Hom / mob qog / tus neeg mob / menyuam-thyroid-kho-pdq

Kev Kho Mob Cancer Theem Hlawv Cov Menyuam Mos ( ®) atPatient Version

Cov Lus Qhia Dav Dav Txog Cov Menyuam qog Cancer hlav qog

QHOV TSEEM CEEB

• Mob qog noj ntshav (thyroid cancer) yog ib yam kab mob hauv cov qog nqaij hlav cancer.

• Lub qog ua ntshav tej zaum yuav yog adenomas lossis carcinomas.

• Cov qog qog yuav pom nyob rau cov kev kuaj mob thiab feem ntau tsis yog mob qog noj ntshav.

• Raug rau hluav taws xob lossis muaj qee yam mob caj ces ua rau muaj kev phom sij ntawm cov qog nqaij hlav cancer.

• Medullary cov thyroid mob qog ntshav qee zaum tshwm sim los ntawm kev hloov pauv hauv cov gene uas kis los ntawm niam txiv mus rau menyuam.

• Cov tsos mob ntawm tus mob qog muaj xws li o lossis mob hauv lub caj dab.

• Kev ntsuam xyuas uas kuaj cov qog, lub caj dab, thiab ntshav tau siv coj los kuaj thiab mob qog noj ntshav qog.

• Qee yam ua rau kev raug mob (yuav rov qab los).

Mob qog noj ntshav (thyroid cancer) yog ib yam kab mob hauv cov qog nqaij hlav cancer.

Lub qog yog cov caj pas nyob rau ntawm lub caj pas ntawm lub caj pas ze ntawm lub plab. Nws yog zoo li tus npau npauj npaim, nrog txoj cai plaub thiab sab laug lobe. Qhov isthmus yog daim ntaub nyias nyias uas txuas rau ob lub lobes. Feem ntau nws tsis tuaj yeem hnov ​​los ntawm daim tawv nqaij.

Anatomy ntawm lub qog thiab parathyroid qog. Lub qog ua haujlwm nyob rau ntawm lub caj pas qa ze ntawm qhov trachea. Nws yog zoo li tus npauj npaim, nrog lub ntsej muag ncaj thiab sab hauv los sib txuas los ntawm daim ntaub nyias uas hu ua isthmus. Parathyroid qog yog plaub taum pauv cov kabmob hauv lub caj dab nyob ze ntawm lub qog. Cov ua cov thyroid thiab parathyroid qog ua cov tshuaj hormones.

Lub qog siv cov iodine, muaj ntxhia hauv qee cov zaub mov thiab hauv ntsev iodized, yuav pab ua rau ntau cov tshuaj hormones. Cov thyroid hormones ua li nram no:

• Tswj lub plawv dhia, kub lub cev, thiab zaub mov hloov pauv sai npaum li cas los ua lub zog (cov metabolism).

• Tswj cov calcium nyob rau hauv cov ntshav.

Lub qog ua ntshav tej zaum yuav yog adenomas lossis carcinomas.

Muaj ob txoj kev mob qog yog:

• Adenomas: Adenomas tuaj yeem loj hlob loj heev thiab qee zaum ua rau muaj cov tshuaj hormones. Adenomas tsis yog mob qog noj ntshav tab sis tej zaum yuav tsis tshua mob malignant (mob cancer) thiab kis mus rau lub ntsws lossis cov qog ntshav ntawm caj dab.

• Carcinomas: Nws muaj peb hom tseem ceeb ntawm cov thyroid carcinoma rau cov menyuam yaus:

• Papillary. Papillary thyroid carcinoma yog hom ntau tshaj plaws ntawm cov thyroid mob cancer rau menyuam yaus. Nws tshwm sim feem ntau hauv cov hluas. Papillary cov thyroid carcinoma feem ntau ua los ntawm ntau dua ib lub taub hau ntawm ob sab ntawm lub qog. Feem ntau nws kis rau cov qog ntshav hauv caj dab thiab kuj yuav kis tau rau hauv lub ntsws. Qhov kwv yees (txoj kev mob rov zoo) rau feem ntau ntawm cov neeg mob yog qhov zoo heev.

• Kev Cuam Tshuam. Follicular thyroid carcinoma feem ntau yog ua los ntawm ib lub nodule. Nws feem ntau kis rau cov pob txha thiab mob ntsws, tab sis feem ntau tsis kis rau cov qog ntshav hauv caj dab. Qhov kwv yees rau feem ntau cov neeg mob tau zoo heev.

• Txhaum Cai. Medullary thyroid carcinoma cov ntaub ntawv los ntawm parafollicular C hlwb hauv cov thyroid. Nws feem ntau txuas rau qee yam hloov pauv tau hauv RET gene thiab ntau yam keeb endocrine neoplasia yam 2 (MEN 2) syndrome. Nws tshwm sim feem ntau rau cov menyuam yaus hnub nyoog 4 xyoos thiab hluas dua thiab yuav kis mus rau lwm qhov ntawm lub cev thaum kuaj mob. Cov menyuam yaus uas muaj MEN2 syndrome kuj yuav muaj kev pheej hmoo ntawm kev pheochromocytoma lossis hyperparathyroidism.

Papillary thiab follicular thyroid cancer yog qee zaum hu ua cov qog ntshav qog noj ntshav. Medullary thiab qog ntshav qog nqaij hlav qog ntshav qee zaum hu ua kev mob tsis zoo lossis tsis txawv txav ua cov qog mob qog. Anaplastic cov qog nqaij hlav cancer muaj tsawg heev rau menyuam yaus thiab tsis tham txog hauv kab lus no.

