Mhando / pancreatic / murwere / pnet-kurapwa-pdq

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Pancreatic Neuroendocrine Tumors (Islet Cell Tumors) Kurapa (®) -Patient Shanduro

General Ruzivo nezve Pancreatic Neuroendocrine Tumors (Islet Cell Tumors)

PFUNGWA DZINOKOSHA

  • Pancreatic neuroendocrine mamota anoumba mumasero ekugadzira mahormone (islet maseru) epancreas.
  • Pancreatic NETs anogona kana asingakonzere zviratidzo kana zviratidzo.
  • Kune akasiyana marudzi eanoshanda epancreatic NETs.
  • Kuve nemamwe syndromes kunogona kuwedzera njodzi yepancreatic NETs.
  • Mhando dzakasiyana dzepancreatic NET dzine zviratidzo zvakasiyana nezviratidzo.
  • Miedzo yeLab uye bvunzo dzekufungidzira zvinoshandiswa kuona (tsvaga) uye kuongorora pancreatic NETs.
  • Mamwe marudzi ebvunzo bvunzo anoshandiswa kutarisa iyo chaiyo mhando yepancreatic NETs.
  • Zvimwe zvinhu zvinokanganisa kufungidzira (mukana wekupora) uye sarudzo dzekurapa.

Pancreatic neuroendocrine mamota anoumba mumasero ekugadzira mahormone (islet maseru) epancreas.

Iyo pancreas idanho rinoreba anenge masendimita matanhatu rakaumbwa kunge peya mutete rakarara nedivi. Mugumo wakapamhamha wepancreas unonzi musoro, chikamu chepakati chinonzi muviri, uye mupendero wakamanikana unonzi muswe. Iyo pancreas iri kumashure kwedumbu uye pamberi pemusana.

Anatomy yepancreas. Iyo pancreas ine nzvimbo nhatu: musoro, muviri, uye muswe. Inowanikwa mudumbu padyo nedumbu, ura, uye dzimwe nhengo.

Kune marudzi maviri emasero mupancreas:

  • Endocrine pancreas masero anogadzira akati wandei mahormone (makemikari anodzora zvinoitwa nemamwe maseru kana nhengo mumuviri), senge insulin kudzora shuga yeropa. Dzinoungana pamwechete mumapoka madiki mazhinji (zvidiki) mukati meratata. Endocrine pancreas masero anonziwo maseru eislet kana zviwi zveLangerhans. Tumota dzinoumba mumaslet maseru dzinonzi islet maseru mamota, pancreatic endocrine tumors, kana pancreatic neuroendocrine tumors (pancreatic NETs).
  • Exocrine pancreas masero anogadzira enzyme ayo anosunungurwa mukati medumbu diki kubatsira muviri kugaya chikafu. Mazhinji epancreas anogadzirwa nematuru ane masaga madiki panoperera ma ducts, ayo akasungirirwa nemaseru exocrine.

Iyi pfupiso inokurukura islet maseru mamota eendocrine pancreas. Ona pfupiso ye paPancreatic Cancer Treatment (Adult) yeruzivo nezve exocrine kenza yepancreatic.

Pancreatic neuroendocrine tumors (NETs) inogona kunge iri benign (kwete cancer) kana yakaipa (cancer). Kana pancreatic NETs yakaipa, inonzi pancreatic endocrine cancer kana islet cell carcinoma.

Pancreatic NETs haina kujairika zvakanyanya pane pancreatic exocrine mamota uye ane fungidziro iri nani.

Pancreatic NETs anogona kana asingakonzere zviratidzo kana zviratidzo.

Pancreatic NETs inogona kushanda kana kusashanda:

  • Anoshanda mamota anoita akawedzera mamwe mahormone, akadai gastrin, insulin, uye glucagon, ayo anokonzeresa zviratidzo nezviratidzo.
  • Mamota asingashande haaite mamwe mahormone akawedzera. Zviratidzo nezviratidzo zvinokonzerwa nebundu parinopararira uye richikura. Mazhinji mamota asingashande ane malignant (cancer).

Mazhinji pancreatic NETs anoshanda mamota.

Kune akasiyana marudzi eanoshanda epancreatic NETs.

Pancreatic NETs inogadzira mhando dzakasiyana dzehormone senge gastrin, insulin, uye glucagon. Inoshanda pancreatic NETs inosanganisira zvinotevera:

  • Gastrinoma - Bundu rinoumbwa mumasero anogadzira gastrin. Gastrin ihormone inokonzeresa kuti dumbu riburitse asidhi inobatsira kugaya chikafu. Ose gastrin uye mudumbu asidhi zvinowedzerwa negastrinomas. Kana yakawedzera dumbu acid, maronda emudumbu, uye manyoka zvinokonzerwa nebundu rinogadzira gastrin, inonzi Zollinger-Ellison syndrome. Iyo gastrinoma inowanzo kuumba mumusoro wepancreas uye dzimwe nguva inoumba mumukati mudumbu. Mazhinji gastrinomas akaipa (kenza).
  • Insulinoma: Bundu rinoumba mumasero anogadzira insulin. Insulin ihormone inodzora huwandu hweshuga (shuga) muropa. Iyo inofambisa glucose kupinda mumasero, uko kwainogona kushandiswa nemuviri kune simba. Insulinomas kazhinji anononoka-kukura mamota ayo asingawanzo kupararira. Iyo insulinoma inoumba mumusoro, muviri, kana muswe wepancreas. Insulinomas inowanzo kuve benign (kwete cancer).
  • Glucagonoma - Bundu rinoumbwa mumasero anoita glucagon. Glucagon ihormone inowedzera huwandu hweglucose muropa. Inokonzera chiropa kuputsa glycogen. Glucagon yakawandisa inokonzera hyperglycemia (shuga yeropa). Glucagonoma inowanzo fomu mumuswe wepancreas. Mazhinji glucagonomas akaipa (cancer).
  • Dzimwe mhando dzemamota: Kune mamwe marudzi asingawanzo mashandiro epancreatic NETs anoita mahormone, kusanganisira mahormone anodzora muyero weshuga, munyu, uye mvura mumuviri. Aya mamota anosanganisira:
  • VIPomas, ayo anoita vasoactive mudumbu peptide. VIPoma inogona zvakare kunzi Verner-Morrison syndrome.
  • Somatostatinomas, iyo inogadzira somatostatin.

