DCIS neLCIS: Cancer kana Kwete?
Zvinorevei kuudzwa kuti une kenza yemazamu zero? Kuvhiringidzika pamusoro pezvinorehwa nemitemo zvinogona kutungamirira kusanzwisisikidzwa kwemamiriro ezvinhu, nzira yekurapa, nemigumisiro.
DCIS kana Stage 0 Kanzvadzi yeBast is often misunderstood
Vanhu vakawanda vakawana kuti vane ductal carcinoma in situ (DCIS) kana kuti chikwata chekenza yepamu 0 inogumbura kana vachitaura nevamwe.
Vamwe vanhu vanotaura kuti "haisi kenza chaiye" kana "iwe hausi pangozi zvachose" uye aya mazwi anogona kunetsa zvikuru. Mushure mokunge, vazhinji vevanhu ava vave vachirapwa nekuvhiyiwa uye kupiswa kwemhepo uye vari kutarisa makore mashanu kana kupfuura ekushandisa hormone therapy . Mashoko akadaro anobva asingachavadzi, uye kusiya vakadzi vachifunga kuti kuongorora kwavo kwakanyadziswa uye mafungiro avo akadzingwa.
Chero humwe hutano hwekenza kana chekudzivirira (chero zvayo) hunotyisa. Zvidzidzo zvakaona kuti manzwiro anoita vanhu panguva yekuongororwa yakafanana kana munhu akaonekwa kuti ane chironda chinoporesa zvikuru-kana chirwere chepamusoro chepamusoro pasina mukana wekurapa.
Iyi kuvhiringidzika pamusoro pekuongororwa kwe-in-situ kenza yemazamu inowanzoitika. Ngatitarisei zvikonzero zvekuvhiringidzika uye tione kuti chii chiripo pamusoro peshato yekamu yekamuti DCIS nehanzvadzi yake LCIS (lobular carcinoma in situ).
Cancer In Situ
Kuonekwa kwecarcinoma in situ kunoreva zvakananga. In situ zvinoreva kuti masero emukenza yose "ari munzvimbo" uye kwete kushaya simba. Carcinoma in situ , ingawanika mumigero yemukaka wako wemukaka kana mukati melobes apo mukaka wemukaka unogadzirwa, iine boka remasero. Oncologist inodana rudzi urwu rwekuongororwa kwezero zero nokuti harina kuputika kubva panzvimbo (harina kupararira kupfuura chimwe chinhu chinonzi chivako chepasi), uye harina kupinda mune mamwe matukisi.
Masero muCarcinoma in situ anoratidzika zvakaenzana nemasero emukenza mukenza inopinda, misiyano chete ndeyekuti masero akapararira sei.
Mishonga inoputika yepamu inopiwa chikamu nhamba kubva kune imwe kusvika kune ina uye zvakakosha kuyeuka kuti zvikamu zvakaderera zviri nyore kubata, zvichiita kuti pave nehuwandu hwekupona.
Nharaunda Zero Breast Cancer
Sangano reAmerican Joint Committee reCarcer (AJCC) rinoparidza maitiro ayo makondombera aripo. Chirwere chepabonde chinotarirwa neTMM system, uye nhamba dzakagoverwa kune zvikamu zveMumhanyi, Nodes, uye Metastasis. Tis N0 M0 inotsanangura DCIS neLCIS uyewo chirwere chePaget cheko , kana pasina tumarara inowanikwa.
- Tis zvinoreva kuti hapana mutezo wakawanikwa, asi masero asina kukwana aripo.
- N0 zvinoreva hakuna lymph nodes inobatanidzwa.
- M0 inotsigira kuti hapana metastasis yakaitika.
Icho ndicho chinonzi oncologist pavanokuudza kuti iwe une chirwere chekero chemuti wepamu.
Mutambi wekare kana kuti Noninvasive Cancer?
Vamwe vanachiremba vanoshandisa mazwi ekurapa kanonzi precancerous and noninvasive asi vamwe vanongotaura padanho 0 kenza yepamu se "kenza." Chero nzira, ivo vari kutaura nezvehutano hwakafanana chete nemashoko akasiyana.
