Iyini i-carbulaoma ye-tubular yebele? Lokhu kuhluke kanjani kwezinye izinhlobo zomdlavuza webele nokuthi lokhu kuhluke kanjani kwamabele asebulalayo? Ake sibuke izimpawu, ukuxilongwa, kanye nokwelapha, kanye nokuchazwa kwalolu hlobo olungavamile lomdlavuza webele.
I-Tubular Carcinoma ye-Breast ichazwe
I-tubular carcinoma uhlobo olungavamile lwe- ductal carcinoma yesibindi esiswini.
Kuthatha igama layo ekubukeni kwayo okuncane kakhulu, lapho amangqamuzana omdlavuza afana namathebhu amancane.
I-tubular carcinomas ivame ukuba encane, i- estrogen-receptor enhle , i- HER2 / neu kanceria engafanele. Kwezinye izimo, amangqamuzana omdlavuza we-tubular ahlanganiswe namaseli omdlavuza we-ductal noma we-lobular, enikeza ukuxilongwa kwe-tumor mix.
I-tubular carcinomas iye yaba ngamaphesenti angu-2 azo zonke izifo zomdlavuza webele, kodwa le namba iyanda, mhlawumbe eyesibili kuya ekuhloleni okujwayelekile kwesimomogram. Abantu abakha i-carcinoma ye-tubular ngokuvamile baneminyaka engu-50 noma ngaphezulu.
I-tubular carcinoma ibizwa nangokuthi umdlavuza webele we-tubular, i-TC, ne-tubulolobular carcinoma (TLC), uma ixutshwe ne-lobular carcinoma.
Umehluko phakathi kwe-Tubular Carcinoma ne-Tubular Breasts
Amabele ase-tubula, noma amabele ashubile, isimo sesifuba esiswini sokubeletha lapho amabele angahlaziyi izicubu ezinomzimba ovuthiwe njengesifuba esivuthiwe. Amabele ase- tubula angase abe nama- bigolas amakhulu, amancane kakhulu eludongeni lwesifuba, futhi akhule ngendlela ehlukumezayo.
Ukuhlinzwa kwepulasitiki kungenziwa ukubuyisela kabusha amabele e-tubular ibe yimoya evamile. Ukuba nezibeletho ezibulalayo kunesimo esihlukile kunokuba ne-carcinoma ye-tubular.
Izimpawu Nezibonakaliso
Ungase ungakwazi ukuzwa ukhula nge-carbulaoma ye-tubular futhi lawa kansela kaningi aboniswa kuqala emzimbeni wesimiso . Uma ixubene namaseli aductal invasive futhi seyakhela i-lump evelele, ungase ukwazi ukuzwa i-ductal lump.
Lapho amangqamuzana omdlavuza we-tubular ehlangene nomdlavuza webele we-lobular (i-tubulolobar), izimpawu zakho zingase zifane ne- lobular carcinoma engavamile , njengendawo eqinisiwe ekuhlolweni kodwa ngaphandle kokuhlama okungaqondakali.
Ukuxilongwa
Ama-carcinomia e-tubular avamile kakhulu kodwa angabonakalisa kumammogram njengesixuku esingenasici esine-spiky, noma inkanyezi yenkanyezi. Ngebele ye-ultrasound , i-carcinoma ye-tubular ingabonisa njenge-mass nge uhlaka olunzulu futhi ingaba nezibalo eziseduze.
Isikhungo se-carbulaoma ye-tubular sizoba yimbi kakhulu kunezindawo zangaphandle zesisindo. Kuzodingeka i- biopsy ukuthola isampula yamathambo ukuze i-pathologist ingenze ukuhlolwa okuncane kakhulu, okuzokwenza uthole ukuxilongwa okucacile.
Ukwelapha
t, nakuba lezi zingase zihluke kwezinye izifo zomdlavuza njengoba lezi zicubu zingenasiphelo. Izinketho zingafaka:
Ukuhlinzwa: Kungenzeka ukuthi i-mastectomy noma i- lumpectomy ingenziwa ukuze isuse lezi zicubu. Njengoba izivunguvungu zivame ukuba zincane, i-lumpectomy ingase ibe yindlela enhle. I-reninel node biopsy ivame ukwenza, ngoba ngisho nezicubu ezincane (isibonelo, 1 cm) zingaba nokubandakanyeka kwe-lymph node.
