Endometrial cancer stage IVB-04

Murwere aive mukadzi ane makore makumi mashanu neshanu, uye histopathology yebiopsy yakasimbisa kuongororwa kweiyo isina kunyatsosiyaniswa yekenza ye endometrial danho reIVB.

Kusiyanisa kwakaderera uye hutsinye hwepamusoro. Bundu rake rakanga rakura uye raisakwanisa kubviswa zvachose nokuvhiyiwa. Kumwe kuongorora kwakaratidza kuti varwere vakanga vaderedza lymphocyte chikamu uye kuverenga uye yakanyanya kuderera NK cell basa. Asingakwanisi kushivirira migumisiro yakaipa, akasiya chemotherapy uye akapinda muchirongwa chekliniki chetambo yeropa NK masero.

Murwere uyu akawana kurapwa kwekutanga muna Kukadzi 2021 uye kechipiri mwedzi mitanhatu gare gare. Kwemazuva mana akatevedzana, imwe zuva nezuva intravenous infusion uye immunophenotyping yakaitwa isati yasvika uye mushure mekutenderera kwega kwega kwekurapa.

Mushure mekutanga kosi ye immunotherapy mutambo yeropa NK masero, murwere akawana kuregererwa kwechikamu. Simba rake remuviri, chido chekudya, uye kunaka kwekurara zvese zvaive zvave nani.

Mushure mechikamu chechipiri chekurapa, muongorori akaita PET-CT scan. The scan yakaratidza kuderedzwa kwekodzero ye uterine hypermetabolic mass size uye kuderera kukuru kweuterine metabolism uye volume kana ichienzaniswa nekutanga kurapwa. Kunyange zvazvo iyo yakarurama yevakadzi musoro wepamusoro uye yakarurama 10th uye 11th rib metastasis yakanga isina kuchinjwa, metabolism yefupa metastases yakanga yakajairika. Multiple lymph node metastases mumutsipa, mediastinum, retroperitoneum, uye pelvis zvakare yakanyangarika.

Mushure memakosi maviri, chimiro chechimiro chemuviri chakaderera kubva ku3 kusvika ku1 uye hupenyu hwehupenyu hwakavandudzwa zvakanyanya.