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Pancreatic Neuroendocrine Tumors (Islet Cell Tumors) Umuti (®) –Umurwayi

Ibisobanuro Rusange Byerekeranye na Pancreatic Neuroendocrine Tumors (Islet Cell Tumors)

INGINGO Z'INGENZI

  • Ibibyimba bya pancreatic neuroendocrine bibyara mu ngirabuzimafatizo zikora imisemburo (selile islet) ya pancreas.
  • Indwara ya pancreatic NET irashobora cyangwa ntishobora gutera ibimenyetso cyangwa ibimenyetso.
  • Hariho ubwoko butandukanye bwimikorere ya pancreatic NET.
  • Kugira syndromes zimwe zishobora kongera ibyago byo kurwara pancreatic NETs.
  • Ubwoko butandukanye bwa pancreatic NET ifite ibimenyetso nibimenyetso bitandukanye.
  • Ibizamini bya laboratoire hamwe nibizamini byerekana amashusho bikoreshwa mugushakisha (gushakisha) no gusuzuma NETs pancreatic NET.
  • Ubundi bwoko bwa laboratoire ikoreshwa mugusuzuma ubwoko bwihariye bwa NETs.
  • Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Ibibyimba bya pancreatic neuroendocrine bibyara mu ngirabuzimafatizo zikora imisemburo (selile islet) ya pancreas.

Indwara ya pancreas ni glande ifite uburebure bwa santimetero 6 zimeze nk'isaro rito riryamye kuruhande. Impera yagutse ya pancreas yitwa umutwe, igice cyo hagati cyitwa umubiri, naho iherezo ryitwa umurizo. Indwara ya pancreas iri inyuma yinda no imbere yumugongo.

Anatomy ya pancreas. Urwagashya rufite ibice bitatu: umutwe, umubiri, umurizo. Iboneka munda hafi yinda, amara, nizindi ngingo.

Hariho ubwoko bubiri bw'utugingo ngengabuzima:

  • Endocrine pancreas selile ikora ubwoko butandukanye bwimisemburo (imiti igenzura ibikorwa byingirangingo cyangwa ingingo zimwe na zimwe mumubiri), nka insuline kugirango igenzure isukari yamaraso. Bahurije hamwe mumatsinda mato mato (izles) muri pancreas. Endocrine pancreas selile nayo yitwa selile selile cyangwa izinga rya Langerhans. Ibibyimba bibyara mu ngirabuzimafatizo byitwa islet selile, ibibyimba bya pancreatic endocrine, cyangwa ibibyimba bya pancreatic neuroendocrine (NETs pancreatic NETs).
  • Exocrine pancreas selile ikora imisemburo isohoka mu mara mato kugirango ifashe umubiri gusya ibiryo. Hafi ya pancreas ikozwe mumiyoboro ifite udufuka duto kumpera yimiyoboro, igizwe na selile exocrine.

Iyi ncamake ivuga kubyimba kanseri ya islet ya pancreas ya endocrine. Reba incamake ya kubijyanye no kuvura kanseri yandura (Abakuze) kugirango umenye amakuru ya kanseri yandura.

Ibibyimba bya pancreatic neuroendocrine (NETs) birashobora kuba byiza (ntabwo ari kanseri) cyangwa bibi (kanseri). Iyo pancreatic NETs ari mbi, bita kanseri ya pancreatic endocrine kanseri cyangwa kanseri ya islet selile.

Indwara ya pancreatic NETs ntisanzwe cyane kuruta ibibyimba bya pancreatic exocrine kandi bifite prognoz nziza.

Indwara ya pancreatic NET irashobora cyangwa ntishobora gutera ibimenyetso cyangwa ibimenyetso.

Indwara ya pancreatic NET irashobora gukora cyangwa idakora:

  • Ibibyimba bikora bikora imisemburo myinshi, nka gastrine, insuline, na glucagon, bitera ibimenyetso nibimenyetso.
  • Ibibyimba bidakora ntibikora imisemburo myinshi. Ibimenyetso nibimenyetso biterwa nikibyimba uko gikwira kandi kigakura. Ibibyimba byinshi bidakora ni bibi (kanseri).

NET nyinshi zifata ibibyimba nibibyimba bikora.

Hariho ubwoko butandukanye bwimikorere ya pancreatic NET.

Indwara ya pancreatic NET ikora imisemburo itandukanye nka gastrine, insuline, na glucagon. Imikorere ya pancreatic NETs ikubiyemo ibi bikurikira:

  • Gastrinoma: Ikibyimba kiba mu ngirabuzimafatizo zikora gastrine. Gastrin ni imisemburo itera igifu kurekura aside ifasha gusya ibiryo. Gastrine na aside igifu byiyongera na gastrinoma. Iyo aside igifu yiyongereye, ibisebe byo mu gifu, n'impiswi biterwa n'ikibyimba gikora gastrine, cyitwa syndrome ya Zollinger-Ellison. Ubusanzwe gastrinoma ikora mumutwe wa pancreas kandi rimwe na rimwe ikora mumara mato. Gastrinoma nyinshi ni mbi (kanseri).
  • Insulinoma: Ikibyimba kiba mu ngirabuzimafatizo zikora insuline. Insuline ni imisemburo igenzura urugero rwa glucose (isukari) mu maraso. Yimura glucose mu ngirabuzimafatizo, aho ishobora gukoreshwa n'umubiri mu mbaraga. Insulinoma mubisanzwe ni ibibyimba bikura buhoro bidakwirakwira. Insulinoma ikora mumutwe, umubiri, cyangwa umurizo wa pancreas. Insulinoma mubisanzwe ni byiza (ntabwo ari kanseri).
  • Glucagonoma: Ikibyimba kiba mu ngirabuzimafatizo zikora glucagon. Glucagon ni imisemburo yongera glucose mu maraso. Bitera umwijima kumeneka glycogene. Glucagon nyinshi itera hyperglycemia (isukari nyinshi mu maraso). Ubusanzwe glucagonoma ikora umurizo wa pancreas. Glucagonoma nyinshi ni mbi (kanseri).
  • Ubundi bwoko bwibibyimba: Hariho ubundi bwoko budasanzwe bwimikorere ya pancreatic NET ikora imisemburo, harimo imisemburo igenzura uburinganire bwisukari, umunyu, namazi mumubiri. Ibi bibyimba birimo:
  • VIPoma, ikora peptide ya vasoactive. VIPoma irashobora kandi kwitwa syndrome ya Verner-Morrison.
  • Somatostatinoma, ikora somatostatine.

