcoma, synovial sarcoma, adenocystic carcinoma-like sarcoma, epithelioid sarcoma, fibrosarcoma, angiosarcoma, a me infiltrative fibromatosis.ʻO ia nōakamai i ka lawelawe ʻana i nā kīʻaha koko a me nā aʻalolo i ka wā o ka ʻoki ʻana i ka sarcoma lālā, a me ka hoʻoponopono ʻana a me ke kūkulu hou ʻana i nā hemahema o ka ʻili.Hoʻomanawanui ʻo Kauka Liu i ka hoʻolohe ʻana i kēlā me kēia maʻi, e nīnau pono i kā lākou moʻolelo olakino, a lawe i nā moʻolelo olakino.Hāʻawi ʻo ia i ka nānā kūikawā i nā loli o ke kūlana o ka mea maʻi i nā manawa like ʻole, e like me ka wā ma mua a ma hope o ka ʻoki ʻana, i ka wā o ka mālama ʻana, ka hahai ʻana, a me ka piʻi ʻana o ka maʻi, e hana ana i nā hoʻoholo pololei a me ka hoʻoponopono ʻana i nā hoʻolālā lapaʻau.
Ke lawelawe nei ʻo Kauka Liu Jiayong ma ke ʻano he lālā o ka Soft Tissue Sarcoma a me Melanoma Group o ka Chinese Anti-Cancer Association, a me kahi lālā o ka Bone Tumor Group o ka Beijing Society of Orthopedics of the Chinese Medical Association.I ka makahiki 2010, ʻo ia ka mea mua ma Kina i unuhi a hoʻopuka i ka "NCCN Clinical Practice Guidelines in Soft Tissue Sarcoma," e hoʻolaha ana i ka hoʻomaʻamaʻa piha ʻana o nā sarcoma ʻiʻo palupalu.Ke hoʻomau nei ʻo ia i ka hoʻoikaika ʻana i ka holomua ma ka noiʻi lapaʻau a me ka ʻepekema, ʻoiai he nui ka ukana maʻi.Hoʻolaʻa a kuleana ʻo ia no kēlā me kēia maʻi āna e mālama ai, a i ka wā o ka maʻi maʻi, ua kamaʻilio ʻo ia i nā pilikia i kū i ka poʻe maʻi e ʻimi nei i ka mālama olakino ma o ka pane koke ʻana i nā kūkākūkā maʻi, ka nānā ʻana i nā hopena hahai, a me ka hāʻawi ʻana i nā ʻōlelo paipai kūpono ma o nā kahua kūkākūkā pūnaewele e like me Ka Hui Hoomai o Kauka Maikai.
Hihia Hou
ʻO Mr. Zhang, he mea maʻi he 35 makahiki, ua ʻike koke ʻo ia i ka nalo ʻana o ka ʻike ma ka hoʻomaka ʻana o 2019. Ma hope mai, ua hana ʻo ia i ke kaʻina enucleation maka hema ma muli o ka piʻi mau ʻana o ke kaomi intraocular.Ua hōʻike ʻia ka pathology postoperative i kahi pseudotumor inflammatory.I ke kauwela o ka makahiki hoʻokahi, ua ʻike ʻia nā nodules he nui i ka wā o ka nānā ʻana, akā ʻaʻole i ʻike ʻia nā cell tumor ma o nā biopsies needle.Ua hōʻike ʻia nā hoʻokolohua hou aʻe i nā iwi a me nā metastases he nui.ʻO nā kūkākūkā ma nā halemai kūloko a me nā pae kiʻekiʻe i hōʻike iā ia me ka maʻi maʻi myofibroblastic inflammatory.I ʻAukake 2022, ua loaʻa ʻo ia i ka chemotherapy kiʻekiʻe, ʻo ia ka mea i hōʻoluʻolu nui i kona ʻeha akā ʻaʻole i hōʻike ʻia ka hoʻomaikaʻi maikaʻi ʻana o nā leona ma ka loiloi hou ʻana.Ua nāwaliwali hoʻi kona kūlana kino.ʻOiai naʻe, ʻaʻole i pau ka manaʻolana o kona ʻohana.Ma hope o ka ʻimi ʻana i nā manaʻo he nui, ua hele mai lākou i ke kauka Liu Jiayong i Nowemapa 2022. Ma hope o ka nānā pono ʻana i ka mōʻaukala olakino o ka mea maʻi, nā moʻolelo olakino āpau, nā hoʻokolohua pathological, a me nā ʻikepili kiʻi.KaukaUa noi ʻo Liu i kahi papa hana chemotherapy me ka methotrexate haʻahaʻa a me Changchun Ruibin.He mea kūʻai maikaʻi kēia regimen chemotherapy a he liʻiliʻi nā hopena ʻaoʻao.Ma hope o 35 mau lā o ka lāʻau lapaʻau, ua hōʻike ʻia kahi scan CT ma hope o ka nalo ʻana o ka nui o ka māmā ʻākau, e hōʻike ana i ka mālama maikaʻi ʻana o ka ʻōpū.Ua hōʻike ʻia kahi hōʻike hoʻokolohua hou ma Beijing South Region Oncology Hospital i ke ʻano o ka maʻi māmā, a ua ʻōlelo ʻo Kauka Liu i nā kipa maʻamau.Ua ʻoi aku ka hilinaʻi o ka mea maʻi a me kona ʻohana i ka mālama ʻana ma hope, piha i ka manaʻolana.Manaʻo lākou ua ʻike lākou i kahi ʻōlinolino o ka huakaʻi lapaʻau a hōʻike i ko lākou mahalo nui ma ka hāʻawi ʻana i kahi hae silika o ka mahalo.
Ka manawa hoʻouna: ʻAukake-25-2023