Khansa ya m'chiberekero-03

Mayi K, mayi wazaka 55 wokhala ndi moyo wolemera wokhazikika kudziko lina, mwadzidzidzi anakumana ndi khansa. Zaka zitatu zapitazo, adamva kusasangalala ndi kutupa m'mimba mwake, komwe kumaphatikizapo kuchepa kwa chilakolako cha chakudya. Atafufuzidwa kuchipatala chakunja, adapezeka ndi khansa ya ovary ya gawo lachinayi. Chifukwa cha gawo lopita patsogolo komanso zotupa zingapo zomwe zidapezeka potsegula mimba, kuchotsa opaleshoni sikunali kotheka, zomwe zinapangitsa kuti chemotherapy ikhale njira yokhayo.

Pambuyo pa opaleshoni, chizindikiro cha chotupa cha CA125 mu seramu yake chinawonjezeka kuchoka pa 1800 U/mL kufika pa 5000 U/mL. Kupitiliza kulandira mankhwala a chemotherapy sikunagwire ntchito bwino, ndipo CA125 inakweranso kufika pa 8000 U/mL patatha miyezi isanu ndi umodzi. Madokotala anauza banja lake kuti nthawi yake yotsala inali yochepa ndipo anawalangiza kuti akonzekere m'maganizo. Ngakhale kuti anadziwa kuopsa kwa matenda ake, Mayi K sanasonyeze zizindikiro za kutaya mtima. Asanataye mtima, ankafuna kuyesa chithandizo cha immunotherapy.

Chaka chatha, Mayi K adachitidwa opaleshoni yoyamba kuti atengedwe. Pambuyo pa miyezi iwiri yokulitsa ma TILs m'thupi mwake, adabwezeretsedwa m'thupi mwake. Anadwala malungo tsiku lomwe adapatsidwa, lomwe linachepa tsiku lotsatira, ndipo adamva bwino kwambiri. Tsopano, atatha miyezi isanu ndi umodzi ya chithandizo, kuchuluka kwa CA125 kwake kwakhala kosalekeza pansi pa 18 U/mL. Kuyerekeza kwa zithunzi za PET-CT kukuwonetsa kuti mwa zotupa 24 zoyambirira zomwe zidafalikira m'thupi mwake, chimodzi chokha chatsala. Mu Marichi chaka chino, Mayi K adachitidwa opaleshoni yachiwiri kuti atengedwe.