Matšoao a Kankere ea Lung

Litaba

• Liteko tsa tšoaetso ea kankere ea matšoafo ke life?
• Li sebelisetsoa eng?
• Hobaneng ha ke hloka tlhahlobo ea tšoaetso ea kankere ea matšoafo?
• Ho etsahalang nakong ea teko ea tšoaetso ea kankere ea matšoafo?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Na ho na le eng kapa eng eo ke hlokang ho e tseba ka liteko tsa tšoaetso ea kankere ea matšoafo?
• Litšupiso

Liteko tsa tšoaetso ea kankere ea matšoafo ke life?

Matšoao a hlahala ea mofets'e ke lintho tse hlahisoang ke lisele tsa hlahala. Lisele tse tloaelehileng li ka fetoha lisele tsa hlahala ka lebaka la phetoho ea lefutso, phetoho ts'ebetsong e tloaelehileng ea liphatsa tsa lefutso. Liphatsa tsa lefutso ke likarolo tsa mantlha tsa lefutso tse fetisitsoeng ho tsoa ho mme le ntate oa hau.

Liphetoho tse ling tsa lefutso li ka futsetsoa ho batsoali ba hau. Tse ling li fumaneha hamorao bophelong ka lebaka la tikoloho kapa bophelo. Liphetoho tse bakang mofetše oa matšoafo hangata li bakoa ke ho fumanoa, hape ho tsejoang e le somatic, liphetoho. Hangata liphetoho tsena hangata li bakoa ke nalane ea ho tsuba koae. Phetoho ea lefutso e ka baka hlahala ea matšoafo ho hasana le ho hola ho ba mofetše.

Ho na le mefuta e fapaneng ea liphetoho tse bakang mofetše oa matšoafo. Tlhahlobo ea tšoaetso ea kankere ea matšoafo e sheba phetoho e khethehileng e ka bakang mofetše oa hau. Matšoao a kankere ea matšoafo a atisang ho hlahlojoa a kenyelletsa liphetoho liphatseng tsa lefutso tse latelang:

• EGFR, e etsang protheine e kenang karohanong ea sele
• KRAS, e thusang ho laola kholo ea lihlahala
• ALK, e amanang le kholo ea lisele

Hase kankere eohle ea matšoafo e bakoang ke liphetoho tsa lefutso. Empa haeba mofets'e oa hau o bakoa ke phetoho, o ka khona ho noa moriana o etselitsoeng ho hlasela mofuta oa mofuta o itseng oa lisele tsa mofetše tse fetohileng. Hona ho bitsoa phekolo e reretsoeng.

Mabitso a mang: Karolo ea liphatsa tsa lefutso ea mofets'e

Li sebelisetsoa eng?

Liteko tsa likhechana tsa kankere ea matšoafo li sebelisoa khafetsa ho fumana hore na, haeba ho le teng, phetoho ea lefutso e baka mofetše oa hau oa matšoafo. Matšoao a mofets'e a ka hlahlojoa ka bonngoe kapa a bokelloa hammoho tekong e le 'ngoe.

Hobaneng ha ke hloka tlhahlobo ea tšoaetso ea kankere ea matšoafo?

U ka 'na ua hloka tlhahlobo ea kankere ea matšoafo ea kankere ea matšoafo haeba u fumanoe u e-na le mofuta oa kankere ea matšoafo e bitsoang kankere e seng e nyenyane ea kankere ea matšoafo. Mofuta ona oa mofets'e o na le monyetla oa ho ba le phetoho ea lefutso e tla arabela kalafong e lebisitsoeng.

Kalafo e reretsoeng hangata e sebetsa hantle mme e baka litla-morao tse fokolang ho feta chemotherapy kapa radiation. Empa ho bohlokoa ho tseba phetoho eo u nang le eona. Meriana ea kalafo e lebisitsoeng e sebetsang ho motho ea nang le mofuta o le mong oa phetoho, e kanna ea se sebetse kapa e ka ba kotsi ho motho ea nang le phetoho e fapaneng kapa ea se nang phetoho.

Ho etsahalang nakong ea teko ea tšoaetso ea kankere ea matšoafo?

