Kodi khansa ya m'mawere ya medullary imasiyana bwanji ndi khansa zina za m'mawere?
Medullary carcinoma ya m'mawere ndi mawonekedwe osazolowereka a kansa ya m'mawere. Ndi mtundu wa ductal carcinoma (IDC) ndipo umatengera dzina lake ku mtundu wake, womwe uli pafupi ndi mtundu wa minofu ya ubongo, kapena medulla. Zimayambira mu mazira anu a mkaka, ndi maselo aakulu a kansa omwe amawoneka osiyana kwambiri ndi maselo abwino.
Medullary carcinoma sichidziwitso chofala.
Medullary carcinoma amawerengera 3 peresenti mpaka 5 peresenti ya khansa yonse ya m'mawere. Zingakhale zovuta kusiyanitsa ndi matenda oopsa a carcinoma ndipo pali khansa yomwe ili ndi zina koma osati zonse za medullary carcinoma. Chifukwa cha zimenezi, madokotala nthawi zina amadwala kwambiri mankhwala osokoneza bongo, mwinamwake, kuposa momwe amafunira, amapereka umboni wabwino. Ambiri mwa amayi omwe ali ndi zaka za m'ma 40s komanso zaka za m'ma 50s.
Maonekedwe
Maselo a Medullary carcinoma amatha kukhala ndi malire omveka pakati pa chotupa ndi minofu yathanzi pafupi nawo - ndi ochepa kwambiri kuposa maselo ena a khansa ya m'mawere. Pansi pa microscope, maselo ndi akuluakulu komanso osaoneka bwino komanso owopsa, koma samakonda kuchita zachiwawa pamene akuwoneka.
Nthawi zambiri maselo ambiri a m'magulu (monga lymphocytes) pamphepete mwa zotupazi, amasonyeza kuti chitetezo cha mthupi chimayesetsa kuthetsa vutoli.
Khansara ya m'mawere imaoneka ngati medullary carcinoma koma siyenerana ndi zonsezi, mukhoza kumva chotupa chanu chotchedwa "atypical medullary carcinoma." Mankhwalawa amachititsa kuti azipweteka kwambiri.
Zizindikiro ndi Zizindikiro
Medullary carcinoma ya m'mawere sangamve ngati mtanda, koma m'malo mwake, ngati malo otupa, omwe amapezeka m'matumbo.
Zingayambe kuzindikiridwa ngati kupweteka, kufiira, kapena kutupa pachifuwa chanu. Popeza maselo a medullary carcinoma ndi aakulu ndipo amakonda kukhala pamodzi ndikukwera pamalo amodzi, chotupacho chingamveke mopepuka, ngati chifuwa cha m'mawere . Ichi ndi chimodzi mwazifukwa kuti ndi kofunika kwambiri kuti mukhale ndi chifuwa chilichonse mumatenda anu, ngakhale kuti chimakhala ngati chophweka.
Mayesero Kuti Azidziwidwa
Mankhwala a m'mawere a Medullary samapezeka nthawi zonse pa mammogram ndipo amapezeka nthawi yoyamba pamene wina akumva kupweteka. Mawere a ultrasound akhozanso kuchitidwa. Njira yokhayo yosiyanitsira medullary carcinoma kuchokera ku mitundu ina ya khansa ya m'mawere ndiyo kupyolera mu chiwopsezo. Chitsanzo cha minofu nthawi zambiri chimatengedwa ndi chifuwa chotseguka kapena chifuwa cha m'mawere .
Kuchiza
Mankhwala ambiri a medullary ndi ochepa ndipo angathe kuchiritsidwa mosavuta ndi opaleshoni. Zili zochepa kwambiri kuposa ma khansa ena a m'mawere kuti afalikire ku maselo am'mimba, ndipo madokotala ena amawona kuti opaleshoni yokha imakhala mankhwala okwanira kwa zotupazi (zambiri zomwe zimakhala zosakwana 1 inch kukula.) Zochizira zingaphatikizepo:
- Opaleshoni : Opaleshoni imagwiritsidwa ntchito kwa anthu ambiri omwe ali ndi mtundu uwu wa khansa ya m'mawere ndipo angakhale mwina a lumpectomy kapena mastectomy , malingana ndi malo a chotupa ndi zofuna zawo.
- Chemotherapy : Popeza ambiri mwa zotupazi ndizochepa ndipo nthawi zambiri sadziwa kufalikira ku maselo am'mimba, mankhwala amadzimadzi amathandiza kuti matumbowa akhale aakulu kuposa inchi kukula kwake. Izi zinati, zambiri za zotupazi zimakhalapo - zili ndi zizindikiro - za mitundu ina ya khansa ya m'mawere, choncho amatha kuchiritsidwa kwambiri.
- Thandizo la mankhwala : Momwemonso, mankhwalawa amagwiritsidwa ntchito mochepa kusiyana ndi mitundu ina ya khansa ya m'mawere, koma angagwiritsidwe ntchito payekha.
- Thandizo la mahomoni : Mankhwala otchedwa Hormone amagwiritsidwanso ntchito mochepa ndi medullary carcinoma, ambiri mwa zotupazi ndizosavomerezeka ndi mahomoni. Mu kafukufuku wina, 68% mwa zotupa zimenezi zinali zosavomerezeka kwa receptors za estrogen ndipo 86 peresenti zinali zoipa kwa ovomerezeka a progesterone.
- Herceptin amagwiritsidwa ntchito kawirikawiri ndi mtundu uwu wa khansara monga zambiri za zotupazi ndi HER2 zosasangalatsa. Mu kafukufuku wina opitirira 80 peresenti ya zotupa zinali zoipa kwa HER2 receptors.
Kuthamangitsani
Medullary carcinoma amatha kukhala ndi maselo ooneka apamwamba omwe amakula mofulumira. Iwo sangafalikire kufalikira ku ma lymph nodes kusiyana ndi ma khansa ena omwe ali ndi khansa. Mu phunziro limodzi lalikulu, chiwerengero chachikulu cha moyo pa zaka 2 chinali 98.2 peresenti. Kuwonjezereka kwakukulu kuposa izi ndi kotsika kwambiri poyerekeza ndi mitundu ina ya khansa ya m'mawere.
Zotsatira:
Chu, Z., Lin, H., Liang, X., Huang, R., Zhan, Q., Jiang, J., ndi X. Zhou. Maphunziro a clinicopathologic omwe amavomerezedwa ndi medullary breast carcinoma: kufufuza mobwerezabwereza milandu 117. Mapulo One . 2014. 9 (11): e111493.
Dieci, M., Orvieto, E., Dominici, M., Conte, P., And V. Guarneri. Mankhwala a khansa yambiri ya m'mawere: histological, molecular, ndi zozizwitsa zachipatala. Oncologist . 2014. 19 (8): 805-13.
Lim, S., Park, S., Park, H., Hur, M., O, S., ndi Y. Suh. Ntchito Yopatsa Chidziwitso cha Adjuvant Chemotherapy mu Makhalidwe Olakwika (NO), Katatu-Osayenerera (TN), Medullary Khansa ya M'mimba (MBC) ku Korea Population. Mapulo One . 2015. 10 (11): e0140208.
Shokouh, T., Eztollah, A., ndi P. Barand. Kusiyana pakati pa Ki67, HER2 / neu, p53, ER, ndi PR Status ndi Associations zawo Ndi Tumor Grade ndi Lymph Node Kuphatikiza mu Breast Carcinoma Subtypes: Retrospective-Observational Analytical Study. Mankhwala . 2015. 94 (3): e1359.