Cov qog qog yuav pom nyob rau cov kev kuaj mob thiab feem ntau tsis yog mob qog noj ntshav.

Koj tus menyuam tus kws kho mob yuav pom lub qog nyob hauv lub qog thaum mus tshuaj xyuas ib txwm, lossis pom ib qho hnoos qeev yuav pom los ntawm kev ntsuas duab los yog thaum phais mob rau lwm yam mob. Lub qog ua ntshav yog ib txoj kev loj hlob txawv txav ntawm cov thyroid hlwb hauv cov thyroid. Nodules tuaj yeem yog cov khoom tawv los yog kua ntoo.

Thaum pom cov thyroid nodule pom, ib qho ultrasound ntawm cov thyroid thiab cov qog ntshav hauv caj dab yog ua tiav. Txoj kev muab rab koob hno koob hno koob rau kev kuaj seb puas muaj mob qog nqaij hlav. Kev kuaj ntshav los xyuas cov qib thyroid hormone thiab tiv thaiv cov thyroid los tiv thaiv cov ntshav hauv cov ntshav kuj tseem yuav ua tau. Nov yog txhawm rau tshuaj xyuas lwm yam mob qog.

Lub qog ntshav qab zib feem ntau tsis ua rau cov tsos mob lossis xav tau kev kho mob. Qee zaum cov thyroid nodules ua loj txaus uas nws nyuaj rau nqos lossis ua pa thiab xav tau ntau yam kev kuaj mob thiab kho mob. Tsuas yog ib ntawm tsib lub qog ua ntshav qog.

Raug rau hluav taws xob lossis muaj qee yam mob caj ces ua rau muaj kev phom sij ntawm cov qog nqaij hlav cancer.

Txhua yam uas ua rau koj muaj feem yuav kis tus mob yog hu ua kev pheej hmoo. Muaj qhov muaj feem yuav tsis txhais tau tias koj yuav muaj mob qog noj ntshav; tsis muaj yam txaus ntshai tsis txhais tau tias koj yuav tsis muaj mob qog noj ntshav. Tham nrog koj tus kws kho mob yog koj xav tias koj tus menyuam muaj feem yuav pheej hmoo.

Cov teeb meem pheej hmoo rau cov qog ntshav qog ua ntshav nrog rau cov hauv qab no:

• Raug rau cov hluav taws xob, xws li los ntawm kev kuaj ntsuas, kev siv hluav taws xob, lossis hluav taws xob ib puag ncig.

• Muaj qee cov caj ces caj ces, xws li hauv qab no:

• Ntau tus kab mob endocrine neoplasia hom 2A (MEN2A) mob ntsws.

• Ntau tus kab mob endocrine neoplasia hom 2B (MEN2B) mob ntsws.

• Muaj tsev neeg keeb kwm ntawm mob qog, nrog rau cov hauv qab no:

• APC-txuam polyposis.

• DICER1 mob siab.

• Carney complex.

• PTEN hamartoma mob ntsws hlav.

• Werner mob.

Medullary cov thyroid mob qog ntshav qee zaum tshwm sim los ntawm kev hloov pauv hauv cov gene uas kis los ntawm niam txiv mus rau menyuam.

Lub noob nyob rau hauv cov cell muaj cov ntaub ntawv keeb kwm los ntawm niam txiv mus rau menyuam. Ib qho kev hloov pauv ntawm RET gene uas dhau los ntawm niam txiv mus rau menyuam (pub rau lwm tus) yuav ua rau mob qog nqaij hlav cancer.

Muaj kev kuaj ntsuas keeb kwm uas siv los kuaj cov noob hloov pauv. Tus neeg mob yuav kuaj ua ntej seb nws puas muaj lub siab hloov pauv. Yog tias tus neeg mob nws muaj, lwm cov neeg hauv tsev neeg kuj tseem yuav raug sim kom paub seb lawv puas muaj feem yuav mob qog nqaij hlav cancer ntau dua. Cov neeg hauv tsev neeg, suav nrog cov menyuam yaus me, uas tau hloov pauv caj ces yuav muaj tus kabmob thyroidectomy (phais kom tshem tawm cov thyroid). Qhov no tuaj yeem txo qis txoj hauv kev los txhim kho cov qog nqaij hlav qog ntshav.

Cov tsos mob ntawm tus mob qog muaj xws li o lossis mob hauv lub caj dab.

Qee zaum cov qog cov thyroid tsis ua mob lossis tsos mob. Cov no thiab lwm yam cim thiab tsos mob tuaj yeem yog papillary lossis follicular thyroid cancer lossis los ntawm lwm yam mob.

Nrog koj tus menyuam tus kws kho mob tham yog tias koj tus menyuam muaj tej yam hauv qab no:

• Ib qho caj dab hauv lub caj dab.

• Teeb meem ua pa.

• Teeb meem nqos.

• Ua haujlwm ntau lossis hloov lub suab.

Cov no thiab lwm yam cim thiab tsos mob tuaj yeem yog tus mob qog noj ntshav qog lossis lwm yam mob.

Nrog koj tus menyuam tus kws kho mob tham yog tias koj tus menyuam muaj tej yam hauv qab no:

• Cov pob rau ntawm daim di ncauj, tus nplaig, lossis daim tawv muag uas tsis ua mob.

• Nyuaj siab ua kua muag.

• Cem quav.

• Marfan syndrome (ua rau siab thiab yuag, nrog caj npab ntev, ceg, ntiv tes, thiab ntiv taw).

Kev ntsuam xyuas uas kuaj cov qog, lub caj dab, thiab ntshav tau siv coj los kuaj thiab mob qog noj ntshav qog.

