Inqanaba eliphezulu le-IV lomhlaza we-colorectal-01
Isigulane yindoda eneminyaka engama-45 ubudala eyafunyaniswa nenqanaba eliphezulu le-IV lomhlaza we-colorectal ngoJanuwari 2023. Ekuqaleni, oogqirha bacebisa ikhosi epheleleyo ye-chemoradiotherapy. Nangona kunjalo, ngenxa yokuchaphazeleka kakhulu kwe-neurotoxicity, kubandakanya i-paresthesia kunye nobuthathaka belungu emva kwechemotherapy, isigulana sagqiba kwelokuba siyeke ukuqhubeka nonyango lwe-chemoradio.
Ngethamsanqa, isigulana sadibana neendlela zokugaya kulingo lwezonyango lwe-autologous tumor-infiltrating lymphocyte (TIL) kwaye wakhetha ukuthatha inxaxheba kulingo. Ekuqaleni kuka-Epreli ka-2023, isigulana safumana ukufakelwa kweseli ye-TIL kwaye emva koko senziwa i-PD-1 monoclonal antibody immunotherapy ngokweprothokholi yolingo kwiinyanga ezimbini ezizayo.
Emva kokunyanga, isigulane sichaze ukuphuculwa okuphawulekayo kwiimpawu zesisu kunye nokubuyiswa kakuhle komsebenzi wamathumbu. I-CT scan yokuqala yomzimba ogcweleyo emva kokuba i-infusion ibonise ukunciphisa umthwalo we-tumor, ngokukodwa kwisibindi kunye nezilonda ze-peritoneal. Njengoko unyango lwaluqhubeka, ukuqina komzimba wesigulana kunye nomgangatho wobomi ngokuthe ngcembe waphucuka.
Ngenyanga yesithathu yonyango, izikena zokulandelela zabonisa ukuqhubeka kokuncipha kwethumba. I-PET-CT scan yomzimba wonke ibonise ukunciphisa kakhulu umsebenzi we-metabolic kwizilonda ze-metastatic, kunye nezilonda eziphela ngokupheleleyo. Ukuza kuthi ga ngoku, ulandelelwano lwenyanga lubonisa ukuba ithumba lihlala lizinzile kungekho zilonda zitsha okanye iimpawu zokuphindaphinda.
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