Mhando / nyoro-tishu-sarcoma / murwere / gist-kurapwa-pdq

Gastrointestinal Stromal Tumors Kurapa (®) -Patient Shanduro

Ruzivo Ruzhinji NezveGastrointestinal Stromal Tumors

Gastrointestinal stromal tumor chirwere umo masero asina kujairika anoumba mumatumbu emudumbu.

Iyo gastrointestinal (GI) turakiti chikamu chemuviri wekugaya system. Inobatsira kugaya chikafu uye inotora zvinovaka muviri (mavitamini, zvicherwa, makabhohaidhiretsi, mafuta, mapuroteni, uye mvura) kubva muchikafu kuti zvishandiswe nemuviri. Turakiti yeGI inoumbwa nenhengo dzinotevera:

• Dumbu.

• Utumbo hudiki.

• Hura ura (colon).

Gastrointestinal stromal tumors (GISTs) inogona kunge yakaipa (cancer) kana benign (kwete cancer). Ivo anowanzoitika mudumbu uye mudumbu ura asi anogona kuwanikwa chero mukati kana padyo neGI turakiti. Mamwe masayendisiti anotenda kuti maGIST anotanga mumasero anonzi macrystinal maseru eCajal (ICC), mumadziro etimu yeGI.

Gastrointestinal stromal tumors (GISTs) inogona kuwanikwa chero kupi mukati kana padyo nemudumbu.

Ona pfupiso ye pamusoro peChinhu chisina kujairika cheCancer cheVana Kurapa ruzivo nezve kurapwa kweGIST muvana.

Mageneti ezvinhu anogona kuwedzera njodzi yekuve nematumbo emimba.

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.

Magen'a ari mumasero anotakura ruzivo rwenhaka rwunogamuchirwa kubva kuvabereki vemunhu. Njodzi yeGIST inowedzerwa mune vanhu vakagara nhaka shanduko (shanduko) mune rimwe geni. Muzviitiko zvisingawanzoitika, maGIS anogona kuwanikwa munhengo dzinoverengeka dzemhuri imwechete.

GIST inogona kuve chikamu cheiyo genetic syndrome, asi izvi hazviwanzo. Iyo genetic syndrome seti yezviratidzo kana mamiriro ezvinhu anoitika pamwechete uye anowanzo kukonzerwa nemajini asina kujairika. Aya anotevera magene syndromes akabatanidzwa kune GIST:

• Neurofibromatosis mhando 1 (NF1).

• Carney mutatu.

Zviratidzo zvemudumbu stromal tumors dzinosanganisira ropa muchigaro kana marutsi.

Izvi nezvimwe zviratidzo uye zviratidzo zvinogona kukonzerwa neGIST kana nemamwe mamiriro. Tarisa nachiremba wako kana iwe uine chero chinotevera:

• Ropa (ingave rakatsvuka tsvuku kana rakasviba zvakanyanya) muchitsiko kana kurutsa.

• Marwadzo mudumbu, angave akaomarara.

• Kunzwa kuneta chaizvo.

• Dambudziko kana kurwadziwa kana uchimedza.

• Kunzwa kuguta mushure mekudya kushoma chete kunodyiwa.

Kuyedza kunoongorora iyo GI turakiti kunoshandiswa kuona (tsvaga) uye kuongorora matumbo emimba stromal tumors.

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.

• CT scan (CAT scan): Maitiro anoita akateedzana emifananidzo yakajeka yenzvimbo dziri mukati memuviri, inotorwa kubva kumakona akasiyana. 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).

• Endoscopic ultrasound uye biopsy: Endoscopy uye ultrasound zvinoshandiswa kugadzira mufananidzo weiyo yepamusoro GI turakiti uye biopsy yaitwa. Endoscope (chiridzwa chakaonda, chubhu-sechiedza chine mwenje nelenzi yekutarisa) inoiswa kuburikidza nemuromo uye mudumbu, mudumbu, uye chikamu chekutanga chemukati mudumbu. 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. Achitungamirirwa nesonogram, chiremba anobvisa matishu achishandisa tsono, isina tsono. Nyanzvi yezvirwere anoona tishu pasi pe microscope kutsvaga maseru ekenza.

