Kufotokozera Malingaliro Osiyanasiyana Ogwirizana ndi Gawo 4 Khansa ya m'mimba
Mawu akuti "metastatic" amagwiritsidwa ntchito m'njira zosiyanasiyana ndi khansa ya m'mawere , kotero tiyeni tiyambe mwa kufufuza tanthauzo lina la mawu omwe mungathe kuwapeza.
Kufotokozera "Metastatic"
Kansera yamatenda a m'matumbo ndi ofanana ndi kansa ya kansa ya m'mawere ndipo imaonedwa kuti ndiyo yopambana kwambiri ya khansa ya m'mawere. Zimatanthawuza ma khansa a m'mawere omwe afalikira kupyola pachifuwa ndi mitsempha yapafupi pafupi ndi zigawo zina za thupi monga mafupa, chiwindi, ubongo, kapena mapapo (omwe amatchedwanso kuti metastase kutali).
Komabe, ngati mwawerenga mndandanda wa mauthenga anu, mwachitsanzo, kulembedwa kolemba za mankhwala ozunguza bongo omwe mwakhala nawo, mwinamwake mwawona mawu akuti "metastatic." Metastases ku maselo a mitsempha-kufalikira kwa khansara kwa mfupa node-sizikutanthauza kuti muli ndi khansa ya m'mawere. M'malo mwake, minofu ya metastases ndi yofunikira makamaka chifukwa ndi chizindikiro chakuti khansara yanu ikhoza kufalitsa kapena kukhala metastatic.
Khansa ikhoza kufalikira m'njira zingapo-kupyolera mu njira yamagulu kapena mwazi. Pamene khansa ya m'mawere imatha kufalikira ndikulowa mu mitsempha yambiri yomwe imapezeka nthawi yoyamba kumalo osungira mafupa omwe amayandikira ndipo ikhoza kuyamba kukhala khansa ya m'mawere.
Onani kuti pamene khansa ya m'mawere ikufalikira akadali khansa ya m'mawere. Ngati mutatenga chitsanzo cha khansa m'malowa ndikuyang'ana pansi pa microscope, maonekedwewo angakhale a maselo a khansa, osati mafupa, chiwindi, kapena mapapo.
Mwachitsanzo, khansa ya m'mawere yomwe yafalikira mafupa imatchedwa khansa ya mafupa, koma "khansa ya m'mawere ya m'mawere mafupa."
Matenda a khansa yapamwamba
Wachikulire wanu angagwiritse ntchito mawu akuti "khansa ya m'mawere" poyankhula za chotupa chanu, kapena mukhoza kuwerenga mawu awa pamene mukuphunzira za khansa yanu.
Khansara ya pachifuwa cha m'mawere nthawi zambiri imatchula khansa ya m'mawere yomwe ili gawo la 3B kapena siteji 4 (metastatic).
Ziphuphuzi sizilandira mankhwala, koma khansa ndizochiritsidwa kwambiri komanso mankhwala amatha kupititsa patsogolo moyo ndikuchepetsa zizindikiro za khansa. Kawirikawiri nthawi yopulumuka ndi khansa ya m'mawere imasintha, ndipo palinso anthu omwe apulumuka kwa nthawi yayitali atapezeka ndi khansa ya m'mawere.
Zovuta zotsutsana ndi Zomwe Sizowonongeka
Mawu akuti khansa ya m'mawere yosautsa ndi yochititsa mantha, koma ngati maselo a masastasi amachititsa kuti minofu ikhale yopanda mphamvu, sizikutanthawuza kuti khansara imatha. Nthenda yoteteza khansa ya m'mawere imatanthawuza khansara iliyonse yomwe imafalikira kudutsa dera lomwe limatchedwa "thumba la pansi". Ndipotu, sitepe yokha ya khansa ya m'mawere yomwe sichionedwa kuti ikusowa ndi carcinoma in situ kapena stage 0 khansa ya m'mawere. Ndondomeko ya IA kupita ku siteji ya khansa ya m'mawere yonse imatengedwa ngati khansa ya m'mawere.
