Gawo la khansa ya endometrial IVB-04

Wodwalayo anali wamkazi wazaka 55, ndipo histopathology ya biopsy idatsimikizira kupezeka kwa khansa ya endometrial yosiyanitsidwa bwino ya IVB.

Kusiyana kochepa komanso kuopsa kwakukulu. Chotupa chake chinali chitakula ndipo sichikanatha kuchotsedwa mwa opaleshoni. Kuwunika kwina kunawonetsa kuti odwalawo adachepetsa kuchuluka kwa ma lymphocyte ndi kuwerengera komanso kuchepa kwambiri kwa maselo a NK. Polephera kulekerera zotsatira zake zoipa, adasiya mankhwala a chemotherapy ndikuchita nawo mayesero achipatala a chingwe cha magazi a NK.

Wodwala uyu adalandira chithandizo choyamba mu February 2021 ndipo kachiwiri miyezi 6 pambuyo pake. Kwa masiku 4 otsatizana, kulowetsedwa kwa mtsempha wa tsiku ndi tsiku ndi immunophenotyping kunkachitika isanayambe komanso itatha chithandizo chilichonse.

Itatha njira yoyamba ya immunotherapy mu chingwe magazi NK maselo, wodwalayo akwaniritsa tsankho chikhululukiro. Mphamvu zake, chilakolako chake, ndi kugona kwake zonse zidali bwino.

Pambuyo pa njira yachiwiri ya chithandizo, wofufuzayo anachita PET-CT scan. Kujambulako kunawonetsa kuchepetsa kukula kwa uterine hypermetabolic misa yolondola komanso kuchepa kwakukulu kwa kagayidwe ka chiberekero ndi kuchuluka kwake poyerekeza ndi chithandizo chisanachitike. Ngakhale kuti mutu woyenerera wa chikazi ndi 10th ndi 11th nthiti metastasis sizinasinthidwe, kagayidwe ka fupa la mafupa anali abwinobwino. Ma lymph node angapo a m'khosi, mediastinum, retroperitoneum, ndi pelvis adasowa.

Pambuyo pa maphunziro awiri, chiwerengero cha thupi chinatsika kuchokera ku 3 kufika ku 1 ndipo moyo umakhala wabwino kwambiri.