DCIS ndi LCIS: Khansa kapena ayi?
Kodi zikutanthawuza chiyani kuti uuzidwe kuti uli ndi zero za khansa ya m'mawere? Kusokonezeka pa zomwe machitidwe angapangitse kusamvetsetsana kwa chikhalidwe, njira ya chithandizo, ndi zotsatira.
DCIS kapena Stage 0 Khansa ya m'mawere nthawi zambiri imamvetsedwa
Anthu ambiri amene atulukira kuti ali ndi ductal carcinoma in situ (DCIS) kapena kansa ya seti ya cancer 0 imakhala yokhumudwitsa akamayankhula ndi ena.
Anthu ena amapereka ndemanga yakuti "si kwenikweni khansa" kapena "simuli pangozi konse" ndipo mauthenga awa akhoza kukhala owawa kwambiri. Pambuyo pake, ambiri mwa anthuwa adachiritsidwa ndi opaleshoni ndi ma radiation ndipo akuyang'ana zaka zisanu kapena kuposerapo pogwiritsa ntchito mankhwala a mahomoni . Ndemanga zoterezi zimakhala zosavomerezeka, ndipo asiye akazi kuti aganizire kuti matenda awo adakanidwa ndipo maganizo awo achotsedwa.
Matenda onse a khansara kapena precancer (zilizonse) ndi owopsya. Kafukufuku apeza kuti zomwe anthu amamva pa nthawi yochidziwitso zimakhala zofanana ngati munthu amapezeka ndi chifuwa chachikulu chochiritsika kwambiri kapena chotupa chapamwamba chopanda chithandizo.
Kusokonezeka kumeneku chifukwa cha matenda a khansa ya m'mawere imakhala yofala. Tiyeni tiwone zifukwa za chisokonezo ndikupeza zomwe zenizeni ziripo pa khansa ya m'mawere 0 DCIS ndi msuweni wake LCIS (lobular carcinoma in situ).
Khansa In Situ
Kutulukira kwa carcinoma in situ kumatanthauza tanthauzo lenileni. In situ zikutanthauza kuti maselo a khansa onse "ali mmalo" osati osokonezeka. Carcinoma in situ , kaya imapezeka muzitsulo za mkaka wanu wamkaka kapena mkati mwa lobes kumene mkaka umatulutsidwa, uli ndi maselo ambiri. Akatswiri a zachipatala amatcha mtundu uwu wa matenda a zero chifukwa sichimachokera m'malo (sinafalikira kupitirira chinthu china chotchedwa chipinda chapansi), ndipo sichidawongolera zina zinyama.
Maselo a carcinoma in situ amawoneka ofanana ndi maselo a khansa mu khansara yowonongeka, kusiyana kokha ndi momwe maselo akufalikira.
Khansa yosavomerezeka ya m'mawere imapatsidwa nambala ya siteji kuchokera pa imodzi kufika pa zinayi ndipo nkofunika kukumbukira kuti magawo apansi ndi osavuta kuchiza, zomwe zimapangitsa kuti apitirizebe kupulumuka.
Zero Zero Zachiwerewere cha Khansa
Komiti Yogwirizanitsa Amayiko a Cancer (AJCC) imafalitsa miyezo yomwe khansa imayambira. Khansara ya m'mimba imayang'aniridwa ndi TNM, ndi manambala omwe amapatsidwa mphambu kwa Tumor, Nodes, ndi Metastasis. Tis N0 M0 imalongosola DCIS ndi LCIS komanso matenda a Paget a chiuno , ngati palibe chotupa chopezeka.
- Tis amatanthauza kuti palibe chotupa chopezeka, koma maselo osadziwika alipo.
- N0 amatanthauza kuti palibe ma lymph nodes omwe akukhudzidwa.
- M0 imatsimikizira kuti palibe metastasis yachitika.
Izi ndi zomwe oncologist akunena pamene akukuuzani kuti muli ndi sitepe ya zero ya khansa ya m'mawere.
Kansalu Woyamba Kapena Wosagonjetsa Khansa?