Mitundu Yambiri
Pali mitundu yambiri ya khansa ya m'mawere, ndipo mkati mwa mitundu yonseyi, pali kusiyana kosiyanasiyana pakati pa khansa zosiyanasiyana.
Matenda a khansa amayamba kusweka mu mitundu ikuluikulu:
- Khansa ya M'thupi Yopweteketsa Mimba - Mankhwala osokoneza bongo, kapena khansa ya m'mawere ndi omwe amayamba m'maselo achilendo (kuika maselo) m'matope a mkaka. Imeneyi ndiyo njira yowopsa kwambiri ya khansa ya m'mawere, yowerengera milandu inayi pa zisanu. Pali magawo angapo a khansa ya khansa ya m'mawere yomwe imakhala ndi tubular, medullary, papillary, ndi mucinous pakati pa ena. Izi zikhoza kukhala zosiyana pa nthawi yoyamba, kuzunza, ndi zina zambiri.
- Khansa ya m'mimba yotchedwa Metastatic Intralobular Cancer - Intralobular, kapena khansa ya m'mawere yotchedwa lobular imayambira m'maselo apachilendo omwe amayendetsa mitsempha yamapapu yomwe imabala mkaka. Ili ndilo kachiwiri kawiri ka khansa ya m'mawere, yowerengera pafupifupi 10 peresenti ya khansa. Zimakhala zochitika mwa amayi achikulire okhudzana ndi ductal carcinomas, koma izi zingasinthe mosiyana.
- Khansa ya m'mimba yotchedwa Breast Inflammatory Cancer - Mosiyana ndi khansa zambiri za m'mawere, khansara yotentha ya m'mawere nthawi zambiri imakhala pazigawo zapamwamba za matendawa panthaŵi yomwe akudziŵa. Mankhwalawa, omwe amawerengera pafupifupi 1 pa 100 aliwonse a khansa ya m'mawere, nthawi zambiri amawoneka ngati ofiira komanso kutupa pachifuwa m'malo mopweteka.
- Matenda a Paget - Matenda a Paget amawerengera pafupifupi asanu mwa magawo asanu alionse a khansa ya m'mawere ndipo amadza m'mphepete mwa ntchentche. Mankhwalawa amayamba ndi ntchentche, yofiira pamphuno, ndipo nthawi zambiri amagwirizanitsidwa ndi khansa yowonongeka yomwe ili mkati mwathu.
- Mitundu Yabwino ya Khansa ya M'bwere - Pali mitundu yambiri ya khansa yomwe ingabwere m'mawere monga matumbo a phyllodes, mitsempha, ndi zina zambiri.
De Novo Cancer
Khansara ya khansa ya khansa imatanthawuza khansa ya m'mawere yomwe imakhala yovuta kwambiri pa nthawi yoyamba kugwiritsira ntchito matenda ndi khansa ya khansa ya m'mawere.
Nthawi zina, metastases amapezeka pamene mayesero monga PET amafufuzira amachitika poyeza kansa ya m'mawere. Mosavuta, malo a metastases amapezeka poyamba, asanafike khansa ya m'mawere. Mwachitsanzo, munthu akhoza kukhala ndi kutyoka, ndipo pa x-ray, metastases angapezeke mu fupa lomwe likuponderezedwa. Khansara ya m'mawere ikhoza kupezedwa ngati gawo la kupweteka kuti mudziwe malo omwe ali ndi khansa yapachiyambi.
Khansa yowonongeka
Nthaŵi zambiri (90 mpaka 95 peresenti ya nthawi) khansa ya m'mawere imatanthawuza kubwereza kwa khansa ya m'mawere yapitayo.
Kubwereza kotsatira khansara ya m'mawere kumayambiriro amatha miyezi, zaka, kapena makumi khumi pambuyo pa chotupa choyambirira. Nthawi yobwereza ikhoza kupatsa wanu oncologist chidziwitso chofunika pa khansara yanu. Mwachitsanzo, zotupa zomwe zimabwerera zaka zitatu za khansa yapachiyambi zimakhala zowawa kwambiri kusiyana ndi zotupa zomwe zimabweranso mtsogolo, ngakhale kuti izi sizili choncho nthawi zonse.
