Kodi ndi tubular carcinoma ya m'mawere? Kodi izi zimasiyana bwanji ndi mitundu ina ya khansa ya m'mawere ndipo izi zimasiyana bwanji ndi mawere a tubula? Tiyeni tione zizindikiro, matenda, ndi chithandizo cha mankhwala, komanso kuwonetsa kwa mtundu uwu wosazolowereka wa khansa ya m'mawere.
Khungu la Carcinoma la Chiberekero Limatanthauzira
Mtundu wa tubular ndi mtundu wosazolowereka wa khansa yotentha ya m'mawere.
Zimatengera dzina lake kuchokera ku mawonekedwe ake aakulu, momwe maselo a khansa amafanana ndi timipira ting'onoting'ono.
Matenda a khungu amayamba kukhala ang'onoang'ono, estrogen-receptor positive , khansa ya HER2 / neu yonyansa. Nthaŵi zina, maselo a khansa yowopsa amakhala osakaniza ndi maselo a khansa ya ductal kapena lobular, ndipo amachititsa kuti munthu azidwala matenda otupa.
Matenda a khungu amachititsa pafupifupi 2 peresenti ya matenda onse a khansa ya m'mawere, koma nambalayi ikuwonjezeka, mwinamwake yachiwiri kuwonetseratu machitidwe achimake. Anthu omwe amapanga carcinoma ya tubula amakhala ndi zaka 50 kapena kuposerapo.
Tubular carcinoma imatchedwanso khansa ya m'mawere, TC, ndi tubulolobular carcinoma (TLC), pokhudzana ndi lobular carcinoma.
Kusiyanitsa pakati pa Tubular Carcinoma ndi Matenda Otupa
Mafupa opweteka, kapena mafupa otupa, ndi mawere omwe amaberekera m'mimba momwe mawere sakhala ndi minofu yambiri yomwe imakhala yachibadwa. Mafupa amphongo akhoza kukhala ndi maasolas akuluakulu, omwe ndi opapatiza kwambiri pa khoma la chifuwa, ndipo amakula mu mafashoni.
Opaleshoni yapulasitiki ikhoza kupangidwanso kubwezeretsa mawere a tubula kukhala mawonekedwe abwino. Kukhala ndi mawere akutha kusiyana ndi kukhala ndi carcinoma ya tubular.
Zizindikiro ndi Zizindikiro
Simungathe kumva minofu ndi tubular carcinoma ndipo khansayi imakhala yoyamba kumayambiriro. Ngati ili losakanikirana ndi maselo osokoneza bongo ndipo wapanga chipatso chodziwika kwambiri, ukhoza kumverera kupweteka.
Pamene maselo a khansa yowopsa amakhala ndi khansa ya m'mawere yotchedwa lobular (tubulolobar), zizindikiro zanu zingafanane ndi lobular carcinoma yowonongeka , ngati malo okhudzidwa pa kafukufuku koma opanda chotupa.
Kudziwa
Matenda a khungu amakhala ofooka kwambiri koma amatha kuwonetsa pamtambo ngati misala yosaoneka bwino, kapena timawu tapamwamba. Pa bere la ultrasound , carcinoma ya tubula imatha kuwonetsera ngati misala yofiira ndipo ikhoza kukhala ndi mawerengedwe pafupi.
Pakatikati mwa carcinoma ya tubula idzakhala yovuta kwambiri kuposa malo akunja a misala. Chowunikira chidzafunika kuti tipeze chitsanzo cha minofu kuti munthu wodwala matenda a matenda angachite zowonongeka kwambiri, zomwe zidzawonekere bwino.
Kuchiza
T, ngakhale izi zingakhale zosiyana kuchokera ku khansa zina za m'mawere monga zotupazi sizikufalikira. Zosankha zingakhalepo:
Kuchita opaleshoni: Mwinamwake mungagwiritse ntchito mankhwala osokoneza bongo. Popeza kuti zotupa nthawi zambiri ndizochepa, lumpectomy ikhoza kukhala yabwino. Nthenda yamtunduwu imakhala ikuchitidwa, chifukwa ngakhale zotupa zazing'ono (mwachitsanzo, 1 masentimita) zingakhale ndi zochitika zamagulu.
