Te mate pukupuku endometrial wāhanga IVB-04

He wahine te tūroro, 55 tau te pakeke, ā, i whakaū te histopathology o te koiora i te tautuhi he mate pukupuku endometrial kāore i te tino wehewehea te wāhanga IVB.

He iti te rerekētanga, he nui te mate pukupuku. Kua horapa tōna pukupuku, ā, kāore i taea te tango katoa mā te pokanga. I whakaatuhia e te aromatawai anō he iti te rahinga me te maha o ngā pūtau lymphocyte o ngā tūroro, ā, he tino iti te mahi a ngā pūtau NK. Nā te kore e taea te aro atu ki ngā pānga kino, ka mutu tana mahi chemotherapy, ā, ka uru atu ki tētahi whakamātautau haumanu o ngā pūtau NK toto taura.

I whiwhi tēnei tūroro i te maimoatanga tuatahi i te Hui-tanguru 2021, ā, i te tuarua i muri i ngā marama e 6. Mō ngā rā e 4 karapīpiti, kotahi te werohanga ā-uaua me te immunophenotyping i mahia i mua me muri i ia rauna maimoatanga.

I muri i te akoranga tuatahi o te rongoā ārai mate i roto i ngā pūtau NK toto taura, i tino māmā ake te āhua o te tūroro. Kua pai ake tōna kaha tinana, tōna hiahia kai, me te kounga o te moe.

I muri i te tuarua o ngā maimoatanga, i whakahaerehia e te kairangahau he matawai PET-CT. I whakaatuhia e te matawai he whakahekenga o te rahi o te papatipu hypermetabolic o te kōpū matau, me te whakahekenga nui o te pākia me te rahinga o te kōpū i whakaritea ki mua i te maimoatanga. Ahakoa kāore i rerekē te papatipu o te pane o te femur matau me te metastasis o te rara 10 me te 11 o te rara matau, he noa te pākia o ngā metastasis o te wheua. I ngaro atu hoki ngā metastasis maha o ngā kōpū lymph i te kaki, mediastinum, retroperitoneum, me te pelvis.

I muri i ngā akoranga e rua, i heke te kaute āhua tinana mai i te 3 ki te 1, ā, i tino piki ake te kounga o te oranga.