I-DCIS ne-LCIS: Cancer noma Cha?
Kusho ukuthini ukuthi utshele umdlavuza webele wesisu? Ukudideka ngalokho okushiwo yi-stage kungaholela ekungaqondani kahle ngesimo, inkambo yokwelashwa, nemiphumela.
DCIS noma isigaba 0 I-Cancer Breast ngokuvamile iqondakala kahle
Abantu abaningi abaye bathola ukuthi bane-ductal carcinoma in situ (DCIS) noma umdlavuza webele we-stage 0 bathola ukukhungatheka uma bekhuluma nabanye.
Abanye abantu bathi "akuyona umdlavuza ngempela" noma "awusengozini nhlobo" futhi le milayezo ingaba buhlungu kakhulu. Ngemuva kwalokho, abaningi balaba bantu baye baphathwa ngokuhlinzwa kanye nemisebe futhi babheka eminyakeni emihlanu noma ngaphezulu kokusebenzisa ukwelashwa kwe-hormone . Amazwana anjalo akwenza ukuthi ahluleke, futhi ashiye abesifazane bazizwe ukuthi ukuxilongwa kwabo kuye kwahlushwa futhi imizwa yabo yaxoshwa.
Noma yikuphi ukuxilongwa komdlavuza noma i-precancer (noma yikuphi) kuyesabeka. Ucwaningo luye lwabona ukuthi imizwelo abantu abayithola ngesikhathi sokuxilongwa kufana nokuthi ngabe umuntu uthola ukuthi une-tumor yokuqala ephilisa kakhulu noma isisu esihamba phambili esingenalo ithuba lokuthola ukwelashwa.
Lokhu kudideka ngokuxilongwa komdlavuza we-in-situ kuvamile. Ake sihlole izizathu zokudideka futhi sithole ukuthi amaqiniso anjani mayelana nesifo sezinyosi zesifuba sika- DCIS kanye nomzala wakhe uLCIS (lobular carcinoma in situ).
I-Cancer In Situ
Ukuxilongwa kwe-carcinoma in situ kunencazelo ethile. I-situ isho ukuthi amangqamuzana omdlavuza "asendaweni" futhi angenawo amandla. I-carcinoma in situ , kungakhathaliseki ukuthi itholakala emgodini wezinkoma zakho zobisi noma ngaphakathi kwe-lobes lapho ukhiqizwa ubisi lwebele, yi-clump yamaseli. Ama-oncologists abiza lolu hlobo lokuxilongwa kwesigaba serosi ngoba aluzange luphume endaweni (aluzange lusakaze ngaphezu kwalokho okuthiwa i-membrane esezansi), futhi alizange ihlasele nezinye izicubu.
Amaseli e-carcinoma in situ abukeka afana namangqamuzana omdlavuza emdlalweni we-invasive, umehluko kuphela ukuthi amangqamuzana asakaze kangakanani.
Amanqamu amabele asebelekile anikezwa inombolo yesigaba kusuka kwesinye kuya kwezine futhi kubalulekile ukukhumbula ukuthi izigaba ezingezansi kulula ukuphatha, okuholela ekutheni izinga eliphezulu lokusinda.
Isiteji Zero Cancer Breast
I-American Joint Committee yeCancer (AJCC) ishicilela izindinganiso lapho i-cancer ihlelwe khona. Umdlavuza wesifuba uhlelwe uhlelo lwe-TNM, ngezinombolo ezinikezwe amaphuzu we-Tumor, Nodes, ne-Metastasis. I-Tis N0 M0 ichaza i-DCIS ne-LCIS kanye nesifo se-Paget se-ingono , uma kungekho isifo esitholakalayo.
- I-Tis isho ukuthi akusikho isidumbu esitholakale, kodwa amaseli angavamile akhona.
- I-N0 isho ukuthi ayikho i-lymph nodes ehilelekile.
- I-M0 iqinisekisa ukuthi ayikho imetastasis eyenziwe.
Yilokho i-oncologist ekushoyo lapho bethela ukuthi unesifo somdlavuza webele wesisu.
I-precancer noma i-Caninasive Cancer?
Abanye odokotela basebenzisa la magama ngokungafani nomdlavuza ongenakuqhathaniswa kodwa engabonakali kanti abanye bavele babhekisela emdlalweni webele webele 0 njengengumdlavuza. Noma ngabe yikuphi, bakhuluma ngenqubo efanayo kuphela ngamagama ahlukene.
