Medullary Carcinoma yeChipfuva

Zvemukati

• Ndezvipi zviratidzo zve medullary carcinoma yezamu?
• Chii chinokonzeresa medullary carcinoma yezamu?
• Ndezvipi zvinhu zvinokonzeresa medullary carcinoma?
• Ndedzipi nzira dzekurapa dze medullary carcinoma yezamu?
• Ko medullary carcinoma yezamu inoonekwa sei?
• Chii chinonzi fungidziro yemedullary carcinoma yezamu?
• Ndeapi maonero e medullary carcinoma yezamu?

Mhedziso

Medullary carcinoma yechipfuva chidimbu cheanoparadza ductal carcinoma. Iyo mhando yekenza yemazamu inotangira mumukaka ducts. Gomarara repazamu iri rakatumidzwa zita nekuti bundu racho rakafanana nechikamu chehuropi chinonzi medulla. Medullary carcinoma yezamu inomiririra inofungidzirwa 3 kusvika ku5 muzana yezvese zvinoonekwa kenza yemazamu.

Medullary carcinoma kazhinji kashoma kupararira kune ma lymph node uye inoteerera kurapwa kupfuura ayo akajairika marudzi ekenza yemazamu inoparadza. Kuiona pamatanho ayo ekutanga kunogona kugadzirisa kufungidzira uye kudzikisira kudiwa kwemamwe marapirwo kunze kwekubvisa bundu pacharo.

Ndezvipi zviratidzo zve medullary carcinoma yezamu?

Dzimwe nguva medullary carcinoma inogona kukonzera mashoma zviratidzo. Mukadzi anogona kutanga aona bundu riri muchipfuva chake. Medullary carcinoma yezamu inowanzo kuve nekuparadzanisa maseru ekenza nekukurumidza. Naizvozvo, vakadzi vazhinji vanogona kuona hura muzamu ravo unogona kutaridzika nehukuru. Bundu rinowanzoita kunge rakapfava uye riine nyama, kana kusimba kusvika pakubata nemiganhu yakatsanangurwa. Mazhinji medullary carcinomas ari mashoma pane maviri masendimita muhukuru.

Vamwe vakadzi vanogona kusangana nezvimwe zviratidzo zvine chekuita nemedullary carcinoma, inosanganisira:

• unyoro hwechipfuva
• kurwadziwa
• kutsvuka
• kuzvimba

Kana iwe uri kusangana nechimwe cheizvi zviratidzo, iwe unofanirwa kuona chiremba.

Chii chinokonzeresa medullary carcinoma yezamu?

Pachivanhu, mamota ane gomarara pazamu anogona kuve nehunhu hwehomoni. Medullary carcinoma yezamu, zvisinei, kazhinji haisi mahormone anokanganiswa. Pane kudaro, mukadzi anowana shanduko mumajini ekugadzirwa kwemasero ari muchifuva chake. Izvi zvinoita kuti maseru akure asingadzoreke (gomarara). Vanachiremba havazive chaizvo kuti nei shanduko idzi dzichiitika kana kuti dzakabatana sei medullary carcinoma yezamu.

Ndezvipi zvinhu zvinokonzeresa medullary carcinoma?

Vamwe vakadzi vane genetic mutation inozivikanwa se BRCA-1 geni vari panjodzi huru yekuonekwa vaine medullary carcinoma yezamu, sekutaura kwaJohns Hopkins Medicine. Iri jeni rinowanzomhanya mumhuri. Naizvozvo, kana mukadzi aine nhoroondo yekenza yemazamu mumhuri yake yepedyo, ari panjodzi huru yechirwere. Nekudaro, kana mukadzi aine iri geni, izvi hazvireve kuti anowana medullary carcinoma yezamu.

Iko kuongororwa kwechirwere chema medullary carcinomas kuri pakati pemakore makumi mana nemashanu nemakumi mashanu nemashanu. Izvi zvinowanzo kuve zvishoma kudiki pane vakadzi vanoonekwa vaine medullary carcinomas, avo vanoonekwa vane makore makumi mashanu nemashanu kana kupfuura.

Ndedzipi nzira dzekurapa dze medullary carcinoma yezamu?