Aya mamwe marudzi emamota akabatanidzwa pamwechete nekuti anorapwa nenzira yakafanana.

Kuve nemamwe syndromes kunogona kuwedzera njodzi yepancreatic NETs.

Chero chipi zvacho chinowedzera njodzi yako yekuwana chirwere chinonzi njodzi chinhu. Kuva nenjodzi hazvireve kuti uchawana gomarara; kusava nenjodzi hazvireve kuti hauzobatwe negomarara. Taura nachiremba wako kana iwe uchifunga kuti ungave uri panjodzi.

Akawanda endocrine neoplasia mhando 1 (MEN1) syndrome ndiyo njodzi inokonzera pancreatic NETs.

Mhando dzakasiyana dzepancreatic NET dzine zviratidzo zvakasiyana nezviratidzo.

Zviratidzo kana zviratidzo zvinogona kukonzerwa nekukura kwebundu uye / kana nemahormone iro bundu rinoita kana nemamwe mamiriro. Mamwe mamota anogona kusakonzera zviratidzo kana zviratidzo. Tarisa nachiremba wako kana uine chero eaya matambudziko.

Zviratidzo nezviratidzo zveasina-kushanda pancreatic NET

Iyo isingashande pancreatic NET inogona kukura kwenguva yakareba isina kukonzera zviratidzo kana zviratidzo. Inogona kukura yakakura kana kupararira kune dzimwe nhengo dzomuviri isati yakonzera zviratidzo kana zviratidzo, senge:

  • Manyoka.
  • Kuzvidya mwoyo.
  • Bundu mudumbu.
  • Marwadzo mudumbu kana musana.
  • Yero yeganda uye vachena vemeso.

Zviratidzo uye zviratidzo zveanoshanda pancreatic NET

Zviratidzo nezviratidzo zveanoshanda pancreatic NET zvinoenderana nerudzi rwehomoni inogadzirwa.

Gastrin yakawandisa inogona kukonzera:

  • Zvironda zvemudumbu zvinoramba zvichidzoka.
  • Marwadzo mudumbu, ayo anogona kupararira kumashure. Iwo marwadzo anogona kuuya uye kuenda uye anogona kuenda mushure mekutora antacid.
  • Kuyerera kwezvinhu zvemudumbu zvichidzokera mukati medu (gastroesophageal reflux).
  • Manyoka.

Kunyanya insulin inogona kukonzera:

  • Shuga shoma yeropa. Izvi zvinogona kukonzeresa kuona, kurwadziwa nemusoro, uye kunzwa musoro usina musoro, kuneta, kushaya simba, kugwinha, kutya, kutsamwa, kudikitira, kuvhiringidzika, kana kunzwa nzara.
  • Kurumidza kurova kwemoyo.

Glucagon yakawandisa inogona kukonzera:

  • Kuputika kweganda kumeso, mudumbu, kana makumbo.
  • Yakakwira ropa shuga. Izvi zvinogona kukonzera kutemwa nemusoro, kugara uchiita weti, kuoma ganda nemuromo, kana kunzwa nzara, nyota, kuneta, kana kushaya simba.
  • Ropa rinovhara. Ropa rinovhara mumapapu rinogona kukonzera kupfupika kwemweya, kukosora, kana kurwadziwa mubhokisi. Kuvhara ropa muruoko kana gumbo kunogona kukonzera kurwadziwa, kuzvimba, kudziya, kana kutsvuka kweruoko kana gumbo.
  • Manyoka.
  • Kurera huremu pasina chikonzero chinozivikanwa.
  • Rurimi rwunorwadza kana maronda pamakona emuromo.

Kunyanya vasoactive mudumbu peptide (VIP) inogona kukonzera:

  • Yakakura kwazvo manyoka emvura manyoka.
  • Kupera mvura mumuviri. Izvi zvinogona kukonzera kunzwa nyota, kuita shoma weti, yakaoma ganda uye muromo, kutemwa nemusoro, dzungu, kana kunzwa kuneta.
  • Potasiamu yakaderera muropa. Izvi zvinogona kukonzeresa kushomeka kwemhasuru, kurwadza, kana kugwinha, chiveve nekurumwa, kugara uchiita weti, kukurumidza kurova kwemoyo, uye kunzwa kuvhiringidzika kana nyota.
  • Makorokoto kana kurwadziwa mudumbu.
  • Kurera huremu pasina chikonzero chinozivikanwa.

Yakawandisa somatostatin inogona kukonzera:

  • Yakakwira ropa shuga. Izvi zvinogona kukonzera kutemwa nemusoro, kugara uchiita weti, kuoma ganda nemuromo, kana kunzwa nzara, nyota, kuneta, kana kushaya simba.
  • Manyoka.
  • Steatorrhea (chigaro chinonhuwirira zvakanyanya chinoyangarara).
  • Matombo.
  • Yero yeganda uye vachena vemeso.
  • Kurera huremu pasina chikonzero chinozivikanwa.

Pancreatic NET inogona zvakare kuita yakawandisa adrenocorticotropic hormone (ACTH) uye inokonzeresa Cushing syndrome. Zviratidzo nezviratidzo zveCushing syndrome zvinosanganisira zvinotevera:

  • Kutemwa nemusoro.
  • Kumwe kurasikirwa kwemaonero.
  • Kurema kuwedzera kumeso, mutsipa, uye hunde yemuviri, uye maoko matete nemakumbo.
  • Bundu remafuta kumusana kwemutsipa.
  • Ganda rakatetepa rinogona kunge riine ruvara rwepepuru kana rwepingi paruoko kana padumbu.
  • Kupwanya kuri nyore.
  • Kukura kwevhudzi rakanaka pachiso, kumusoro kumashure, kana maoko.
  • Mabhonzo anotyoka zviri nyore.
  • Maronda kana maronda anopora zvishoma nezvishoma.
  • Kuzvidya mwoyo, kutsamwa, uye kuora mwoyo.

Kurapa kwepancreatic NETs inoita yakawandisa ACTH uye Cushing syndrome haina kukurukurwa muchidimbu ichi.

Miedzo yeLab uye bvunzo dzekufungidzira zvinoshandiswa kuona (tsvaga) uye kuongorora pancreatic NETs.

