Umdlavuza wamaphaphu ongewona omncane (NSCLC)-02
Isiguli esineminyaka engu-82 ubudala sethulwe okokuqala ekuqaleni kukaMashi 2023 sinobuthakathaka obujwayelekile obuqhubekayo, ukulahlekelwa ukudla, kanye nokuncipha kwesisindo esingamakhilogremu angu-5. Lapho sebemukelwe, kwenziwa izivivinyo ezinemininingwane. I-chest CT scan yembula amaqhuqhuva amaningi kuwo womabili amaphaphu, elikhulu kunawo wonke licishe libe ngu-2.5 cm. I-nodule enkulu kunazo zonke engxenyeni ye-apical ye-lobe engezansi engakwesokudla kanye ne-nodule enkulu kunazo zonke engxenyeni yomgogodla welobe engaphezulu kwesokunxele zombili zazinamamajini angacacile. Ngemuva kokuhlolwa kwesifuba kanye nokuhlolwa kwe-pathological, ukutholakala komdlavuza wamaphaphu ongewona omncane (NSCLC) kwaqinisekiswa, ne-adenocarcinoma ekhona engxenyeni yomgogodla welobe engaphezulu kwesokunxele kanye nengxenye ye-apical ye-lobe engezansi engakwesokudla.
Isiguli kamuva sathola uhlobo lwe-NK cell immunotherapy. Ngemva kwenyanga yokuqala yokwelashwa, ukuhlolwa kokulandelela akuzange kubonise ushintsho oluphawulekayo kusayizi wamaqhuqhuva wamaphaphu, kodwa izimpawu zesiguli sezingcono kakhulu, ngokuncipha kobuthakathaka kanye nokubuya kancane kancane kwesifiso sokudla. Ngemuva kwenyanga yesibili yokwelashwa, esinye isifuba se-CT scan sabonisa umkhawulo ocacile kanye nokuncipha kancane kosayizi we-nodule engxenyeni ye-apical ye-lobe engezansi engakwesokudla, kanye ne-necrosis eyingxenye enohlaka oluchazwe kakhudlwana lwe-nodule engxenyeni yomgogodla we-dorsal segment. kwesokunxele upper lobe. Ngemva kwenyanga yesithathu yokwelashwa, i-CT yesifuba yabonisa ukuncishiswa okwengeziwe kobukhulu bamaqhuqhuva kuwo womabili amaphaphu, neqhubu elikhulu kunawo wonke manje elingadluli ku-1.5 cm, ukumuncwa okuthile kwezilonda zamaphaphu, futhi kwaphawula ukuthuthukiswa komtholampilo.
Kafushane, i-NK cell immunotherapy ibonise ukusebenza kahle nokubekezelelana kulesi siguli sowesilisa esineminyaka engu-82 ubudala esine-NSCLC, ngokuncipha okukhulu kwezilonda zamaphaphu kanye nokuba ngcono okukhulu esimweni sesiguli sisonke. Ukulandelela nezinye izinhlelo zokwelapha zizoqhubeka nokuqapha ukuqhubeka kwesifo kanye nemiphumela yokwelashwa.
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