Kuaj yog ua los ntsuas thiab mob qog nqaij hlav. Tom qab kuaj pom hais tias muaj mob qog nqaij hlav cancer, ntau yam kev soj ntsuam ntxiv yog nrhiav pom tias cov qog mob cancer kis mus rau thaj chaw ze lossis lwm qhov chaw hauv lub cev. Txoj kev no yog hu ua staging. Kev kuaj ua kom paub yog tias cov qog nqaij hlav cancer tau kis ua ntej cov qog ntshav raug tshem tawm los ntawm kev phais mob hu ua qib tawv. Nws yog ib qho tseem ceeb kom paub tias mob qog noj ntshav tau kis txhawm rau txhawm rau npaj los kho qhov zoo tshaj plaws.

Cov ntawv xeem thiab txheej txheem hauv qab no yuav raug siv:

• Kev kuaj mob lub cev thiab keeb kwm kev noj qab haus huv: Kev kuaj lub cev kom kuaj xyuas cov cim qhia txog kev noj qab haus huv, suav nrog kev txheeb xyuas cov cim ntawm tus kab mob, xws li mob pob lossis txhaws caj dab, lub suab ntawm lub ntsej muag, thiab cov qog ntshav, thiab lwm yam uas zoo li txawv txawv. Cov. Cov keeb kwm ntawm tus neeg mob txoj kev noj qab haus huv thiab cov kab mob yav dhau los thiab kev kho mob tseem yuav raug coj los siv.

• Kev kuaj ntshav lub qog ua haujlwm: Cov ntshav raug tshuaj xyuas rau qhov txawv txav ntawm cov thyroid-stimulating hormone (TSH). TSH ua los ntawm lub caj pas pituitary hauv lub hlwb. Nws pab txhawb qhov kev tso tawm ntawm cov thyroid hormones thiab tswj sai npaum li cas cov leeg ntshav thyroid loj hlob tuaj. Kev kuaj ntshav kuj tseem yuav raug txheeb xyuas seb puas muaj cov calcitonin ntau (cov tshuaj hormones ua los ntawm cov thyroid uas txo cov calcium hauv cov ntshav).

• Kev Ntsuas thyroglobulin: Cov ntshav tau tshawb xyuas seb muaj pes tsawg tus thyroglobulin, uas yog protein tsim los ntawm cov thyroid caj pas. Cov qib thyroglobulin muaj tsawg lossis tsis tuaj yeem ua haujlwm nrog cov thyroid ua haujlwm tab sis tej zaum yuav ntau dua nrog cov thyroid mob qog lossis lwm yam mob.

• RET gene test: Kev sim ntsuas cov ntshav lossis cov nqaij seb puas tau sim qee qhov kev hloov pauv hauv RET gene. Qhov kev kuaj ntshav no tau ua tiav rau cov menyuam yaus uas muaj mob qog noj ntshav lub qog.

• Kev kuaj mob Ultrasound: Ib qho txheej txheem uas lub zog suab nrov dhau los (ultrasound) bounced tawm cov ntaub so ntswg sab hauv lossis cov khoom hauv lub caj dab thiab ua echoes. Cov ncha tsim daim duab ntawm lub cev nqaij daim tawv hu ua sonogram. Daim duab tuaj yeem tsim kom pom tom ntej. Cov txheej txheem no tuaj yeem qhia qhov loj me ntawm lub qog hnoos qeev thiab seb nws puas tau khov los yog kua cyst. Ultrasound yuav raug coj los qhia qhov kev ua kom zoo ntawm rab koob. Ua tiav kev kuaj mob ultrasound ntawm lub caj dab tas ua ntej kev phais mob.

• Lub qog thyroid: Qhov me me ntawm cov tshuaj lom yuav nqos lossis txhaj tshuaj. Cov khoom siv hluav taws xob khaws cia hauv cov qog ntshav hauv lub qog. Lub koob yees duab tshwj xeeb txuas nrog lub khoos phis tawm nrhiav cov hluav taws xob tau tso tawm thiab ua cov duab uas qhia txog seb cov thyroid zoo li cas thiab ua haujlwm li cas thiab seb puas muaj mob qog nqaij hlav dhau ntawm cov thyroid caj pas. Yog tias qhov ntau npaum li cas ntawm TSH hauv cov menyuam cov ntshav tau qis, ib qho scan yuav ua cov duab ntawm lub qog ua ntej kev phais.

• CT scan (CAT scan): Cov txheej txheem uas ua rau cov duab ntxaws ntxaws ntawm cov chaw hauv lub cev, xws li lub caj dab, hauv siab, plab thiab lub hlwb, coj los ntawm ntau cov ces kaum. Cov duab no yog tsim los ntawm lub koos pis tawj txuas nrog lub tshuab xoo hluav taws xob. Ib qho zas xim tuaj yeem raug txhaj rau hauv txoj hlab ntshav lossis nqos los pab rau cov kabmob lossis cov nqaij ua kom pom tseeb dua. Cov txheej txheem no tseem hu ua suav tomography, computer tom tomography, lossis computerized axial tomography.

Tham tomography (CT) scan ntawm lub taub hau thiab caj dab. Tus me nyuam nyob ntawm ib lub rooj uas xaub lub CT scanner, uas siv duab xoo hluav taws xob sab hauv ntawm lub taub hau thiab caj dab.

