I-Carcinoma In Situation Status, Ukubonakala Microscopic, kanye Amandla Ukusakaza
Ngamaqhinga okutholwa kokuqala, manje sithola amagciwane amaningi esiteji ukuthi abhekwa njenge-carcinoma in situ (CIN). Ngesikhathi samanje asikho indlela yokunquma ukuthi i-CIN izoqhubeka yini nomdlavuza, kodwa iningi le-CIN lithathwa njengengozini yokuba ngumdlavuza ongenawo umonakalo. Ngabe kusho ukuthini igama elithi CIN, yiziphi izidakamizwa ezingase zibe ne-carcinoma in situ, futhi zihluke kanjani kumdlavuza ongenayo?
Incazelo: I-Carcinoma In Situation (CIN)
I-carcinoma in situ igama elisetshenziselwa ukuchaza umdlavuza okhona kuphela emaqenjini lapho waqala khona futhi awusakazeki kunoma yiziphi izicubu eziseduze. I-carcinoma in situ yisigaba sokuqala somdlavuza, futhi, ngalesi sigaba, sibheka "okungenasidingo." Ngokuphathelene nesiteji, i-carcinoma in situ ibhekwa njengesigaba somdlavuza wesi-0. Isigaba 1 kuya esigabeni 4 sonke sibhekwa njenge "kansa".
Ukubukeka Okuncane
Ukutholakala kwe-carcinoma in situ kufanele kwenziwe ngaphansi kwe-microscope, lapho kuchazwa khona ukutholakala kwamangqamuzana omdlavuza. Amaseli e-Cancer ahluke kumaseli avamile ngezindlela eziningi , hhayi nje ikhono lokusabalalisa.
I-Carcinoma In Situ vs i-Carcinoma evelele
Ngokungafani ne-carcinoma, noma umdlavuza ongenayo, i-carcinoma in situ engakaze ifike emlanjeni wesisekelo, futhi akukho ukuhlasela okunamandla. Ngaphandle kwalokhu-iqiniso lokuthi amangqamuzana angakaze aphule ngesakhiwo esisekela lapho aqala khona-amangqamuzana afana nokufana namangqamuzana omdlavuza we-invasive azovela ngaphansi kwe-microscope.
Incazelo yeCarcinoma In Situ
Ngezindlela eziningi, igama elithi "carcinoma" lilingana nomdlavuza. Amaphesenti angaba ngu-85 ama-cancer angama-carcinoma. Ama-carcinomas akhiwa amaseli e-epithelial; uhlobo lwamaseli afaka isikhumba, amathanga esifuba, nezinye izakhiwo zomzimba emzimbeni.
I-subtypes ye-carcinomas ihlanganisa i-adenocarcinoma, i-squamous cell carcinoma, i-transitional cell carcinoma (esithombeni noma izinso), ne-basal cell carcinoma.
I-carcinoma in situ ingachazwa kabanzi yi-tissue uhlobo lapho umdlavuza uqala khona. Isibonelo, i-squamous cell carcinoma in situ yomlomo wesibeletho ingabe imele umdlavuza owawuqale emangqamuzaneni angama-squamous aqondisa umlomo wesibeletho futhi engakabi yi-invasive.
Izicubu ezinjengama-sarcomas zivela ezingxenyeni ezingenazo izitho zangasese ukuze lezi zinhlobo zomdlavuza azikho isiteji se-carcinoma in situ. Ngamanye amazwi, isisu esinjengomdlavuza we-bone (i-osteosarcoma) asinaso isigaba sangaphambi kokuhlasela (asikho isigaba se-CIN) futhi amangqamuzana angase abhekwe njengokujwayelekile noma umdlavuza. Ngezikhwama ezingenayo isigaba se-CIN, ukuhlolwa kokuhlola (njenge-Pap smear) akuphumelelanga ekutholeni kokuqala.