Iyi inotevera bvunzo uye maitiro anogona kushandiswa:

  • Kuongorora kwepanyama uye nhoroondo: Kuongororwa kwemuviri kutarisa zviratidzo zvehutano, kusanganisira kuongorora zviratidzo zvehosha, zvakadai semapundu kana chero chinhu chinoratidzika sechisina kujairika. Nhoroondo yemaitiro ehutano hwemurwere uye kurwara kwakapfuura uye kurapwa kuchatorwawo.
  • Ropa kemesitiri zvidzidzo: Maitiro ekuti muyero weropa unotariswa kuyera huwandu hwezvimwe zvinhu, zvakaita seglucose (shuga), inoburitswa muropa nenhengo uye nyama munyama. Chinhu chisina kujairika (chakakwirira kana chakaderera pane zvakajairwa) chiyero chechinhu chinogona kunge chiri chiratidzo chechirwere.
  • Chromogranin A bvunzo: Chiyero umo muyero weropa unotariswa kuyera huwandu hwechromogranin A muropa. Iyo yakakwira kupfuura yakajairwa huwandu hwechromogranin A uye zvakajairwa huwandu hwehomoni senge gastrin, insulin, uye glucagon inogona kuve chiratidzo cheisiri-inoshanda pancreatic NET.
  • Abdominal CT scan (CAT scan): Maitiro anoita akateedzana emifananidzo yakajeka yedumbu, inotorwa kubva kwakasiyana mativi. Mifananidzo yacho inogadzirwa nekombuta yakabatana neiyo x-ray muchina. Dhayi inogona kuiswa jekiseni kana kumedzwa kubatsira nhengo kana zvinyama kuratidza zvakajeka. Iyi nzira inonziwo computed tomography, computerized tomography, kana komputa axial tomography.
  • MRI (magnetic resonance imaging): Maitiro anoshandisa magineti, masaisai eredhiyo, uye komputa kugadzira yakateedzana mifananidzo yakajeka yenzvimbo dziri mukati memuviri. Iyi nzira inonziwo nyukireya magnetic resonance imaging (NMRI).
  • Somatostatin receptor scintigraphy: Rudzi rwe radionuclide scan iyo inogona kushandiswa kutsvaga diki pancreatic NETs. Chishoma che radioactive octreotide (mahormone anonamira kumamota) inopinzwa mutsinga uye ichifamba kuburikidza neropa. Iyo radioactive octreotide inonamira kune iro bundu uye yakakosha kamera iyo inoona radioactivity inoshandiswa kuratidza kuti pane mamota ari mumuviri. Maitiro aya anonziwo octreotide scan uye SRS.
  • Endoscopic ultrasound (EUS): Maitiro umo endoscope inoiswa mumuviri, kazhinji kuburikidza nemuromo kana rectum. Endoscope chishoma, chubhu-senge chiridzwa chine mwenje uye lens yekuona. Probe panoperera endosikopu inoshandiswa kubaya mafungu ane simba-ruzha (ultrasound) kubva munyama dzemukati kana mitezo uye kuita maungira. Maungira anoumba mufananidzo wemuviri munyama unonzi sonogram. Maitiro aya anonziwo endosonography.
  • Endoscopic kudzokorora cholangiopancreatography (ERCP):Maitiro anoshandiswa ku-x-ray iyo ducts (machubhu) anotakura bile kubva pachiropa kuenda kune nduru uye kubva kune nduru kuenda kuura hudiki. Dzimwe nguva kenza yepancreatic inokonzeresa kuti ma ducts aya atete uye avhare kana kunonoka kuyerera kwe bile, zvichikonzera jaundice. Endoscope inopfuudzwa nemumuromo, esophagus, uye mudumbu muchikamu chekutanga chemukati mudumbu. Endoscope chishoma, chubhu-senge chiridzwa chine mwenje uye lens yekuona. Iyo catheter (diki chubhu) inozoiswa kuburikidza neiyo endoscope muipancreatic ducts. Dhayi inorowa kuburikidza necatheter mumakomba uye x-ray inotorwa. Kana ma ducts akavharwa nebundu, chubhu yakanaka inogona kupinzwa munzira kuti izarurwe. Iyi chubhu (kana stent) inogona kusiiwa munzvimbo kuti irambe nzira yakavhurika. Masampuli enyama anogona zvakare kutorwa uye kuongororwa pasi pe microscope yezviratidzo zvegomarara.
  • Angiogram: Maitiro ekutarisa tsinga dzeropa uye kuyerera kweropa. Dhayi rakasiyana rinoiswa muropa reropa. Sezvo dhayi yekusiyanisa inofamba ichitevedza muropa reropa, ma-ray anotorwa kuti aone kana paine chero mabheji.
  • Laparotomy: Maitiro ekuvhiya umo kucheka (kucheka) kunoitwa pamadziro edumbu kutarisa mukati medumbu zviratidzo zvehosha. Iko kukura kweiyo incision kunoenderana nechikonzero icho laparotomy iri kuitwa. Dzimwe nguva nhengo dzinobviswa kana masampuli etinyoro anotorwa otariswa pasi pemaikorosikopo kuti aone zviratidzo zvehosha.
  • Intraoperative ultrasound: Maitiro anoshandisa yakakwira-simba kurira masaisai (ultrasound) kugadzira mifananidzo yenhengo dzemukati kana zvinyama panguva yekuvhiyiwa. Transducer yakaiswa yakanangana nenhengo kana munyama inoshandiswa kugadzira masaisai ezwi, ayo anogadzira maungira. Transducer inogamuchira maungira uye anoatumira kukombuta, iyo inoshandisa maungira kuita mifananidzo inonzi sonograms.
  • Biopsy: Kubviswa kwemasero kana zvinyama kuitira kuti vagone kutariswa pasi pe microscope nachiremba wekutarisa zviratidzo zvecancer. Kune nzira dzinoverengeka dzekuita biopsy yepancreatic NETs. Masero anogona kubviswa uchishandisa yakanaka kana yakafara tsono inopinzwa mupancreas panguva ye x-ray kana ultrasound. Tissue inogona zvakare kubviswa panguva ye laparoscopy (yekuvhiya inoitwa pamadziro emudumbu).
  • Bone scan: Maitiro ekutarisa kana paine nekukurumidza kupatsanura masero, senge kenza maseru, mupfupa. Chinhu chidiki kwazvo che radioactive chakabayiwa mutsinga uye chinofamba neropa. Iyo radioactive zvinhu inounganidza mumapfupa ane cancer uye inoonekwa ne scanner.