Mofani oa tlhokomelo ea bophelo o tla hloka ho nka sampole e nyane ea hlahala ts'ebetsong e bitsoang biopsy. E kanna ea ba o mong oa mefuta e 'meli ea li-biopsies:

• Phofo e ntle ea nale, e sebedisang nale e tshesane haholo ho ntsha sampole ya disele kapa lero
• Nete ​​ea biopsy, e sebelisang nale e kholo ho tlosa sampole

Takatso e ntle ea nale le li-biopsies tsa mantlha tsa nale hangata li kenyelletsa mehato e latelang:

• U tla robala ka lehlakore kapa u lule tafoleng ea liteko.
• Ho ka sebelisoa x-ray kapa sesebelisoa se seng sa litšoantšo ho fumana sebaka sa biopsy se batlang. Letlalo le tla tšoauoa.
• Mofani oa tlhokomelo ea bophelo o tla hloekisa sebaka sa biopsy mme a se ente ka moriana o thethefatsang e le hore o se utloe bohloko nakong ea ts'ebetso.
• Hang ha sebaka se felloa ke matla, mofani o tla etsa lesela le lenyenyane (ho seha) ebe o kenya nale e ntle ea aspiration kapa nale ea mantlha ea biopsy ka matšoafong. Ebe o tlosa sampuli ea lisele sebakeng sa biopsy.
• U kanna oa utloa khatello e nyane ha nale e kena ka har'a mats'oafo.
• Khatello e tla sebelisoa sebakeng sa biopsy ho fihlela mali a emisa.
• Mofani oa hau o tla kenya bandage e nyopa sebakeng sa biopsy.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

U kanna ua hloka ho itima lijo (u se ke ua ja kapa ua noa) lihora tse 'maloa pele ho ts'ebetso. Bua le mofani oa tlhokomelo ea bophelo haeba u na le lipotso mabapi le ho itokisetsa tlhahlobo ea hau.

Na ho na le likotsi tsa tlhahlobo?

U kanna oa ba le maqeba kapa ho tsoa mali hanyane sebakeng sa biopsy. U kanna oa ba le bothata bo fokolang sebakeng sena bakeng sa letsatsi kapa a mabeli.

Liphetho li bolelang?

Haeba liphetho tsa hau li bontša hore u na le letšoao la mofets'e la matšoafo le ka arabelang hantle kalafong e lebisitsoeng, mofani oa hau a ka u qala kalafo hanghang. Haeba liphetho tsa hau li bontša hore ha u na e 'ngoe ea matšoao a mofets'e oa matšoafo, uena le mofani oa hau le ka bua ka mekhoa e meng ea kalafo.

Ho etsa liteko tsa lefutso ho nka nako e telele ho feta mefuta e meng e mengata ea liteko tsa laborateng. O kanna oa se fumane litholoana tsa hau ka libeke tse 'maloa.

Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka liteko tsa tšoaetso ea kankere ea matšoafo?

Haeba u na le mofetše oa matšoafo, ho bohlokoa ho bona mofani oa tlhokomelo ea bophelo bo botle khafetsa nakong ea kalafo ea hau le kamora moo. Kankere ea matšoafo e ka ba thata ho e phekola, leha o le kalafong e lebisitsoeng. Koala boalosi ka ho o hlahloba khafetsa, 'me x-ray le scans tsa nako le nako lia khothaletsoa bakeng sa lilemo tse hlano tsa pele kamora kalafo, le selemo le selemo bakeng sa bophelo bohle ba hau.

