Kenza yemapapu isiri masero madiki (NSCLC)-02

Murwere wechirume ane makore 82 okuberekwa akaonekwa kekutanga kutanga kwaKurume 2023 aine kushaya simba kwakanyanya, kurasikirwa nechido chekudya, uye kudzikira kwehuremu hwemakirogiramu mashanu. Pavakabvumidzwa kupinda muchipatara, vakaongororwa zvakadzama. Kuongorora CT pachipfuva kwakaratidza maronda akawanda mumapapu ese ari maviri, guru racho riri 2.5 cm. Ronda guru muchikamu cheapical chelobe yezasi yerudyi uye ronda guru muchikamu chedorsal chelobe yeruboshwe yepamusoro zvese zvaive zvisina kujeka. Mushure mekuongororwa kwechipfuva nechirwere, kuongororwa kwekenza yemapapu isiri diki (NSCLC) kwakasimbiswa, neadenocarcinoma iri muchikamu chedorsal chelobe yepamusoro yeruboshwe uye chikamu cheapical chelobe yezasi yerudyi.

Murwere akazowana mushonga weNK cell immunotherapy. Mushure memwedzi wekutanga wekurapwa, kuongororwa kwakatevera hakuna kuratidza shanduko huru muhukuru hwemapundu emapapu, asi zviratidzo zvemurwere zvese zvakavandudzika, nekushaya simba kwakaderera uye kudzoka zvishoma nezvishoma kwechido chekudya. Mushure memwedzi wechipiri wekurapwa, imwe chest CT scan yakaratidza kudzika kwakajeka uye kudzikira kudiki kwehukuru hwepundu muchikamu che apical che right lobe, uye chikamu che necrosis nechimiro chakatsanangurwa chepundu muchikamu che dorsal che kuruboshwe rwepamusoro. Mushure memwedzi wechitatu wekurapwa, chest CT yakaratidza kudzikira kwakawedzerwa muhukuru hwemapundu mumapapu ese ari maviri, nepundu guru rava kusapfuura 1.5 cm, kunyura kwezvipembenene zvemapapu, uye kuvandudzika kwakakura mukurapa.

Muchidimbu, kurapwa nemasero eNK kwaratidza kushanda zvakanaka uye kushivirira murwere uyu ane makore makumi masere nemaviri ekuberekwa ane NSCLC, nekudzikira kukuru kwemaronda emapapu uye kuvandudzika kukuru mumamiriro emurwere. Kutevera uye mamwe mapurogiramu ekurapa acharamba achitarisa kufambira mberi kwechirwere uye mhedzisiro yekurapa.