Mamwe marudzi ebvunzo bvunzo anoshandiswa kutarisa iyo chaiyo mhando yepancreatic NETs.

Iyi inotevera bvunzo uye maitiro anogona kushandiswa:

Gastrinoma

  • Kutsanya serum gastrin bvunzo: Chiyero umo muyero weropa unotariswa kuyera huwandu hwegastrin muropa. Bvunzo iyi inoitwa mushure mekunge murwere asisina chekudya kana kunwa kwemaawa masere. Mamiriro ezvinhu asiri gastrinoma anogona kukonzera kuwanda kweiyo gastrin muropa.
  • Basal acid kuburitsa bvunzo: Chiyero chekuyera huwandu hweacid inogadzirwa nedumbu. Muedzo unoitwa mushure mekunge murwere ashaya chekudya kana kunwa kwemaawa masere chete. Chubhu inoiswa kuburikidza nemhino kana huro, mudumbu. Izvo zvemukati zvemudumbu zvinobviswa uye mana sampu yegastric acid inobviswa kuburikidza nehubhu. Aya masampuli anoshandiswa kutsvaga huwandu hwegastric acid inogadzirwa panguva yekuyedzwa uye iyo pH nhanho yegastric secretions.
  • Secretin yekusimudzira bvunzo: Kana iyo basal acid kuburitsa bvunzo mhedzisiro isiri yakajairwa, secretin yekukurudzira bvunzo inogona kuitwa. Iyo chubhu inofambiswa ichipinda mudumbu diki uye masampuli anotorwa kubva mudumbu ura mushure mekunge mushonga unonzi secretin wabayiwa. Secretin inokonzera ura hudiki kugadzira asidhi. Kana paine gastrinoma, iyo secretin inokonzeresa kuwedzera kwekuti yakawanda sei gastric acid inogadzirwa uye nhanho yegastrin muropa.
  • Somatostatin receptor scintigraphy: Rudzi rwe radionuclide scan iyo inogona kushandiswa kutsvaga diki pancreatic NETs. Chishoma che radioactive octreotide (mahormone anonamira kumamota) inopinzwa mutsinga uye ichifamba kuburikidza neropa. Iyo radioactive octreotide inonamira kune iro bundu uye yakakosha kamera iyo inoona radioactivity inoshandiswa kuratidza kuti pane mamota ari mumuviri. Maitiro aya anonziwo octreotide scan uye SRS.

Insulinoma

  • Kutsanya serum glucose uye muyedzo we insulin: Muedzo umo muyero weropa unoongororwa kuyera huwandu hweshuga (shuga) uye insulin muropa. Muedzo unoitwa mushure mekunge murwere ashaya chekudya kana kunwa kwemaawa makumi maviri nemana.

Glucagonoma [[[[[[[

  • Kutsanya serum glucagon bvunzo: Chiyero umo muyero weropa unotariswa kuyera huwandu hweglucagon muropa. Muedzo unoitwa mushure mekunge murwere ashaya chekudya kana kunwa kwemaawa masere chete.

Mamwe mamota mhando

  • VIPoma
  • Serum VIP (vasoactive intestinal peptide) bvunzo: Chiyero umo muyero weropa unoongororwa kuyera huwandu hweVIP.
  • Ropa kemesitiri zvidzidzo: Maitiro umo muyedzo weropa unoongororwa kuyera huwandu hwezvimwe zvinhu zvakaburitswa muropa nenhengo uye nyama munyama. Chinhu chisina kujairika (chakakwirira kana chakaderera pane zvakajairwa) chiyero chechinhu chinogona kunge chiri chiratidzo chechirwere. MuVIPoma, pane yakaderera pane yakajairwa huwandu hwe potassium.
  • Stool ongororo: Chigadziko chetsoka chinotariswa chepamusoro pane zvakajairwa sodium (munyu) uye potasiamu mazinga.
  • Somatostatinoma
  • Kutsanya serum somatostatin bvunzo: Chiyero umo muyero weropa unotariswa kuyera huwandu hwesomatostatin muropa. Muedzo unoitwa mushure mekunge murwere ashaya chekudya kana kunwa kwemaawa masere chete.
  • Somatostatin receptor scintigraphy: Rudzi rwe radionuclide scan iyo inogona kushandiswa kutsvaga diki pancreatic NETs. Chishoma che radioactive octreotide (mahormone anonamira kumamota) inopinzwa mutsinga uye ichifamba kuburikidza neropa. Iyo radioactive octreotide inonamira kune iro bundu uye yakakosha kamera iyo inoona radioactivity inoshandiswa kuratidza kuti pane mamota ari mumuviri. Maitiro aya anonziwo octreotide scan uye SRS.

Zvimwe zvinhu zvinokanganisa kufungidzira (mukana wekupora) uye sarudzo dzekurapa.

Pancreatic NETs anogona kazhinji kurapwa. Kufungidzira (mukana wekupora) uye sarudzo dzekurapa dzinoenderana nezvinotevera:

  • Rudzi rwekenza kenza.
  • Iko iko bundu rinowanikwa mupancreas.
  • Kunyangwe bundu rakapararira kunzvimbo dzinopfuura imwechete mupancreas kana kune dzimwe nhengo dzemuviri.
  • Kunyangwe murwere ane MEN1 syndrome.
  • Zera remurwere uye hutano hwese.
  • Kunyangwe kenza ichangobva kuongororwa kana kuti yadzokazve (dzoka).

Matanho ePancreatic Neuroendocrine Tumors

PFUNGWA DZINOKOSHA

  • Chirongwa chekurapwa nekenza chinoenderana nekuti NET inowanikwa kupi mupancreas uye kuti yapararira here.
  • Pane nzira nhatu dzinopararira negomarara mumuviri.
  • Gomarara rinogona kutapukira kubva kwarakatanga kuenda kune dzimwe nhengo dzemuviri.

Chirongwa chekurapwa nekenza chinoenderana nekuti NET inowanikwa kupi mupancreas uye kuti yapararira here.

Maitiro anoshandiswa kutsvaga kana gomarara rapararira mukati mepancreas kana kune dzimwe nhengo dzemuviri inonzi staging. Mhedzisiro yemiyedzo uye maitiro anoshandiswa kuongorora pancreatic neuroendocrine tumors (NETs) anoshandiswa zvakare kuziva kana gomarara rapararira. Ona iyo General Ruzivo chikamu kune tsananguro yeaya mabvunzo uye maitiro.

