Interview na Dr. Edward M. Wolin, MD
Ọnwụ nke Steve Jobs site na ụbụrụ pancreatic dị ụkọ nke a na-akpọ ọrịa cancer neuroendocrine pancreatic mere ka enwe mmasị na cancer cancer pancreatic. N'ajụjụ ọnụ a, Dr. Edward Wolin, bụ ọkachamara n'ọrịa cancer na-agwọ ọrịa neuroendocrin na Cedars Sinai Medical Center, na-ekwu banyere cancer cancer neuroendocrine na otú ndị ọrịa na-alụ ọgụ ahụ. Dr. Wolin bụ onye na-elekọta ọrụ Carcinoid na Neuroendocrine tumor na Cedars-Sinai Medical Center ma nwee otu n'ime mmemme kachasị ukwuu nke mba ndị ọkachamara na ọrịa cancer neuroendocrine pancreatic.
Ọ naghị emeso Steve Jobs.
Ị nwere ike ịkọwa ihe cancer cancer neuroendocrine pancreatic?
Ọrịa neuroendocrine Pancreatic na-arịwanye elu na-arịwanye elu na-amalite na mkpụrụ ndụ endocrine (mkpụrụ ndụ hormone) nke pancreas, nke a makwaara dị ka sel selị. Ọ bụ ezie na etuto ndị a nwere ike ịmepụta hormones pancreatic dị iche iche, ọtụtụ anaghị emepụta homonụ. Ha na-agbasa n'ọbara na imeju mgbe oge nchoputa. Otú ọ dị, ọnụego ndụ na-adịkarị elu karịa na ụdị ọrịa kansa pancreatic (adenocarcinoma) , ọbụna mgbe metastases dị.
Kedu ka esi achọpụta ya? Enwere ihe mgbaàmà ọ bụla?
Mgbe ọrịa ndị a na-emepụta hormones, mgbaàmà mbụ nwere ike ịdị njọ ma na-eduga n'ịme nyocha mbụ. Dịka ọmụmaatụ, ọrịa insulin na-emepụta ihe mgbaàmà nke ọbara shuga dị ala , ma ọ bụ ụbụrụ na-emepụta nke gastrin na-akpata ọnyá siri ike na ọnya duodenal, na-eduga nyocha ọhụhụ site na CT scan, MRI scan, ma ọ bụ ultrasound endoscopic nke pancreas.
Ọ bụrụ na mmepụta hormone adịghị akpata mgbaàmà ahụike, ụbụrụ ga-eto eto na-eto eto ruo ogologo oge ma gbasaa na imeju na ebe ndị ọzọ site na oge nchọpụta na CT ma ọ bụ MRI. N'ọnọdụ ndị a, ihe mgbaàmà mbụ nwere ike ịbụ ihe mgbu abdominal, jaundice, ụkọ ihe dị njọ, ịkwa ahụ, ọgbụgba afọ abdominal, vomiting, ikpo ọkụ anụ, adịghị ike, na afọ ọsịsa.
Ònye nọ n'ihe ize ndụ? Kwesịrị ịdị na-eche banyere ọrịa cancer neuroendocrin pancreatic?
Ndị a bụ obere malignancies, nke nwere ọnụọgụ nke 3 ikpe kwa nde ndị America, nyocha maka pasent 3 nke ọrịa cancer pancreatic. Ya mere, nkezi, onye nwere ahụike ekwesịghị ichegbu onwe ya banyere ịmepụta cancer cancer neuroendocrine. Ekewapụrụ na ụfọdụ ezinụlọ ebe ọrịa cancer neuroendocrin bụ pancreatic bụkarị, na-ejikọtakarị na parathyroid na ọrịa pituitary . Nkọwa nke ezinụlọ a mara dịka ụdị typeoprine type 1 (MEN-1).
Ànyị maara ihe kpatara ya?
Anyị maara na mmụgharị - ebido nke ụmụ nwoke na-akpata MEN-1, anyị makwaara na ụfọdụ mgbanwe mkpụrụ ndụ ihe nketa na-emekarị ka ọrịa cancer na-arịa ọrịa neuroendocrine, mana ọ bụ na amaghị ihe kpatara ya.
Enwere ụzọ ọ bụla iji belata ihe ize ndụ ma ọ bụ igbochi ọrịa cancer neuroendocrine pancreatic?
Enweghị ụzọ a ga - esi belata ihe ize ndụ ma ọ bụ igbochi ọrịa cancer neuroendocrine pancreatic.
Kedu ọgwụgwọ dị?
N'ihi ụbụrụ ndị a na-adịkarị ụkọ n'ozuzu mmadụ, na ụdị nlekọta a kachasị mkpa, a na-agba ndị ọrịa ume ka ha chọọ ịchọta ndụmọdụ site na center center nke neuroendocrine. N'ebe ndị dị otú a, enwere mmekọrịta chiri anya na oncology , endocrinology, gastroenterology, pathology, ịwa ahụ hepatobiliary, nkà mmụta ọgwụ onyonyo, mmepụta redio, rediology diagnostic, na ọgwụ nuklia iji nweta nlekọta nke onye ọ bụla.
Ndị na-agwọ ọrịa na-agụnye usoro ịwa ahụ nke eriri afọ na metastases, ịmepụta nke metastases na microwaves, na-agwọta ụbụrụ nwere radiation intrahepatic (radioembolization) na intrahepatic chemotherapy (chemoembolization), nkwụsị nke tumo na ndị na-ahụ maka ihe ndị dị ndụ (analogs somatostin, m-TOR inhibitors, tyrosine kinase inhibitors , nke a na-agbaso ọgwụgwọ radionuclide a maara dịka PRRT, usoro ọgwụgwọ na-agwọ ọrịa, na ọgwụ anti-angiogenic), na iji ọgwụ chemotherapy na -egbu obere.
Iji mụtakwuo maka Dr. Edward Wolin na omume ya na Cedars Sinai Medical Center, biko gaa na ebe nrụọrụ weebụ Cedars Saịnaị.