Thandizo la mankhwala: Chifukwa chakuti lumpectomy imagwiritsidwa ntchito pa zotupazi, mankhwalawa amagwiritsidwa ntchito pambuyo pochita ma opaleshoni kuti athetse minofu yotsalayo.
Thandizo la mahomoni: Popeza kuti khansa yowopsa kwambiri ndi estrogen-receptor, mankhwala opangira mahomoni angathandize kwambiri kuchepetsa chiopsezo cha kubwereza. Kwa amayi oyambirira, tamoxifen amagwiritsidwa ntchito nthawi zambiri. Azimayi omwe amachititsa amayi awo, kapena amayi omwe ali ndi vuto lochotsa mazira amachotsedwa kapena mankhwala ochotsera ovari, amachititsa kuti aromatase inhibitors azilimbikitsidwa. Chithandizo ndi mankhwalawa nthawi zambiri amalimbikitsa ngati chotupacho chiposa 1 masentimita ndi / kapena ngati minofu ndi yabwino.
Chemotherapy: Popeza kuti zotupazi sizingatheke kufalikira ku maselo a mitsempha, ndipo motero kumadera ena a thupi, sizingatheke kuti mankhwalawa adjuvant adzafunika pa zotupazi.
Chemotherapy, komabe, kawirikawiri amalimbikitsidwa ngati zowonjezera zowonjezereka zimakhala zabwino.
Tsatirani Patatha Chithandizo
Kuwunika mosamala pambuyo pochiza chithandizo kumafunikira monga ndi mtundu uliwonse wa khansa ya m'mawere. Si zachilendo kwa amayi omwe ali ndi khansa yotentha kuti ayambe khansa m'mimba mwawo, choncho kuyang'anira ndi mammogram ndi / kapena mawere a MRI ndi ofunika kwambiri.
Kukula kwa Mimba ndi Matenda
Ma carcinoma amtunduwu amakhala ochepa (1-2 masentimita awiri) ndipo nthawi zambiri samafalitsa patali kuposa malo oyambirira otupa. N'zotheka, koma zachilendo, chifukwa cha tubular carcinoma kuti mupite kumatenda anu a mitsempha - ndipo ma lymph nodes osakhudzidwa amatanthawuza pang'ono mwayi wa metastasis. Mutha kupulumuka ndi kupulumuka mukalandira mankhwala a tubular carcinoma ndi zabwino kwambiri. Kwenikweni, kufotokoza kwa tubular carcinoma kuli bwino kuposa ductal carcinoma kapena lobular carcinoma.
Mawu Ochokera
Khungu la khansa la m'mawere ndi khansa yomwe nthawi zambiri imakhala yaing'ono ndipo nthawi zambiri imakhala yabwino kwambiri. Icho chinati, khansara iliyonse ya siteji iliyonse ikuwopsya. Ndikofunika kuti ufikire kwa anzanu ndi abwenzi anu. Ganizirani kulowetsana ndi munthu wina kapena gulu lothandizira pa intaneti. Phunzirani zambiri momwe mungathere pa matenda anu. Ndi zotupa zomwe sizodziwikiratu, zingakhalenso zothandiza kupeza lingaliro lachiwiri pa malo akuluakulu a khansa omwe angakhale nawo oncologists omwe atengera anthu angapo ndi chotupachi. Ziphuphuzi kawirikawiri ndizochepa koma zimayambanso kufalikira ku maselo aang'ono pamtunda pang'ono kuposa mitundu ina ya khansa. Mwamwayi, ambiri mwa zotupa zimenezi ndi estrogen receptor zabwino, ndipo mankhwala a mahomoni akhoza kuthandizira kuchepetsa chiopsezo cha kubwereza.
> Zotsatira:
> Fritz, P., Bendrat, K., Sonnenberg, M. et al. Khansara Yamtundu Wopweteka: Phunziro Loyamba. Kafukufuku wa Anticancer . 2014. 34: 73647-3656.
> Min, Y., Bai, S., Lee, H. et al. Khungu la Carcinoma la Chiberekero: Clinicopathologic Zizindikiro ndi Mpulumutsi Wotsatira Poyerekeza ndi Ductal Carcinoma In Situ. Journal za khansa ya m'mawere . 2013. 16 (4): 404-409.