• MRI (sib nqus resonance duab) nrog gadolinium: tus txheej txheem uas siv cov hlau nplaum, xov tooj cua tsis sib xws, thiab khoos phis tawm los ua cov duab ntxaws ntxaws ntawm thaj chaw hauv lub cev, xws li caj dab thiab hauv siab. Cov tshuaj hu ua gadolinium yog txhaj rau hauv cov leeg ntshav. Tus gadolinium sau ib puag ncig cov qog nqaij hlav cancer thiaj li ua rau lawv pom ci ntsa iab hauv daim duab. Tus txheej txheem no tseem hu ua nuclear sib nqus resonance imaging (NMRI).

• Xoo Xaim: Xoos hluav taws xob ntawm cov plab hnyuv siab raum thiab pob txha hauv hauv siab. Qhov xoo hluav taws xob yog ib hom kev tawm dag zog ntawm lub zog uas tuaj yeem nkag mus hauv lub cev thiab mus rau zaj duab xis, ua duab ntawm thaj chaw hauv lub cev.

• Kev zoo-koob tshuaj me me: Qhov kev tshem tawm cov qog nqaij hlav siv ib rab koob nyias. Lub koob txhaj ntxig mus rau ntawm daim tawv nqaij tso rau hauv lub qog. Qhov ntau cov nqaij mos yog tshem tawm los ntawm ntau qhov chaw ntawm lub qog. Tus kws kho mob hais txog cov nqaij nyob hauv lub tshuab tsom kom pom cov qog nqaij hlav cancer. Vim tias hom mob ua cov thyroid mob tuaj yeem nyuaj rau kev kuaj mob, cov neeg mob yuav tsum nug kom kuaj qog nqaij hlav mus kuaj los ntawm tus kws kho mob uas tau pom muaj mob qog nqaij hlav cancer. Yog nws tsis paub meej tias puas muaj mob qog nqaij hlav cancer, ces yuav raug txiav ib qho nqaij coj mus kuaj.

• Kev phais me me: Qhov tshem tawm cov thyroid nodule lossis ib lub lobe ntawm cov thyroid thaum phais mob yog li ntawd cov cell thiab cov nqaij yuav tuaj yeem pom nyob hauv lub tshuab tsom kab mob los ntawm tus kws kho mob kom kuaj seb puas muaj mob qog nqaij hlav. Vim tias hom mob ua cov thyroid mob tuaj yeem nyuaj rau kev kuaj mob, cov neeg mob yuav tsum nug kom kuaj qog nqaij hlav mus kuaj los ntawm tus kws kho mob uas tau pom muaj mob qog nqaij hlav cancer.

Qee yam ua rau kev raug mob (yuav rov qab los).

Tus mob yog raws li cov hauv qab no:

• Lub hnub nyoog ntawm tus menyuam thaum lub sijhawm kuaj mob.

• Hom qog mob cancer.

• Qhov loj ntawm qog.

• Seb puas yog cov qog tau kis mus rau cov qog ntshav lossis lwm qhov ntawm lub cev thaum lub sijhawm kuaj mob.

• Txawm hais tias mob cancer raug tshem tawm los ntawm kev phais.

• Kev noj qab haus huv ntawm tus menyuam.

Qib Menyuam yaus mob qog Cancer

QHOV TSEEM CEEB

• Tom qab cov qog noj tau raug tshem tawm los ntawm kev phais mob, kev ntsuam xyuas yog ua tiav los tshawb pom seb puas muaj mob qog nqaij hlav hauv lub cev.

• Muaj peb txoj hauv kev uas mob cancer kis hauv lub cev.

• Mob khees xaws yuav kis tau los ntawm qhov nws pib rau lwm qhov ntawm lub cev.

• Qee zaum cov qog nqaij hlav cancer thaum yau tseem loj tuaj lossis rov qab los tom qab kho tas.

Kev ntsuam xyuas yog ua tom qab kev phais mob kom paub meej seb cov qog nqaij hlav cancer tseem nyob thiab txiav txim siab yog tias yuav tsum tau kho ntau ntxiv. Qhov no hu ua kev rov qis dua theem.

Cov kev tshuaj ntsuam thiab cov txheej txheem hauv qab no tuaj yeem ua tiav 12 lub lis piam tom qab kev phais:

• Kev kuaj mob Ultrasound: Ib qho txheej txheem uas lub zog suab nrov dhau los (ultrasound) bounced tawm cov ntaub so ntswg sab hauv lossis cov khoom hauv lub caj dab thiab ua echoes. Cov ncha tsim daim duab ntawm lub cev nqaij daim tawv hu ua sonogram. Daim duab tuaj yeem tsim kom pom tom ntej. Cov txheej txheem no tuaj yeem qhia qhov loj me ntawm lub qog hnoos qeev thiab seb nws puas tau khov los yog kua cyst. Ultrasound yuav raug coj los qhia qhov kev ua kom zoo ntawm rab koob. Ua tiav kev kuaj mob ultrasound ntawm lub caj dab tas ua ntej kev phais mob.

• Kev Ntsuas Thyroglobulin: Kuaj ntshav uas ntsuas seb thyroglobulin nyob hauv cov ntshav npaum li cas. Thyroglobulin yog protein tsim los ntawm cov thyroid caj pas. Cov qib thyroglobulin muaj tsawg lossis tsis tuaj yeem ua haujlwm nrog cov thyroid ua haujlwm tab sis tej zaum yuav ntau dua nrog cov thyroid mob qog lossis lwm yam mob.