Kunyangwe paine yakajairwa sisitimu sisitimu yepancreatic NETs, ​​haina kushandiswa kuronga kurapwa. Kurapa kwepancreatic NETs kunoenderana nezvinotevera:

  • Kunyangwe gomarara richiwanikwa munzvimbo imwechete mupancreas.
  • Kunyangwe iyo kenza inowanikwa munzvimbo dzinoverengeka mupancreas.
  • Kunyangwe kenza yapararira kune lymph node padyo nepancreas kana kune zvimwe zvikamu zvemuviri zvakaita sechiropa, mapapu, peritoneum, kana pfupa.

Pane nzira nhatu dzinopararira negomarara mumuviri.

Kenza inogona kupararira kuburikidza nematinji, iyo lymph system, uye neropa:

  • Tishu. Kenza inopararira kubva kwayakatanga nekukura ichipinda munzvimbo dziri pedyo.
  • Lymph maitiro. Kenza inopararira kubva kwayakatanga nekupinda muiyo lymph system. Kenza inofamba nemumidziyo yema lymph ichienda kune dzimwe nhengo dzemuviri.
  • Ropa. Kenza inopararira kubva payakatanga nekupinda muropa. Kenza inofamba nemidzi yeropa ichienda kune dzimwe nhengo dzemuviri.

Gomarara rinogona kutapukira kubva kwarakatanga kuenda kune dzimwe nhengo dzemuviri.

Kana kenza ikapararira kune chimwe chikamu chemuviri, inonzi metastasis. Cancer maseru anotsemuka kubva kwaakatanga (iro bundu rekutanga) uye achifamba kuburikidza neye lymph system kana ropa.

  • Lymph maitiro. Gomarara rinopinda mu "lymph system", rinofamba nemumidziyo ye "lymph", uye rinogadzira bundu (metastatic tumor) mune chimwe chikamu chemuviri.
  • Ropa. Kenza inopinda muropa, inofamba nemutsinga dzeropa, yoita bundu (metastatic tumor) mune chimwe chikamu chemuviri.

Iyo metastatic bundu ndiyo imwecheteyo mhando yebundu seyokutanga bundu. Semuenzaniso, kana pancreatic neuroendocrine bundu rikapararira kuchiropa, maseru emota ari muchiropa ari neuroendocrine tumarara maseru. Hosha iyi metastatic pancreatic neuroendocrine bundu, kwete gomarara rechiropa.

Dzokororo Pancreatic Neuroendocrine Tumors

Anowanzoitika pancreatic neuroendocrine tumors (NETs) mamota ayo adzokazve (adzoka) mushure mekurapwa. Mamota anogona kudzoka mupancreas kana mune zvimwe zvikamu zvemuviri.

Kurapa Sarudzo Kuongorora

PFUNGWA DZINOKOSHA

  • Kune akasiyana marudzi ekurapa kwevarwere vane pancreatic NETs.
  • Mhando nhanhatu dzekurapwa kwakajairika dzinoshandiswa:
  • Kuvhiya
  • Chemotherapy
  • Hormone kurapa
  • Hepatic arterial kuvharirwa kana chemoembolization
  • Targeted kurapwa
  • Kutsigira kutarisirwa
  • Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.
  • Kurapa kwepancreatic neuroendocrine tumors kunogona kukonzera mhedzisiro.
  • Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.
  • Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.
  • Yekutevera-bvunzo inogona kudikanwa.

Kune akasiyana marudzi ekurapa kwevarwere vane pancreatic NETs.

Mhando dzakasiyana dzekurapa dzinowanikwa kune varwere vane pancreatic neuroendocrine tumors (NETs). Mamwe marapirwo akajairwa (iko kurapwa kwazvino kwashandiswa), uye kumwe kuedzwa mumakiriniki ekuedzwa A kurapwa kiriniki kuyedzwa chidzidzo chekutsvaga chakaitirwa kubatsira kuvandudza marapirwo azvino kana kuwana ruzivo marapirwo matsva evarwere vane gomarara. Kana kiriniki miedzo ikaratidza kuti kurapwa kutsva kuri nani pane kwese kurapwa, kurapwa kutsva kunogona kuve kwakajairwa kurapwa. Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki. Mimwe miedzo yekiriniki yakavhurwa chete kune varwere vasina kutanga kurapwa.

Mhando nhanhatu dzekurapwa kwakajairika dzinoshandiswa:

Kuvhiya

Kuvhiya kunogona kuitwa kubvisa bundu. Imwe yemhando dzinotevera dzekuvhiya dzinogona kushandiswa:

  • Enucleation: Kuvhiya kubvisa bundu chete. Izvi zvinogona kuitwa kana gomarara richiitika munzvimbo imwechete mupancreas.
  • Pancreatoduodenectomy: Maitiro ekuvhiya ayo musoro wepancreas, iyo nduru, ma lymph node ari padyo uye chikamu chedumbu, ura mudiki, uye dope duct zvinobviswa. Zvakaringana rwatata rwakasara kugadzira majuini ekugaya uye insulin. Nhengo dzakabviswa panguva iyi dzinoenderana nemamiriro emurwere. Izvi zvinodaidzwa zvakare kuti nzira yeWhipple.
  • Distre pancreatectomy: Kuvhiya kubvisa muviri uye muswe wepancreas. Iyo spleen inogona zvakare kubviswa kana cancer yakapararira kune iyo spleen.
  • Yese gastrectomy: Kuvhiya kubvisa dumbu rese.
  • Parietal cell vagotomy: Kuvhiya kutema tsinga inokonzera maseru emudumbu kuita acid.
  • Chiropa resection: Kuvhiya kubvisa chikamu kana chiropa chose.
  • Radiofrequency ablation: Iko kushandiswa kweiyo yakakosha probe ine tudiki ma electrode anouraya cancer maseru. Dzimwe nguva probe inoiswa yakananga kuburikidza neganda uye inesthesia yemuno chete inodiwa. Mune zvimwe zviitiko, iyo probe inoiswa kuburikidza nekacheka mudumbu. Izvi zvinoitwa muchipatara neanesthesia yakajairika.
  • Cryosurgical ablation: Maitiro ayo matishu akaomeswa nechando kuti aparadze masero asina kujairika. Izvi zvinowanzoitwa nechiridzwa chakakosha chine nitrogen yemvura kana mvura carbon dioxide. Chishandiso chinogona kushandiswa panguva yekuvhiyiwa kana laparoscopy kana kuiswa kuburikidza neganda. Iyi nzira inonziwo cryoablation.

