Kushandiswa kweKi-67 Kuwedzera kweMarita Tester mu Breast Cancer Treatment

Basa mukufanotaurira Chemotherapy Response uye Prognosis

Ki-67 chirwere chekenza (protein) chinowanikwa mukukura, kuparadzanisa masero asi asipo pane imwe nzvimbo yekuzorora yeikukura kwemasero (apo masero arikukura). Ichokwadi kuti Ki-67 inowanikwa mukuparadzanisa masero inoita kuti zvive zvakanaka kuwedzera (sezvo kenza yemukenza inokura nokukurumidza uye ichiparadzanisa) kutevera kufambira mberi kwekenza yemvere, kunyange zvazvo basa rayo mukuita kudaro ikozvino rinopesana.

Kana iri kuuya kune kenza yepazamu, kuongorora kweKi-67 kunogona kuitwa pamuenzaniso wetipa chepachifu chepachifu kuti ubatsire kufanotaura kushungurudzwa kwekenza. Muedzo, unoitwa uye unotsanangurwa nachiremba anonzi chiremba , anoronga huwandu hwekutaura kweKi-67 mumasero ekenza kuburikidza nekuita tsvina.

Kunyange zvazvo chirwere chekuwedzera cheKi-67 chinowanzonyatsorayirwa navanachiremba, hatina chokwadi chekubatsira kwayo, kunyanya kana zvasvika pakuita zvisarudzo pamusoro pemishonga.

Kunzwisisa Ma Ki-67 Zvawanikwa

Chiremba wako anogona kuraira kuedza kweKi-67 senzira yekuyera kuti nokukurumidza mazamu ako emakondomu ari kugovera nekuumba masero matsva. Chiitiko chemuedzo wepasi pe10 muzana chinoonekwa sechidiki apo chiitiko chekuedzwa kwe20 kubva muzana kana chakakwirira chinoonekwa sepamusoro. A "high" chikamu chinoreva kuti chifuva chepamuviri chinowanzova chisimba uye kupararira nokukurumidza.

Kunyange zvakadaro, havasi vanachiremba vose vanorayira kuedza kweKi-67, saka usashamiswa kana iwe usingazvione pamushumo wehutano hwako.

Mukuwedzera, zvakakosha kuziva kuti zvimwe zviedzo zvinoitwa kuti uwane hutumbu hwako, uye izvi zvabuda, pamwe neKi-67 Labeling Index yako (test score) inogona kuchinja hurongwa hwako hwokurapa. Mune mamwe mazwi, chiremba wako kazhinji anotora mitezo yakawanda yekuedza mukutarisa paanenge achiedza kunzwisisa kenza yako yakasiyana.

Semuenzaniso, imwe yero inoshandiswa kuwanika kukura kwekenza yako yepamu chikamu chechikamu cheS S. Uyu muedzo unonzi sezana uye inokuudza kuti vangani masero emukenza ari mukugadzirisa DNA yavo. A chikamu chekuru kune 10 muzana chinonzi chikafu.

Ki-67 Zvawanikwa uye Kufanotaura Chemotherapy Response

Kuona chikwangwani chako cheKi-67 chinokubatsira iwe uye chiremba wako kuti uone kenza yako kukurudzira kana kuti mukana wako wekuwanazve. Ichokwadi, zvidzidzo zvakawana kuti matumire ane mazinga akakura eKi-67 ane chirevo chekusava nehurombo maererano nemamota nemazinga akaderera.

Pane imwe nyanzvi yakanaka, tsvakurudzo yakawanawo kuti matumire ane chikwata chepamusoro cheKi-67 inogona kupindura zvakanyatsonaka chemotherapy. Sezvo chemotherapi yakagadzirirwa kurwisa masero ose anokura nokukurumidza (kusanganisira "masero mashoma" akadai sevhudzi follicles), zvipembenene zvinopisa (kuparadzanisa zvakakurumidza) zvinogona kupindura zvakanyanyisa kune zvidzidzo izvi. Izvi, chaizvoizvo, nei vamwe mavanga anokonzera utsinye (akadai seacute lymphocytic leukemia) akamboerekana aurayiwa, anogona kuwanzoreswa nekemotherapy. Izvozvo zvakati, kushandisa Ki-67 sechirevo chekufungidzira chemotherapy remhinduro chinoramba chiri kukakavadzana.

