Invasive Lobular Carcinoma: Zviratidzo, Kurapa, uye Zvimwe

Zvemukati

• Chii chinonzi invasive lobular carcinoma (ILC)?
• Zviratidzo zvecobular kenza yemazamu
• Zvinokonzera gomarara repazamu
• Njodzi zvinhu
• Lobular carcinoma in situ (LCIS)
• Kenza yemazamu inobatwa sei?
• Mammograms
• Kuongorora ILC
• Kenza yemazamu inobatwa sei?
• Anowirirana uye mamwe marapirwo
• Ndingaite sei kudzivirira lobular cancer?
• LCIS
• Ndekupi kwandingawane mapoka ekutsigira?
• Outlook

Chii chinonzi invasive lobular carcinoma (ILC)?

Invasive lobular carcinoma (ILC) chirwere chegomarara mumatumbu anoburitsa mukaka. Vanhu vane ILC havakwanisi kunzwa mabundu ekutaurira. Iyo inozivikanwa zvakare seinopinda mukati lobular carcinoma kana lobular kenza yemazamu.

ILC inokura uye inopararira zvakasiyana kubva kune mamwe kanzira yemazamu senge inoparadza ductal carcinoma (IDC), kana kenza yemakaka ducts.

Kana kenza ikapararira, inonzi metastatic. MuI ILC, kenza inotanga mumazamu echipfuva uye yoenda kune yakakomberedza nyama yemazamu. Iyo inogona zvakare kufamba kune lymph node uye dzimwe nhengo mumuviri.

Vanopfuura vakadzi mazana masere nemakumi masere muUnited States gore rega rega vanogashira chirwere chekenza yemazamu. ILC inoita zvikamu gumi kubva muzana yeavo vanoongororwa.

Zviratidzo zvecobular kenza yemazamu

ILC inokura zvakasiyana kubva kune akajairika marudzi ekenza yemazamu. Izvo zvishoma zvinoita kuve nemapundu akajeka. Mumatanho ekutanga, pangave pasina zviratidzo kana zviratidzo. Asi apo kenza painokura, unogona kuona mazamu ako:

• kuomesa kana kuomesa mune imwe nzvimbo
• kuzvimba kana kunzwa kuzara mune imwe nzvimbo
• kuchinja mukugadzirwa kana kutaridzika kweganda, senge dimpling
• kugadzira nyini ichangotendeuka
• kuchinja muhukuru kana chimiro

Zvimwe zviratidzo zvinogona kusanganisira:

• kurwadziwa kwepamuviri
• zamu kurwadziwa
• kusunungura kunze kwemukaka wemukaka
• bundu rakakomberedza nzvimbo yepasi pevhu

Izvi zvinowanzo kuve zviratidzo zvekutanga zvekenza yemazamu, kusanganisira ILC. Ona chiremba wako kana iwe ukaona izvi zviratidzo kana zviratidzo.

Zvinokonzera gomarara repazamu

Chii chinokonzera ILC hachina kujeka. Asi mhando yekenza iyi inotanga kana masero ari mumasumbu ako anoburitsa mukaka aumba shanduko yeDNA iyo inowanzo kudzora kukura kwesero uye kufa.

Maseru ekenza anotanga kupatsanura nekupararira sematavi, ndosaka usinga nzwe bundu.

Njodzi zvinhu

Iyo mikana yekuwana ILC inowedzera kana uri:

• mukadzi
• pazera rakura, kupfuura mamwe marudzi ekenza yemazamu
• mukadzi ane hormone replacement therapy (HRT), kazhinji mushure mekuguma kuenda kumwedzi
• akatakura kenza majini

Lobular carcinoma in situ (LCIS)

Ngozi yako yekuvandudza ILC inogona kuwedzera kana iwe uine LCIS kuongororwa. LCIS ​​ndipo panowanikwa atypical kana asina kujairika maseru, asi maseru aya akavharirwa kumakete uye haana kupinda munzvimbo dzakakomberedza dzemazamu.

LCIS ​​haisi kenza uye inoonekwa seyakajairika mamiriro.

Kenza yemazamu inobatwa sei?