Sitikudziwa kuti maselo a kansa akhoza "kubisa" kapena chifukwa chake amawonekera. Nthano imodzi ndi yakuti pali maudindo pakati pa maselo a khansa, omwe ali ndi maselo a khansa akutsutsana kwambiri ndi mankhwala omwe timagwiritsa ntchito poyambitsa khansa ya m'mawere. Pazifukwa zina, maselo a khansa amapulumuka pa mankhwala omwe timagwiritsa ntchito ndikugona mochedwa, kuyembekezera kuti ayambe kukula pakapita nthawi.
Tikudziwa kuti khansa ya m'mawere yomwe imapezeka ndi estrogen receptor positive imakhala yobwereranso m'zaka zisanu zoyambirira kuchokera kuchipatala kusiyana ndi zomwe zimapezeka ndi estrogen receptor.
Nthawi zina zingakhale zovuta kudziwa ngati kubwereza ndi kubwereza. Zimaganiziridwa kuti khansa yomwe imabwerera m'miyezi itatu yoyambirira pambuyo pochiritsidwa siibwereza mobwerezabwereza koma makamaka kukula kwa khansa yapachiyambi.
Mankhwala a kansa ya m'mawere nthawi zambiri amakhala ofanana ngati amaimira kubwerera kapena khansa ya m'mawere, koma pali kusiyana. Chotupa chomwe chimakhala ndi nthawi panthawi ya chidziwitso chingakhale chakukwiya, koma izi sizili choncho nthawi zonse. Mitundu ina ya khansa ya m'mawere, monga khansa ya m'mimba yotupa, imapezeka mosavuta pamene yayamba kale.
Mawu Ochokera
Ndikofunika kumvetsetsa kuti ngakhale khansa ziwiri zili ndi khansa ya khansa yokhala ndi mankhwala amodzimodzi, pangakhalebe kusiyana kwakukulu. Khansara iliyonse ya m'mawere ndi yapadera. Ndipotu, mankhwala ambiri atsopano a khansara amatha kusiyanitsa pakati pa mawere a khansa.
Chimodzi mwa zifukwa zomwe zimathandizira kumvetsetsa kuti khansara iliyonse ndi yosiyana-chifukwa ngati sizinachitike kale-mudzayamba kumva za ena omwe adakumana ndi "khansa ya m'mawere" yofanana. Mabwenzi abwino komanso achibale angafotokoze nkhani za momwe wina amadziwira ndi khansa yomweyi monga momwe munachitira ndi mankhwala. Nkhanizi zikhoza kutsatiridwa ndi malingaliro abwino omwe angapangitse kuti khansa yanu ichitire.
Ngakhale mchemwali wa mchimwene wanu wachitatu wa mchimwene wake wachitatu anali ndi khansa ya m'mawere yofanana monga momwe mumayendera ndi estrogen receptor status, izi sizikutanthauza kuti khansara yanu ndi yomweyo kapena idzachitapo kanthu pa mankhwala omwewo.
Munthu aliyense ndi wosiyana ndipo khansara iliyonse ndi yosiyana. Ziwerengero zingatipatse ife chidziwitso, koma ochuluka mwa ziwerengerozi anasonkhanitsidwa asanafike mankhwala atsopano a kansa ya m'mawere yakhungu. Nthawi zina mungafunikire kuwakumbutsa abwenzi anu kuti mukuchita chithandizo chomwe mukuganiza kuti ndi choyenera kwa inu nokha. Nthawi.
> American Cancer Society. Khansa Zolemba ndi Zizindikiro 2016. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2016/cancer-facts- ndi-ziwerengero-2016.pdf
> DeVita, Vincent., Et al. Khansara: Mfundo ndi Zochita za Oncology. Khansa ya pachifuwa. Wolters Kluwer, 2016.