Ubu bwoko bwibibyimba bishyizwe hamwe kuko bifatwa muburyo bumwe.

Kugira syndromes zimwe zishobora kongera ibyago byo kurwara pancreatic NETs.

Ikintu cyose cyongera ibyago byo kwandura byitwa impanuka. Kugira ibintu bishobora guteza ibyago ntibisobanura ko uzarwara kanseri; kutagira ibyago bishobora gusobanura ko utazarwara kanseri. Vugana na muganga wawe niba utekereza ko ushobora guhura n'akaga.

Indwara nyinshi ya endocrine neoplasia ubwoko bwa 1 (MEN1) ni ibintu bishobora gutera NETs.

Ubwoko butandukanye bwa pancreatic NET ifite ibimenyetso nibimenyetso bitandukanye.

Ibimenyetso cyangwa ibimenyetso birashobora guterwa no gukura kwikibyimba na / cyangwa na hormone ikibyimba gikora cyangwa nibindi bihe. Ibibyimba bimwe ntibishobora gutera ibimenyetso cyangwa ibimenyetso. Menyesha muganga wawe niba ufite kimwe muri ibyo bibazo.

Ibimenyetso nibimenyetso bya NET idakora

NET idakora neza pancreatic NET irashobora gukura igihe kirekire idateye ibimenyetso cyangwa ibimenyetso. Irashobora gukura cyangwa gukwirakwira mu bindi bice byumubiri mbere yuko itera ibimenyetso cyangwa ibimenyetso, nka:

  • Impiswi.
  • Indigestion.
  • Ikibyimba mu nda.
  • Kubabara mu nda cyangwa inyuma.
  • Umuhondo w'uruhu n'umweru w'amaso.

Ibimenyetso nibimenyetso bya pancreatic NET ikora

Ibimenyetso nibimenyetso bya pancreatic NET ikora biterwa n'ubwoko bwa hormone ikorwa.

Gastrine nyinshi irashobora gutera:

  • Ibisebe byo munda bikomeza kugaruka.
  • Kubabara munda, bishobora gukwirakwira inyuma. Ububabare bushobora kuza bukagenda kandi burashobora kugenda nyuma yo gufata antacide.
  • Urujya n'uruza rw'igifu rusubira muri esofagusi (gastroesophageal reflux).
  • Impiswi.

Insuline nyinshi irashobora gutera:

  • Isukari nke mu maraso. Ibi birashobora gutera kutabona neza, kubabara umutwe, no kumva ucuramye, unaniwe, intege nke, uhinda umushyitsi, ubwoba, kurakara, kubira ibyuya, urujijo, cyangwa ushonje.
  • Umutima wihuta.

Glucagon nyinshi irashobora gutera:

  • Uruhu ruhu mu maso, mu gifu, cyangwa ku maguru.
  • Isukari nyinshi mu maraso. Ibi birashobora gutera umutwe, inkari kenshi, uruhu rwumunwa numunwa, cyangwa kumva ushonje, ufite inyota, umunaniro, cyangwa intege nke.
  • Amaraso. Amaraso atembera mu bihaha arashobora gutera umwuka, inkorora, cyangwa ububabare mu gatuza. Amaraso atembera mu kuboko cyangwa ku kuguru birashobora gutera ububabare, kubyimba, ubushyuhe, cyangwa umutuku w'ukuboko cyangwa ukuguru.
  • Impiswi.
  • Kugabanya ibiro nta mpamvu izwi.
  • Ururimi rubabaza cyangwa ibisebe ku mfuruka y'akanwa.

Peptide yo mu nda cyane (VIP) irashobora gutera:

  • Umubare munini cyane w'impiswi y'amazi.
  • Umwuma. Ibi birashobora gutera inyota, gukora inkari nke, uruhu rwumunwa numunwa, kubabara umutwe, umutwe, cyangwa kumva unaniwe.
  • Urwego rwa potasiyumu nkeya mumaraso. Ibi birashobora gutera intege nke imitsi, kubabara, cyangwa kubabara, kunanirwa no gutitira, inkari nyinshi, gutera umutima vuba, no kumva urujijo cyangwa inyota.
  • Kubabara cyangwa kubabara mu nda.
  • Kugabanya ibiro nta mpamvu izwi.

Somatostatine cyane irashobora gutera:

  • Isukari nyinshi mu maraso. Ibi birashobora gutera umutwe, inkari kenshi, uruhu rwumunwa numunwa, cyangwa kumva ushonje, ufite inyota, umunaniro, cyangwa intege nke.
  • Impiswi.
  • Steatorrhea (intebe ihumura cyane intebe ireremba).
  • Amabuye.
  • Umuhondo w'uruhu n'umweru w'amaso.
  • Kugabanya ibiro nta mpamvu izwi.

NET pancreatic NET irashobora kandi gukora imisemburo myinshi ya adrenocorticotropique (ACTH) igatera syndrome ya Cushing. Ibimenyetso nibimenyetso bya syndrome ya Cushing harimo ibi bikurikira:

  • Kubabara umutwe.
  • Gutakaza intumbero.
  • Kongera ibiro mu maso, mu ijosi, no mu gice cy'umubiri, n'amaboko magufi n'amaguru.
  • Ikibyimba cyibinure inyuma yijosi.
  • Uruhu ruto rushobora kuba rufite ibara ryijimye cyangwa ryijimye ku gituza cyangwa mu nda.
  • Gukomeretsa byoroshye.
  • Gukura k'umusatsi mwiza mumaso, inyuma, cyangwa amaboko.
  • Amagufa avunika byoroshye.
  • Ibisebe cyangwa gukata bikira buhoro.
  • Guhangayika, kurakara, no kwiheba.

Ubuvuzi bwa NETs pancreatic NET ikora cyane ACTH na Cushing syndrome ntabwo byaganiriweho muri iyi ncamake.

Ibizamini bya laboratoire hamwe nibizamini byerekana amashusho bikoreshwa mugushakisha (gushakisha) no gusuzuma NETs pancreatic NET.

Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa:

  • Ikizamini cyumubiri namateka: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nkibibyimba cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
  • Ubushakashatsi bwa chimie yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe, nka glucose (isukari), bisohoka mumaraso ningingo nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara.
  • Chromogranin Ikizamini: Ikizamini gisuzumwa icyitegererezo cyamaraso kugirango bapime urugero rwa chromogranine A mumaraso. Umubare urenze urugero rusanzwe rwa chromogranine A hamwe na hormone zisanzwe nka gastrine, insuline, na glucagon birashobora kuba ikimenyetso cyururondogoro rudakora.
  • Inda ya CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yinda, yakuwe muburyo butandukanye. Amashusho yakozwe na mudasobwa ihujwe na mashini ya x-ray. Irangi rishobora guterwa mumitsi cyangwa kumirwa kugirango bifashe ingingo cyangwa ingirangingo kugaragara neza. Ubu buryo nabwo bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya.
  • MRI . Ubu buryo bwitwa kandi magnetic magnetic resonance imaging (NMRI).
  • Somatostatin reseptor scintigraphy: Ubwoko bwa scan ya radionuclide ishobora gukoreshwa mugushakisha NET ntoya. Umubare muto wa octreotide ya radioaktike (imisemburo ifata ibibyimba) yatewe mumitsi kandi ikanyura mumaraso. Octreotide ya radio ifata ikibyimba kandi kamera idasanzwe yerekana radioactivite ikoreshwa kugirango yerekane aho ibibyimba biri mumubiri. Ubu buryo nabwo bwitwa octreotide scan na SRS.
  • Endoscopic ultrasound (EUS): Uburyo bwo kwinjiza endoskopi mu mubiri, ubusanzwe binyuze mu kanwa cyangwa urukiramende. Endoscope nigikoresho cyoroshye, kimeze nkigikoresho gifite urumuri na lens yo kureba. Iperereza kumpera ya endoscope rikoreshwa mugusunika amajwi menshi yingufu zamajwi (ultrasound) kumubiri cyangwa ingingo zimbere no gukora echo. Ijwi ryerekana ishusho yumubiri wumubiri witwa sonogram. Ubu buryo nabwo bwitwa endosonography.
  • Endoscopic retrograde cholangiopancreatography (ERCP):Uburyo bukoreshwa mu x-ray imiyoboro (tubes) itwara umwijima uva mwumwijima ukageza mu mara no kuva mu mara kugeza mu mara mato. Rimwe na rimwe, kanseri yandura itera iyo miyoboro kugabanuka no guhagarika cyangwa kugabanya umuvuduko wa bile, bigatera jaundice. Endoscope inyuzwa mu kanwa, esofagusi, no mu gifu mu gice cya mbere cy'amara mato. Endoscope nigikoresho cyoroshye, kimeze nkigikoresho gifite urumuri na lens yo kureba. Catheter (umuyoboro muto) noneho yinjizwa muri endoskopi mumiyoboro ya pancreatic. Irangi ryatewe muri catheter mu miyoboro hanyuma hafatwa x-ray. Niba imiyoboro ihagaritswe n'ikibyimba, umuyoboro mwiza urashobora kwinjizwa mumiyoboro kugirango uhagarike. Uyu muyoboro (cyangwa stent) urashobora gusigara ahantu kugirango umuyoboro ufungurwe. Ingero z'inyama zirashobora kandi gufatwa no kugenzurwa munsi ya microscope kugirango ibimenyetso bya kanseri.
  • Angiogram: Uburyo bwo kureba imiyoboro y'amaraso no gutembera kw'amaraso. Irangi ritandukanye ryatewe mu maraso. Mugihe irangi ritandukanye rinyura mumitsi yamaraso, x-imirasire ifatwa kugirango harebwe niba hari ibibujijwe.
  • Laparotomy: Uburyo bwo kubaga bukorerwa intambwe (gukata) mu rukuta rw'inda kugira ngo harebwe imbere mu nda ibimenyetso by'indwara. Ingano yo gutemwa biterwa nimpamvu laparotomy ikorwa. Rimwe na rimwe, ingingo zavanyweho cyangwa ingero za tissue zifatwa hanyuma zigasuzumwa munsi ya microscope kugirango ibimenyetso byindwara.
  • Ultrasound intraoperative: Uburyo bukoresha amajwi menshi yijwi (ultrasound) kugirango ukore amashusho yingingo zimbere cyangwa ingirangingo mugihe cyo kubagwa. Transducer ishyizwe kumurongo cyangwa tissue ikoreshwa mugukora amajwi yumurongo, akora echo. Transducer yakira echo ikohereza kuri mudasobwa, ikoresha echo kugirango ikore amashusho yitwa sonogramu.
  • Biopsy: Gukuraho ingirabuzimafatizo cyangwa ingirangingo kugirango zishobore kurebwa munsi ya microscope na patologue kugirango barebe ibimenyetso bya kanseri. Hariho uburyo bwinshi bwo gukora biopsy kuri NETs pancreatic NET. Ingirabuzimafatizo zirashobora gukurwaho ukoresheje urushinge rwiza cyangwa rugari rwinjijwe muri pancreas mugihe x-ray cyangwa ultrasound. Tissue irashobora kandi gukurwaho mugihe cya laparoskopi (kubagwa kubagwa bikozwe murukuta rwinda).
  • Gusikana amagufwa: Uburyo bwo kugenzura niba mu magufwa hari selile zigabanya vuba, nka selile kanseri. Umubare muto cyane wibikoresho bya radio bitera mumitsi kandi bikanyura mumaraso. Ibikoresho bya radiyo bikusanya amagufwa hamwe na kanseri kandi bigaragazwa na scaneri.

Ubundi bwoko bwa laboratoire ikoreshwa mugusuzuma ubwoko bwihariye bwa NETs.

Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa:

Gastrinoma

  • Kwipimisha serumu gastrin yiyiriza ubusa: Ikizamini gisuzumwa icyitegererezo cyamaraso kugirango bapime urugero rwa gastrine mumaraso. Iki kizamini gikorwa nyuma yuko umurwayi atagize icyo kurya cyangwa kunywa byibuze amasaha 8. Ibindi bitari gastrinoma birashobora gutuma ubwiyongere bwa gastrine mumaraso.
  • Ikizamini cya aside ya basal: Ikizamini cyo gupima ingano ya aside ikorwa nigifu. Ikizamini gikorwa nyuma yuko umurwayi atagize icyo kurya cyangwa kunywa byibuze amasaha 8. Umuyoboro winjizwa mu mazuru cyangwa mu muhogo, mu gifu. Ibiri mu gifu bivanwaho kandi ingero enye za acide gastrici zivanwa mu muyoboro. Izi ngero zikoreshwa mukumenya ingano ya acide gastric yakozwe mugihe cyizamini hamwe nurwego pH rwururenda rwa gastric.
  • Ikizamini cyo gukangura Secretin: Niba ibisubizo byibanze bya aside aside isanzwe, ibizamini bishobora gutera ibanga. Umuyoboro wimurirwa mu mara mato hanyuma ingero zikurwa mu mara mato nyuma yo guterwa umuti witwa secretine. Secretin itera amara mato gukora aside. Iyo hari gastrinoma, secretine itera kwiyongera k'ubunini bwa acide gastricike ndetse n'urwego rwa gastrine mumaraso.
  • Somatostatin reseptor scintigraphy: Ubwoko bwa scan ya radionuclide ishobora gukoreshwa mugushakisha NET ntoya. Umubare muto wa octreotide ya radioaktike (imisemburo ifata ibibyimba) yatewe mumitsi kandi ikanyura mumaraso. Octreotide ya radio ifata ikibyimba kandi kamera idasanzwe yerekana radioactivite ikoreshwa kugirango yerekane aho ibibyimba biri mumubiri. Ubu buryo nabwo bwitwa octreotide scan na SRS.

Insulinoma

  • Kwiyiriza ubusa serumu glucose na insuline: Ikizamini gisuzumwa icyitegererezo cyamaraso kugirango bapime urugero rwa glucose (isukari) na insuline mumaraso. Ikizamini gikorwa nyuma yuko umurwayi atagize icyo kurya cyangwa kunywa byibuze amasaha 24.

Glucagonoma [[[

  • Ikizamini cya serumu glucagon yisonzesha: Ikizamini gisuzumwa icyitegererezo cyamaraso kugirango bapime urugero rwa glucagon mumaraso. Ikizamini gikozwe nyuma yuko umurwayi atagize icyo kurya cyangwa kunywa byibuze amasaha 8.

Ubundi bwoko bwibibyimba

  • VIPoma
  • Ikizamini cya Serumu VIP (vasoactive intestinal peptide): Ikizamini gisuzumwa icyitegererezo cyamaraso kugirango bapime ingano ya VIP.
  • Ubushakashatsi bwa chimie yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe bisohoka mumaraso ningingo nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara. Muri VIPoma, hari munsi yumubare usanzwe wa potasiyumu.
  • Isesengura ry'intebe: Icyitegererezo cy'intebe gisuzumwa hejuru ya sodium isanzwe (umunyu) hamwe na potasiyumu.
  • Somatostatinoma
  • Kwipimisha serumu somatostatin: Ikizamini gisuzumwa icyitegererezo cyamaraso kugirango bapime urugero rwa somatostatine mumaraso. Ikizamini gikozwe nyuma yuko umurwayi atagize icyo kurya cyangwa kunywa byibuze amasaha 8.
  • Somatostatin reseptor scintigraphy: Ubwoko bwa scan ya radionuclide ishobora gukoreshwa mugushakisha NET ntoya. Umubare muto wa octreotide ya radioaktike (imisemburo ifata ibibyimba) yatewe mumitsi kandi ikanyura mumaraso. Octreotide ya radio ifata ikibyimba kandi kamera idasanzwe yerekana radioactivite ikoreshwa kugirango yerekane aho ibibyimba biri mumubiri. Ubu buryo nabwo bwitwa octreotide scan na SRS.

Ibintu bimwe bigira ingaruka kubitekerezo (amahirwe yo gukira) hamwe nuburyo bwo kuvura.

Indwara ya pancreatic NET irashobora gukira. Kumenyekanisha (amahirwe yo gukira) hamwe nuburyo bwo kuvura biterwa nibi bikurikira:

  • Ubwoko bwa kanseri.
  • Aho ikibyimba kiboneka muri pancreas.
  • Niba ikibyimba cyakwirakwiriye ahantu henshi muri pancreas cyangwa mu bindi bice byumubiri.
  • Niba umurwayi afite syndrome ya MEN1.
  • Imyaka yumurwayi nubuzima rusange.
  • Niba kanseri imaze gupimwa cyangwa yagarutse (garuka).

Ibyiciro bya Pancreatic Neuroendocrine Ibibyimba

INGINGO Z'INGENZI

  • Gahunda yo kuvura kanseri biterwa n’aho NET iboneka muri pancreas niba yarakwirakwiriye.
  • Hariho uburyo butatu kanseri ikwirakwira mu mubiri.
  • Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.

Gahunda yo kuvura kanseri biterwa n’aho NET iboneka muri pancreas niba yarakwirakwiriye.

Inzira ikoreshwa mu kumenya niba kanseri yarakwirakwiriye muri pancreas cyangwa mu bindi bice byumubiri byitwa guterana. Ibisubizo by'ibizamini hamwe nuburyo bukoreshwa mu gusuzuma ibibyimba bya pancreatic neuroendocrine (NETs) nabyo bikoreshwa mu kumenya niba kanseri yarakwirakwiriye. Reba amakuru rusange kugirango ubone ibisobanuro byibi bizamini.

Nubwo hariho uburyo busanzwe bwo kubika NETs, ​​ntabwo bukoreshwa mugutegura imiti. Kuvura NETs pancreatic NETs bishingiye kuri ibi bikurikira:

  • Niba kanseri iboneka ahantu hamwe muri pancreas.
  • Niba kanseri iboneka ahantu henshi muri pancreas.
  • Niba kanseri yarakwirakwiriye mu mitsi hafi ya pancreas cyangwa mu bindi bice by'umubiri nk'umwijima, ibihaha, peritoneum, cyangwa amagufwa.

Hariho uburyo butatu kanseri ikwirakwira mu mubiri.