Vanachiremba vako vanoshandisa akasiyana akati wandei bvunzo dzekubatsira kuongorora lobular kenza yemazamu. Iyi bvunzo inosanganisira:

• Ultrasound
• MRI
• mammogram
• chipfuva biopsy

ILC ine mashoma madiki, ayo akavakirwa pakuonekwa kwemasero ari pasi pe microscope. Mune yakasarudzika mhando ye ILC, maseru anoteera mune imwechete faira.

Dzimwe mhando dzisingawanzo kukura dzinosanganisira zvinotevera:

• yakasimba: kukura mumashizha makuru
• alveolar: inokura mumapoka emasero makumi maviri kana anopfuura
• tubulolobular: mamwe masero ari ega-faira kuumbwa uye mamwe mafomu chubhu-kunge zvivakwa
• pleomorphic: yakakura kudarika yakasikwa ILC ine nuclei inotaridzika zvakasiyana kubva kune imwe
• sero rinorira sero: masero akazadzwa nemamota

Mammograms

Mamammograms anogona kupa manyepo-akaipa mhedzisiro yekenza yemalobular. Izvi zvinodaro nekuti, muX-ray, kenza yemukati inoratidzika yakafanana neyakajairika nyama.

ILC inopararirawo kuburikidza nemazamu echipfuva zvakasiyana neiyo IDC.

Mamota akaumbwa zvakanaka uye macalcium deposits haana kufanana, zvichiita kuti zvive zvakaoma kune radiologist kusiyanisa ILC neyakajairika chipfuva chemazamu pane mammogram.

Izvo zvakare zvinowanzoitika kukura munzvimbo dzinopfuura imwechete yezamu kana mumazamu maviri. Kana ikaonekwa pane mammogram, inogona kuoneka sediki pane zvazviri chaizvo.

Kuongorora ILC

Chifuva chepamuviri ndipo apo chiremba wako anoona kuti kenza yakura zvakadii kana kuti yapararira zvakadii kubva pazamu.

Kugadzira kwakavakirwa pa:

• kukura kwebundu
• mangani lymph node akanganisa
• kuti kenza yapararira kune dzimwe nhengo dzemuviri here

Kune zvikamu zvina zve ILC, kubva pa1 kusvika pa4.

Kunge IDC, kana ILC ikapararira, inowanzo kuratidza mune:

• lymph nodes
• mabhonzo
• chiropa
• mapapu
• uropi

Kusiyana neIDC, ILC iri mukana wekupararira kunzvimbo dzisina kujairika senge:

• dumbu uye ura
• mudumbu lining
• nhengo dzokubereka nadzo

Kuti uone kana masero ekenza apararira, chiremba wako anogona kuraira bvunzo kuti atarise yako lymph node, ropa, uye chiropa chinoshanda.

Kenza yemazamu inobatwa sei?

Yako yepamusoro yekurapa sarudzo inoenderana nekenza yako nhanho, zera, uye hutano huzhinji. Kurapa ILC kazhinji kunosanganisira kuvhiyiwa uye kuwedzerwa kurapwa.

Kusarudza chiremba wako anovhiya zvakanyanyisa kunonyanya kukosha nekuda kweiyo ILC yekujairika kukura maitiro. Chiremba ane ruzivo rwekurapa varwere vane ILC kiyi.

Kuvhiya kushoma kune hukasha senge lumpectomy ine mhedzisiro yakafanana kune yekurapa nehasha senge mastectomy.

Lumpectomy inogona kunge iri sarudzo yakanaka kana chete chidimbu chidiki chezamu chine kenza (mukuvhiya uku, chiremba anovhiya anongobvisa kenza yemuviri).

Kana paine mamwe mazamu echipfuva akabatanidzwa, chiremba wako anogona kukurudzira mastectomy (kubviswa kwese kwemazamu).

Dzimwe sarudzo dzinosanganisira kubvisa lymph node padyo nezamu rako, maitiro anonzi sentinel lymph node biopsy, uye armpit, inonzi axillary lymph node dissection.

Iwe ungangoda kumwe kurapwa, senge radiation, kurapa kwehomoni, kana chemotherapy, kudzikisa njodzi yekenza inokura kumashure mushure mekuvhiyiwa.

