Matenda a phillola ndi mtundu wochepa kwambiri wa chifuwa, womwe ukhoza kukhala wodetsa (wopanda vuto) kapena woopsa (khansa). Mtundu uwu umatchedwa sarcoma chifukwa umapezeka mu mimba yanu, m'malo mwa mitsempha yambiri yam'mimba. Matenda a mitsempha amatenga dzina lawo kuchokera ku liwu lachigriki phullon (tsamba) chifukwa cha kukula kwawo kwa masamba.
Matenda a mthupi amachepetsa oposa 1% mwa khansa ya m'mawere. Ngakhale kuti chotupacho chikhoza kukhala choipa, chimaonedwa ngati mtundu wa khansara ya m'mawere , chifukwa ikhoza kukhala yowopsya.
Matenda a phyllodes amadziwika kuti phylloides chotupa, PT, cystosarcoma phyllodes, cystosarcoma phylloides ndi chimphona chachikulu.
Zizindikiro ndi Zizindikiro
Matenda a Philrola adzamva ngati chotupa, chosasunthika, chosasunthika (osati spiky) m'chifuwa chanu. Khungu la ubweya pa chotupacho likhoza kukhala lofiirira komanso lotentha. Matenda oterewa amakula mofulumira kwambiri kotero kuti mtanda ukhoza kukula mu masabata angapo.
Chifukwa chotupa cha Phyllodes chikhoza kufanana ndi fibroadenoma , zikhalidwe ziwirizi nthawi zambiri zimalakwitsana. Azimayi ambiri amene amapezeka kuti ali ndi tumimba ya Pirmasi nthawi zambiri amayamba kudwala. Nthawi zambiri, atsikana omwe ali atsikana amapezeka kuti ali ndi vutoli.
Kudziwa
Pa mammografia, chifuwa cha Phyllodes chidzakhala ndi malire abwino.
Ngakhale mammogram kapena feteleza ultrasound , ngakhale, sangathe kusiyanitsa pakati pa fibroadenomas ndi zilonda zam'thupi za Phyllodes. Chotupa cha m'mawerechi sichipezeka pambali pazing'onozing'ono . Maselo ochokera ku singano ya singano akhoza kuyesedwa mu labu koma kaŵirikaŵiri amapereka ndondomeko yoyenera, chifukwa maselo angafanane ndi carcinomas ndi fibroadenomas.
Chiwopsezo chotsegula chotsegula , chomwe chimabweretsa chidutswa cha minofu, chidzakupatsani mayesero abwino a maselo ndipo chidzapangitsa kuti mupeze matenda oyenera a chifuwa cha Phyllodes.
Kafukufuku wina wa ku Italy akuyerekeza ndi mafinya , mazira ndi mawere a MRIs a matumbo a Phyllosi amavomereza kuti a MRIs anapereka chithunzi cholondola kwambiri cha zotupazo ndipo anathandiza ochita opaleshoni kukonzekera ntchito zawo. Ngakhale chotupacho chinali pafupi kwambiri ndi mitsempha ya mchifuwa, chifuwa cha MRI chingapereke chithunzithunzi chabwino cha chotupa cha Phillola kuposa mammogram kapena ultrasound.
Miyendo
Ambiri a khansa amatha kusankhidwa monga magawo 1 mpaka 4, koma si choncho ndi tumimba ya Phyllodes. Pambuyo pa chiopsezo chochita opaleshoni, wodwala matendawa adzaphunzira maselo ali ndi microscope. Zizindikiro ziwiri zimaganiziridwa: kuthamanga kumene maselo akugawanika ndi chiwerengero cha maselo osapangidwa mofanana mu zitsanzo za minofu. Malingana ndi momwe maselo amachitira zinthu izi, chotupacho chimaonedwa ngati chosaopsa (chosavulaza), chimalire kapena choipa (khansa). Matenda ambiri a Phyllode amakhala osowa.
Kuthamangitsani
Kuthamanga kwanu, kapena kuyang'ana chithandizo, ndibwino kwambiri kwa chotupa cha Phyllodes. Pali mwayi wapang'ono wobwereza chifuwa cha Phyllodes ngati muli ndi zaka 45 kapena kuposa. Kwa odwala omwe amadziwika ndi borderline kapena zilonda zotupa, zizindikiro zanu zimasiyana.
Matenda a m'mphepete mwa nyanja amatha kukhala odwala khansa, ndipo ngakhale atatha opaleshoni, ngati maselo ena amakhalabe (ngakhale nthawi zambiri) amatha kuchepa. Matenda owopsa akhoza kubwereranso ngakhale zaka ziwiri mutatha kuchiza ndipo akhoza kufalikira m'mapapu anu, mafupa, chiwindi ndi khoma . M'njira zingapo, maselo am'mimba amathandizanso.
Kuchiza
Kuchita opaleshoni kuchotsa chifuwa cha Phyllodes ndi mankhwala oyenera . Mtundu woterewu sungayankhe bwino kwa mankhwala , ma chemotherapy kapena mankhwala ochizira . Ngati chotupa chanu chiri chaching'ono ndi chosaopsa, chingachotsedwe ndi lumpectomy. Matenda akuluakulu amatha kukhala ndi vutoli , kuti achotse chotupa komanso choyera cha minofu.
Matenda opweteka amachotsedwa ndi kuthamanga kwina (WLE) kapena mastectomy kuchotsa minofu yambiri yomwe ingakhudzidwe.
Zotsatira
American Cancer Society. Kodi khansa ya pachifuwa ndi chiyani? Zovuta (kapena kulowerera) Ductal Carcinoma.
Ann Ital Chir. 2005 Mar-Apr; 76 (2): 127-40. Mankhwala opangira opaleshoni ndi MRI mu matenda a phyllodes a m'mawere: zomwe timakumana nazo komanso kubwereza mabuku. Franceschini G, D'Ugo D, Masetti R, Palumbo F, D'Alba PF, Mulè A, Costantini M, Belli P, Picciocchi A.