Kanseri irashobora gukwirakwira binyuze mu ngingo, sisitemu ya lymph, n'amaraso:

  • Tissue. Kanseri ikwirakwira aho yatangiriye ikurira mu turere twegereye.
  • Sisitemu ya Lymph. Kanseri ikwirakwira aho yatangiriye yinjira muri sisitemu ya lymph. Kanseri inyura mu mitsi ya lymph igana mu bindi bice by'umubiri.
  • Amaraso. Kanseri ikwirakwira aho yatangiriye yinjira mu maraso. Kanseri inyura mu mitsi y'amaraso igana mu bindi bice by'umubiri.

Kanseri irashobora gukwirakwira aho yatangiriye no mu bindi bice byumubiri.

Iyo kanseri ikwirakwira mu kindi gice cy'umubiri, yitwa metastasis. Ingirabuzimafatizo za kanseri zitandukana aho zatangiriye (ikibyimba kibanza) zikanyura muri sisitemu ya lymph cyangwa maraso.

  • Sisitemu ya Lymph. Kanseri yinjira muri sisitemu ya lymph, ikanyura mu mitsi ya lymph, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.
  • Amaraso. Kanseri yinjira mu maraso, ikanyura mu mitsi y'amaraso, igakora ikibyimba (ikibyimba metastatike) mu kindi gice cy'umubiri.

Ikibyimba metastatike ni ubwoko bumwe bwibibyimba nkibibyimba byibanze. Kurugero, niba ikibyimba cyitwa pancreatic neuroendocrine gikwirakwira mu mwijima, selile yibibyimba mu mwijima mubyukuri ni selile yibibyimba bya neuroendocrine. Indwara ni metastatike pancreatic neuroendocrine ikibyimba, ntabwo ari kanseri y'umwijima.

Ibibyimba bya Pancreatic Neuroendocrine Ibibyimba

Ibibyimba byitwa pancreatic neuroendocrine (NETs) nibibyimba byagarutse (garuka) nyuma yo kuvurwa. Ibibyimba birashobora kugaruka muri pancreas cyangwa mubindi bice byumubiri.

Incamake yo kuvura

INGINGO Z'INGENZI

  • Hariho uburyo butandukanye bwo kuvura abarwayi bafite NETs pancreatic NET.
  • Ubwoko butandatu bwo kuvura busanzwe bukoreshwa:
  • Kubaga
  • Chimoterapi
  • Ubuvuzi bwa hormone
  • Hepatique arterial occlusion cyangwa chemoembolisation
  • Ubuvuzi bugamije
  • Kwitaho ubufasha
  • Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.
  • Kuvura ibibyimba bya pancreatic neuroendocrine bishobora gutera ingaruka.
  • Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.
  • Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.
  • Ibizamini byo gukurikirana birashobora gukenerwa.

Hariho uburyo butandukanye bwo kuvura abarwayi bafite NETs pancreatic NET.

Ubwoko butandukanye bwo kuvura burahari kubarwayi bafite ibibyimba bya pancreatic neuroendocrine (NET). Bumwe mu buryo busanzwe (ubuvuzi bukoreshwa ubu), kandi bumwe burimo kugeragezwa mubigeragezo byamavuriro. Ikigeragezo kivura ni ubushakashatsi bwakozwe bugamije gufasha kunoza imiti igezweho cyangwa kubona amakuru ku buvuzi bushya ku barwayi ba kanseri. Iyo ibizamini byo kwa muganga byerekana ko ubuvuzi bushya buruta ubuvuzi busanzwe, ubuvuzi bushya bushobora kuba ubuvuzi busanzwe. Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga. Ibigeragezo bimwe na bimwe bivura abarwayi batatangiye kwivuza.

Ubwoko butandatu bwo kuvura busanzwe bukoreshwa:

Kubaga

Harashobora gukorwa igikorwa cyo gukuraho ikibyimba. Bumwe mu buryo bukurikira bwo kubaga bushobora gukoreshwa:

  • Enucleation: Kubaga kugirango ukureho ikibyimba gusa. Ibi birashobora gukorwa mugihe kanseri ibaye ahantu hamwe muri pancreas.
  • Pancreatoduodenectomy: Uburyo bwo kubaga bukurwaho umutwe wa pancreas, gallbladder, hafi ya lymph node hamwe nigice cyigifu, amara mato, hamwe numuyoboro wa bile. Hasigaye pancreas isigaye ikora imitobe yigifu na insuline. Ibice byakuweho muriki gikorwa biterwa nuburwayi bwumurwayi. Ibi byitwa kandi uburyo bwa Whipple.
  • Indwara ya pancreatectomy: Kubaga kugirango ukure umubiri n'umurizo wa pancreas. Ururenda narwo rushobora gukurwaho niba kanseri yarakwirakwiriye.
  • Gastrectomy yuzuye: Kubaga kugirango ukure igifu cyose.
  • Pagetal selile vagotomy: Kubagwa kugirango ugabanye imitsi itera selile igifu gukora aside.
  • Kwanga umwijima: Kubaga kugirango ukure igice cyangwa umwijima wose.
  • Gukuraho radiofrequency: Gukoresha iperereza ryihariye hamwe na electrode ntoya yica kanseri. Rimwe na rimwe, iperereza ryinjizwa mu ruhu kandi birakenewe gusa anesthesi yaho. Mu bindi bihe, iperereza ryinjizwa binyuze mu gutembereza mu nda. Ibi bikorerwa mubitaro hamwe na anesthesia rusange.
  • Gukuraho Cryosurgical: Uburyo bukonjeshwa tissue kugirango isenye selile zidasanzwe. Ubusanzwe bikorwa nigikoresho kidasanzwe kirimo azote yuzuye cyangwa karuboni ya dioxyde. Igikoresho gishobora gukoreshwa mugihe cyo kubagwa cyangwa laparoskopi cyangwa kwinjizwa mu ruhu. Ubu buryo bwitwa kandi cryoablation.

