Qhov sib txawv tseem ceeb ntawm cov cell me thiab cov qog nqaij hlav tsis me me yog nyob rau hauv lawv cov keeb kwm. Cov qog nqaij hlav qog nqaij hlav me me yog ib hom mob ntsws cancer tshwm sim los ntawm cov hlwb neuroendocrine thaum cov qog nqaij hlav tsis me me tshwm sim vim muaj ntau yam laj thawj thiab muaj peb yam tseem ceeb raws li keeb kwm; squamous cell carcinoma, adenocarcinoma thiab loj cell carcinoma. Carcinomas yog lo lus kho mob rau mob qog noj ntshav loj ntawm epithelial keeb kwm.
mob qog nqaij hlav ntsws yog ib qho mob hnyav tshaj plaws uas muaj qhov tshwm sim ntau thiab suav txog ntau lab tus neeg tuag txhua xyoo thoob plaws ntiaj teb. Kev haus luam yeeb tau pom tias yog qhov tseem ceeb ntawm kev pheej hmoo rau mob qog noj ntshav, tab sis nws tsis yog ib qho txiaj ntsig. Cov qog nqaij hlav no tuaj yeem muab faib ua ob pawg dav xws li cov qog nqaij hlav me me thiab cov qog nqaij hlav tsis me. Cov qog nqaij hlav me me tshwm sim los ntawm cov hlwb neuroendocrine thiab yog li koom nrog cov kab mob sib txawv paraneoplastic. Cov qog nqaij hlav tsis me me muaj peb hom subtypes; cov qog nqaij hlav squamous cell, adenocarcinomas, thiab cov qog nqaij hlav loj. Squamous cell cancers thiab adenocarcinomas originated los ntawm cov epithelial hlwb thiab glandular cov ntaub so ntswg feem, tab sis lub hauv paus ntawm cov qog nqaij hlav loj loj tsis tuaj yeem paub tseeb vim tias lawv tsis zoo sib txawv.
Tus mob ntsws me me yog dab tsi?
Cov qog nqaij hlav me me yog ib hom qog nqaij hlav ntsws uas tshwm sim los ntawm cov hlwb neuroendocrine. Lawv feem ntau tshwm sim nyob rau hauv nruab nrab cheeb tsam ntawm lub ntsws thiab muaj feem xyuam nrog thaum ntxov metastasis.
Vim lawv tshwm sim los ntawm cov hlwb neuroendocrine, lawv tso cov tshuaj hormones sib txawv.
Ntxhais mob qog noj ntshav yog dab tsi?
Muaj peb yam tseem ceeb ntawm cov qog nqaij hlav tsis me me xws li squamous cell carcinoma, adenocarcinoma, thiab loj cell carcinoma.
Squamous Cell Cancers
Squamous cell cancers tshwm sim los ntawm cov hlwb epithelial thiab cuam tshuam nrog kev tsim keratin. Cov qog tuaj yeem cavitate thiab feem ntau ua rau muaj kev cuam tshuam ntawm txoj hlab ntsws nrog rau kev kis kab mob tom qab.
Adenocarcinomas
Adenocarcinomas tshwm sim los ntawm cov qog nqaij hlav hauv lub qog. Cov no yog hom mob ntsws cancer tshaj plaws ntawm cov neeg tsis haus luam yeeb. Lawv feem ntau tsim nyob rau hauv thaj chaw peripheral ntawm lub ntsws.
Daim duab 01: Tsis yog Cell Cancer
Large Cell Carcinoma
Cov cell carcinomas feem ntau tsis zoo sib txawv thiab metastasize nyob rau theem pib.
Dab tsi yog qhov zoo sib xws ntawm Cov Hluav Taws Xob thiab Cov Hluav Taws Xob Tsis Zoo?