• Cov duab hauv lub cev uas muaj cov thyroid: Tag nrho cov tshuaj kua hluav taws xob yog nqos los yog txhaj. Cov khoom siv hluav taws xob khaws cia hauv txhua cov qog nqaij hlav lossis cov qog nqaij hlav cancer tom qab kev phais mob. Radioactive iodine siv vim tias tsuas yog cov thyroid hlwb thiaj li siv tshuaj iodine. Lub koob yees duab tshwj xeeb tshawb pom qhov hluav taws xob tau muab los ntawm cov thyroid nqaij los yog qog nqaij hlav cancer, kuj hu ua radioactive iodine scan lossis RAI scan.

Muaj peb txoj hauv kev uas mob cancer kis hauv lub cev.

Kab mob khees xaws tuaj yeem kis tawm los ntawm cov nqaij mos, cov qog ntshav, thiab ntshav:

• Ntaub so ntswg. Tus kab mob cancer kis los ntawm qhov chaw nws pib kis los ntawm thaj chaw ze.

• Lymph system. Tus mob cancer kis ntawm qhov uas nws pib los ntawm kev nkag rau hauv lymph system. Tus kab mob cancer taug kev los ntawm cov qog ntshav mus rau lwm qhov ntawm lub cev.

• Ntshav. Tus mob cancer kis rau nws los ntawm qhov nws pib los ntawm nkag rau hauv cov ntshav. Tus kabmob khiav tawm hauv cov hlab ntshav mus rau lwm qhov ntawm lub cev.

Mob khees xaws yuav kis tau los ntawm qhov nws pib rau lwm qhov ntawm lub cev.

Thaum mob cancer kis mus rau lwm qhov hauv lub cev, nws hu ua metastasis. Kab mob khees xaws khiav tawm ntawm qhov chaw lawv pib (thawj qog) thiab taug kev hauv cov qog ntshav lossis ntshav.

• Lymph system. Cov qog nqaij hlav nkag mus rau hauv lub lymph system, taug kev hauv cov hlab ntsws, thiab ua cov qog ntshav (metastatic hlav) hauv lwm qhov ntawm lub cev.

• Ntshav. Cov qog ntshav nkag mus rau hauv cov ntshav, taug kev los ntawm cov hlab ntshav, thiab tsim cov qog ntshav (metastatic hlav) hauv lwm qhov chaw ntawm lub cev.

Cov mob metastatic yog tib yam kabmob uas yog thawj cov qog. Piv txwv, yog tias cov qog nqaij hlav cancer kis mus rau hauv lub ntsws, cov qog nqaij hlav cancer hauv lub ntsws yog qhov ua cov qog nqaij hlav cancer. Tus kabmob yog metastatic lub qog mob cancer, tsis yog mob ntsws.

Qee zaum cov qog nqaij hlav cancer thaum yau tseem loj tuaj lossis rov qab los tom qab kho tas.

Kev hloov kho cov thyroid mob cancer yog mob qog nqaij hlav mus txuas ntxiv, kis, lossis mob heev dua. Kab mob loj tuaj yeem yog qhov qhia tias tus mob qog nqaij hlav tau dhau los ua kev kho mob.

Kev mob qog hauv qab ntshav yog mob qog noj ntshav (rov qab los) tom qab kev kho mob. Cov kabmob yuav rov qab los nyob rau hauv lub qog lossis lwm qhov hauv lub cev.

Txoj Kev Kho Mob Cov Tswv Yim

QHOV TSEEM CEEB

• Muaj ntau hom kev kho mob rau cov neeg mob qog noj ntshav.

• Cov menyuam yaus uas muaj mob qog noj ntshav yuav tsum tau npaj kho lawv tus kheej los ntawm pab kws kho mob yog cov kws tshaj lij hauv kev kho mob qog noj ntshav thaum yau.

• Plaub hom kev kho mob raug siv:

• Kev phais mob

• Kev siv tshuaj hluav taws xob rau hluav taws xob

• Cov hom phiaj kho

• Kev hloov kho Hormone

• Cov hom kev kho mob tshiab tau raug sim hauv qhov kev sim kho mob.

• Kev kho mob qog noj ntshav qog noj ntshav thaum yau ua rau muaj kev phiv tshuaj.

• Cov neeg mob yuav xav txog kev sim kho mob.

• Cov neeg mob tuaj yeem nkag mus kuaj mob ua ntej, sijhawm, lossis tom qab pib kho mob qog noj ntshav.

• Tej zaum yuav tau ua raws li kev ntsuam xyuas.

Muaj ntau hom kev kho mob rau cov neeg mob qog noj ntshav.

Qee qhov kev kho mob yog tus qauv (cov kev kho mob tam sim no), thiab qee qhov raug sim hauv kev kuaj mob. Ib txoj kev kho mob hauv tsev kho mob yog txoj kev tshawb nrhiav uas pab txhawm rau txhim kho kev kho mob tam sim no lossis tau txais cov ntaub ntawv ntawm kev kho mob tshiab rau cov neeg mob cancer. Thaum kuaj pom tias cov kev kho tshiab zoo dua li kev kho mob, cov kev kho mob tshiab tuaj yeem dhau los ua cov qauv kev kho mob.

Vim tias mob qog noj ntshav rau menyuam yaus yog muaj tsawg, kev koom nrog kev sim tshuaj yuav tsum tau coj los xav. Qee qhov kev sim tshuaj sim tsuas yog qhib rau cov neeg mob uas tsis tau pib kho.

Cov menyuam yaus uas muaj mob qog noj ntshav yuav tsum tau npaj kho lawv tus kheej los ntawm pab kws kho mob yog cov kws tshaj lij hauv kev kho mob qog noj ntshav thaum yau.

