I-lobular carcinoma in situ (I-LCIS) ibhekisela ekubeni khona kwamaseli angavamile afakwe ngaphakathi kwamagulule amabele akho. I-LCIS, kuyilapho ingekho umdlavuza, ibhekwa njengendlela yokufaka ingozi eyengeziwe, esikhathini esizayo, yokuthuthukisa umdlavuza ongenayo, noma yiluphi uhlobo, noma ngabe isifuba.
Uma utshelwe ukuthi une-lobular carcinoma in situ (LCIS), awunayo umdlavuza webele we-lobular ongenawo.
Lezi zifo ezimbili ezihluke kakhulu.
Iningi lalaba besifazane abatholwe ukuthi bane-LCIS abazange baye esikhathini sokuqalisa. Kuyinto evamile ukuba ama-lobules amaningi ahileleke. Ezingxenyeni ezintathu zesifo esitholiwe, izindawo ze-lobular carcinoma in situ zitholakala kokubili amabele.
Ingozi Yenye Kansa
Kulinganiselwa ukuthi amaphesenti angu-20 kuya kwamaphesenti angu-40 abesifazane abaneLCIS angatholakala ukuthi unomdlavuza webele we-invasive ohlukile ozokhula ngaphandle kwesayithi lawo langempela eminyakeni engu-15 elandelayo. Uma lokhu kwenzeka, lezi zomshukela ezintsha zivame ukuqala emakhakheni obisi hhayi ema-lobules.
Akuvamile ukuthola izimpawu nge-LCIS. Izikhathi eziningi, ayitholakali ngisho nangokwemvelo. Njengoba i-LCIS ingabangeli izimbungulu ezingabonwa noma ezizizwayo, ngokuvamile zixilongwa ngesikhathi se-biopsy, zenzelwe esinye isimo. Uma i-biopsy ithola ubufakazi be-LCIS, qaphela ukuthi lesi simo singase sibonakale sifana nesifo somdlavuza webele esibizwa ngokuthi i-ductal carcinoma in situ.
Ngenxa yalokhu, ungase ufune ukucela umbono wesibili ukuqinisekisa ukuthi uhlolwe. Abanikazi abaningi bomshuwalense bahlanganisa izindleko zombono wesibili.
Njengoba unikezwa ukuthi i-lobular carcinoma in situ ayithathwa njengomdlavuza weqiniso noma ngisho nangaphambi komdlavuza, udokotela wakho angeke ancome ukuthi uqale ukwelashwa okusebenzayo.
Kodwa-ke, njengoba i-LCIS ingandisa amathuba okuba nomdlavuza ongenayo esikhathini esizayo, angancoma kakhulu ukuthi isimo sakho sidinga ukulandelwa eduze.
Uma uthola ukuthi une-LCIS futhi unomlando wesifo somdlavuza emndenini wakho, okukubeka engozini eyengeziwe, udokotela wakho angase akusize ucabange ukuthatha imithi ukunciphisa ingozi yakho yokudala umdlavuza webele we-invasive.
Izidakamizwa ezifana ne-anastrozole (Arimidex), i-exemestane (Aromasin), i-raloxifene (Evista), noma i-tamoxifen (i-Nolvadex) inganconywa. Ngaphandle kwe-tamoxifen, ezinye izidakamizwa zifanele ukusetshenziswa kuphela ngabesifazane be-postmenopausal.
I-Lobular Carcinoma Ebukeka Ngayo Isingakanani?
Ngenkathi i-LCIS ingase ingadingi inkambo esheshayo yokwelashwa ngokuhlinzwa noma imithi eyenzelwe ukunciphisa amathuba okuthuthukisa umdlavuza webele we-invasive, udokotela wakho cishe uzofuna ukuqala ukuqapha. Uzokhuthazwa ukuba wenze iziqu zokuzihlola ezivamile, wenze ukuvakashelwa kwamahhovisi okulandelela, uthole i-mammogram njalo ezinyangeni ezingu-6 noma ezingu-12, futhi, uma kubonisiwe, unezinye izivivinyo zokuhlola.
Womabili amabele kufanele alandelwe, njengoba abesifazane abano-LCIS esiswini esisodwa benengozi efanayo nabesifazane abakhona kuwo kokubili amabele. Banezinkinga ezifanayo zokuthola umdlavuza kunoma isifuba.
Bonke abesifazane abane-LCIS, kudingeka bakhulume nodokotela babo mayelana nezinye izici ezingozini zomdlavuza wesifuba, futhi baxoxe ngokuthi babe ne- Magnetic Resonance Imaging (MRI) ngaphezu kwe-mammogram kungaba yimuphi umhlomulo owengeziwe.
Abesifazane, engozini enkulu yokuthuthukisa umdlavuza webele wezinhlungu bangase bakhethe ukuhlinzwa okuvimbela ukubizwa ngokuthi i-mastectomy elula yamazwe amabili. Njengoba i-LCIS ithatha ingozi enkulu yomdlavuza webele kuzo zombili amabele, kokubili kususwe ukunciphisa ingozi.
Nakuba lokhu kuhlinzwa kususa zombili amabele, akususi ama-lymph nodes. Abesifazane abakhetha ukuhlinzwa lokhu banokukhethwa kokuvuselelwa.
Njengazo zonke izinkinga zempilo yebele, kubalulekile ukufunda umlando womndeni wakho, okuyinto engeyona umsebenzi olula ngaso sonke isikhathi. Imindeni eminingi ayiyazi, noma ikhetha ukungaxoxani ngezifo nezimo zezihlobo zabo.
Ukuzi nje ukuthi ubani owayenomdlavuza webele emaceleni kayihlo nonina womndeni kungokwaziswa okungabelwa nodokotela wakho wamazinyo noma udokotela womndeni phakathi nokuhlolwa kwakho kwonyaka. Uma udokotela wakho ezwa ukuthi umlando wakho womndeni ubonisa ukuthi kungenzeka ukuthi ingozi yomdlavuza wesifuba ingase ibe yini, angase akhombise ukuhlolwa okungabonakala umdlavuza webele, noma isimo esifana neLCIS.
Imithombo: I-American Cancer Society, iNational Cancer Institute, iMayo Clinic