Chemotherapy

Chemotherapy mushonga wekenza unoshandisa mishonga kumisa kukura kwemasero ekenza, kungave nekuuraya maseru kana nekuamisa iwo kubva pakupatsanuka. Kana chemotherapy ikatorwa nemuromo kana kujowa mutsinga kana mhasuru, mishonga inopinda muropa uye inogona kusvika masero emukenza mumuviri wese (systemic chemotherapy). Kana chemotherapy ikaiswa yakanangana necerebrospinal fluid, nhengo, kana dumbu remuviri senge dumbu, iwo madhiragi anonyanya kukanganisa cancer maseru munzvimbo idzodzo (remunharaunda chemotherapy). Kusanganisa chemotherapy ndiko kushandiswa kweanopfuura imwe anticancer mushonga. Nzira iyo chemotherapy inopihwa inoenderana nemhando yekenza iri kurapwa.

Hormone kurapa

Hormone kurapwa kurapa kenza inobvisa mahormone kana ichivhara maitiro avo uye inomisa maseru ekenza kubva mukukura. Mahormone zvinhu zvinogadzirwa nemaronda mumuviri uye zvinotenderera muropa. Mamwe mahormone anogona kukonzera mamwe cancer kuti ikure. Kana bvunzo dzichiratidza kuti maseru egomarara ane nzvimbo dzinogona kubatirira mahormone (receptors), zvinodhaka, kuvhiyiwa, kana kurapwa nemwaranzi kunoshandiswa kudzikisa kugadzirwa kwehormone kana kuvharidzira kushanda.

Hepatic arterial kuvharirwa kana chemoembolization

Hepatic arterial occlusion inoshandisa zvinodhaka, zvidimbu zvidiki, kana zvimwe zvinomiririra kuvhara kana kudzikisira kuyerera kweropa kuchiropa kuburikidza neiyo hepatic arteri (iro hombe reropa rinotakura ropa kuenda kuchiropa). Izvi zvinoitirwa kuuraya cancer maseru ari kukura muchiropa. Bundu rinotadziswa kuwana iyo oxygen uye zvinovaka muviri zvainoda kukura. Chiropa chinoramba chichigamuchira ropa kubva kune hepatic portal vein, iyo inotakura ropa kubva mudumbu uye ura.

Chemotherapy inounzwa panguva yehepatic arterial occlusion inonzi chemoembolization. Mushonga weanticancer unopinda mukati meiyo hepatic artery kuburikidza necatheter (yakatetepa chubhu). Mushonga uyu wakasanganiswa nechinhu chinodzivirira tsinga uye chinotema kuyerera kweropa kuenda kubundu. Mazhinji emushonga weacancer akabatwa padhuze nebundu uye hushoma chete hwemushonga hunosvika kune dzimwe nhengo dzemuviri.

Kuvharika kwacho kungave kwechinguva kana kwechigarire, zvinoenderana nechinhu chinoshandiswa kuvhara tsinga.

Targeted kurapwa

Targeted therapy mhando yekurapa inoshandisa zvinodhaka kana zvimwe zvinhu kuti zvione uye kurwisa chaiwo maseru ekenza pasina kukuvadza zvakajairika maseru. Dzimwe mhando dzeanotarisirwa marapirwo ari kuongororwa mukurapa kwepancreatic NETs.

Kutsigira kutarisirwa

Kuchengetedzwa kunopihwa kudzikisira matambudziko anokonzerwa nechirwere kana kurapwa kwacho. Kutsigira kutarisirwa kwepancreatic NETs kunogona kusanganisira kurapwa kweanotevera:

  • Zvironda zvemudumbu zvinogona kurapwa nemushonga wezvinodhaka senge:
  • Proton pump inhibitor zvinodhaka zvakadai se omeprazole, lansoprazole, kana pantoprazole.
  • Histamine ichivharira zvinodhaka senge cimetidine, ranitidine, kana famotidine.
  • Somatostatin-mhando zvinodhaka senge octreotide.
  • Dhairrhea inogona kurapwa ne:
  • Intravenous (IV) zvinwiwa zvine maelectrolyte senge potasium kana chloride.
  • Somatostatin-mhando zvinodhaka senge octreotide.
  • Shuga yeropa yakadzika inogona kurapwa nekuve nezvidiki, zvekudya kazhinji kana nemushonga wezvinodhaka kuchengetedza huwandu hweshuga yeropa.
  • Shuga yepamusoro yeropa inogona kurapwa nemishonga inotorwa nemuromo kana insulin nejekiseni.

Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

Ruzivo nezve kiriniki miedzo inowanikwa kubva kuNCI webhusaiti.

Kurapa kwepancreatic neuroendocrine tumors kunogona kukonzera mhedzisiro.

Kuti uwane ruzivo nezve mhedzisiro inokonzerwa nekurapwa kwegomarara, ona yedu Side Mhedzisiro peji.

Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

Kune vamwe varwere, kutora chikamu mumuedzo wekiriniki inogona kunge iri sarudzo yekurapa yakanyanya kunaka. Kliniki miedzo chikamu chekenza tsvagiridzo. Zvemakiriniki miedzo inoitwa kuti uone kana marapirwo matsva egomarara akachengeteka uye achishanda kana zvirinani pane akajairwa kurapwa.

Mazhinji emazuva ano marapirwo akajairwa ekenza akavakirwa pamavambo emakiriniki ekuedzwa. Varwere vanotora chikamu mukuyedzwa kwekiriniki vanogona kuwana kurapwa kwakaringana kana kuve pakati pevekutanga kurapwa kutsva.

Varwere vanotora chikamu mumiedzo yekiriniki zvakare vanobatsira kugadzirisa marapirwo achaitwa kenza mune ramangwana. Kunyangwe kana miedzo yemakiriniki isinga tangire kumarapirwo matsva anoshanda, anowanzo pindura mibvunzo yakakosha uye anobatsira kufambisira mberi kutsvagurudza.

Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

Mimwe miedzo yekiriniki inosanganisira chete varwere vasati vagamuchira kurapwa. Mimwe miedzo yekuedza kurapwa kwevarwere vane kenza haina kuve nani. Kune mamwezve emakiriniki miedzo inoedza nzira nyowani dzekumisa cancer kubva kudzokororazve (kudzoka) kana kudzikisira mhedzisiro yemakenza kurapwa.

Kuedzwa kwemakiriniki kuri kuitika munzvimbo zhinji dzenyika. Ruzivo nezve kiriniki miedzo inotsigirwa neNCI inogona kuwanikwa paNCI yekiriniki miedzo yekutsvaga peji rewebhu. Kliniki miedzo inotsigirwa nemamwe masangano inogona kuwanikwa pane yeClinicalTrials.gov webhusaiti.

Yekutevera-bvunzo inogona kudikanwa.

Mimwe miedzo yakaitwa kuongorora gomarara kana kutsvaga danho rekenza inogona kudzokororwa. Dzimwe bvunzo dzinodzokororwa kuitira kuti vaone kuti kurapa kuri kushanda sei. Sarudzo nezvekuti uenderere mberi, shandura, kana kumisa kurapwa kunogona kunge kuchibva pamhedzisiro yeiyi bvunzo.

Mimwe bvunzo ichaenderera ichiitwa nguva nenguva mushure mekunge kurapwa kwapera. Mhedzisiro yeiyi bvunzo inogona kuratidza kana mamiriro ako achinja kana kana gomarara radzoka (dzoka). Iyi bvunzo dzimwe nguva inonzi yekuteedzera-bvunzo kana kuongorora-kumusoro.

Kurapa Sarudzo dzePancreatic Neuroendocrine Tumors

Muchikamu chino

  • Gastrinoma
  • Insulinoma
  • Glucagonoma
  • Mamwe Pancreatic Neuroendocrine Tumors (Islet Cell Tumors)
  • Kudzokorora kana Kufambira Mberi Pancreatic Neuroendocrine Tumors (Islet Cell Tumors)

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Gastrinoma

Kurapa kwegastrinoma kunogona kusanganisira kuchengetedzwa kwekutsigira uye zvinotevera:

  • Kune zviratidzo zvinokonzerwa neakawanda dumbu acid, kurapwa kunogona kuve mushonga unoderedza huwandu hweacid inogadzirwa nedumbu.
  • Kune bundu rimwe mumusoro wepancreas:
  • Kuvhiya kubvisa bundu.
  • Kuvhiya kutema tsinga inokonzeresa maseru emudumbu kuita asidhi uye kurapwa nemushonga unoderedza mudumbu acid.
  • Kuvhiya kubvisa dumbu rese (zvisingawanzoitika).
  • Kune bundu rimwe mumuviri kana muswe wepancreas, kurapwa kunowanzo kuvhiyiwa kubvisa muviri kana muswe wepancreas.
  • Pamamota mazhinji mupancreas, kurapwa kunowanzo kuvhiyiwa kubvisa muviri kana muswe wepancreas. Kana bundu rikasara mushure mekuvhiyiwa, kurapwa kunogona kusanganisira:
  • Kuvhiya kutema tsinga inokonzera maseru emudumbu kuita asidhi uye kurapwa nemushonga unoderedza mudumbu acid; kana
  • Kuvhiya kubvisa dumbu rese (zvisingawanzoitika).
  • Kune rimwe kana mamwe mamota mune iyo duodenum (chikamu chemuviri mudiki unobatana kuenda mudumbu), kurapwa kunowanzoitwa pancreatoduodenectomy (kuvhiya kubvisa musoro wepancreas, iyo nduru, node dzepedyo uye chikamu chedumbu, dumbu diki , uye bile duct).
  • Kana pasina bundu rinowanikwa, kurapwa kunogona kusanganisira zvinotevera:
  • Kuvhiya kutema tsinga inokonzeresa maseru emudumbu kuita asidhi uye kurapwa nemushonga unoderedza mudumbu acid.
  • Kuvhiya kubvisa dumbu rese (zvisingawanzoitika).
  • Kana kenza yapararira kuchiropa, kurapwa kunogona kusanganisira:
  • Kuvhiya kubvisa chikamu kana chiropa chose.
  • Radiofrequency ablation kana cryosurgical ablation.
  • Chemoembolization.
  • Kana gomarara rapararira kune dzimwe nhengo dzomuviri kana kuti rikasava nani nekuvhiya kana mishonga yekudzikisa mudumbu asidi, kurapwa kunogona kusanganisira:
  • Chemotherapy.
  • Hormone kurapa.
  • Kana kenza ikanyanya kubata chiropa uye murwere ane zvakakomba zviratidzo kubva kumahormone kana kubva pakukura kwetundu, kurapwa kunogona kusanganisira:
  • Hepatic arterial kuvharirwa, iine kana isina systemic chemotherapy.
  • Chemoembolization, iine kana isina systemic chemotherapy.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Insulinoma

Kurapa kwe insulinoma kunogona kusanganisira zvinotevera:

  • Kune rimwe bundu diki mumusoro kana muswe wepancreas, kurapwa kunowanzo kuvhiyiwa kubvisa bundu.
  • Kune rimwe bundu rakakura mumusoro wepancreas risingakwanise kubviswa nekuvhiyiwa, kurapwa kunowanzoitwa pancreatoduodenectomy (kuvhiya kubvisa musoro wepancreas, iyo nduru, node dzepedyo uye chikamu chedumbu, ura mudiki, uye dope dope) .
  • Kune rimwe bundu hombe mumuviri kana muswe wepancreas, kurapwa kunowanzoitwa distal pancreatectomy (kuvhiya kubvisa muviri nemuswe wepancreas).
  • Kune anopfuura rimwe bundu mupancreas, kurapwa kunowanzo kuvhiyiwa kubvisa chero mamota mumusoro wepancreas nemuviri nemuswe wepancreas.
  • Kune mamota asingakwanise kubviswa nekuvhiya, kurapwa kunogona kusanganisira zvinotevera:
  • Kusanganiswa chemotherapy.
  • Palliative mushonga wekurapa kudzikisa huwandu hweiyo insulin yakaitwa nepancreas.
  • Hormone kurapa.
  • Radiofrequency ablation kana cryosurgical ablation.
  • Kune kenza yakapararira kune lymph node kana zvimwe zvikamu zvemuviri, kurapwa kunogona kusanganisira zvinotevera:
  • Kuvhiya kubvisa gomarara.
  • Radiofrequency ablation kana cryosurgical ablation, kana gomarara risingakwanise kubviswa nekuvhiyiwa.
  • Kana kenza ikanyanya kubata chiropa uye murwere ane zvakakomba zviratidzo kubva kumahormone kana kubva pakukura kwetundu, kurapwa kunogona kusanganisira:
  • Hepatic arterial kuvharirwa, iine kana isina systemic chemotherapy.
  • Chemoembolization, iine kana isina systemic chemotherapy.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Glucagonoma