Asi kana iwe uchinzwa izwi rokuti "precancerous," unogona kunetseka kuti une chirwere chisingatauri chinopfuurira kune kenza, uye inofanira kurapwa saizvozvo.
Uyezve, kana iwe uchiudzwa kuti iwe unofungidzirwa "mutsara unorega," unogona kuomesa nekutya pakunzwa "C" shoko! Ngatitarisei: Hatidi chero nguva, kunyanya kana iri kureva mazamu edu.
Ndiro Zero Kanzera Here?
Vose ductal uye lobular carcinoma in situ zvinoshungurudza nekuti vane mikana yekupinda kunze kwemashoko avo ane zvinyorwa. Masayendisiti haagoni kutaurira kuti ndeipi vanhu vangave vari panjodzi yekuva nekenza yevasasa isina kuvharwa kana DCIS kana LCIS yasara isingateereri. Izvo zvose carcinomas dzine maitiro emasero ekenza uye zvose zvingaguma dzichikura nekupararira kudarika zvidzidzo zvadzo zvepakutanga, kana zvingasadaro.
Sezvo kune mukana wekuvandudza kenza inoparadza, vanhu vazhinji uye vanachiremba vavo vanosarudza kubata chirwere chepamuti chechirwere chepabonde sezvavanenge vachida kenza inopesana (danho I kusvika panhandare IV).
Zvimwe zvakawanda zvinokanganisa chirongwa chako chekurapa. Zvimwe zvezvi zvinosanganisira:
- Hormone chimiro
- Genetic ngozi
- Menopausal mamiriro
- Zvaunoda iwe pachako
Treatment Options
Zvirwere zvinoshandiswa zvinopesana zvichienderana nezvimwe pamusoro apa nezvimwe.
Vamwe vekuccologist vanogona kukuudza kuti "tarisa uye kurindira" kuona kana carcinoma inogadzirisa pachayo kana ichatanga kufambira mberi. Vamwe vanachiremba vacharamba vachirumbidza chirwere chekenza zvakakwana. Vamwe vanhu "vanongorida" kana pane mukana wekuti chikwata chetatu chinogona kuva kenza inoparadza, asi vamwe vanhu vanonyatsonakidzwa nekugadzirisa nzira yekuchengetedza pamwe nekuchenjerera kutevera.
Zvirwere zvinogona kusanganisira lumpectomi inoteverwa nemirairo, kana mastectomy kana pane kunetseka kuti pangava nedzimwe nzvimbo dze DCIS kana LCIS muchipfuva kana kana mukadzi ane nhoroondo yakasimba yemhuri yekenza yebonde. Utachiona hweHormone hunogona kutevera kwemakore mashanu, uye tamoxifen inowanzoshandiswa kuva premenopausal vakadzi uye aromatase inhibitors kune avo vari postmenopausal.
Chero nzira, iwe uchasangana nesarudzo dzisingagadzikane uye mhando dzemanzwiro. Vanhu vachakusimbisai iwe vanofanira kuremekedza izvo pasinei nehuwandu hwehutano hwako.
Saka, pane zero rezero chaizvoizvo kenza yemazamu, kana kwete? Vanachiremba havagoni kubvumirana pamusoro peizvi, asi iyo inyaya yezwi. Usanamatira pamashoko acho, asi funga kufunga nezvechipiri pfungwa, kuti uone kuti iwe unowana kurapa kwakanakisisa uye kunoshanda kwehutano hwako.
> Sources:
> Rosso, K., Weiss, A., uye A. Thompson. Pane dzimwe nzira dzingashandiswa kuNzvimbo yeKubata kweDuctal Carcinoma muCimo. Mapiritsi Anopikisa Inocology eNorth America . 2018. 27 (1): 9-80.
> Toss, M., Miligy, I., Thompson, A. et al. Iye zvino miedzo yekuderedza kutsvakurudza kupindira mune ductal carcinoma mu situ ye Breast: Critical Review. Breast . 2017. 35: 151-156.