Izinhlobo zeCanscer Breast and Subtypes
Iningi lethu livame ukucabanga ngomdlavuza webele njengesifo esisodwa, kodwa ucwaningo luyaqhubeka lufakazela ngenye indlela. Ngaphezu kwezinhlobo ezahlukene zesifo somdlavuza webele, kunezinhlobo eziningi zesifo. Uhlobo kanye ne-subtype yomdlavuza wesifuba, okhonjiswe embikweni wezokwelapha ngemuva kokuhlinzwa, unikeza ithimba lokunakekelwa komdlalo ulwazi oludingayo ukuze kuthuthukiswe uhlelo olufanele kakhulu ukwelapha ngempumelelo uhlobo oluthize lomuthi wesifo somdlavuza.
> Bheka isifuba sebele kanye nokubukezwa komdlavuza webele ngesigaba.
Izinhlobo Ze-Breast Cancer
Uma udokotela wakho esho umdlavuza webele, kufanelekile ukwazi izinhlobo ezahlukene manje, ngakho-ke unezizathu zokuqonda uma ukuxilongwa kubonakala kube yiqiniso.
I-Cancer Ductal: Iningi lamakhemikhali amabele aqala emathangeni athwala ubisi, ukuncelisa, ukuncelisa ingane.
I-Ductal In-Situ (i-DCIS) : Lesi sigaba somdlavuza wesi-0 sitholakala ngaphakathi kwendlela yokubeletha.
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Kusho ukuthini Uma Nginezikhombo Zakho I-Wall Ngemva Kwe-Mastectomy?
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Uma Ubisi Bakho Ubomvu Futhi Bubuhlungu, Ingabe I-Cancer Noma I-Mastitis?
Awuzange aphule odongeni lomgwaqo noma asakaze emathisini asebele. Nakuba kungesona ukuphila okusongela kuleli phuzu, i-DCIS idinga ukuphathwa ngoba kukhona ingozi yayo ekugcineni ibe umdlavuza ohlasela. I-DCIS ivame ukutholwa emzimbeni wesimiso futhi iphathwe ngempumelelo nge- lumpectomy (ukuhlinzwa kwesifuba) okulandelwa ukwelashwa kwemisebe .
I-ductal carcinoma (i-IDC) evamile, eyaziwa ngokuthi ukungena ngaphakathi kwe-ductal carcinoma, iyindlela ejwayelekile kakhulu yomdlavuza webele. Ilandisa ngamaphesenti angaba ngu-80 azo zonke izifo zomdlavuza webele. I-IDC iqala ngokuqala ngaphakathi kwe-milk conduit, iphuma emgqeni womdanso, iphinde isakaze emathunzini asebele.
Ngakwesokunxele, i-IDC inamandla okusabalalisa ngaphesheya kwesifuba futhi iya ezithombeni ezikude. I-IDC ingatholakala ngesikhathi sokuhlolwa kwebele emtholampilo , i- mammogram , i- MRI , futhi ngezinye izikhathi ekuhlolweni kwebele. Ukwelashwa kungabandakanya imithi eyodwa noma ngaphezulu efana nokuhlinzwa, imisebe, imithi yokwelashwa, ukwelashwa okuhlosiwe, kanye nokwelashwa kwe-hormone.
I-lobular carcinoma in-situ (LCIS ) ichaza ukukhula okungavamile kwamaseli ema-lobules webele lapho kubisiwe ubisi. Ngenkathi i-LCIS ingaqhubeki phambili emdlalweni ohlasela, i-lobular carcinoma in situ kubhekwa njengengozi yokuthuthukisa umdlavuza webele noma isifuba. I-LCIS ivame ukutholakala ngesikhathi se- biopsy eyenziwa ngesinye isimo sebele . Ukwelashwa okusheshayo akudingekile, nakuba ukulandela isimo kusondelene. Abesifazane abasengozini enkulu yokuthuthukisa umdlavuza webele bangakhetha ukukhipha isifuba esisodwa noma zombili ukuze kuncishiswe amathuba okuthuthukisa lesi sifo.
I-lobular carcinoma encane (i-ILC) , uhlobo lwesibili lomdlavuza webele, luba ngamaphesenti ayisishiyagalombili emdlavuza webele we-invasive.
I-ILC ayikho amathuba okuletha njengento ehlukile. Ukwelashwa kungase kuhlanganise nokuhlinzwa, i-chemotherapy, imisebe, kanye nokwelashwa kwe-hormone.
