Carcinoma In Situation, Kuonekera Microscopic, ndi Mphamvu Kufalikira
Ndi njira zowonongeka koyamba, tsopano tikupeza khansa zambiri pa siteji yomwe imatengedwa kuti ndi carcinoma in situ (CIN). Pakalipano tilibe njira yodziwira ngati CIN idzapita ku khansa, koma nthawi zambiri CIN imawoneka kuti ili pachiopsezo chokhala khansara yosautsa. Kodi kwenikweni amatanthauza chiyani CIN, kodi khansa ikhoza kukhala ndi carcinoma mu malo otetezeka, ndipo ikusiyana bwanji ndi khansara yoopsa?
Tanthauzo: Carcinoma In Situ (CIN)
Carcinoma in situ ndi mawu omwe amagwiritsidwa ntchito kufotokoza khansara yomwe ilipo mu maselo kumene idayambira ndipo siifala kwa zida zilizonse zapafupi. Carcinoma in situ ndi gawo loyambirira la khansara, ndipo pakadali pano, amalingalira kuti "sizowonongeka." Ponena za masitepe, carcinoma in situ imatengedwa siteji 0 khansa. Gawo 1 mpaka pa siteji yachinayi ndilo "khansa yowopsa".
Kuoneka Kwambiri
Matenda a carcinoma mu situ ayenera kupangidwa pansi pa microscope, kumene amadziwika ndi kukhalapo kwa maselo a khansa. Maselo a kansa amasiyana ndi maselo achibadwa m'njira zambiri , osati kungofalitsa.
Carcinoma In Situ vs Carcinoma Yowopsya
Mosiyana ndi khansa, kapena khansara yowonongeka, carcinoma in situ siinayambe kugwera pansi pamimba, ndipo palibe kuponyedwa kwa stromal. Zina osati izi-chakuti maselo sanayambe kupyola kupyolera mu mawonekedwe omwe adayambira-maselo amawoneka ofanana ndi maselo a khansa omwe amawoneka angayeseke pansi pa microscope.
Meaning of Carcinoma In Situ
M'njira zambiri, mawu oti "carcinoma" amangofanana ndi khansa. Pafupifupi 85 peresenti ya khansa ndi khansa. Mankhwala a kacinomu ali ndi maselo a epithelial; mtundu wa maselo omwe amayendera khungu, mawere, ndi ziwalo zina za ziwalo m'thupi.
Mankhwalawa a carcinomas ndi adenocarcinoma, squamous cell carcinoma, transitional cell carcinoma (m'chikhodzodzo kapena impso), ndi basal cell carcinoma.
Carcinoma in situ ikhoza kufotokozedwa kwambiri ndi minofu imene khansa ikuyambira. Mwachitsanzo, squamous cell carcinoma in situ ya chiberekero idzaimira khansara yomwe idayambira m'maselo osokoneza thupi omwe amachititsa chiberekero ndipo sichinafikepo.
Matenda ngati mitsempha imakhala mumatenda omwe alibe chiwalo chapansi kuti mitundu iyi ya khansa ilibe sitepe ya carcinoma in situ. Mwa kuyankhula kwina, chotupa monga khansara ya fupa (osteosarcoma) sichikhala ndi malo osadetsa (palibe CIN siteji) ndipo maselo angaoneke ngati abwino kapena khansa. Kwa khansa yomwe ilibe kachilombo ka HIV, kuyezetsa kuyesera (monga Pap smear) sikuli koyambirira kumvetsa.
Khansa Yomwe Ikhoza Kupezeka Ngati CIN
Mwachidziwitso, khansara iliyonse imene imayambira m'maselo a epithelial angakhale ndi CIN stage. Kawirikawiri mumamva zambiri, komabe mumaphatikizapo CIN ya m'mawere (onse a ductal carcinoma in situ (DCIS) ndi lobular carcinoma in situ (LCIS) , chikhodzodzo, mapapo ( khansa ya mapapo ya mapapo 0 ), chiberekero ( cervical intraepithelial neoplasia ), komanso khungu ( squamous cell carcinoma in situ ).
Carcinoma In Situ (CIN) ndi Khansa
Funso la madola milioni posachedwapa, makamaka ndi kutsutsana pa chithandizo cha ductal carcinoma in situ kapena situ mu kansa ya m'mawere, ndi kaya kapena carcinoma in situ kwenikweni ndi khansa.
Yankho ndiloti zimadalira yemwe mumayankhula naye. Madokotala ena amapanga khansa m'mimba monga khansara yosakanikirana ndipo ena angakonde kuyitcha isanafike khansa. Kusiyanitsa kungakhale koti kudziwa ngati CIN ikhoza kupita patsogolo ku khansa yowonongeka, ndipo kuti, mwakutanthauzira, sichidziwika. Komanso sitimayesetsa kupeza mayankho posachedwapa, chifukwa sizingatheke kuti tiwone khungu lalikulu la carcinoma mu situ kuti tiwone ngati adakhala khansa yowonongeka ndi kufalikira.
Carcinoma In Situ vs Precancerous Maselo vs Dysplasia
Mawu ambiri okhudza maselo ofanana ndi maselo osapatsirana a khansa. Chimodzi mwa izi ndi dysplasia.
Dysplasia ikhoza kuyendetsa minofu kuchokera ku mild dysplasia kumene maselo amakhala ochepa kwambiri omwe amawonekera ku carcinoma in situ, omwe ena amachititsa kuti dysplasia ikhale yaikulu kwambiri ya epithelium. Mawu akuti maselo osakanikirana angathenso kugwiritsidwa ntchito pofotokoza maselo omwe amapitirirabe pakati pa maselo abwino ndi khansa.
Gawo la Khansa, Carcinoma In Situ, ndi Malembo Owonjezera
Funso lodziwika ndilo, "Ndi gawo lotani la khansa ndi carcinoma in situ?" Carcinoma in situ imatchedwa khansa ya stage 0. Panthawi imeneyi, khansa imaonedwa kuti si yowopsya. Gawo 1 khansa ndi kupitirira amalingaliridwa kuti ndi osowa. Mawu ena omwe angagwiritsidwe ntchito pofotokoza chinthu chomwecho monga carcinoma in situ kapena siteji 0 khansa imaphatikizapo osalowera, osadziwika, ndi intra-epithelial.
Chithandizo
Carcinoma in situ kawirikawiri imachotsedwa kudzera opaleshoni, ngakhale mtundu wa opaleshoni umadalira malo, ndipo ngakhale m'malo ena pali kusiyana kwakukulu. Zosankhazi zimapangidwa pogwiritsa ntchito kuyang'ana malo amodzi, zoopsa zomwe zimasonyeza kuti CIN imakhala khansara yowonongeka, msinkhu wa munthu, ndi zina zambiri. Anthu ena amavomereza kuti palibe chinthu cholakwika koma ena amafuna kuti chilichonse chomwe chingathe kukhala khansa chichotsedwe.
Komanso: malo 0 kansa
> Zotsatira:
> Merrill, A., Esserman, L., ndi M. Morrow. Ductal Carcinoma In Situ. The New England Journal of Medicine . 2016. 374: 390-392.
> National Cancer Institute. SEER Training Modules. Mu Situ (Gawo = 0).