Anowirirana uye mamwe marapirwo

Nepo mishonga yekuwedzera neyeimwe (CAM) isingazivikanwe kurapa kenza yemazamu, inogona kubatsira kubvisa zvimwe zvezviratidzo uye mhedzisiro yekenza nemarapirwo ayo.

Semuenzaniso, vanhu vanotora mahormone kurapwa kwekenza yemazamu vanogona kusangana nekupisa, kana kamwe kamwe, kudziya kwakanyanya, uye kudikitira.

Unogona kuwana zororo kuburikidza:

• kufungisisa
• vhitamini zvinowedzera
• zororo rekudzidzira
• yoga

Nguva dzose taura nachiremba wako usati waedza mushonga mutsva kana kuwedzera. Vanogona kudyidzana neyako kurapwa ikozvino uye vanokonzeresa isingatarisirwe mhedzisiro.

Hormone therapy (HT) inogona kukurudzirwa kana kenza yako maseru ichinyatsoziva mahormone sestrogen uye progesterone.

Izvi zvinowanzoitika mukenza yemazamu inoberekwa. HT inogona kuvharira mahormone emuviri wako kubva mukusaina maseru ekenza kuti ikure.

Ndingaite sei kudzivirira lobular cancer?

Lobular carcinoma, sedzimwe kenza yemazamu, inogona kukura mune vamwe vanhu vane hutano. Unogona kudzikisa njodzi yako ne:

• kunwa doro zvine mwero, kana zvachose
• kuita bvunzo dzega
• kuwana kuongororwa kwegore negore, kusanganisira mammograms
• kuchengetedza huremu hune hutano
• kudya kudya kwakaringana uye kurovedza muviri nguva dzose

Kana iwe uri kufunga nezveHTT, kurukura nezve njodzi uye mabhenefiti erapi iyi nachiremba wako. HRT inogona kukwidza njodzi ye lobular carcinoma uye mamwe marudzi ekenza yemazamu.

Kana iwe ukasarudza kutora HRT, iwe unofanirwa kutora yakaderera inoshanda dosi yenguva ipfupi inogoneka.

LCIS

Ndekupi kwandingawane mapoka ekutsigira?

Kuwana kenza yemazamu kuongororwa chero ipi mhando kunogona kukurira. Kudzidza nezve kenza yemazamu uye nzira dzekurapa dzinogona kukubatsira kuti unzwe kusununguka paunenge uchifamba nerwendo rwako.

Nzvimbo dzaunogona kutendeukira kunotsigirwa kana iwe ukaonekwa uine lobular kenza yemazamu inosanganisira:

• boka rako rezvehutano
• shamwari nemhuri
• nharaunda dzepamhepo
• mapoka ekutsigira emuno

Pane njodzi yakawedzera yekuva nekenza yemazamu inoparadza kana iwe ukaonekwa uine LCIS. Iwe unogona kutora mishonga, kunge tamoxifen, kudzikisa njodzi yako.

Chiremba wako anogona zvakare kuratidza mastectomy kana iwe uine nhoroondo yemhuri yekenza yemazamu.

Nharaunda yekenza yemazamu inoonekwa uye inonzwika. Mapoka ekutsigira emunharaunda anogona kubatsira mukukubatanidza iwe nevamwe vari kupfuura nezvakaitika zvakafanana.

Outlook

Kuongorora kwekutanga uye kufambira mberi mukurapa kunobatsira kuwedzera mukana wako wekurarama hupenyu hwakareba uye hune hutano. Maonero kwenguva refu eILC anoenderana nezvinhu zvakawanda, zvakadai se:

• danho rekenza
• giredhi uye subtype
• margins ekuvhiya, kana kuti maseru egomarara ari padyo sei nematinji akabviswa pazamu
• zera rako
• hutano hwako hwese
• kunyatsopindura sei kurapwa

Chimwe chinhu chinokanganisa mhedzisiro muI ILC ndeyekuti estrogen, progesterone, kana HER2 (human epidermal kukura factor receptor 2) ma receptors anowanikwa pamusoro pemasero ekenza.