Umdlavuza wesifuba wokuvuvukala (IBC) ungumdlavuza onobudlova, obala okungaphansi kwamaphesenti angama-5 emdlavuza webele. Ngokuvamile ayikho nge-lump. Amagciwane e-IBC angena esikhunjeni sesifuba futhi avimbele izitsha zalo zelphm. Izimpawu zingase zihlanganise isikhumba sokuqhaqhazela nokukhishwa. Isifuba esithintekayo singase sibonakale sibomvu, siguquke futhi sishiseke kulokhu okuthinta. Ekuqaleni kungase kungabhekwa njenge-mastitis, ukutheleleka kwesifuba. Ngokuya ngesiteji somdlavuza lapho kutholakala khona, ukwelashwa kungase kuhlanganise nokuhlinzwa, i-chemotherapy, ukwelashwa kwe-hormone, nokwelashwa kwemisebe.
Isifo se-Paget sesifuba siba ngaphansi kwamaphesenti angaphansi kwama-3 wegciwane lesifuba. Izimpawu zingase zibandakanye ukukhishwa kwengono, ukuphuma kwegazi, futhi isikhumba esikhulayo esifana ne-eczema, isimo sesikhumba. Le mdlavuza wesifuba uvame ukutholakala ngokusebenzisa i-biopsy ye-nipple. Amaphesenti angama-50 weziguli ezine-Paget isifo se-ingono enesisu esingazizwa esifubeni ngesikhathi sokuhlolwa kwesifuba somtholampilo.
Ukwelashwa kuzoxhomekeka esiteji nakwezinye izici, kufaka phakathi noma ngabe kukhona isisu esinomdlavuza esifubeni ngaphezu kwesifo sePaget. Ukwelashwa kungase kuhlanganise nokuhlinzwa, i-chemotherapy, ne-hormone therapy.
Izinhlobo eziningana ze-Cancer Breast zihlanganisa
Yize kungenakwenzeka ukuthi uzothola ukuthi unesinye salezi, uma uthola ukuthi ukhona, lezi zifo zomdlavuza wezinyokazi ezincane, eziziwa kancane nazo kufanele ziqaphele.
I-Medullary carcinoma ibhekwa njenge-subtype ye-ductal carcinoma. It has feelings spongy uma ethintekile; akuzizwa sengathi ihlumela. Ngokuvamile kungabonakala ku-mammogram. Lezi zicubu zivame ukuba nama-hormone receptor . Izinketho zokwelapha zibandakanya ukuhlinzwa, imisebe, kanye ne-chemotherapy.
I-tubular carcinoma ibuye ibhekwe njenge-subtype ye-ductal carcinoma. Amaseli awo anombukiso we-tubular uma ubhekwa ngaphansi kwe-microscope. It uzizwa spongy kuya touch. Kungatholakala ngesikhathi sokuhlolwa kwebele emtholampilo noma i-mammogram. Ngokuvamile akuyona umdlavuza ohlukumezayo, uphendula kahle emithanjeni ejwayelekile yesifo somdlavuza webele.
I-carcinoma emnandi ibhekwa njengendlela engavamile yomdlavuza we-ductal carcinoma, lapho amangqamuzana "athambile" emachibini e-mucin, isithako esiyinhloko se-mucus. Ukuxilongwa kungathatha izinyathelo eziningana, kuhlanganise ukuhlolwa ngokomzimba, i-mammogram, i-ultrasound, i-MRI, ne-biopsy. Ukwelashwa, kuye ngesiteji, kungabandakanya ukuhlinzwa, i-chemotherapy, i-radiation, ne-hormone therapy.
Umdlavuza webele we-Metastatic isifo somdlavuza webele wesigaba se-IV esasakazekele kwezinye izingxenye zomzimba, okungenzeka kufaka phakathi, kodwa kungapheli, ubuchopho, amathambo, isibindi namaphaphu. Iyakwelashwa, kodwa ngeshwa ayilulapheki. Amaphesenti angaphansi kwezingu-10 alabo abasanda kutholakala ukuthi banomdlavuza wesifu banomdlavuza wesifuba wezinyosi lapho kuqala ukutholakala. Iningi lamathambo ebelethwe ngamathambo ayenzeka izinyanga noma eminyakeni emva kokuthola ukuthi uphinde uphathwe umdlavuza webele wendawo.