Kev kho yuav raug saib xyuas los ntawm tus kws kho menyuam yaus, kws kho mob tshwj xeeb hauv kev kho menyuam yaus mob qog noj ntshav. Tus kws kho menyuam yaus ua haujlwm nrog lwm tus kws saib xyuas kev noj qab haus huv menyuam yaus uas yog tus kws tshaj lij hauv kev kho cov menyuam yaus mob qog nqaij hlav thiab tus kws tshaj lij hauv qee thaj chaw tshuaj. Qhov no yuav suav nrog cov kws tshaj lij hauv qab no thiab lwm tus:

• Kws kho mob hlwb.

• Kws phais neeg mob hlwb.

• Kws phais hluav taws xob oncologist.

• Neeg muaj txuj ci.

• Kws saib xyuas neeg mob tshwj xeeb.

• Neeg ua hauj lwm pab neeg.

• Cov kws tshaj lij fab kev peem tsheej.

• Kws tshuaj sab laj.

• Tus me nyuam lub neej tshwj xeeb.

Plaub hom kev kho mob raug siv:

Kev phais mob

Kev phais mob yog cov kev kho mob ntau tshaj plaws rau cov mob qog noj ntshav. Ib qho ntawm cov txheej txheem hauv qab no tuaj yeem siv:

• Tag nrho cov thyroidectomy: Tshem tawm ntawm tag nrho cov thyroid. Cov qog ntshav nyob ze ntawm tus kabmob kuj tseem yuav raug tshem tawm thiab tshawb xyuas hauv lub tshuab tsom kab mob rau cov cim qhia tias mob qog nqaij hlav.

• Ze li ntawm tag nrho cov thyroidectomy: Tshem tag nrho tab sis ib feem me me ntawm cov thyroid. Cov qog ntshav nyob ze ntawm tus kabmob kuj tseem yuav raug tshem tawm thiab tshawb xyuas hauv lub tshuab tsom kab mob rau cov cim qhia tias mob qog nqaij hlav.

Hauv cov menyuam yaus, tag nrho koj cov thyroidectomy feem ntau ua.

Kev siv tshuaj hluav taws xob rau hluav taws xob

Mob qog nqaij hlav raws kab mob thiab papillary ua rau mob qog ua rau qee zaum raug kho nrog radioactive iodine (RAI) txoj kev kho. RAI kho tuaj yeem muab rau menyuam yaus tom qab phais mob tua cov qog ntshav qog noj ntshav uas tsis tshem tawm lossis cov menyuam yaus uas lub qog tsis tuaj yeem raug tshem tawm los ntawm kev phais mob. RAI tau noj los ntawm qhov ncauj thiab sib sau hauv txhua cov qog nqaij hlav thyroid, nrog rau cov qog nqaij hlav thyroid uas tau kis mus rau lwm qhov chaw hauv lub cev. Vim tias tsuas yog cov thyroid cov ntaub so ntswg yuav siv sijhawm iodine, lub RAI rhuav tshem cov thyroid nqaij thiab cov qog nqaij hlav cancer uas tsis ua mob rau lwm cov nqaij. Ua ntej txhaj tshuaj tag nrho ntawm RAI, muab ib qho kev ntsuas me me rau tshuaj xyuas seb cov qog ntshav yuav tsum siv sijhawm iodine.

Cov hom phiaj kho

Hom phiaj kho yog ib hom kev kho mob uas siv tshuaj lossis lwm yam tshuaj los txheeb xyuas thiab tawm tsam cov mob hlwb tshwj xeeb. Cov hom phiaj kho feem ntau ua rau tsis muaj kev phom sij rau cov hlwb ib txwm dua li kev kho tshuaj lossis hluav taws xob kho.

Kev siv tshuaj Tyrosine kinase inhibitor (TKI) yog ib hom kev kho mob uas txwv tsis pub kom cov qog loj tuaj. Larotrectinib yog TKI siv los kho cov menyuam yaus muaj mob loj los yog rov ua paug papillary thiab follicular thyroid cancer. Vandetanib yog TKI siv los kho cov menyuam yaus mob qog nqaij hlav cancer hauv siab. Selpercatinib yog TKI siv los kho cov menyuam yaus mob qog siab lossis mob metastatic qog.

Cov hom phiaj kho yog tau kawm txog kev kho mob qog noj ntshav qog noj ntshav thaum yau uas tau rov muaj dua (rov qab los).

Kev hloov kho Hormone

Cov tshuaj hormones yog cov tshuaj tsim los ntawm cov qog hauv lub cev thiab ncig ua rau cov hlab ntshav. Tom qab kho cov thyroid mob cancer, cov thyroid tsis muaj peev xwm ua kom muaj cov thyroid hormones txaus. Cov neeg mob tau muab cov tshuaj muaj cov thyroid hormones txaus hloov mus tas lawv lub neej.

Cov hom kev kho mob tshiab tau raug sim hauv qhov kev sim kho mob.

Cov ntaub ntawv hais txog kev sim kho mob muaj nyob rau ntawm NCI lub vev xaib.

Kev kho mob qog noj ntshav qog noj ntshav thaum yau ua rau muaj kev phiv tshuaj.

Yog xav paub txog cov kev mob tshwm sim uas pib thaum kho mob cancer, mus saib peb Nplooj Ntawv Sab Npab.

Cov kev mob tshwm sim los ntawm kev kho mob cancer uas pib tom qab kho thiab txuas ntxiv rau lub hlis lossis xyoo yog hu ua kev mob lig. Kev mob qog lig rau kev kho mob qog noj ntshav rau qog nqaij hlav ntshav qog thaum yau muaj xws li:

• Cov teeb meem ntawm lub cev, xws li hloov pauv hauv cov qog qaub ncaug, kab mob, lossis ua pa nyuaj.