Kodwa uma uzwa leli gama elithi "unqanda," ungase ukhathazeke ngokuthi unesimo esizoqhubeka nomdlavuza ngokungaqiniseki, futhi kufanele siphathwe kanjalo.
Khona-ke, uma utshele ukuthi ukuhlonza kwakho "umdlavuza ongenayo," ungase ushiswe ngesaba lapho uzwa igama elithi "C"! Masibhekane nakho: Asiyithandi noma yiliphi i-term, ikakhulukazi uma libhekisela kubelelo lethu.
Ingabe isifo se-Zero Cancer noma Cha?
Kokubili i-carcinoma ye-ductal ne-lobular in situ idabukisayo ngoba inamandla okuhlasela ngaphezu kwamasayithi abo afakiwe. Ososayensi abakwazi ukutshela ukuthi yibaphi abantu abazobe besengozini yokuthuthukisa umdlavuza webele we-invasive uma i-DCIS noma i-LCIS ishiywe ingalashwa. Kokubili i-carcinomas inokubonakala kweselula yomdlavuza futhi kokubili ingase ikhule futhi isakaze ngaphesheya kwama-clumps awo okuqala, noma kungenzeka.
Njengoba kukhona amathuba okuba nomdlavuza omubi, abantu abaningi nodokotela babo bakhetha ukwelapha isifo somdlavuza wesifuba se-stage njengoba bebengaba nomdlavuza ohlasela (isigaba I kuya esigabeni IV).
Ezinye izinto eziningi zithinta uhlelo lwakho lwezokwelapha. Ezinye zazo zihlanganisa:
- Isimo se-hormone
- Ingozi yemvelo
- Isimo se-menopausal
- Izintandokazi zomuntu siqu
Izinketho zokwelapha
Izinketho zokwelapha ziyahlukahluka kuye ngezici ezingenhla nokuningi.
Abanye oncologists bangase bakutshele ukuthi "ubukele futhi ulinde" ukubona ukuthi i-carcinoma izozixazulula eyedwa noma uma izoqhubeka. Abanye odokotela bazoqhubeka nokuncoma ukwelashwa okujwayelekile komdlavuza. Abanye abantu "bafuna nje" uma kukhona ithuba lokuthi isigaba se-0 singaba ngumdlavuza ongenawo amandla, kuyilapho abanye abantu bekhululekile ngokwendlela yokulinda nokulinda ngokucophelela.
Izinketho zokwelashwa zingabandakanya i-lumpectomy elandelwa imisebe, noma i- mastectomy uma kunokukhathazeka ukuthi kungenzeka kube nezinye izifunda ze-DCIS noma i-LCIS esifubeni noma uma owesifazane enomlando oqinile womdlavuza webele. I-hormone therapy ingase ilandele okungenani iminyaka engu-5, i-tamoxifen isetshenziswe kaningi kuma-premenopausal abesifazane kanye ne-aromatase inhibitors kulabo abama-postmenopausal.
Kungakhathaliseki ukuthi yikuphi, uzobhekana nezinqumo ezingathandeki kanye nemibono eminingi. Abantu abazokusekela kumele bahloniphe lokho kungakhathaliseki ukuthi uhlolwe kanjani.
Ngakho-ke, ingabe isiteji sesifuba ngempela umdlavuza webele, noma cha? Odokotela basavumelani ngalokhu, kodwa lokho kuyindaba yesikhombimsebenzisi. Ungaxhunywanga emazwini, kodwa cabanga ukuthola umbono wesibili, ukuqinisekisa ukuthi uthola ukwelashwa okungcono nakakhulu kakhulu empilweni yakho.
> Imithombo:
> Rosso, K., Weiss, A., no-A. Thompson. Zikhona yini izindlela ezingezansi zokulawulwa kwendawo ye-Ductal Carcinoma e-Situ. Imitholampilo ye-Oncology eNorth America . 2018. 27 (1): 9-80.
> Toss, M., Miligy, I., Thompson, A. et al. Izivivinyo Zamanje Zokunciphisa Ukungenelela Okuhlinzekwa Ngokwe-Ductal Carcinoma Esikhathini Sesibeletho: Ukubuyekeza Okubalulekile. Isisu . 2017. 35: 151-156.