Etiological Factors - tag nrho cov hom mob qog noj ntshav sib koom ua ke ntau yam etiological uas suav nrog cov hauv qab no,
- Smoking
- raug hluav taws xob
- Asbestos
- Aromatic hydrocarbons
- raug tshuaj lom neeg xws li arsenic
Tus tswv tsev - xws li kev tiv thaiv kab mob thiab kab mob ntsws ntev kuj tau raug txheeb xyuas tias yog qhov muaj feem cuam tshuam rau ob lub ntsws cancer.
Cov Khoom Kho Mob - txawm hais tias muaj ntau hom mob qog noj ntshav, lawv txhua tus muaj cov duab kho mob zoo sib xws,
- Cov tsos mob tshwm sim los ntawm kev sib kis hauv zos - hnoos, dyspnea, hemoptysis, mob hauv siab, hnov ntxhiab ntawm lub suab, mob hauv siab rov ua dua, pleural effusions
- Cov tsos mob tshwm sim los ntawm metastatic kis-Generalized pruritus, jaundice, los ntshav manifestations, intractable backache, tsis ntev los no tshwm sim qaug dab peg, thaum sawv ntxov taub hau.
Kev Tshawb Fawb - cov kev tshawb nrhiav hauv qab no tau ua tiav rau kev kuaj mob qog noj ntshav,
- lub hauv siab x-ray
- CT
- MRI
- PET
- Bronchoscopy
- Endobronchial USS
Kev tswj cov qog nqaij hlav ntsws - nyob rau theem pib ntawm cov qog nqaij hlav ntsws, kev phais tseem yog txoj kev kho mob zoo tshaj plaws. Radiotherapy kuj tau ua pov thawj zoo hauv kev kho mob qog noj ntshav thaum ntxov. Kev kho mob Palliative raug txiav txim siab rau qhov mob siab heev lossis thaum tus neeg mob tsis haum rau kev phais.
Dab tsi yog qhov sib txawv ntawm Cov Hluav Taws Xob Me thiab Tsis Muaj Cov Kab Mob Hlwb Me?
Cov qog nqaij hlav me me yog ib hom qog nqaij hlav ntsws uas tshwm sim los ntawm cov hlwb neuroendocrine. Ntawm qhov tod tes, muaj peb yam tseem ceeb ntawm cov qog nqaij hlav tsis me me raws li lawv lub hauv paus chiv keeb; xws li, squamous cell carcinoma, adenocarcinoma, thiab loj cell carcinoma. Lawv tshwm sim vim muaj ntau yam laj thawj. Qhov no yog qhov sib txawv tseem ceeb ntawm cov cell me thiab cov qog nqaij hlav tsis me me.
Ntxiv mus, lwm qhov sib txawv ntawm cov cell me thiab cov qog nqaij hlav tsis me me yog tias cov cell carcinomas me feem ntau koom nrog kev tshwm sim paraneoplastic. Tab sis, ntawm qhov tsis sib xws, nws tsis tshua muaj rau cov qog nqaij hlav me me uas tsis muaj qhov tshwm sim paraneoplastic.
Summary – Small Cell vs Non Small Cell Lung Cancer
Muaj ob pawg tseem ceeb ntawm cov qog nqaij hlav ntsws ua cov qog nqaij hlav me me thiab cov qog nqaij hlav loj. Muaj peb hom kab mob qog nqaij hlav me me xws li cov qog nqaij hlav squamous cell, adenocarcinomas, thiab cell carcinomas loj. Cov cell carcinomas me me tshwm sim los ntawm cov hlwb neuroendocrine. Squamous cell carcinomas thiab adenocarcinomas tshwm sim los ntawm cov hlwb epithelial thiab glandular cov ntaub so ntswg feem, tab sis lub hauv paus chiv keeb ntawm cov qog nqaij hlav loj ntawm tes tsis tuaj yeem paub tseeb vim tias lawv tsis zoo sib txawv. Qhov no yog qhov sib txawv tseem ceeb ntawm cov kab mob ntsws no.