Chimoterapi

Chimoterapi ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa kubabuza gutandukana. Iyo chimiotherapie ifashwe numunwa cyangwa igaterwa mumitsi cyangwa imitsi, imiti yinjira mumaraso kandi irashobora kugera kanseri ya kanseri mumubiri (chimiotherapie sisitemu). Iyo chimiotherapie ishyizwe mumazi yubwonko, urugingo, cyangwa umwobo wumubiri nkinda, imiti yibasira kanseri ya kanseri muri utwo turere (chimiotherapie yo mukarere). Imiti ya chimiotherapie ni ugukoresha imiti irenga imwe ya anticancer. Uburyo chimiotherapie itangwa biterwa n'ubwoko bwa kanseri ivurwa.

Ubuvuzi bwa hormone

Ubuvuzi bwa Hormone nubuvuzi bwa kanseri bukuraho imisemburo cyangwa ikabuza ibikorwa byayo kandi ikabuza kanseri gukura. Hormone ni ibintu bikozwe na glande mu mubiri kandi bikwirakwizwa mu maraso. Imisemburo imwe n'imwe irashobora gutuma kanseri zimwe zikura. Niba ibizamini byerekana ko kanseri ya kanseri ifite aho imisemburo ishobora kwomeka (reseptors), ibiyobyabwenge, kubaga, cyangwa kuvura imirasire bikoreshwa mukugabanya imisemburo cyangwa kubabuza gukora.

Hepatique arterial occlusion cyangwa chemoembolisation

Indwara ya Hepatique ikoresha imiti, uduce duto, cyangwa izindi miti kugirango ihagarike cyangwa igabanye umuvuduko wamaraso mu mwijima binyuze mu mitsi ya hepatike (umuyoboro munini wamaraso utwara amaraso mu mwijima). Ibi bikorwa kugirango bice kanseri ikura mu mwijima. Ikibyimba kibujijwe kubona ogisijeni nintungamubiri ikeneye gukura. Umwijima ukomeje kwakira amaraso ava mu mitsi ya hepatike, atwara amaraso ava mu gifu no mu mara.

Chimiotherapie itangwa mugihe cya arterial arterial yitwa chemoembolisation. Imiti igabanya ubukana yatewe mu mitsi ya hepatike ikoresheje catheter (tube tube). Umuti uvanze nibintu bibuza imiyoboro y'amaraso kandi bigabanya umuvuduko w'amaraso mu kibyimba. Imiti myinshi ya anticancer ifashwe hafi yikibyimba kandi ibiyobyabwenge bike bigera no mubindi bice byumubiri.

Guhagarika birashobora kuba byigihe gito cyangwa gihoraho, bitewe nibintu byakoreshejwe muguhagarika imiyoboro.

Ubuvuzi bugamije

Ubuvuzi bugamije ni uburyo bwo kuvura bukoresha ibiyobyabwenge cyangwa ibindi bintu kugirango umenye kandi utere kanseri yihariye ya kanseri utangiza ingirabuzimafatizo zisanzwe. Ubwoko bumwebumwe bwo kuvura bugamije kwigwa mukuvura NETs.

Kwitaho ubufasha

Hitaweho ubufasha bugamije kugabanya ibibazo biterwa n'indwara cyangwa kuyivura. Kwitaho ubufasha bwa pancreatic NETs bishobora kubamo kuvura ibi bikurikira:

  • Ibisebe byo mu gifu birashobora kuvurwa hakoreshejwe imiti nka:
  • Imiti ya proton ibuza imiti nka omeprazole, lansoprazole, cyangwa pantoprazole.
  • Histamine ibuza imiti nka cimetidine, ranitidine, cyangwa famotidine.
  • Imiti yo mu bwoko bwa Somatostatin nka octreotide.
  • Impiswi irashobora kuvurwa hamwe na:
  • Amazi yinjira (IV) hamwe na electrolytite nka potasiyumu cyangwa chloride.
  • Imiti yo mu bwoko bwa Somatostatin nka octreotide.
  • Isukari nke mu maraso irashobora kuvurwa no kurya bike, kenshi cyangwa kuvura imiti kugirango isukari isanzwe yamaraso.
  • Isukari nyinshi mu maraso irashobora kuvurwa hakoreshejwe imiti yafashwe mukanwa cyangwa insuline ukoresheje inshinge.

Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.

Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.

Kuvura ibibyimba bya pancreatic neuroendocrine bishobora gutera ingaruka.

Kumakuru yingaruka ziterwa no kuvura kanseri, reba urupapuro rwuruhande rwacu.

Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.

Ku barwayi bamwe, kwitabira ikizamini cyamavuriro birashobora kuba uburyo bwiza bwo kuvura. Ibigeragezo bivura biri mubikorwa byubushakashatsi bwa kanseri. Igeragezwa rya Clinical rikorwa kugirango hamenyekane niba imiti mishya ya kanseri itekanye kandi ifite akamaro cyangwa nziza kuruta ubuvuzi busanzwe.

Benshi mubuvuzi busanzwe bwa kanseri bushingiye kubigeragezo byambere byubuvuzi. Abarwayi bitabiriye kwipimisha barashobora kuvurwa bisanzwe cyangwa kuba mubambere bahawe imiti mishya.

Abarwayi bitabira ibizamini byo kwa muganga nabo bafasha kunoza uburyo kanseri izavurwa mugihe kizaza. Nubwo ibigeragezo bivura bitaganisha ku buvuzi bushya, akenshi basubiza ibibazo byingenzi kandi bigafasha gutera imbere ubushakashatsi.

Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.

Igeragezwa rimwe na rimwe ririmo abarwayi bataravurwa. Ibindi bigeragezo bipima abarwayi bafite kanseri itameze neza. Hariho kandi ibizamini byo kwa muganga bipima uburyo bushya bwo guhagarika kanseri kongera kugaruka (kugaruka) cyangwa kugabanya ingaruka zo kuvura kanseri.

Igeragezwa rya Clinical ririmo kubera mu bice byinshi by'igihugu. Amakuru yerekeye ibizamini byamavuriro ashyigikiwe na NCI urashobora kubisanga kurubuga rwa NCI. Ibizamini bya Clinical bishyigikiwe nandi mashyirahamwe murashobora kubisanga kurubuga rwa ClinicalTrials.gov.

Ibizamini byo gukurikirana birashobora gukenerwa.

Bimwe mubizamini byakozwe mugupima kanseri cyangwa kumenya icyiciro cya kanseri birashobora gusubirwamo. Ibizamini bimwe bizasubirwamo kugirango harebwe uburyo ubuvuzi bukora neza. Ibyemezo bijyanye no gukomeza, guhindura, cyangwa guhagarika ubuvuzi birashobora gushingira kubisubizo byibi bizamini.