Kana gomarara rikawanikwa, bvunzo dzinotevera dzinogona kuitwa kuongorora maseru ekenza:

• Immunohistochemistry: Kuongororwa kwerabhoritari inoshandisa masoja ekudzivirira mamwe maantigen (mamaki) mune imwe sampuro yetishu yemurwere. Masoja ekudzivirira chirwere anowanzo sunganidzwa ne enzyme kana dhayi ye fluorescent. Mushure mekunge maantibodies akasunga kune yakasarudzika antigen mune yeiyo sampuli, iyo enzyme kana dhayi inogoneswa, uye iyo antigen inogona kuzoonekwa pasi pe microscope. Rudzi urwu rweyedzo runoshandiswa kubatsira kuongorora gomarara uye kubatsira kutaurira imwe mhando yekenza kubva kune imwe mhando yegomarara.

• Mitotic chiyero: Chiyero chekukurumidza maseru ekenza ari kupatsanura nekukura. Iyo mitotic chiyero inowanikwa nekuverenga iyo nhamba yemasero anopatsanura mune imwe huwandu hwecancer tishu.

Zvidiki chaizvo GISTs zvakajairika.

Dzimwe nguva GISTs idiki pane irabhuru pamusoro pepenzura. Mamota anogona kuwanikwa panguva yekuita kunoitwa kune chimwe chikonzero, senge x-ray kana kuvhiyiwa. Mamwe ematumbu madiki aya haazokure uye anokonzera zviratidzo kana zviratidzo kana kutenderera mudumbu kana zvimwe zvikamu zvemuviri. Vanachiremba havabvumirane kuti aya mamota madiki anofanira kubviswa here kana kuti anofanira kutariswa kuti aone kana achitanga kukura.

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

Kufungidzira (mukana wekupora) uye sarudzo dzekurapa dzinoenderana nezvinotevera:

• Ekukurumidza sei maseru ekenza ari kukura uye kupatsanuka.

• Kukura kwebundu.

• Iko iko bundu riri mumuviri.

• Kunyangwe bundu racho rinogona kubviswa zvachose nekuvhiyiwa.

• Kunyangwe bundu racho rapararira kune dzimwe nhengo dzemuviri.

Matanho eGastrointestinal Stromal Tumors

PFUNGWA DZINOKOSHA

• Mushure mokunge gastrointestinal stromal tumor yaonekwa, kuongororwa kunoitwa kuti uone kana kenza maseru akapararira mukati medumbu yematumbu kana kune zvimwe zvikamu zvemuviri.

• Pane nzira nhatu dzinopararira negomarara mumuviri.

• Gomarara rinogona kutapukira kubva kwarakatanga kuenda kune dzimwe nhengo dzemuviri.

• Mhedzisiro yekuongorora uye staging bvunzo inoshandiswa kuronga kurapwa.

Mushure mokunge gastrointestinal stromal tumor yaonekwa, kuongororwa kunoitwa kuti uone kana kenza maseru akapararira mukati medumbu yematumbu kana kune zvimwe zvikamu zvemuviri.

Maitiro anoshandiswa kutsvaga kana gomarara rapararira mukati medumbu (GI) kana kune zvimwe zvikamu zvemuviri zvinodaidzwa kunzi staging. Ruzivo rwakaunganidzwa kubva munzira yekugadzwa rinotara danho rechirwere. Iyi inotevera bvunzo uye maitiro anogona kushandiswa mune yekuratidzira maitiro:

• PET scan (positron emission tomography scan): Iyo nzira yekuwana yakaipa malonda maseru mumuviri. Chishoma che radioactive glucose (shuga) inoiswa mutsinga. Iyo PET scanner inotenderera yakatenderedza muviri uye inogadzira mufananidzo wepo glucose iri kushandiswa mumuviri. Malignant tumarara maseru anoratidza kupenya mumufananidzo nekuti anoshanda uye anotora glucose yakawanda kupfuura zvinoita maseru akajairwa.

• CT scan (CAT scan): Maitiro anoita akateedzana emifananidzo yakajeka yenzvimbo dziri mukati memuviri, inotorwa kubva kumakona akasiyana. 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).

• Chest x-ray: X-ray yenhengo nemapfupa mukati mechipfuva. X-ray imhando yesimba remagetsi rinogona kupfuura nemuviri uye kupinda mufirimu, richiita mufananidzo wenzvimbo dziri mukati memuviri.

• 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 nekenza uye inoonekwa ne scanner.

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 gastrointestinal stromal tumor (GIST) ikapararira kuchiropa, maseru emota ari muchiropa ari chaiwo GIST masero. Hosha ndeye metastatic GIST, kwete gomarara rechiropa.

Mhedzisiro yekuongorora uye staging bvunzo inoshandiswa kuronga kurapwa.

