Lobular carcinoma in situ (LCIS) amatanthauza kupezeka kwa maselo osadziwika omwe ali m'kati mwa makululu anu. LCIS, pamene ilibe khansara, imaonedwa kuti ndi chizindikiro cha chiopsezo chowonjezereka, mtsogolomu, chokhala ndi khansa yosautsa, yamtundu uliwonse, kaya chifuwa.
Ngati mwauzidwa kuti muli ndi lobular carcinoma in situ (LCIS), mulibe kansa ya m'mawere yosautsa.
Izi ndi ziwiri zosiyana kwambiri ndi matenda.
Ambiri mwa amayi omwe amapezeka ndi LCIS sanapite kumapeto. Si zachilendo kuti maululu angapo akhale nawo mbali. Pafupifupi gawo limodzi mwa magawo atatu a matenda omwe amapezeka, malo omwe amapezeka m'matumbo onse awiri amapezeka m'mabele.
Ngozi ya Khansara Ina
Akuti 20 peresenti mpaka 40 peresenti ya amayi omwe ali ndi LCIS angapezeke ndi khansara yapadera yosautsa yomwe idzakula kunja kwa malo ake oyambirira pazaka 15 zotsatira. Izi zikachitika, khansa yatsopanoyi imayambira mumatope a mkaka osati m'makutu.
Ndikosavuta kukhala ndi zizindikiro zonse ndi LCIS. Kawirikawiri, sichipezeka ndi machitidwe ozoloŵera. Popeza kuti LCIS siimayambitsa mitsempha yomwe imatha kuwonedwa kapena kumverera, nthawi zambiri imapezeka pa nthawi yotsatizana, yomwe imachitidwa ndi vuto lina. Ngati biopsy ikupeza umboni wa LCIS, dziwani kuti vutoli likhoza kuwoneka ngati lofanana ndi khansa ya m'mawere yotchedwa ductal carcinoma in situ.
Chifukwa cha ichi, mungafune kufunsa kawiri kachiwiri kuti mutsimikizire kuti mumapezeka. Ambiri omwe amapereka inshuwalansi amayang'ana mtengo wa lingaliro lachiwiri.
Popeza kuti lobular carcinoma in situ sichidziwika ngati khansara yeniyeni kapena ngakhale khansa isanakwane, dokotala wanu sangakulimbikitseni kuti muyambe kumwa mankhwala.
Komabe, popeza LCIS ingawonjezere chiopsezo chanu chokhala ndi khansa yoopsa m'tsogolomu, iye akhoza kulimbikitsa mwamphamvu kuti chikhalidwe chanu chiyambe kutsatiridwa.
Ngati mwapezeka ndi LCIS ndikukhala ndi mbiri ya khansa ya m'mawere m'banja lanu, zomwe zimakuchititsani kuopsa koopsa, dokotala wanu angakulimbikitseni kuganizira kumwa mankhwala kuti muchepetse chiopsezo cha khansa ya m'mawere.
Mankhwala monga anastrozole (Arimidex), mpweya wamkuntho (Aromasin), raloxifene (Evista), kapena tamoxifen (Nolvadex) angakonzedwe. Kupatula tamoxifen, mankhwala enawa ndi othandizira kuti azigwiritsidwa ntchito ndi amayi omwe amatha kupha amayi.
Kodi Lobular Carcinoma Ikuchitika Motani?
Ngakhale kuti LCIS singapange thandizo lachipatala ndi opaleshoni kapena mankhwala opangidwa kuti achepetse mwayi wopanga khansara ya m'mawere, dokotala wanu akufuna kuti ayambe kukuyang'anirani. Mudzalimbikitsidwa kuti muzichita kafukufuku wothandizira nthawi zonse, pangani maofesi akutsatira, mukatenge miyezi 6 kapena miyezi isanu ndi umodzi, ndipo ngati mukuwonetseratu, yesani kuyesedwa.
Mafupa onsewa ayenera kutsatiridwa, monga amayi omwe ali ndi LCIS m'mabere imodzi ali ndi chiopsezo chomwecho monga amayi omwe ali nawo m'mawere onse awiri. Iwo ali ndi chiwerengero chomwecho chowonjezeka chokhala ndi khansa m'mimba.
Azimayi onse omwe ali ndi LCIS, amafunika kuyankhula ndi madokotala awo za zifukwa zina zoopsa za khansa ya m'mawere, ndi kukambirana ngati kukhala ndi Magnetic Resonance Imaging (MRI) kuphatikizapo mammogram angakhale ndi phindu lina lililonse.
Azimayi, omwe ali pachiopsezo chachikulu chokhala ndi kansa ya m'mawere amatha kusankha opaleshoni yoteteza kuti zikhale zosavuta. Popeza LCIS ili ndi chiopsezo chowonjezeka cha khansa ya m'mawere m'mawere onse awiri, amachotsedwa kuti athetse chiopsezo.
Ngakhale kuti opaleshoni imeneyi imachotsa mawere onse awiri, sichichotsa ma lymph nodes. Akazi omwe akufuna kusankha opaleshoniyi ali ndi mwayi wokonzanso.
Mofanana ndi nkhani zonse zokhudza ubwino wa abambo, ndikofunika kuphunzira mbiri yakale ya banja lanu, yomwe si ntchito yamba nthawi zonse. Mabanja ambiri samadziwa, kapena samakonda kukambirana za matenda ndi zikhalidwe za achibale awo.
Kungodziwa yemwe anali ndi khansa ya m'mawere kumbali ya amayi anu ndi abambo a abambo ndi nkhani zomwe mungathe kuzigawana ndi dokotala wanu wamagulu kapena dokotala wanu panthawi ya kufufuza kwanu pachaka. Ngati dokotala wanu akuwona kuti mbiri yakale ya banja lanu ikuwonetsa zifukwa zomwe zingayambitse khansara ya m'mawere, iye angapangitse kuti azisamalidwe zomwe zingathe kuzindikira khansa ya m'mawere, kapena chikhalidwe monga LCIS.
Zotsatira: American Cancer Society, National Cancer Institute, Clinic Mayo