Chii chinonzi Lobular Carcinoma in Situ? Zviratidzo, Zvinokonzera, & Kurapa

Lobular carcinoma in situ (LCIS) haisi kenza chaiyo, kunyange zvazvo zita rayo richiti kudaro. Iyo mamiriro anoitika apo masero asingawanzo kukura mukati meglands inogadzira mukaka (lobules) yemukaka wako, asi aya masero haana kupararira kumatishu ari pedyo.

Fungidzira LCIS sechiratidzo chinotiudza kuti tishu yemukaka wako ine mukana mukuru wekuvandudza kenza gare gare. Vakadzi vazhinji vane LCIS havazomboiti kenza yemukaka, asi kunzwisisa mamiriro aya kunokubatsira iwe nachiremba wako kuita sarudzo dzakachenjera pamusoro pehutano hwako hwekutarisa.

Chii chinonzi Lobular Carcinoma in Situ?

LCIS mamiriro ane njodzi yakakwira apo masero asingawanzo kuunganidzwa mulobules dzemukaka wako. Aya lobules ndiwo masaga madiki, akapoteredzwa anogadzira mukaka panguva yekuyamwisa.

Shoko rokuti "carcinoma" muzita rinogona kuva rakaoma uye rinotyisa, asi LCIS haisi kenza inopinda. Masero asingawanzo kuita anoramba ari mukati melobules uye haaputsi kuenda kunopinda matishu emukaka akapoteredza.

Nyanzvi dzezvechiremba ikozvino dzinosarudza kuitisa zita rokuti "lobular neoplasia" nekuti izwi iri rinoratidza zviri nani kuti iri chiratidzo chenjodzi yakawedzera pane kenza chaiyo. Kuva neLCIS zvinoreva kuti une njodzi ye1-2% pagore yekuvandudza kenza yemukaka inopinda, ichienzaniswa nenjodzi ye0.1-0.2% pagore yevanhu vose.

Ndeapi zviratidzo zveLobular Carcinoma in Situ?

LCIS kazhinji haina zviratidzo zvaunonzwa kana kuona. Vakadzi vazhinji vanowana kuti vane LCIS chete mushure mekuongororwa kwemukaka kwakaitwa nekuda kwechimwe chikonzero.

Hauzonyatsoona chidumbu, kurwadziwa kwemukaka, kubuda kwemukaka, kana kuchinja kwe ganda neLCIS. Izvi ndizvo nekuti masero asingawanzo kuita anoramba ari madiki uye ari mukati melobules.

Sezvo LCIS isina zviratidzo zvinogona kuonekwa, kazhinji inowanikwa zvisingatarisirwi kana vanachiremba vachiongorora tishu yemukaka pasi pemikroskopu mushure mekuongororwa kwe calcifications kana mamwe kuchinja kwemukaka kunoonekwa pamamammograms.

Chii chinokonzera Lobular Carcinoma in Situ?

Chikonzero chaicho cheLCIS hachizivisike zvizere, asi chinoita sekukura kana masero mulobules dzemukaka wako atanga kukura asingawanzo. Izvi zvinoitika pane genetic level mukati memasero oga oga.

Zvinhu zvakati wandei zvinogona kuita kuti LCIS ikure:

• Kuita kwemahomoni, kunyanya kusimbiswa kweestrogen nekufamba kwenguva
• Genetic predisposition, kunyange zvazvo majeni chaiwo asina kuzivikanwa
• Kuchinja kwemacell ane makore kunoitika zvakasikwa
• Nhoroondo yekuzvara, kusanganisira paakatanga kuenda kumwedzi uye nguva yekuchembera

Zvakakosha kunzwisisa kuti LCIS haina kukonzerwa nechinhu chawakaita kana kusaita. Kuchinja kwemacell kunoitika zvisingatarisirwi uye hakusi kukonzerwa nezvinhu zvehupenyu senge kudya, kurovedza muviri, kana matambudziko.

Rini unofanira kuona chiremba nekuda kweLobular Carcinoma in Situ?

Kana wakarwara neLCIS, unofanira kuwana kurapwa kwenguva refu kubva kune nyanzvi yemukaka kana oncologist. Izvi hazvisi nekuti une kenza, asi nekuti unoda kuongororwa kwakakosha.

Rongedza misangano yekutevera sezvakarayirwa nachiremba wako, kazhinji mwedzi mitanhatu kusvika ku12 pakutanga. Aya maonero anobatsira kutevera chero kuchinja mutishu yemukaka wako uye kuve nechokwadi chekuti uri kutevera chirongwa chakakodzera chekutarisa.