Kune vazhinji kanzura zvakakosha kuti uzive nhanho yegomarara kuitira kuronga kurapwa. Nekudaro, kurapwa kweGIST hakubvi padanho rekenza. Kurapa kunoenderana nekuti bundu rinogona kubviswa nekuvhiyiwa uye kana bundu racho rapararira kune dzimwe nzvimbo dzemudumbu kana kunzvimbo dziri kure dzemuviri.

Kurapa kunoenderana nekuti bundu iri:

• Inogadziriswa: Aya mamota anogona kubviswa nekuvhiyiwa.

• Unresectable: Aya mamota haakwanise kubviswa zvachose nekuvhiyiwa.

• Metastatic uye inowanzoitika: Metastatic tumors yakapararira kune dzimwe nhengo dzomuviri. Mapundu anowanzoitika adzokazve (dzoka) mushure mekurapwa. Dzokororo GISTs dzinogona kudzoka mudumbu remudumbu kana mune zvimwe zvikamu zvemuviri. Ivo vanowanzo kuwanikwa mudumbu, peritoneum, uye / kana chiropa.

• Refractory: Aya mamota haana kuve nani nekurapwa.

Kurapa Sarudzo Kuongorora

PFUNGWA DZINOKOSHA

• Kune akasiyana marudzi ekurapa kwevarwere vane dumbu remudumbu stromal tumors.

• Mhando ina dzekurapa kwakajairika dzinoshandiswa:

• Kuvhiya

• Targeted kurapwa

• Kurinda kumirira

• Kutsigira kutarisirwa

• Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

• Kurapa kwematumbu emimba kunokonzeresa 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 dumbu remudumbu stromal tumors.

Mhando dzakasiyana dzekurapa dzinowanikwa kune varwere vane gastrointestinal stromal tumors (GISTs). 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 ina dzekurapa kwakajairika dzinoshandiswa:

• Kuvhiya

Kana iyo GIST isina kupararira uye iri munzvimbo umo kuvhiyiwa kunogona kuitwa zvakachengeteka, bundu uye zvimwe zvezvinyama zvakakomberedza zvinogona kubviswa. Dzimwe nguva kuvhiya kunoitwa uchishandisa laparoscope (mutete, mwenje chubhu) kuti uone mukati memuviri. Zvidiki zvidiki (kucheka) zvinogadzirwa mumadziro emimba uye laparoscope inoiswa mune chimwe cheicho chinotsemurwa. Zvishandiso zvinogona kuiswa kuburikidza necision incision kana kuburikidza nezvimwe zvinongedzo kubvisa nhengo kana nyama.

Targeted kurapwa

Targeted therapy mhando yekurapa inoshandisa zvinodhaka kana zvimwe zvinhu kuti zvione uye kurwisa chaiwo maseru ekenza pasina kukuvadza zvakajairika maseru.

Tyrosine kinase inhibitors (TKIs) inotarisirwa kurapwa mishonga inovhara zviratidzo zvinodikanwa kuti mamota akure. TKIs inogona kushandiswa kurapa maGIS asingakwanise kubviswa nekuvhiya kana kudzikisira maGIS saka ivo vanove madiki akakwana kubviswa nekuvhiyiwa. Imatinib mesylate uye sunitinib maTKI maviri anoshandiswa kurapa maGIST. TKIs dzimwe nguva dzinopihwa kwenguva yakareba sekunge bundu risingakure uye zvakakomba mhedzisiro zvisingaitike.

Maona Zvinodhaka Zvinotenderwa zveGastrointestinal Stromal Tumors kuti uwane rumwe ruzivo.

Kurinda kumirira

Kurindira kumirira kuri kunyatsoongorora mamiriro emurwere pasina kupa chero kurapwa kusvikira zviratidzo kana zviratidzo zvaonekwa kana kuchinja.

Kutsigira kutarisirwa

Kana GIST ikawedzera kuipa panguva yekurapwa kana paine mhedzisiro, kurapwa kwekutsigira kunowanzo kupihwa. Chinangwa chekuchengetedza kutsigira ndechekudzivirira kana kubata zviratidzo zvechirwere, mhedzisiro inokonzerwa nekurapwa, uye zvepfungwa, zvemagariro, uye zvemweya matambudziko ane hukama nechirwere kana kurapwa kwacho. Kuchengetedza kwekutsigira kunobatsira kusimudzira hupenyu hwevarwere vane chirwere chakakomba kana chinotyisa. Radiation kurapwa dzimwe nguva inopihwa sekutsigira kuchengetedza marwadzo muvarwere vane hosha huru dzakapararira.

Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

Ruzivo nezve kiriniki miedzo inowanikwa kubva kuNCI webhusaiti.

Kurapa kwematumbu emimba kunokonzeresa 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.

Kutevera kweGISTs dzakabviswa nekuvhiya dzinogona kusanganisira CT scan yechiropa uye chiuno kana kungwarira kumirira. Kune maGIST anorapwa ne tyrosine kinase inhibitors, bvunzo dzekutevera, senge CT, MRI, kana PET scans, zvinogona kuitwa kutarisa kuti kurapwa kwakanangwa kuri kushanda sei.

Kurapa Sarudzo dzeGastrointestinal Stromal Tumors

Muchikamu chino

• Inogadziriswa Uturu hweMukati Stromal Tumors

• Isingachinjiki Zvemudumbu Stromal Tumors

• Metastatic uye Yakajairika Gastrointestinal Stromal Tumors

• Inopikisa Gastrointestinal Stromal Tumors

• Kurapa Sarudzo muClinical Miedzo

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

Inogadziriswa Uturu hweMukati Stromal Tumors

Anogadzirika emudumbu stromal tumors (GISTs) anogona kunyatsobviswa kana kupotsa abviswa nekuvhiyiwa. Kurapa kunogona kusanganisira zvinotevera:

• Kuvhiya kubvisa mamota ayo ari 2 masentimita kana makuru. Kuvhiyiwa kwepaparoscopic kunogona kuitwa kana bundu riri 5 cm kana diki. Kana paine masero emukenza akasara kumucheto kwenzvimbo yakabviswa bundu, kurindira kwakamirira kana kurapwa kwakanangwa ne imatinib mesylate inogona kutevera.

• Kuongororwa kwekiriniki yekurapa kwakanangwa ne imatinib mesylate zvichitevera kuvhiya, kudzikisa mukana bundu rinodzokazve (kudzoka).

Isingachinjiki Zvemudumbu Stromal Tumors

Asinga gadzirisike maGIST haakwanise kubviswa zvachose nekuvhiyiwa nekuti akakurisa kana kuti panzvimbo panogona kukuvara zvakawandisa kunhengo dzepedyo kana bundu rikabviswa. Kurapa kunowanzo kuve kuyedzwa kwekiriniki yeakanangwa kurapwa ne imatinib mesylate yekudzora bundu, richiteverwa nekuvhiyiwa kubvisa yakawanda bundu sezvinobvira.

Metastatic uye Yakajairika Gastrointestinal Stromal Tumors

Kurapa kweGISTs ayo ari metastatic (akapararira kune zvimwe zvikamu zvemuviri) kana kudzoka (kudzoka mushure mekurapwa) kunogona kusanganisira zvinotevera:

• Targeted therapy ne imatinib mesylate.

• Targeted therapy ne sunitinib, kana bundu rikatanga kukura panguva ye imatinib mesylate therapy kana kana iyo mhedzisiro yakaipa kwazvo.

• Kuvhiya kubvisa mamota ayo akarapwa nechinangwa chakanangwa uye ari kudzikira, akatsiga (asiri kuchinja), kana ayo akawedzera zvishoma muhukuru. Kurapa kwakanangwa kunogona kuenderera mushure mekuvhiyiwa.

• Kuvhiya kubvisa mamota kana paine matambudziko akakomba, sekubuda ropa, gomba mudumbu (GI) turakiti, yakavharika GI turakiti, kana hutachiona.

• Kuongororwa kwekiriniki kwekurapwa kutsva.

Inopikisa Gastrointestinal Stromal Tumors

Mazhinji maGIST anorapwa ne tyrosine kinase inhibitor (TKI) inova yekusagadzikana (mira kupindura) kumushonga mushure mechinguva. Kurapa kunowanzo kuve kiriniki kuyedzwa neakasiyana TKI kana kiriniki kuyedzwa kwemushonga mutsva.

Kurapa Sarudzo muClinical Miedzo

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 NezveGastrointestinal Stromal Tumors

Kuti uwane rumwe ruzivo kubva kuNational Cancer Institute nezve matumbu emimba, ona zvinotevera:

• Tissue Nyoro Sarcoma Peji Peji

• Zvisina kujairika Cancers zveVana Kurapa

• Zvinodhaka Zvinotenderwa kune Gastrointestinal Stromal Tumors

• Targeted Cancer Therapies

• Angiogenesis Inhibitors

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

• Kune Vakapona uye Vanotarisira