Kurapa kunogona kusanganisira zvinotevera:

  • Kune rimwe bundu diki mumusoro kana muswe wepancreas, kurapwa kunowanzo kuvhiyiwa kubvisa bundu.
  • Kune rimwe bundu rakakura mumusoro wepancreas risingakwanise kubviswa nekuvhiyiwa, kurapwa kunowanzoitwa pancreatoduodenectomy (kuvhiya kubvisa musoro wepancreas, iyo nduru, node dzepedyo uye chikamu chedumbu, ura mudiki, uye dope dope) .
  • Kune anopfuura rimwe bundu mupancreas, kurapwa kunowanzo kuvhiyiwa kubvisa bundu kana kuvhiya kubvisa muviri nemuswe wepancreas.
  • Kune mamota asingakwanise kubviswa nekuvhiya, kurapwa kunogona kusanganisira zvinotevera:
  • Kusanganiswa chemotherapy.
  • Hormone kurapa.
  • Radiofrequency ablation kana cryosurgical ablation.
  • Kune kenza yakapararira kune lymph node kana zvimwe zvikamu zvemuviri, kurapwa kunogona kusanganisira zvinotevera:
  • Kuvhiya kubvisa gomarara.
  • Radiofrequency ablation kana cryosurgical ablation, kana gomarara risingakwanise kubviswa nekuvhiyiwa.
  • Kana kenza ikanyanya kubata chiropa uye murwere ane zvakakomba zviratidzo kubva kumahormone kana kubva pakukura kwetundu, kurapwa kunogona kusanganisira:
  • Hepatic arterial kuvharirwa, iine kana isina systemic chemotherapy.
  • Chemoembolization, iine kana isina systemic chemotherapy.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Mamwe Pancreatic Neuroendocrine Tumors (Islet Cell Tumors)

ZveVIPoma, kurapwa kunogona kusanganisira zvinotevera:

  • Mvura nemushonga wehormone kutsiva zvinwiwa uye ma electrolyte akarasika kubva mumuviri.
  • Kuvhiya kubvisa bundu uye lymph node dziri pedyo.
  • Kuvhiya kubvisa zvakanyanya bundu sezvinobvira kana bundu risingakwanise kubviswa zvachose kana rapararira kunzvimbo dziri kure dzomuviri. Uku kurapa kwekurapa kubvisa zviratidzo uye nekuvandudza hupenyu.
  • Kune mapundu akapararira kuma lymph node kana zvimwe zvikamu zvemuviri, kurapwa kunogona kusanganisira zvinotevera:
  • Kuvhiya kubvisa bundu.
  • Radiofrequency ablation kana cryosurgical ablation, kana bundu risingakwanise kubviswa nekuvhiya.
  • Kune mamota anoramba achikura panguva yekurapa kana akapararira kune dzimwe nhengo dzemuviri, kurapwa kunogona kusanganisira zvinotevera:
  • Chemotherapy.
  • Targeted kurapwa.

Kune somatostatinoma, kurapwa kunogona kusanganisira zvinotevera:

  • Kuvhiya kubvisa bundu.
  • Kune kenza yakapararira kunzvimbo dziri kure dzomuviri, kuvhiyiwa kubvisa yakawanda yegomarara sezvinobvira kubvisa zviratidzo nekuvandudza hupenyu.
  • Kune mamota anoramba achikura panguva yekurapa kana akapararira kune dzimwe nhengo dzemuviri, kurapwa kunogona kusanganisira zvinotevera:
  • Chemotherapy.
  • Targeted kurapwa.

Kurapa kwemamwe marudzi epancreatic neuroendocrine tumors (NETs) inogona kusanganisira zvinotevera:

  • Kuvhiya kubvisa bundu.
  • Kune kenza yakapararira kunzvimbo dziri kure dzomuviri, kuvhiyiwa kubvisa yakawanda yekenza sezvinobvira kana kurapwa kwehomoni kubvisa zviratidzo uye kugadzirisa hupenyu hwehupenyu.
  • Kune mamota anoramba achikura panguva yekurapa kana akapararira kune dzimwe nhengo dzemuviri, kurapwa kunogona kusanganisira zvinotevera:
  • Chemotherapy.
  • Targeted kurapwa.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kudzokorora kana Kufambira Mberi Pancreatic Neuroendocrine Tumors (Islet Cell Tumors)

Kurapa kwepancreatic neuroendocrine tumors (NETs) iyo inoramba ichikura panguva yekurapa kana kudzoka (kudzoka) inogona kusanganisira zvinotevera:

  • Kuvhiya kubvisa bundu.
  • Chemotherapy.
  • Hormone kurapa.
  • Targeted kurapwa.
  • Nezve metastases yechiropa:
  • Regional chemotherapy.
  • Hepatic arterial kuvharirwa kana chemoembolization, iine kana isina systemic chemotherapy.
  • Kuongororwa kwekiriniki kwerapi itsva.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kuti udzidze Zvakawanda Nezve Pancreatic Neuroendocrine Tumors (Islet Cell Tumors)

Kuti uwane rumwe ruzivo kubva kuNational Cancer Institute nezve pancreatic neuroendocrine tumors (NETs), ona zvinotevera:

  • Pancreatic Cancer Peji Peji
  • Targeted Cancer Therapies

Kuti uwane ruzivo rwekenza uye zvimwe zviwanikwa kubva kuNational Cancer Institute, ona zvinotevera:

  • Nezve Kenza
  • Stage
  • Chemotherapy uye Iwe: Tsigiro Yevanhu Vane Kenza
  • Radiation Therapy uye Iwe: Rutsigiro rweVanhu Vane Kenza
  • Kurarama neCancer
  • Mibvunzo Yekubvunza Wako Chiremba nezveCancer
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