Indwara ya kanseri ya endometrale IVB-04

Umurwayi yari umukecuru w'imyaka 55, kandi histopathology ya biopsy yemeje ko hasuzumwe kanseri ya endometrale itandukanye cyane IVB.

Itandukaniro rito hamwe na malignance nyinshi. Ikibyimba cye cyari cyarahinduwe kandi ntigishobora kuvaho burundu kubagwa. Isuzuma ryakozwe ryerekanye ko abarwayi bagabanije lymphocyte umubare no kubara ndetse n’ibikorwa bya selile NK cyane. Kubera ko atashoboye kwihanganira ingaruka mbi, yaretse imiti ya chimiotherapie kandi yitabira kwipimisha kwa kanseri y'amaraso NK.

Uyu murwayi yakiriye ubuvuzi bwa mbere muri Gashyantare 2021 naho ubwa kabiri nyuma y'amezi 6. Iminsi 4 ikurikiranye, kwinjiza buri munsi kwinjiza no gukingira immunophenotyping byakozwe mbere na nyuma ya buri cyiciro cyo kuvura.

Nyuma yamasomo yambere yubudahangarwa mumaraso ya NK selile, umurwayi yageze kubakira igice. Imbaraga z'umubiri, ubushake bwo kurya, no gusinzira byose byariyongereye.

Nyuma yamasomo ya kabiri yo kuvura, uwakoze iperereza yakoze scan ya PET-CT. Gusikana byerekanaga igabanuka ryiburyo bwa nyababyeyi ya hypermetabolike no kugabanuka gukabije kwa metabolism na nyababyeyi ugereranije na mbere yo kuvurwa. Nubwo iburyo bwumutwe wigitsina gore hamwe na 10 na 11 iburyo bwimbavu zidahindutse, metabolism ya metastase yamagufwa yari isanzwe. Indimu nyinshi ya lymph node metastase mu ijosi, mediastinum, retroperitoneum, na pelvis nayo yarazimiye.

Nyuma yamasomo abiri, amanota yumubiri yagabanutse kuva kuri 3 agera kuri 1 kandi ubuzima bwarazamutse cyane.