Bimwe mubizamini bizakomeza gukorwa buri gihe nyuma yubuvuzi burangiye. Ibisubizo by'ibi bizamini birashobora kwerekana niba ubuzima bwawe bwarahindutse cyangwa niba kanseri yarongeye (garuka). Ibi bizamini rimwe na rimwe byitwa gukurikirana-ibizamini cyangwa kugenzura.

Amahitamo yo kuvura ibibyimba bya pancreatic Neuroendocrine

Muri iki gice

  • Gastrinoma
  • Insulinoma
  • Glucagonoma
  • Ibindi Bibyimba bya Pancreatic Neuroendocrine (Ibibyimba by'akagari ka Islet)
  • Ibibyimba bigaruka cyangwa bitera imbere Neuroendocrine Ibibyimba (Islet Cell Tumors)

Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.

Gastrinoma

Kuvura gastrinoma birashobora kubamo ubuvuzi bufasha hamwe nibi bikurikira:

  • Ku bimenyetso biterwa na aside nyinshi yo mu gifu, kuvura birashobora kuba imiti igabanya aside irike ikorwa nigifu.
  • Ku kibyimba kimwe mumutwe wa pancreas:
  • Kubaga kugirango ukureho ikibyimba.
  • Kubaga kugirango ugabanye imitsi itera selile zo mu gifu gukora aside no kuvura hamwe n'umuti ugabanya aside igifu.
  • Kubaga kugirango ukure igifu cyose (gake).
  • Ku kibyimba kimwe mu mubiri cyangwa umurizo wa pancreas, kuvura ni kubaga kugirango ukure umubiri cyangwa umurizo wa pancreas.
  • Kubibyimba byinshi mumyanya myibarukiro, kuvura mubisanzwe kubagwa kugirango ukure umubiri cyangwa umurizo wa pancreas. Niba ikibyimba kigumye nyuma yo kubagwa, ubuvuzi bushobora kubamo:
  • Kubagwa kugirango ugabanye imitsi itera selile zo mu gifu gukora aside no kuvura hamwe n'umuti ugabanya aside igifu; cyangwa
  • Kubaga kugirango ukure igifu cyose (gake).
  • Ku kibyimba kimwe cyangwa byinshi muri duodenum (igice cy'amara mato ahuza igifu), ubuvuzi busanzwe ni pancreatoduodenectomy (kubaga gukuramo umutwe wa pancreas, gallbladder, hafi ya lymph node igice cyigifu, amara mato , n'umuyoboro w'amazi).
  • Niba nta kibyimba kibonetse, ubuvuzi bushobora kubamo ibi bikurikira:
  • Kubaga kugirango ugabanye imitsi itera selile zo mu gifu gukora aside no kuvura hamwe n'umuti ugabanya aside igifu.
  • Kubaga kugirango ukure igifu cyose (gake).
  • Niba kanseri yarakwirakwiriye mu mwijima, ubuvuzi bushobora kubamo:
  • Kubaga kugirango ukure igice cyangwa umwijima wose.
  • Gukuraho radiofrequency cyangwa gukuraho cososurgical.
  • Chemoembolisation.
  • Niba kanseri yarakwirakwiriye mu bindi bice by'umubiri cyangwa idakize neza kubagwa cyangwa imiti igabanya aside igifu, ubuvuzi bushobora kubamo:
  • Chimoterapi.
  • Ubuvuzi bwa hormone.
  • Niba kanseri yibasira cyane umwijima kandi umurwayi afite ibimenyetso bikomeye bituruka kuri hormone cyangwa mubunini bwibibyimba, ubuvuzi bushobora kubamo:
  • Hepatique arterial occlusion, hamwe na chimiotherapie ya sisitemu.
  • Chemoembolisation, hamwe cyangwa idafite chimiotherapie.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Insulinoma

Kuvura insulinoma birashobora kuba bikubiyemo ibi bikurikira:

  • Ku kibyimba gito gito mumutwe cyangwa umurizo wa pancreas, kuvura mubisanzwe ni kubaga kugirango bakureho ikibyimba.
  • Ku kibyimba kinini kinini mu mutwe wa pancreas kidashobora gukurwaho no kubagwa, ubuvuzi busanzwe ni pancreatoduodenectomy (kubaga gukuramo umutwe wa pancreas, gallbladder, hafi ya lymph node hamwe nigice cyigifu, amara mato, nuyoboro wa bile) .
  • Ku kibyimba kinini kinini mu mubiri cyangwa umurizo wa pancreas, kuvura mubisanzwe ni pancreatectomy ya kure (kubaga kugirango ukure umubiri n'umurizo wa pancreas).
  • Ku kibyimba kirenze kimwe muri pancreas, kuvura mubisanzwe ni kubaga kugirango bakureho ibibyimba byose mumutwe wa pancreas n'umubiri n'umurizo wa pancreas.
  • Ku bibyimba bidashobora gukurwaho no kubagwa, ubuvuzi bushobora kubamo ibi bikurikira:
  • Ubuvuzi bwa chimiotherapie.
  • Ubuvuzi bwa Palliative bwo kugabanya kugabanya insuline ikorwa na pancreas.
  • Ubuvuzi bwa hormone.
  • Gukuraho radiofrequency cyangwa gukuraho cososurgical.
  • Kuri kanseri yakwirakwiriye mu mitsi cyangwa mu bindi bice by'umubiri, ubuvuzi bushobora kubamo ibi bikurikira:
  • Kubaga kugirango ukureho kanseri.
  • Gukuraho radiofrequency cyangwa gukuraho cososurgical, niba kanseri idashobora gukurwaho no kubagwa.
  • Niba kanseri yibasira cyane umwijima kandi umurwayi afite ibimenyetso bikomeye bituruka kuri hormone cyangwa mubunini bwibibyimba, ubuvuzi bushobora kubamo:
  • Hepatique arterial occlusion, hamwe na chimiotherapie ya sisitemu.
  • Chemoembolisation, hamwe cyangwa idafite chimiotherapie.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Glucagonoma

Ubuvuzi bushobora kubamo ibi bikurikira:

  • Ku kibyimba gito gito mumutwe cyangwa umurizo wa pancreas, kuvura mubisanzwe ni kubaga kugirango bakureho ikibyimba.
  • Ku kibyimba kinini kinini mu mutwe wa pancreas kidashobora gukurwaho no kubagwa, ubuvuzi busanzwe ni pancreatoduodenectomy (kubaga gukuramo umutwe wa pancreas, gallbladder, hafi ya lymph node hamwe nigice cyigifu, amara mato, nuyoboro wa bile) .
  • Ku kibyimba kirenze kimwe muri pancreas, kuvura mubisanzwe ni kubaga kugirango bakureho ikibyimba cyangwa kubagwa kugirango bakure umubiri n'umurizo wa pancreas.
  • Ku bibyimba bidashobora gukurwaho no kubagwa, ubuvuzi bushobora kubamo ibi bikurikira:
  • Ubuvuzi bwa chimiotherapie.
  • Ubuvuzi bwa hormone.
  • Gukuraho radiofrequency cyangwa gukuraho cososurgical.
  • Kuri kanseri yakwirakwiriye mu mitsi cyangwa mu bindi bice by'umubiri, ubuvuzi bushobora kubamo ibi bikurikira:
  • Kubaga kugirango ukureho kanseri.
  • Gukuraho radiofrequency cyangwa gukuraho cososurgical, niba kanseri idashobora gukurwaho no kubagwa.
  • Niba kanseri yibasira cyane umwijima kandi umurwayi afite ibimenyetso bikomeye bituruka kuri hormone cyangwa mubunini bwibibyimba, ubuvuzi bushobora kubamo:
  • Hepatique arterial occlusion, hamwe na chimiotherapie ya sisitemu.
  • Chemoembolisation, hamwe cyangwa idafite chimiotherapie.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Ibindi Bibyimba bya Pancreatic Neuroendocrine (Ibibyimba by'akagari ka Islet)

Kuri VIPoma, ubuvuzi bushobora kubamo ibi bikurikira:

  • Amazi hamwe nubuvuzi bwa hormone kugirango asimbuze fluide na electrolytite zabuze mumubiri.
  • Kubaga kugirango ukureho ikibyimba hamwe na lymph node hafi.
  • Kubaga kugirango ukureho ibibyimba byinshi bishoboka mugihe ikibyimba kidashobora kuvaho burundu cyangwa cyakwirakwiriye mubice byumubiri. Ubu ni ubuvuzi bwa palliative bwo kugabanya ibimenyetso no kuzamura imibereho.
  • Kubibyimba byakwirakwiriye kuri lymph node cyangwa ibindi bice byumubiri, ubuvuzi bushobora kubamo ibi bikurikira:
  • Kubaga kugirango ukureho ikibyimba.
  • Gukuraho radiofrequency cyangwa gukuraho kososurgiki, niba ikibyimba kidashobora gukurwaho no kubagwa.
  • Ku bibyimba bikomeza gukura mugihe cyo kuvura cyangwa byakwirakwiriye mu bindi bice byumubiri, ubuvuzi bushobora kubamo ibi bikurikira:
  • Chimoterapi.
  • Ubuvuzi bugamije.

Kuri somatostatinoma, ubuvuzi bushobora kubamo ibi bikurikira:

  • Kubaga kugirango ukureho ikibyimba.
  • Kuri kanseri yakwirakwiriye mu bice bya kure by'umubiri, kubagwa kugira ngo ukureho kanseri nyinshi zishoboka kugira ngo ugabanye ibimenyetso kandi uzamure ubuzima.
  • Ku bibyimba bikomeza gukura mugihe cyo kuvura cyangwa byakwirakwiriye mu bindi bice byumubiri, ubuvuzi bushobora kubamo ibi bikurikira:
  • Chimoterapi.
  • Ubuvuzi bugamije.

Kuvura ubundi bwoko bwibibyimba bya pancreatic neuroendocrine (NETs) bishobora kubamo ibi bikurikira:

  • Kubaga kugirango ukureho ikibyimba.
  • Kuri kanseri yakwirakwiriye mu bice bya kure by'umubiri, kubagwa kugira ngo ukureho kanseri nyinshi zishoboka cyangwa imiti ya hormone kugira ngo igabanye ibimenyetso kandi imibereho myiza.
  • Ku bibyimba bikomeza gukura mugihe cyo kuvura cyangwa byakwirakwiriye mu bindi bice byumubiri, ubuvuzi bushobora kubamo ibi bikurikira:
  • Chimoterapi.
  • Ubuvuzi bugamije.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Ibibyimba bigaruka cyangwa bitera imbere Neuroendocrine Ibibyimba (Islet Cell Tumors)

Kuvura ibibyimba bya pancreatic neuroendocrine (NET) bikomeza gukura mugihe cyo kuvura cyangwa kugaruka (kugaruka) bishobora kuba bikubiyemo ibi bikurikira:

  • Kubaga kugirango ukureho ikibyimba.
  • Chimoterapi.
  • Ubuvuzi bwa hormone.
  • Ubuvuzi bugamije.
  • Ku mwijima metastase:
  • Imiti yo mu karere.
  • Hepatique arterial occlusion cyangwa chemoembolisation, hamwe na chimiotherapie ya sisitemu.
  • Ikigeragezo cyamavuriro yubuvuzi bushya.

Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.

Kugira ngo umenye byinshi kubyerekeranye na pancreatic Neuroendocrine Tumors (Islet Cell Tumors)

Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeye ibibyimba bya pancreatic neuroendocrine (NET), reba ibi bikurikira:

  • Kanseri y'urwagashya Urupapuro
  • Intego zo kuvura Kanseri

Kumakuru rusange ya kanseri nibindi bikoresho biva mu kigo cyigihugu cya kanseri, reba ibi bikurikira:

  • Ibyerekeye Kanseri
  • Gutegura
  • Chimiotherapie nawe: Inkunga kubantu barwaye Kanseri
  • Ubuvuzi bwimirasire nawe: Inkunga kubantu barwaye Kanseri
  • Guhangana na Kanseri
  • Ibibazo byo Kubaza Muganga wawe kuri Kanseri
  • Abacitse ku icumu n'abarezi


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