Carcinoma In Situ Stage, Microscopic Appearance, uye Mikana Yokupararira
Tine maitiro ekutanga ekuwana, isu tiri kuwana mishonga yekenza pane imwe nzvimbo iyo inonzi inonzi carcinoma in situ (CIN). Panguva ino isu hatina nzira yekuziva kuti kana CIN ichatanga kufambira mberi kune kenza, asi kazhinji yenguva yeCIN inofungidzirwa iri pangozi yekuva kenza inoparadza. Chaizvoizvo zvinorevei nezwi CIN, chii chinokonzera kenza inogona kuve necarcinoma in situ stage, uye yakasiyana sei nekenza inoparadza?
Tsanangudzo: Carcinoma In Situ (CIN)
Carcinoma in situ ishoko rinoshandiswa kurondedzera kenza inongowanikwa mumasero mawakatanga uye haana kupararira kune chero mapepa ari pedyo. Carcinoma in situ ndiyo gadziriro yekutanga yekenza, uye iri, panguva iyi, inofunga "kwete-invasive." Nezvekugadzira, carcinoma in situ inotorwa danho 0 kenza. Nhanho 1 kusvika panhete 4 dzose dzinofungidzirwa kuti "inodhaka" kanzira.
Kuonekwa Kukurukuta
Kuongororwa kwecarcinoma in situ kunofanira kuitwa kune pasi pe microscope, iyo inotsanangurwa nekuvapo kwekenza masero. Masero eC Cancer akasiyana nemasero akajairika nenzira dzakawanda , kwete kungokwanisa kuparadzira.
Carcinoma In Situ vs Invasive Carcinoma
Kusiyana necarcinoma, kana chirwere chinoputika, carcinoma in situ haisati yasvika muchengeti wepasi, uye hapana kubuda kwechirwere. Zvimwe kunze kweizvi-chokwadi chokuti masero haasati aputsika kuburikidza nechigadziro chinotsigira kubva kwavakatanga-masero anoonekwa zvakafanana nemasero ekenza asingasviki aizoonekwa pasi pe microscope.
Meaning of Carcinoma In Situ
Munzira dzakawanda, izwi rokuti "carcinoma" rinongoronganiswa nekenza. Inenge 85 kubva muzana yekenza ine carcinomas. Carcinomas yakanyorwa epithelial cells; rudzi rwemasero anomirira ganda, mazamu emvere, uye dzimwe nzvimbo dzezviviri mumuviri.
Mazana eti carcinomas anosanganisira adenocarcinoma, squamous cell carcinoma, transitional cell carcinoma (mumucheka kana impso), uye basal cell carcinoma.
Carcinoma in situ inogona kutsanangurwa zvakare nemhando yemhando iyo kenza inotanga. Semuenzaniso, squamous cell carcinoma in situ yemukirini yaizofananidzira kenza yakanga yatanga mumasero anotsvaira anokonzera chibereko chemuviri uye asati ava kusvibiswa.
Tumhe dzakadai sarcomas dzinomuka mumasukisi asina zvimbiso zvepasi kuitira kuti pamhando idzi dzekenza hapasati gadziriro yekodoma in situ. Mune mamwe mazwi, chirwere chinokonzera kenza yemapfupa (osteosarcoma) hachina chikwata chisati chaitika (hakusi CIN nzvimbo) uye masero anogona kuonekwa seakanaka kana kenza. Nekenza dzisina chigadziko cheCIN, kuongorora kuongorora (zvakadai sePap smear) hazvibudiriri pakuonekwa kwokutanga.
Cancers Inogona Kuongororwa seCIN
Mukufungidzira, chero kenza ipi inotanga mu epithelial masero inogona kuva neCIN. Yakawanda kwazvo iwe uchanzwa pamusoro pezvo, zvisinei, inosanganisira CIN yezamu (zvose ductal carcinoma in situ (DCIS) uye lobular carcinoma in situ (LCIS) , chikwata, mapapu (kanhi yepamupa yemapapu 0 ), chibereki ( cervical intraepithelial neoplasia ), uye ganda ( squamous cell carcinoma in situ ).
Carcinoma In Situ (CIN) neCarcer
Mubvunzo mamiriyoni emadhora munguva pfupi yapfuura, kunyanya nekukakavara pamusoro pekurapwa kwe ductal carcinoma in situ kana in situ pachifuva chepachifu, ndechokuti kana kwete carcinoma in situ inongova kanzira.
Mhinduro ndeyokuti zvinobva kune waunotaura naye. Vamwe vanachiremba vanoronga carcinoma in situ sekenza isiri iyo inoparadza uye vamwe vangave vachida kuidana iyo isati yava nekenza. Kusiyanisa kwaizoreva mukuziva kana CIN ingazoenderera mberi kune kenza inoparadza, uye iyo, nedudziro, haina kuzivikanwa. Kana kuti hatinzwisisi kuwana mhinduro nokukurumidza, sezvo zvingasava zvakanaka kuti tingoona huwandu huzhinji hwecarcinoma in situ kuti tione kana vakava kanha inoparadza uye yakapararira.
Carcinoma In Situ vs Precancerous Cells vs Dysplasia
Aya mazwi akawanda anotsanangura kuonekwa kwemasero anowanzoonekwa uye masero emukenza asingawaniki. Imwe yeiyi dysplasia.
Dysplasia inogona kutarisa mutsara kubva kune dysplasia inobatsira umo masero anenge asingaoneki kuonekwa necarcinoma in situ, iyo dzimwe nyanzvi dzinoratidza kuti dysplasia yakasimba inobatanidza kuzara kwe epithelium. Izwi rokuti precancerous cells rinogonawo kushandiswa kurondedzera masero ekupfuurira uku pakati pemazuva ose evanhu nekenza.
Chikamu cheKenza, Carcinoma In Situ, uye Zvimwe Zvimwe
Mubvunzo wakajairika ndewekuti, "Ndechipi chikamu chekenza chirwere chiri mumukati?" Carcinoma in situ inotumidzwa sechikwata chekenza. Panguva ino, kenza inofungidzirwa isingaiti. Nhanho 1 kanamisi uye mberi inofungidzirwa kusingaiti. Mamwe mashoko anogona kushandiswa mukutsanangura chinhu chimwechete secarcinoma in situ kana chikwata 0 kenza inosanganisira kwete-inopinda, isina-invasive, uye intra-epithelial.
Kurapa
Carcinoma in situ inowanzobviswa kuburikidza nekuvhiyiwa, kunyange zvazvo chirwere chekuvhiya chichatsigira nzvimbo, uye kunyange mune dzimwe nzvimbo kune kukakavara kwakakosha. Izvi zvisarudzo zvinoitwa zvichienderana nekutarisa pane imwe nzvimbo yekusakoshesa, njodzi dzinokonzera kuti CIN inowanzova kenza inoparadza, makore evanhu, nezvimwe zvakawanda. Vamwe vanhu vanonzwa vakasununguka vachicherechedza kusakanganiswa asi vamwe vanoda kuti chero chinhu chinogona kuva chirwere chibviswa.
Uyewo Anozivikanwa Se: gadziriro 0 kenza
> Sources:
> Merrill, A., Esserman, L., uye M. Morrow. Ductal Carcinoma In Situ. The New England Journal of Medicine . 2016. 374: 390-392.
> National Cancer Institute. SEER Training Modules. In Situ (Stage = 0).