Penguva ino, zvichida kushandiswa kunonyanya kuwanda kwemuedzo ndiko kufanotaura kupindura kwaNeoadjuvant chemotherapy mune vanhu vane kenza yepamusoro yepamunharaunda.

Neoadjuvant chemotherapy is chemotherapy inopiwa vasati vambovhiyiwa kuti vashandise tumarara uye / kana lymph nodes kuitira kuti kuvhiya kuwanike. Nzvimbo yepamusoro yepabonde yepamu inoreva mazamu emumukaka akapararira kumadziro echifuva, ganda rebhokisi, kana kune akawanda lymph nodes (kazhinji gadziriro yeA 3A kana kuti mapeji 3B matumbo).

Pakupedzisira, kana uwandu hweKi-67 hwakadzoka kumusoro, unogona kunge uchinetseka zvikuru. Zvakare, chiitiko chekuedza cheKi-67 chinongova chikamu chimwe chete chepikicha, saka edza kusaverenga zvakawanda mukati maro. Pane kudaro, taura nachiremba wako nezvekugona kutsanangura zvakanakisisa mhinduro dzako pachako, uye kuti vangakwanisa sei (kana kuti kwete) kuchinja chirongwa chako chekurapa.

Shoko Rinobva

Dzidzo pamusoro pekenza yemazamu inogona kukupa simba uye kukubatsira kuti uwane humwe hutongi hwezvemamiriro ako ezvinhu akaoma. Paunenge uri iwe mutsigiri wako wekuchengetedza kenza yako , ivai nechokwadi chokuti unozvichengeta uye unowana rubatsiro rwemweya, sezvo iwe unofamba nezvenyaya idzi dzakaoma, zvisarudzo, uye marapirwo.

Pakupedzisira, apo kuverenga inzira yakanaka kwazvo yekuwana ruzivo pamusoro pemukenza wepazamu, funga kujoka neboka rekusimbisa kenza yepamu munharaunda yako, kana kenza yepamusoro yepamuviri yepamu . Kazhinji, mapoka aya ndeimwe nzira dzekugara pamusoro pekutsvakurudza kwekupedzisira nezvekenza. Inogonawo kunyaradza "kutaura" nevamwe vakatarisana nekusava nechokwadi uye kukakavara kwakapoteredza chikwata chepamusoro cheKi-67.

> Sources

> Kontzoglou, K., Palla, V., Karaolanis, G. et al. Kuwirirana pakati peKi67 nekenza yepamuviri yepabonde. Oncology . 2013. 84 (4): 219-25.

> Koz, Z., uye D. Dabbs. Biomarker Assessment uye Molecular Testing yekujekesa muBritain Cancer. Histopathology . 2016. 68 (1): 70-85.

> Luporsi, E., Andre, F., Spyratos, F. et al. Ki-67: uwandu hwehupupuriro uye maitiro ekufungidzira kwebasa rayo mumakiriniki ekuchengetedza kenza yemazamu: kuongorora nekuongororwa kunotsvaga. Chirwere Chepabonde Research and Treatment . 2012. 132 (3): 895-915.

> Perez-Lopez, M., Garcia-Gomez, J., Alves, M. et al. Ki-67 inonzi prognostic marker yemamorumine receptor zvakanaka tumorum. Clinical & Translational Oncology. 2016. 18 (10): 996-1002.

> Yagi, T., Inoue, N, Yanai, A. et al. Chirevo chekufananidzira kweGeminin Mazwi ekududzira muKi67-High Subset yeEstrogen Receptor-Yakanaka uye HER2-Inonyanyisa Breast Cancers. Chirwere chepabonde . 2016. 23 (2): 224-30.