I-phyllodes tumor iyinhlobo engavamile kakhulu ye-tumor yebele, engaba yinhle (engenabungozi) noma eyingozi (umdlavuza). Lolu hlobo lwe-tumor lubizwa ngokuthi i-sarcoma ngoba lwenzeka kumcubu wakho ohlangene (stroma) wesifuba sakho, kunokuba kusetshenziswe izicubu ze- epithelial (i-lining of ducts ne-lobes). Amathumba e-Phyllodes athatha igama lawo egameni lesiGreki elithi phullon (iqabunga) ngenxa yephethini lokukhula elimahlamvu.
I-Phyllodes tumors account for less than 1% yazo zonke izifo zomdlavuza webele. Ngisho noma lesi sifo singase sibe nesineke, sisabhekwa njengeluhlobo lomdlavuza wesifuba , ngoba lunamandla okuba lubi kakhulu.
I-phyllodes tumor ibizwa nangokuthi i-phylloides tumor, PT, i-cystosarcoma phyllodes, i-cystosarcoma phylloides nama-fibroadenomas amakhulu.
Izimpawu Nezibonakaliso
I-tumor i-Phyllodes izozizwa njenge-eqinile, elinebushelelezi, e-bumpy (hhayi spiky) ehlathini emathisini akho asebele . Isikhumba sebele esibelethweni singase sibomvu futhi sifudumele kulokhu okuthinta. Lolu hlobo lwe-tumor lwebele lukhula ngokushesha kakhulu - kangangokuthi ukhula lungaba lukhulu emavikini ambalwa.
Ngenxa yokuthi i-Phyllodes tumor may befana fibroadenoma , lezi zimo ezimbili zivame ukuphutha komunye nomunye. Iningi labesifazane abatholwa ukuthi bane-tumor i-Phyllodes ngokuvamile i-premenopausal. Ezimweni ezingavamile kakhulu, amantombazane asencane angatholakala ukuthi unalolu hlobo lwesisu.
Ukuxilongwa
Ku-mammogram, i-Phyllodes tumor izoba nenqenqemeni echazwe kahle.
Nokho, i- mammogram noma isifuba i-ultrasound ayikwazi ukuhlukanisa ngokucacile phakathi kwe-fibroadenomas nama-Phyllode ahlambalazayo noma amahle kakhulu. Lolu hlobo lwesisu sesifuba aluvame ukutholakala eduze kwe- microcalcifications . Amaseli avela kwi-biopsy yezinaliti angahlolwa kulesobhu kodwa ngokuvamile akahlinzeki ngokucacile, ngoba amangqamuzana angafana ne-carcinomas kanye ne-fibroadenomas.
I- biopsy evulekile evulekile , eholela encekeni yezincubu, izonikeza isampula engcono yamaseli futhi izoholela ekuxilongweni okufanele kwe-Phyllodes tumor.
Ucwaningo lwesiNtaliyane oluqhathanisa ukuxilonga , ama-ultrasound kanye ne- MRIs yebele ye-Phyllodes tumor ibike ukuthi i-MRIs yanikeza umfanekiso onembile walawa mathambo futhi yasiza odokotela abahlinzayo ukuhlela imisebenzi yabo. Ngisho noma lesi sifo sasisondelene kakhulu nemisipha yesifuba sesifuba, i-MRI yebele inganikeza isithombe esingcono se-Phyllodes tumor kune-mammogram noma i-ultrasound.
Izigaba
Amanqamu amaningi amathumbu ahlukaniswa njengezigaba 1 kuya kwezingu-4, kodwa akunjalo nge-tumor Phyllodes. Ngemuva kwe-biopsy yokuhlinza, lo-pathologist uzofunda amangqamuzana ngaphansi kwe-microscope. Izici ezimbili zibhekwa: ijubane lapho amangqamuzana ehlukanisa khona kanye nenombolo yamaseli angasenqenqemeni esampula esiswini. Kuye ngokuthi amangqamuzana abhekana kanjani nalezi zindlela, i-tumor ihlelwa njengeyingozi (engenabungozi), umngcele noma ononya (umdlavuza). Amantombazane amaningi e-Phyllodes aqala ukuziphatha kahle.
Isibikezelo
Ukubikezela kwakho, noma umbono emva kokunakekelwa, kuhle kakhulu kumzimba we-Phyllodes. Kukhona ithuba eliphansi lokuphindaphinda le-tumor i-Phyllodes uma uneminyaka engu-45 noma ngaphezulu. Kulezi ziguli ezixilongwa nge-borderline noma izicubu ezimbi, ukuhlunga kwakho kuzohluka.
Amathumba e-borderline angaba nomdlavuza, ngisho nangemva kokuhlinzwa, uma amanye amangqamuzana ehlala (nakuba ezimweni ezingavamile) azobe esebenzayo. Izicubu ezimbi zingabuya ngisho neminyaka emibili emva kokwelapha futhi zingasakazeka emaphashini akho, amathambo, isibindi nesibindi sesifuba . Ezimweni ezimbalwa, ama- lymph nodes ayebandakanyekile.
Ukwelapha
Ukwelashwa ukususa i-tumor Phyllodes yindlela yokwelapha ejwayelekile . Lolu hlobo lwe-tumor aluphenduli kahle emisebeni , imithi yamakhemikhali noma imithi yokwelapha . Uma isisu sakho sincane kakhulu futhi sinesibindi, singasuswa nge-lumpectomy. Izicubu ezinkulu ezincane zingadinga i- mastectomy , ukuze kususwe kokubili isisu nomkhawulo ohlanzekile wezicubu zesifuba.
Izicubu ezibulalayo ziyasuswa nge-excision yangaphakathi (WLE) noma i-mastectomy ukususa okuningi kwezicubu ezithintekile ngangokunokwenzeka.
Imithombo
I-American Cancer Society. Kuyini i-Breast Cancer? I-invasive (noma i-infiltrating) i-Ductal Carcinoma.
U-Ann Ital Chir. 2005 Mar-Apr; 76 (2): 127-40. Ukwelashwa okuhlinzekwayo kanye ne-MRI emathunjini we-phyllodes webele: isipiliyoni sethu nokubukezwa kwezincwadi. U-Franceschini G, U-Ugo D, uMasetti R, uPalumbo F, D'Alba PF, uMelè A, Costantini M, uBelli P, uPicococchi A.