Ukwelashwa kuyaqhubeka, ngezinhloso zokuhlinzeka ngekhwalithi kuphela, kodwa ubude bokuphila. Ngaphandle kokwelashwa okungenzeka nge-chemotherapy, imishanguzo, kanye / noma ukwelashwa kwe-hormone, abesifazane nabesilisa abanomdlavuza webele we-metastatic bangakhetha ukukwazi ukuthi bafanele yini ukubamba iqhaza ekuhlolweni kwemithi yokwelashwa okusha.
I-Subtypes Eyinhloko Yomdlavuza Webele
Ukunquma i-subtype yomdlavuza wesifuba kwenziwa ngesikhathi se-biopsy, eyenziwa ngumhlengikazi, ongudokotela wezokwelapha. I-pathologist iqinisekisa ukutholakala komdlavuza futhi ibuye ibuye ihlole izicubu zesisu ezifuna izici zofuzo nezimo ze-hormonal zesisu somdlavuza.
I-subtypes emithathu esemqoka yomdlavuza webele ihlanganisa:
I-hormone-receptor-positive: Iziguli eziningi zomdlavuza webele zinalesi sigaba somdlavuza webele; ama-tumors abo angakhuthazwa ukuba akhule futhi asakaze nge-estrogen noma i-progesterone . I-akhawunti ye-hormone receptor positive tumors ngamaphesenti angama-65 kuya kwangu-75 azo zonke izicubu. Iphathwe ngezidakamizwa ezifana ne- tamoxifen , engathathwa ngabesifazane besifazane nabangaphambi kokuthunjwa, noma i-aromatase inhibitors engathathwa kuphela yiziguli ezithumela i-post menopausal. Imithi yokwelapha i-hormonal ivimbela umsebenzi we-estrogen ukunciphisa ithuba lokuba nokuphindaphinda umdlavuza webele.
I-HER2-positive: Lezi zicubu zine- factor epidermal ukukhula 2 , okuyinto igesi elidlulisela iphrotheni ye-HER receptor. Ngenkathi le receptor iyadingeka ekukhuleni okujwayelekile kwamaseli webele, ngokweqile, i-receptor ye-HER2 ingabangela umdlavuza okhula. I-Chemotherapy iyindlela yokwelapha evamile.
I-triple-negative: Umdlavuza wesifuba wesithathu ongenalutho awunawo ama-receptors we-estrogen, ama-progesterone receptors, noma ama-receptors we-HER2. I-triple-negative ijwayele ukuthi ibe nobudlova futhi ithinta cishe amaphesenti angu-15 alabo abanomdlavuza webele. Ngenxa yokuthi i-triple-negative ayinayo i-hormone ne-HER2 receptors, ayiphenduli ukwelashwa kwama-hormone, futhi i-chemotherapy iyinqubo yokwelashwa ephakanyisiwe.
Izwi elivela
Kungakhathaliseki ukuthi uhlobo noma i-subtype yesifo somdlavuza wesifuba, ngaso sonke isikhathi sitholakale kangcono futhi siphathwe esiteji sokuqala, ngaphambi kokuba sisakaze futhi uma sinomphumela omuhle kakhulu. Bheka udokotela wakho womndeni noma umjozi wezinkinga zokubeletha wonyaka ukuze kuhlolwe ukuhlolwa kwebele. Funda ngomlando wakho womndeni wesifo somdlavuza webele; uma kunomdlavuza webele emndenini wakho, ngxoxisana nomhlinzeki wakho wokunakekelwa mayelana nokuthi udinga ukuqala yini ukuba ne-mammograms.
Uma kungekho mlando womndeni wesifo somdlavuza webele, khumbula ukuthi amaphesenti angama-85 emdlavuza webele abonakala kwabesifazane abangenawo umlando womndeni wesifo. Ungavumeli ukuzithokozisa ngokujwayelekile kusukela ekuqaleni kweminyaka engu-40.
Ngiyajabula ngokuthi ngenzile. Ngamabili, ama-mammograms athola umdlavuza esifubeni sami ngaphambi kokuba abe nomuzwa wokuhlolwa kokubelethwa kwebele, futhi ngaphambi kokuba umdlavuza webele ungeke uphathwe nge-chemotherapy.
> Imithombo:
> I-American Cancer Society. Izinhlobo zeCanscer Breast. Ukubuyekezwa Kwezokwelapha Okokugcina: 09/25/2014
Kugcine ukubuyekezwa: 05/04/2016.
> I-Cancer.Net. Izinketho ze-Breast Cancer-Treatment. Kuvunywe yiBhodi Yomhleli weCancer.Net, 02/2016.