Chiremba anogona kuongorora akasiyana marapirwo esarudzo medullary carcinoma. Ivo vanozotarisa kukura kweiyo bundu, rudzi rwechitokisi, uye kana bundu rapararira kune ma lymph node ari padyo. Nekuti mamota acho pachivanhu haanyanyi kupararira, vamwe vanachiremba vanogona kukurudzira kubvisa bundu chete uye kwete kuteedzera kumwe kurapwa. Izvi ndezvechokwadi apo bundu iri "pure medullary" uye rinongova nemasero akafanana nemullulic carcinoma.

Nekudaro, chiremba anogona zvakare kukurudzira kubvisa bundu pamwe nemamwe marudzi ekenza kurapwa. Izvi ndezvechokwadi apo kenza inogona kunge iine "medullary maficha." Izvi zvinoreva kuti mamwe maseru anotaridzika kunge medullary carcinoma uko mamwe anotaridzika kunge anopinza ductal cell carcinoma. Chiremba anogona zvakare kukurudzira mamwe marapirwo kana gomarara rapararira kune ma lymph node. Aya marapirwo anogona kusanganisira chemotherapy (mishonga yekuuraya masero anokurumidza kukura) kana radiation.

Mimwe mishonga inowanzoshandiswa kurapa kenza yemazamu haiwanzo kushanda zvakanaka pane medullary carcinoma yezamu. Izvi zvinosanganisira marapirwo ane chekuita nehormone senge tamoxifen kana aromatase inhibitors. Makenza mazhinji emazamu emakemikari ane "katatu-isina" kenza. Izvi zvinoreva kuti kenza haina kupindura mahormone progesterone uye / kana estrogen kana imwe protein inozivikanwa seiyo HER2 / neu protein.

Ko medullary carcinoma yezamu inoonekwa sei?

Nekuti medullary carcinoma yezamu isingawanzoitika, vanachiremba vangave nenguva yakaoma pakutanga kuongorora iyo chaiyo kenza mhando. Ivo vanogona kuziva chipfuva chemuzamu pane mammogram, inova yakasarudzika mhando yeX-ray imaging inoshandiswa kuongorora chipfuva. Ronda racho rinowanzo tenderera kana denderedzwa muchimiro uye harina mitsara yakatsanangurwa. Chiremba anogona zvakare kuraira zvimwe zvidzidzo zvekufungidzira. Izvi zvinogona kusanganisira iyo ultrasound kana yemagineti resonance imaging (MRI) scan.

Medullary carcinomas yezamu inogona kuve yakasarudzika kuongorora. Dzimwe nguva, mukadzi anogona kunge achinyanya kuona chirwere chegomarara kuburikidza nekunzwa, kupfuura izvo zvinoonekwa pane yekufungidzira kudzidza. Nechikonzero ichi, zvakakosha kuti mukadzi azviongorore mazamu pamwedzi, kwaanonzwa matumbu ake uye zamu remapundu.

Kana chiremba achizivisa bundu nekubata kana kufungidzira, vanogona kukurudzira biopsy yebundu. Izvi zvinosanganisira kubvisa masero kana bundu pacharo rekuyedzwa. Chiremba uyo ane hunyanzvi hwekuongorora maseru ezvakaipa anozivikanwa sechiremba wezvirwere. Nyanzvi yezvirwere anoongorora maseru ari pasi pe microscope. Medullary cancer maseru anowanzo kuve neiyo p53 genetic mutation. Kuedzwa kweiyi shanduko kunogona kupa rutsigiro kune kuongororwa kwe medullary carcinoma, kunyange hazvo ese maronda emakiriniki ane iyo p53 mutation.

Chii chinonzi fungidziro yemedullary carcinoma yezamu?

Iwo makore mashanu ekupona mitengo yemedullary carcinoma yezamu inowanzove iri chero kubva 89 kusvika 95 muzana. Izvi zvinoreva kuti makore mashanu mushure mekuongororwa, chero makumi mapfumbamwe nemasere kusvika makumi mapfumbamwe kubva muzana evakadzi vane chirwere chegomarara vachiri vapenyu.

Ndeapi maonero e medullary carcinoma yezamu?

Medullary carcinoma yezamu inoda kupindura zvirinani kurapwa nekenza yemazamu kupfuura mamwe marudzi eanokuvadza ductal carcinomas. Nekuonekwa kwekutanga uye kurapwa, kufungidzira uye mwero wekupona wakanaka.