• Hloov pauv hauv txoj kev xav, kev xav, kev xav, kev kawm, lossis kev nco.

• Kab mob qog zaum ob (hom qog nqaij hlav tshiab).

Qee qhov cuam tshuam tom qab tuaj yeem kho lossis tswj tau. Nws yog ib qho tseem ceeb nrog kws kho mob tham nrog koj tus menyuam tus kws kho mob hais txog cov kev kho mob cancer yuav muaj rau koj tus menyuam. (Saib cov ntsiab lus hais txog Cov Kev Kho Mob Npaws Sij Hawm Rau Kev Mob Hlwb Me Nyuam Me kom paub ntau ntxiv.)

Cov neeg mob yuav xav txog kev sim kho mob.

Txog qee tus neeg mob, koom nrog kev sim kho mob yuav yog txoj kev xaiv zoo tshaj plaws. Cov chaw kuaj mob yog ib feem ntawm cov txheej txheem tshawb mob qog noj ntshav. Cov chaw kho mob tau sim ua kom pom tias kev kho mob qog noj ntshav tshiab muaj kev nyab xeeb thiab zoo dua lossis zoo dua cov qauv tshuaj.

Ntau yam ntawm cov qauv kev kho mob qog noj ntshav niaj hnub no yog los ntawm cov kev tshawb fawb kab mob thaum ntxov. Cov neeg mob uas koom nrog kev sim kho mob tuaj yeem tau txais cov qauv kev kho mob lossis ua thawj zaug tau txais kev kho mob tshiab.

Cov neeg mob uas koom nrog kev sim kho mob kuj pab txhim kho txoj kev kho mob qog nqaij hlav yav tom ntej. Txawm hais tias kev sim tshuaj sim tsis ua rau muaj kev kho mob tshiab, lawv feem ntau teb cov lus nug tseem ceeb thiab pab txav kev tshawb fawb tom ntej.

Cov neeg mob tuaj yeem nkag mus kuaj mob ua ntej, sijhawm, lossis tom qab pib kho mob qog noj ntshav.

Qee qhov kev sim tshuaj tsuas yog suav nrog cov neeg mob uas tseem tsis tau txais kev kho mob. Lwm txoj kev sim sim cov kev kho mob rau cov neeg mob uas mob qog noj qab tsis tau zoo dua. Kuj tseem muaj cov kev sim tshuaj kuaj mob uas sim txoj kev tshiab los txwv qog noj ntshav kom tsis txhob mob ntxiv (rov qab los) lossis txo kev phiv los ntawm kev kho mob qog noj.

Cov chaw kuaj mob tau tshwm sim nyob rau ntau lub tebchaws. Cov ntaub ntawv hais txog kev sim kho mob uas tau txhawb nqa los ntawm NCI tuaj yeem nrhiav pom ntawm NCI cov chaw kuaj mob tshawb nrhiav lub vev xaib. Cov chaw kuaj mob txhawb nqa los ntawm lwm cov koomhaum tuaj yeem nrhiav pom ntawm ClinicalTrials.gov lub vev xaib.

Tej zaum yuav tau ua raws li kev ntsuam xyuas.

Nws yog ib qho muaj rau cov mob qog noj ntshav cov qog ua rov mob (rov qab los), tshwj xeeb tshaj yog nyob rau cov menyuam yaus hnub nyoog qis dua 10 xyoo thiab cov neeg mob qog nqaij hlav hauv lub qog. Kev kuaj ntshav, kuaj tag nrho lub cev, thiab cov kev soj ntsuam thyroglobulin tuaj yeem ua ib ntus dhau ib ntus los saib seb tus mob puas rov muaj dua. Lub neej ua raws li cov qib ntawm cov thyroid hormones txaus hauv cov ntshav yog xav tau kom paub tseeb tias yuav txaus npaum li cas ntawm kev hloov kho cov tshuaj hormone (HRT). Tham nrog koj tus menyuam tus kws kho mob kom paub seb yuav tau ntsuam xyuas ntau npaum li cas.

Kev Kho Mob Menyuam Yaus Papillary thiab Mob Hlwb Mob Cancer

Yog xav paub txog cov kev kho mob uas teev rau hauv qab no, saib hauv Cov Lus Qhia Kev Xaiv Kev Xaiv.

Kev kho kab mob tshiab rau papillary thiab follicular thyroid carcinoma hauv cov menyuam yaus yuav suav nrog cov hauv qab no:

• Kev phais tawm kom tshem tawm tag nrho lossis feem ntau ntawm cov thyroid caj pas thiab qee zaum cov qog ntshav nyob ze rau cov thyroid caj pas. Kuj tseem yuav muab cov tshuaj radioactive iodine kho yog tias muaj cov thyroid mob hlwb nyob tom qab phais tas. Txoj kev hloov kho Hormone hloov kho (HRT) yog muab los ua kom ploj rau cov thyroid hormone ploj mus.

Hauv 12 lub lim tiam ntawm kev phais mob, kev tshuaj ntsuam yog ua tiav kom paub seb puas muaj cov qog mob qog nyob hauv lub cev. Cov no suav nrog kev ntsuam xyuas thyroglobulin thiab tag nrho kev kuaj cov thyroid lub cev. Tag nrho lub cev cov thyroid scan ua tiav kom nrhiav thaj chaw hauv lub cev uas cov thyroid mob hlwb uas tsis tau tshem tawm thaum phais yuav faib tau sai. Radioactive iodine siv vim tias tsuas yog cov thyroid hlwb thiaj li siv tshuaj iodine. Ib qho me me ntawm cov radioactive iodine yog nqos, taug kev los ntawm cov ntshav, thiab sib sau hauv cov qog nqaij hlav thiab cov qog nqaij hlav cancer hauv lub cev txhua qhov chaw hauv lub cev. Yog tias cov thyroid mob cancer tseem nyob, ntau cov tshuaj radioactive iodine raug muab rau kom rhuav tshem cov qog ntshav qog noj ntshav qis. Ib qho tag nrho lub cev SPECT (ib qho photon emission computed tomography) scan yuav ua tiav 4 rau 7 hnub tom qab kev kho mob los kuaj seb puas muaj tag nrho cov qog nqaij hlav cancer.

