Sibutsetelo
I-angiosarcoma yesifuba iyinhlobo engavamile yomdlavuza wesifuba oqala emangqamuzaneni ahlanganisa imithwalo yegazi ngaphakathi kwesifuba sakho noma endaweni engaphansi kwe-underarm. Kungenzeka ngenxa yokwelashwa kwemithi yesifuba nengenhla , futhi kufanele sikhule futhi sisakaze ngokushesha. I-angiosarcoma yesisu ingase ivele ibonakale efana nokuqhwala isikhumba, ukutheleleka, noma ukulimaza.
I-sarcoma uhlobo lomdlavuza okhula ezinxenyeni ezithambile noma ezixhunyiwe, futhi i-angiosarcoma ingenzeka kunoma iyiphi isitho somzimba wakho.
Ingaphansi kuka-10% yazo zonke ama-angiosarcomas aphuma esilweni. I-Angiosarcoma yebele i-akhawunti engaba ngu-0.04% noma eyodwa kuma-2,500 amacala azo zonke izifo zomdlavuza webele.
Lesi simo saziwa nangokuthi i-angiosarcoma yesifuba, i-angiosarcoma ye-mammary, i-haemangiosarcoma yebele, i-lymphangiosarcoma (uma ikhona endaweni ye-lymph node)
Izinhlobo
I-angiosarcoma eyinhloko yebele ivame ukutholakala kwabesifazane abasha, phakathi kweminyaka engama-20 kuya ku-40. Lezi zomshukela eziyinhloko ziboniswa njengesixuku esichazwe kabi esibelethweni. I-angiosarcoma yesibili ivame ukutholakala kwababesifazane abangaphezu kweminyaka engu-40, eminyakeni emihlanu kuya kweyishumi emva kokuthola ukwelashwa kwemisebe yomdlavuza wesifuba. I-American Cancer Society ithi i-angiosarcoma iyinkinga engavamile kakhulu emisebeni yesikhumba. Abesifazane abahlakulele i-lymphedema ngenxa yokukhishwa kwe-lymph node nabo bangatholakala ukuthi bane-angiosarcoma, ikakhulukazi uma indawo yabo engaphansi kwegazi ithola imisebe.
Izimpawu
I-angiosarcoma eyinhloko (ehlongozwe esigulini esingakaze ibe nomdlavuza webele) ingase izwe njengendawo ekhuni yebele.
Kwezinye izimo, isikhumba esiseduze singahle sibe luhlaza okwesibhakabhaka noma sibomvu futhi sibonakale sine-rash noma sizolimazwa. I-angiosarcoma yesibili (etholakala esigulini esesiphathwe isifo somdlavuza webele) ingase izwe njengobunzima obunzima, obungenabuhlungu esifubeni, isikhumba singase sibe luhlaza okwesibhakabhaka noma sibomvu phezu kwesisindo, futhi kungase kube nokunye ukuvuvukala nokuzimela kwezinye izicubu.
Ezinye iziguli zibika ukuthi zizwa isisindo, noma ngisho nobuhlungu besifuba, ngokuya ngobukhulu besisu.
Ukuxilongwa
- I-mammogram - i-angiosarcoma izobonakala ibe nenhlawulo engavamile futhi ngeke ibe nama-spiky protrusions (ama-spikes ajwayelekile kubonakala ku-carcinoma)
- I-Ultrasound - i-angiosarcoma izobonisa kahle ku-ultrasound, ngemingcele ecacile okungenzeka ibe yi-bumpy
- I-Breast MRI - lolu hlobo lwe-tumor luzovela kwi-MRI, luchaze imithwalo yegazi ethintekayo kanye nezicubu ezizungezile
- I-skin punch biopsy - isampula yesikhumba esithintekile iyoyithathwa futhi inikezwe ngokucophelela ebhodini, ukuhlukanisa lokhu kusuka kwamanye, ama-khansela afanayo
- Vula i-biopsy yokuhlinza - ukuthola isampula enkulu yesikhumba ne-tumor yokuhlolwa kwebhu
Isibikezelo
Lolu hlobo lomdlavuza webele luyafutheka, futhi ukuhlushwa kwakho kuzoxhomeka esiteji lapho sibanjwa khona, ukuthi kude kangakanani lapho kusakazwa khona, nokuthi kuphathwa kanjani ngonya. I-angioscoma yesifuba ingasakazeka ngokusebenzisa uhlelo lwakho lwegazi emaphashini akho, isibindi, amathambo, isikhumba, nesinye isifuba sakho. Ubuchopho bakho, ama-ovari, nama-lymph nodes nazo zingathinteka yi-metastasis ye-angiosarcoma. Loluhlobo lomdlavuza wesifuba lunenani eliphakeme lokuphindaphindiwe. Ukuxilongwa kwe-angiosarcoma yebele kunesifo esibi, futhi kuphela u-10% kuya ku-27% weziguli ziyosinda kulo mdlavuza ngeminyaka emihlanu.
Ukwelapha
- I-Lumpectomy - ukuhlinza ukukhipha isisu kanye nomkhawulo omkhulu wezicubu ezizungezile (kusiza ukuvimbela ukuphindaphinda)
- I-mastectomy - ukuhlinzwa ukukhipha zonke izicubu zesifuba
- I-Chemotherapy - ama-angiosarcomas amaningi ngeke azuze ku-chemo, kodwa amanye angase azuze
Izwi elivela
Ucwaningo lwenziwa ngezindlela ezintsha zokwelapha i-angioscoma yebele, ukuze kube nokulawulwa kangcono, ukuhlinzeka iziguli ngendlela yokuphila okungcono kanye nekhwalithi yokuphila. I-irradiation engasebenzi kahle (amancane, ama-radiation ajwayelekile kaningi) angasiza ekuvimbeleni ukuphindaphinda kwendawo. I-Hyperthermia (ukuphatha izicubu ngokushisa), i-interleukin-2 (isidakamizwa esenza isimiso sakho somzimba samasosha omzimba), kanye nokwelapha okulwa ne-anti-angiogenesis (njenge- Avastin ), kubhekwa njengokwelashwa okuhlola futhi kuyatholakala kuphela ekuvivinyweni komtholampilo ngalesi sikhathi.
Imithombo:
I-Radiology 2007; 242: 725-734. Angiosarcomas yamathambo: Ukutholwa kokutholwa kweziguli ezingama-24. Wei Tse Yang, MD, et al.
I-American Cancer Society. Kuyini i-Breast Cancer? I-Angiosarcoma. Kubuyekezwe: 09/13/2007.
Journal of Iranian Radiology, Winter 2006, 3 (2). I-angioscoma ye-Breast; Umbiko Wezehlakalo Nokubuyekezwa Kwezincwadi. D. Farrokh MD., J. Hashemi MD, no B. Zandi MD. Ifomethi yefayili ye-PDF.
I-Cancer. 2003 Apr 15; 97 (8): 1832-40. I-angioscoma ngemuva kokulashwa kwebele. UMonroe AT, u-Feigenberg SJ, uMendenhall NP.