Litšupiso

1. Mokhatlo oa American Cancer [Inthanete]. Atlanta: Mokhatlo oa Amerika oa Kankere Inc .; c2018. Mefuta ea li-biopsies e neng e sebelisoa ho batla mofetše; [e nchafalitsoeng 2015 Jul 30; e qotsitsoeng ka 2018 Phupu 13]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.cancer.org/treatment/understanding-your-diagnosis/tests/testing-biopsy-and-cytology-specimens-for-cancer/biopsy-types.html
2. Mokhatlo oa Amerika oa Lung [Inthanete]. Chicago: Mokhatlo oa Lung oa Amerika; c2018. Tlhahlobo ea Kankere ea Lung; [e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: http://www.lung.org/lung-health-and-diseases/lung-disease-lookup/lung-cancer/learn-about-lung-cancer/how-is-lung-cancer-diagnosed/lung -kankere-hlahala-hlahala.html
3. Kankere.Net [Inthanete]. Alexandria (VA): Mokhatlo oa Amerika oa Clinical Oncology; 2005-2018. Tlhaho; 2018 Jan [e qotsitsoeng ka 2018 Phupu 13]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.cancer.net/navigating-cancer-care/diagnosing-cancer/tests-and-procedures/biopsy
4. Kankere.Net [Inthanete]. Alexandria (VA): Mokhatlo oa Amerika oa Clinical Oncology; 2005-2018. Liteko tsa Letšoao la Hlahala; 2018 Mots'eanong [e qotsitsoeng ka 2018 Phupu 13]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.cancer.net/navigating-cancer-care/diagnosing-cancer/tests-and-procedures/tumor-marker-tests
5. Kankere.Net [Inthanete]. Alexandria (VA): Mokhatlo oa Amerika oa Clinical Oncology; 2005-2018. Ho utloisisa kalafo e lebisitsoeng; 2018 Mots'eanong [e qotsitsoeng ka 2018 Phupu 13]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.cancer.net/navigating-cancer-care/how-cancer-treated/personalized-and-targeted-therapies/understanding-targeted-therapy
6. Kankere.Net [Inthanete]. Alexandria (VA): Mokhatlo oa Amerika oa Clinical Oncology; 2005-2018. Seo U Lokelang ho se Tseba ka Kankere ea Lung; 2018 Jun 14 [e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.cancer.net/blog/2018-06/what-you-need-now-about-lung-cancer
7. Johns Hopkins Medicine [Inthanete]. Univesithi ea Johns Hopkins; Bongaka ba Johns Hopkins; Laeborari ea Bophelo: Lung Biopsy; [e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.hopkinsmedicine.org/healthlibrary/test_procedures/pulmonary/lung_biopsy_92,P07750
8. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2018.Phetoho ea ALK (Gene Rearrangement); [e ntlafalitsoeng 2017 Dec 4; e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/alk-mutation-gene-rearrangement
9. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2018. Teko ea Phetoho ea EGFR; [e ntlafalitsoeng 2017 Nov 9; e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/egfr-mutation-testing
10. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2018. Liteko tsa lefutso bakeng sa kalafo ea mofets'e e lebisitsoeng; [e ntlafalitsoeng 2018 Jun 18; e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/genetic-tests-targeted-cancer-therapy
11. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2018. Phetoho ea KRAS; [e ntlafalitsoeng 2017 Nov 5; e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/kras-mutation
12. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2018. Kankere ea Lung; [e ntlafalitsoeng 2017 Dec 4; e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/conditions/lung-cancer
13. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2018. Matšoao a Hlahala; [e ntlafalitsoeng 2018 Feb 14; e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/tumor-markers
14. Mayo Clinic: Mayo Medical Laboratories [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1995–2018. ID ea Teko: LUNGP: Phanele ea Gene ea Sepheo sa Kankere ea Lung, Hlahala: Kliniki le Tlhaloso; [e qotsitsoeng ka 2018 Phupu 13]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/65144
15. Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co Inc .; c2018. Kankere ea Lung; [e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.merckmanuals.com/home/lung-and-airway-disorders/tumors-of-the-lungs/lung-cancer
16. Mokhatlo oa Naha oa Kankere [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Bukantswe ya NCI ya Dipehelo tsa Kankere: gene; [e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.cancer.gov/publications/dictionaries/cancer-terms/search?contains=false&q=gene
17. Mokhatlo oa Naha oa Kankere [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Phekolo ea Kankere ea Lung ea Kankere ea Lung e Nyane (PDQ®) -Patient Version; [e ntlafalitsoeng 2018 Mots'eanong oa 2; e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.cancer.gov/types/lung/patient/non-small-cell-lung-treatment-pdq
18. Mokhatlo oa Naha oa Kankere [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Matšoao a Hlahala; [e qotsitsoeng ka 2018 Phupu 13]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.cancer.gov/about-cancer/diagnosis-staging/diagnosis/tumor-markers-fact-sheet
19. NIH Laeborari ea Naha ea Bongaka ea NIH U.S. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. ALK liphatsa tsa lefutso; 2018 Phupu 10 [e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ghr.nlm.nih.gov/gene/ALK
20. NIH Laeborari ea Naha ea Bongaka ea NIH U.S. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Liphatsa tsa lefutso tsa EGFR; 2018 Phupu 10 [e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ghr.nlm.nih.gov/gene/EGFR
21. NIH Laeborari ea Naha ea Bongaka ea NIH U.S. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Liphatsa tsa lefutso tsa KRAS; 2018 Phupu 10 [e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ghr.nlm.nih.gov/gene/KRAS
22. NIH Laeborari ea Naha ea Bongaka ea NIH U.S. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Kankere ea matšoafo; 2018 Phupu 10 [e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ghr.nlm.nih.gov/condition/lung-cancer
23. NIH Laeborari ea Naha ea Bongaka ea NIH U.S. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Phetoho ea lefutso ke eng mme liphetoho li etsahala joang ?; 2018 Phupu 10 [e qotsitsoeng ka 2018 Phupu 13]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ghr.nlm.nih.gov/primer/mutationsanddisorders/genemutation

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.