• Kev siv tshuaj hluav taws xob ntau nyob rau ib leeg rau cov menyuam uas lub qog tsis tuaj yeem raug tshem tawm los ntawm kev phais mob. Txoj kev hloov kho Hormone hloov kho (HRT) yog muab los ua kom ploj rau cov thyroid hormone ploj mus.

Saib cov ntsiab lus ntawm Cov Menyuam Yaus Ntau Ntau Endocrine Neoplasia (MEN) Syndromes Kev Kho Mob rau cov lus qhia ntxiv.

Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.

Kev Kho Mob Menyuam yaus Medullary Lub qog Cancer

Yog xav paub txog cov kev kho mob uas teev rau hauv qab no, saib hauv Cov Lus Qhia Kev Xaiv Kev Xaiv.

Kev kho cov tshuaj tua kab mob ua paug rau cov ntshav qog nqaij hlav hauv menyuam yaus tej zaum yuav suav nrog cov hauv qab no:

• Kev phais kom tshem tawm cov mob cancer.

• Kev kho mob tshwj xeeb nrog ib tus mob tyrosine kinase inhibitor (vandetanib lossis selpercatinib) rau kev mob qog nqaij hlav uas tau nce siab lossis tau kis mus rau lwm qhov ntawm lub cev.

Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.

Cov Kev Kho Mob ntawm Kev Loj Hlob lossis Kev Rov Qab Ciaj Menyuam Me Nyuam Mob Khees Xaws

Yog xav paub txog cov kev kho mob uas teev rau hauv qab no, saib hauv Cov Lus Qhia Kev Xaiv Kev Xaiv.

Kev kho mob ntawm kev muaj mob sai los yog rov ua dua papillary thiab follicular thyroid carcinoma hauv cov menyuam yaus suav nrog cov hauv qab no:

• Kev siv tshuaj radioactive iodine (RAI).

• Cov hom phiaj kho nrog tus mob tyrosine kinase inhibitor (larotrectinib lossis selpercatinib).

• Kev kuaj mob hauv tsev kho mob uas kuaj pom ib qho piv txwv ntawm tus neeg mob qog mob rau qee yam hloov pauv gene. Hom kev hloov kho hom phiaj uas yuav muab rau tus neeg mob nyob ntawm hom kev hloov pauv ntawm gene.

• Kev soj ntsuam kab mob ntawm tyrosine kinase inhibitor kho (vemurafenib lossis selpercatinib).

Kev kho mob ntawm cov neeg mob qog nqaij hlav ntshav siab ntau nyob hauv cov menyuam yaus tej zaum yuav suav nrog cov hauv qab no:

• Kev kuaj mob hauv tsev kho mob uas kuaj pom ib qho piv txwv ntawm tus neeg mob qog mob rau qee yam hloov pauv gene. Hom kev hloov kho hom phiaj uas yuav muab rau tus neeg mob nyob ntawm hom kev hloov pauv ntawm gene.

• Kev soj ntsuam kab mob ntawm tyrosine kinase inhibitor kho (selpercatinib).

Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.

Xav Paub Ntxiv Hais Txog Tus Mob Cancer

Xav paub ntau ntxiv los ntawm National Cancer Institute txog cov qog nqaij hlav cancer, saib cov hauv qab no:

• Lub qog Cancer Page

• Hom Kab Mob Kuaj Mob Cancer

• Kev kuaj raws caj ces ntawm Cov Neeg Muaj Peev Xwm Cuam Tshuam Mob Syndromes

• MyPART - My Pediatric thiab Adult Rare Tumor Network

• Sib Tham Tomography (CT) Kev Kuaj thiab Cancer

Yog xav paub ntau ntxiv txog kev mob qog noj ntshav thaum tseem yau thiab lwm yam kev qhia txog mob qog noj ntshav, saib cov hauv qab no:

• Txog Mob Cancer

• Kev Menyuam Kab Menyuam Kiag

• CureSearch rau Cov Menyuam Txoj Kev Mob Cancer

• Qhov Zoo Los Ntawm Txoj Kev Kho Mob Kheev Me Menyuam Thaum Ntxov

• Cov Hluas thiab Cov Hluas Hluas Muaj Mob Cancer

• Cov Menyuam Muaj Mob Cancer: Cov Lus Qhia rau Niam Txiv

• Mob Cancer rau Cov Menyuam thiab Cov Hluas

• Qib

• Kev Muaj Mob Cancer

• Cov Lus Nug Yuav Nug Koj Tus Kws Kho Mob txog Kab Mob Cancer

• Rau Cov Muaj Txoj Sia Nyob thiab Cov Saib Xyuas

Txheeb raws hnub tim Txheeb cais los ntawm qhov qhab nias

Pab saib xyuas nws pib-rov ua dua tshiab

Ntxiv koj saib

love.co zoo siab txais tos txhua lo lus . Yog koj tsis xav kom tsis muaj neeg npe, sau npe lossis nkag mus . Nws yog pub dawb.