Madokotala ena amagwiritsira ntchito mawu akuti khansa yowonongeka komanso yosagwirizana ndi ena koma ena amangotchula kansalu ya khansa ya m'mimba monga "khansara." Mwanjira iliyonse, iwo akuyankhula za ndondomeko yomweyo ndi mawu osiyana.
Koma mukamva mawu akuti "precancerous," mukhoza kudandaula kuti muli ndi vuto limene mosakayikira lidzapita ku khansa, ndipo ayenera kuchitidwa ngati choncho.
Ndiye kachiwiri, ngati mwauzidwa kuti matenda anu ndi "khansa yosagonjetsa," mukhoza kuwombera ndi mantha pakumva mawu a "C"! Tiyeni tiwone izi: Sitimakonda nthawi iliyonse, makamaka pamene ikulozera mabere athu.
Kodi Zero Khansa Kapena Osati?
Zonsezi zimakhala zoopsa chifukwa zimatha kuwononga malo omwe ali ndi malo omwe ali nawo. Asayansi sangathe kudziwa ndendende kuti ndi anthu otani amene angakhale ndi chiopsezo chokhala ndi kansa ya m'mawere ngati akusowa chithandizo cha DCIS kapena LCIS. Ma carcinoma onse amakhala ndi mawonekedwe a kansa ndipo onse awiri amatha kukula ndikufalikira pamtunda wawo, kapena sangathe.
Popeza pali khansara yosautsa, anthu ambiri ndi madokotala awo amatha kusankha chithandizo cha khansa ya m'mawere monga momwe angafunire khansa yowopsa (siteji I kupita ku gawo la IV).
Zina zambiri zimakhudza dongosolo lanu la mankhwala. Ena mwa awa ndi awa:
- Chikhalidwe cha mahomoni
- Matenda a chibadwa
- Mkhalidwe wamwamuna
- Zosankha zaumwini
Njira Zothandizira
Njira zochizira zimasiyanasiyana malinga ndi zomwe zili pamwambapa ndi zina.
Ena oncologists angakuuzeni kuti "yang'anani ndi kuyembekezera" kuti muone ngati carcinoma idzasankha yekha kapena ngati izo zidzakula. Madokotala ena amapereka chithandizo cha khansa yoyenera. Anthu ena "amangozifuna" ngati pali mwayi woti siteji 0 ingakhale khansara yosautsa, pamene anthu ena amakhala omasuka ndi njira yokonzekera kuyang'anira pamodzi ndi kutsata mosamala.
Mankhwala angaphatikizepo mtundu wa lumpectomy wotsatiridwa ndi mazira, kapena mastectomy ngati pali nkhawa kuti pangakhale mbali zina za DCIS kapena LCIS m'mimba kapena ngati mayi ali ndi mbiri yambiri ya khansa ya m'mawere. Mankhwala opanga mahomoni amatha zaka 5, ndipo tamoxifen imagwiritsidwa ntchito nthawi zambiri kwa amayi omwe amachititsa kuti mimba isamadzike komanso aromatase inhibitors kwa omwe ali am'mawopaopausal.
Mwanjira iliyonse, mudzakumana ndi zisankho zosasangalatsa komanso maganizo osiyanasiyana. Anthu omwe adzakugwirirani ayenera kulemekeza ngakhale mutapatsidwa matenda.
Kotero, kodi zero zenizeni kwenikweni ndi khansa ya m'mawere, kapena ayi? Madokotala samagwirizanabe pa izi, koma izi ndi nkhani ya mawu omveka bwino. Osapachikidwa pa mawuwo, koma ganizirani kupeza lingaliro lachiwiri, kuti mupeze chithandizo chabwino komanso chothandiza kwambiri pa thanzi lanu.
> Zotsatira:
> Rosso, K., Weiss, A., ndi A. Thompson. Kodi Pali Njira Zina Zogwiritsira Ntchito Dongosolo la Ductal Carcinoma mu Situ. Makanema Opangira Opaleshoni Yopangira Opaleshoni ku North America . 2018. 27 (1): 9-80.
> Toss, M., Miligy, I., Thompson, A. et al. Mayesero amakono ochepetsa kuchepetsa opaleshoni opaleshoni mu Carcinoma M'kati mwa Chifuwa: Kubwereza Kwambiri. Mimba . 2017. 35: 151-156.