Ukwelashwa kwe-radiation: Njengoba i-lumpectomy ivame ukuqhutshwa lezi zicubu, ukwelapha imishanguzo kusetshenziselwa ukuhlinzwa ukuphatha izicubu zesifuba ezisele.
Ukwelashwa kwama-Hormonal: Njengoba i-carcinomic tubular ngokuvamile i-estrogen-receptor, i-hormonal therapy ingasebenza kakhulu ekunciphiseni ingozi yokuphindaphinda. Kwabesifazane be-premenopausal, i- tamoxifen ivame ukusetshenziswa. Kwabesifazane be-postmenopausal, noma abesifazane base-premenopausal abaye basuswa ama-ovaries noma ama-ovarian suppression therapy, ngokuvamile ama- aromatase inhibitors anconywa. Ukwelapha ngalezi mithi kuvame ukuphakanyiswa uma isisu sikhulu kunama-1 cm kanye / noma uma i-lymph nodes ihle.
I-Chemotherapy: Njengoba lezi zinambuzane zingenakwenzeka ekusakazeni kuma-lymph nodes, ngakho-ke kwezinye izifunda zomzimba, cishe amathuba okuba amakhemikhali e-adjuvant ayodingeka kulezi zicubu.
I-Chemotherapy, noma kunjalo, kuvame ukuphakanyiswa uma kune-lymph node engaphezu kweyodwa enhle.
Ukulandelela Ngemva Kwokwelashwa
Ukulandela ngokucophelela emva kokwelashwa kuyadingeka njengoba kunoma yiluphi uhlobo lomdlavuza webele. Akuvamile kubantu besifazane ababenomdlavuza we-tubular ukuthuthukisa umdlavuza kwesinye isifuba sabo, ngakho-ke ukuqapha nge-mammograms kanye / noma i-MRI yebele ibaluleke kakhulu.
Usayizi we-Tumor kanye nesiprofetho
Ama-carcinoma ase-tubular ngokuvamile amancane (ububanzi buka-1-2 cm) futhi ngokuvamile awasakazeli ngaphezu kwendawo yesimila yangempela. Kungenzeka, kodwa engavamile, ngokuba i-carbulaoma ye-tubular ukuya kuma-lymph nodes akho - futhi ama-lymph nodes angathinteki asho ithuba elingaphansi lama-metastasis. Ithuba lakho lokusinda nokuphila emva kokwelashwa kwe-carcinoma ye-tubular kuhle kakhulu. Ngokuvamile, ukuchazwa kwe-carcinoma ye-tubular kungcono kune-ductal carcinoma noma i-lobular carcinoma.
Izwi elivela
I-tubular carcinoma yesifuba ngumdlavuza ovame ukuba mncane futhi uvame ukuhlushwa kahle. Lokho kusho, noma yimuphi umdlavuza kunoma isiphi isiteji esabeka. Kubalulekile ukufinyelela kubangani bakho nomndeni wakho. Cabanga ngokujoyina umuntu oyedwa noma iqembu lokusekela inthanethi. Funda okuningi ngangokunokwenzeka ngesifo sakho. Ngezikhumba ezingavamile, kungasiza futhi ukuthola umbono wesibili kwenye yezikhungo zomdlavuza ezinkulu ezingase zibe nama-oncologists abaphathe abantu abaningana nalesi sifo esithile. Lezi zicubu ngokuvamile ziyingcosana kodwa futhi zivame ukusakazeka kuma-lymph nodes esiteji esincane kunezinye izinhlobo zomdlavuza. Ngenhlanhla, iningi lama-tumor is receptor positive, futhi ukwelashwa kwe-hormone kungasebenza ekunciphiseni ingozi yokuphindaphindiwe.
> Imithombo:
> Fritz, P., Bendrat, K., Sonnenberg, M. et al. I-Tubular Cancer Breast: A Study Retrospective. Ucwaningo lwe-Anticancer . 2014. 34: 73647-3656.
> Min, Y., Bai, S., Lee, H. et al. I-Tubular Carcinoma ye-Breast: Izici ze-Clinicopathologic noMphumela Wokusinda Uma kuqhathaniswa ne-Ductal Carcinoma In Situation. I-Journal ye-Cancer Breast . 2013. 16 (4): 404-409.