Ngomhla ziyi-10 kuJulayi, 2015, i-National Cancer Institute (NCI) yamemezela ukuthi uhlolo lwezokwelapha olunembayo olukhulu kunawo wonke emlandweni seluqalile ukuqasha iziguli. Lokhu kuhlolwa kuzonxenxa iziguli ezinomdlavuza eziyi-1,000 futhi kuzofunda ngemithi ehlosiwe engaphezu kwama-20 ngesikhathi esisodwa. (Kuhlanganisa nezidakamizwa ezidayisiwe futhi ezisese ocwaningweni lomtholampilo) Ukusebenza kahle kwabantu abanezakhi zofuzo zomdlavuza noma ukucindezeleka ngokweqile. Lokhu kuzophinde kuqinise futhi kuthuthukise isikhundla esihamba phambili sase-US ocwaningweni lwezakhi zofuzo zomdlavuza, ukutholwa kanye nokwelashwa okuqondiswe kumdlavuza.
I-United States iyizwe elithuthuke kakhulu ekuhlolweni kofuzo lomdlavuza kanye nokwelapha okuhlosiwe, elinezinkampani nobuchwepheshe bokuhlola izakhi zofuzo eziphambili kakhulu, izikhungo nochwepheshe bokwelapha umdlavuza abahamba phambili emhlabeni, kanye nemithi eqondiswe ukulwa nomdlavuza eyakhiwe. Iziguli ezinomdlavuza zizosiza cishe u-82% weziguli ukuthi zithole imithi yokwelapha eqondiwe noma imithi yokuhlolwa komtholampilo ngokuhlola umdlavuza wezakhi zofuzo ezigcwele (okungeyona ingxenye yokuhlolwa kofuzo lwasekhaya) nokuhlaziywa kwedatha enkulu.
Umlando wamanje wezokwelapha:
Isiguli sasineminyaka engu-55 ubudala kanti owesifazane. Ukubonakaliswa komtholampilo kwakuyisisindo esodongeni lwesifuba esingakwesokunxele, esikhulu kunazo zonke esingaphezu kuka-6 cm. Isampula ye-biopsy yezicubu ze-tumor, imiphumela yokuhlolwa kwe-pathological: ukwanda kwamaseli e-spindle, ukuxilongwa kokuqala kwe-malignant spindle cell tumor grade 2 (Umfanekiso 1, A no-B). Imiphumela ye-Immunohistochemistry yayinhle ku-S-100 ne-CD34 (Umfanekiso 1, C no-D). Emkhakheni wamandla aphezulu wokubona, inkambu yombono ngayinye ingabona isigaba se-mitotic esingu-6/10, kodwa akukho necrosis. Ngokusho kwemihlahlandlela ye-FNCLCC yebanga le-histopathological ye-soft tissue sarcoma, leli cala linzima ukuxilonga isimila kufanele libe phakathi nendawo.
Isiguli ekuqaleni sisebenzise i-75 mg / m2 i-Adriamycin (Adriamycin®) kanye ne