Amakhansela Angatholakala Ngama-CIN
Ngokwemfundiso, noma imuphi umdlavuza oqala kumaseli e-epithelial uzoba nesigaba se-CIN. Okuvame kakhulu ukuzwa ngakho, kodwa kubandakanya i-CIN yesifuba (kokubili i- ductal carcinoma in situ (DCIS) ne- lobular carcinoma in situ (LCIS) , isisu, imaphaphu (umdlavuza wesi- 0 wamaphaphu ), i-cervix (i- cervical intraepithelial neoplasia ), futhi isikhumba ( squamous cell carcinoma in situ ).
I-Carcinoma In Situ (CIN) vs Cancer
Umbuzo wezigidigidi zamuva nje, ikakhulukazi ngokuphikisana ngokuphathwa kwe-ductal carcinoma in situ noma in situ emdlalweni webele, kungakhathaliseki ukuthi i-carcinoma in situ ingumdlavuza ngempela.
Impendulo ukuthi kuxhomeke ukuthi ubani okhuluma naye. Abanye odokotela bahlukanisa i-carcinoma in situ njengomdlavuza ongenawo umonakalo kanti abanye bangakhetha ukuyibiza ngaphambi komdlavuza. Ukuhlukana kwakuzobe sekuqaphela ukuthi ngabe i-CIN ingaqhubeka yini noma ingabe ingaphumelela emdlalweni ongenayo, futhi lokho, ngencazelo, akuyazi. Futhi asikwazi ukuthola izimpendulo maduzane, ngoba angeke kube ukuziphatha ngokumane ubheke izinombolo ezinkulu ze-carcinoma in situ ukuze ubone ukuthi ziba ngumdlavuza ongenayo futhi zisakazeke.
I-Carcinoma In Situ vs Cells Precancerous vs Dysplasia
Amagama amaningi achaza umthamo wamangqamuzana avamile namaseli omdlavuza omnyama. Enye yalezi zi-dysplasia.
I-Dysplasia ingasebenzisa i-spectrum kusuka e-dysplasia emnene lapho amangqamuzana engabonakali ngokweqile avela ku-carcinoma in situ, lapho ezinye ze-pathologists zichaza njenge-dysplasia enamandla ehilela ubukhulu be-epithelium. Amagama amangqamuzana angama-precancerous angasetshenziselwa ukuchaza amaseli kulokhu okuqhubekayo phakathi kwamaseli avamile kanye nomdlavuza.
Isigaba se-Cancer, i-Carcinoma In Situ, nemigomo eyengeziwe
Umbuzo ovamile wukuthi, "Yisiphi isigaba somdlavuza i-carcinoma in situ?" I-carcinoma in situ ibizwa ngokuthi ngumdlavuza wesigaba 0. Kulesi sigaba, umdlavuza ubhekwa njengengenasidingo. Amagciwane e-Stage 1 nangaphesheya ayabhekwa njengengenangqondo. Eminye imigomo engasetshenziswa ekuchazeni into efanayo ne-carcinoma in situ noma isigaba somdlavuza we-0 ifaka phakathi okungenayo ukungena ngaphakathi, okungenasidalwa, ne-intra-epithelial.
Ukwelapha
I-carcinoma in situ ngokuvamile isuswa ngokuhlinzwa, nakuba uhlobo lohlinzeko luzoxhomekeka endaweni, futhi ngisho nasezindaweni ezithile kukhona ukungqubuzana okuphawulekayo. Lezi zinqumo zenziwe ngokususelwa ekubhekeni indawo ethile yokungajwayelekile, izinto ezibeka ingozi ezibonisa ukuthi i-CIN cishe inomdlavuza ongenayo, ubudala bomuntu, nokunye okuningi. Abanye abantu bakhululekile ukubuka ukungavamile kanti abanye bakhetha ukuthi noma yini engaba ngumdlavuza isuswe.
Futhi eyaziwa ngokuthi: isiteleka sesi-0
> Imithombo:
> Merrill, A., Esserman, L., noMnu Morrow. I-Ductal Carcinoma In Situation. I-New England Journal of Medicine . 2016. 374: 390-392.
> National Cancer Institute. Ama-Module Wokuqeqesha ama-SEER. Ku-Situ (Isiteji = 0).