Phyllosi tumor is a rare type type of breast tumor, which can be benign (harmless) or malignant (cancerous). Izvi zvinonzi sarcoma nokuti inowanikwa mumakumbo anokonzera (stroma) emuzamu rako, pane pane epithelial tissue (lining of ducts and lobes). Phyllodi tumors inotora zita ravo kubva muchiGiriki izwi phullon (mashizha) nekuda kwekukura kwavo kwemavara.
Phyllodi tumoros account inodarika 1% yezvose zvinokonzera kenza. Kunyange zvazvo chironda chacho chingave chakaipa, chichiri kuonekwa sechirwere chekenza yebonde , nokuti inogona kuva yakaipa.
Phyllodes tumor inonziwo phylloides tumor, PT, cystosarcoma phyllodes, cystosarcoma phylloides uye giant fibroadenomas.
Zviratidzo nezviratidzo
A Phyllodi tumor inonzwa sechinhu chakasimba, chine ruvara-ruvara, chinokonzera (kwete spiky) chiuno mumatumbu ako . Chifupa chebonde pamusoro pechirwere chinogona kuva chekundu uye kunopisa kune iyo. Mhando iyi yemazamu inobva muchero inokura zvakanyanya-zvokuti zvekuti bundu rinogona kukura mumavhiki mashoma.
Nokuti chirwere chinonzi Phyllosi chinogona kufanana nefiberroadoma , izvi zviviri zvinowanzosvibiswa. Vakadzi vakawanda vanoonekwa kuti vane Pirllodi tumor inowanzoitwa premenopausal. Muzviitiko zvisingawanzoitiki, vasikana vechidiki vanogona kuongororwa vane rudzi urwu rwemvere.
Kuziva
Pamuviri, chirwere chePhyllosi chichava nechepamusoro.
Hazvirevi mammamiro kana kuti sezamu ultrasound , zvisinei, zvinogona kusiyanisa zvakajeka pakati pe fibroadenomas uye bhenign kana kuti yakaipa Phyllodes tumors. Iko rudzi rwechifuva chesafufu haruwanzowaniki pedyo ne- microcalcifications . Masekeri anobva kune nenyuchi biopsy anogona kuongororwa mubazi asi kazhinji haasi kupa pachena kuongororwa, nokuti masero anogona kufanana necarcinomas uye fibroadenomas.
Bhiopsy yakasununguka yokuvhiya , inokonzera rutivi rwezvimedu, inopa samu iri nani yemasero uye ichaguma nekunyatsorongororwa kwechirwere chePhyllo.
Chidzidzo cheItaly kuchienzanisa mammograms , mazamu uye mazamu eMisIs of Phyllodes tumor yakaratidza kuti MRIs yakapa mufananidzo wakajeka wematumbu aya uye akabatsira vanachiremba vanogadzira basa ravo. Kunyange kana chironda chacho chaiva pedyo nemasvingo emapfupa emvere, chifuva cheMRI chinogona kupa chimiro chakanaka chechirwere chePhyllosi kupfuura mammogram kana ultrasound.
Nhanho
Zvizhinji zvekenza zvemazamu zvinongororwa sezvikamu 1 kusvikira ku 4, asi hazvisizvo nePhyllodes tumor. Mushure mokuvhiyiwa kwechipiri, chirwere chepachicheche chichaongorora masero pasi pekroscope. Zvinhu zviviri zvinofungidzirwa: kasi iyo masero ari kugovera uye nhamba yemasero asina kufanana akafanana nemuenzaniso. Zvichienderana nezvinoitwa nemasero aya, chirwere chacho chinonzi sebenign (hachina ngozi), borderline kana yakaipa (kenza). Zvizhinji zvemuviri wePhyllodi zvinosvika pakuva nehanya.
Prognosis
Kutaura kwako, kana kutarisa mushure mekurapa, kwakakosha zvikuru kune chirwere chinorwara chinonzi Phyllodes tumor. Pane mukana wakawandisa wokudzoka kwechirwere chePhyllosi kana iwe uri 45 kana kupfuura. Kune varwere vane chirwere chendangariro ye borderline kana kuti yakaipa, maronda ako achasiyana.
Zvirwere zvepakati pepamusoro zvine mikana yekuve nekenza, uye kunyange mushure mekuvhiyiwa, kana mamwe masero aripo (kunyange mune zvisingawanzoitika) ivo vachabvisa. Zvirwere zvinosvibisa zvinogona kudzoka kunyange makore maviri mushure mekurapa uye zvinogona kupararira kumapapu ako, mapfupa, chiropa uye chifuva rusvingo . Mune zvimwe zviitiko, lymph nodes dzaibatanidzwawo zvakare.
Mishonga
Kuvhiya kubvisa chiremera chePhyllosi ndiyo inorapwa . Ikoko rudzi urwu haruna kupindura zvakanaka kumayero , chemotherapy kana hormonal therapies . Kana bundu rako risina kunyanya uye rakanaka, rinogona kubviswa ne lumpectomy. Zvikuru zviremara zvinokonzera zvinogona kutora mastectomy , kuti abvise zvose tumarara uye tsvina yakachena yezvifuva.
Zvirwere zvinosvibisa zvinobviswa nehuwandu hwekunze kwepanyika (WLE) kana kuti mastectomy kubvisa zvakanyanya mhuka dzakagadzikana sezvinobvira.
Sources
American Cancer Society. Chii chinonzi Breast Cancer? Kuvhiringidza (kana kupinda mukati) Ductal Carcinoma.
Ann Ital Chir. 2005 Mar-Apr; 76 (2): 127-40. Kushandisa kurapwa uye MRI muzvirwere zvepillarde zvezamu: ruzivo rwedu nekuongororazve mabhuku. Franceschini G, D'Ugo D, Masetti R, Palumbo F, D'Alba PF, Mulè A, Costantini M, Belli P, Picciocchi A.