Taura nachiremba wako kana ukaona chero kuchinja kwemukaka pakati pemisangano yakarongwa, senge zvidumbu, kuchinja kwe ganda, kana kubuda kwemukaka. Kunyange zvazvo aya maratidzo asingawanzo kubatana neLCIS, anoda kuongororwa uchifunga nezvenjodzi yako yakawedzera.

Ndeapi njodzi dzeLobular Carcinoma in Situ?

Kunzwisisa njodzi dzako kunobatsira kuisa LCIS munzvimbo uye kunotungamira sarudzo dzako dzezvehutano. Aya maitiro anogona kuwedzera mukana wako wekuvandudza LCIS:

• Zera, nemazhinji ekurwara achiitika muvakadzi vane makore 40-50
• Kushandisa hormone replacement therapy, kunyanya estrogen neprogesterone yakasanganiswa
• Kusambomira pamuviri kana kuva nepamuviri rako rekutanga mushure memakore 30
• Kutanga kuenda kumwedzi usati wasvika makore 12 kana menopause mushure memakore 55
• Nhoroondo yemhuri yekenza yemukaka kana ovarian
• Kuongororwa kwemukaka kwakapfuura kunoratidza kuchinja kune njodzi yakakwira

Kuva neaya njodzi hazvirevi kuti uchave neLCIS kana kenza yemukaka. Vakadzi vazhinji vane njodzi dzakawanda havazomboiti chero mamiriro acho, nepo vamwe vakadzi vane njodzi shoma vachiita.

Ndeapi matambudziko anogona kuitika eLobular Carcinoma in Situ?

Kunetseka kukuru neLCIS ndekubatanidzwa kwayo nenjodzi yakawedzera yekenza yemukaka. Vakadzi vane LCIS vane njodzi ye20-25% yehupenyu hwese hwekuvandudza kenza yemukaka inopinda, ichienzaniswa ne12-13% yevanhu vose.

Iyi njodzi yakawedzera inokanganisa mazamu ese, kwete chete iyo LCIS yakawanikwa. Kenza inokura kazhinji invasive ductal carcinoma pane invasive lobular carcinoma, uye inogona kuitika chero kupi muzamu rimwe nerimwe.

Kukanganisa kwepfungwa kwechirwere cheLCIS kunogonawo kuva kukuru. Vakadzi vazhinji vanonzwa kunetseka nezvenjodzi yavo yekenza, izvo zvinogona kukanganisa hupenyu hwavo uye kuita sarudzo pamusoro pemishonga inodzivirira.

Zvisingawanzoitiki, LCIS inogona kubatanidzwa nemamwe mamiriro emukaka ane njodzi yakakwira, senge atypical ductal hyperplasia, izvo zvinogona kuwedzera njodzi yekenza. Pathologist wako achaongorora kuongororwa kwako kuti uwane aya mamwe maitiro.

Lobular Carcinoma in Situ inozwiwa sei?

LCIS inozwiwa kuburikidza nekuongororwa kwemukaka, kazhinji kunoitika nekuda kwezvinhu zvinotyisa pamamammogram kana breast MRI. Sampuli yetishu inongororwa pasi pemikroskopu nepathologist.

Maitiro ekurwara kazhinji anotanga kana mifananidzo ichiratidza calcifications, nzvimbo yekukanganisa, kana mamwe kuchinja anoda kuongororwa. Chiremba wako achakurudzira core needle biopsy kuti awane masampuli etishu.

Kana LCIS yaonekwa, pathologist wako achaongorora tishu kuti aone mamwe maitiro ane njodzi yakakwira kana kenza iripo. Dzimwe nguva, kuongororwa kwemishonga kunogona kukurudzirwa kana sampuli yekutanga ichiratidza LCIS pamwe chete nemamwe maitiro anotyisa.

Ripoti yako yepathology ichazivisa rudzi uye ukuru hweLCIS, ichibatsira chiremba wako kuona chirongwa chakakodzera chekutevera. Iyi ruzivo inotungamira sarudzo pamusoro pekuongororwa kwenguva dzose uye mishonga inodzivirira.

Kurapa kweLobular Carcinoma in Situ ndekupi?

LCIS pachayo haidi kurapwa nekuti haisi kenza. Panzvimbo pezvo, kurapwa kwako kunotarisa pakutarisa uye zvichida kuderedza njodzi yako yekenza mune ramangwana.

Chiremba wako achakurudzira kuongororwa kwakawedzerwa, izvo kazhinji zvinosanganisira kuongororwa kwemukaka kwemwedzi mitanhatu kusvika ku12 uye mammograms pagore. Vakadzi vamwe vangabatsirwa nekuongororwa kweMRI kwemukaka pagore pamwe chete nemammography.

Mishonga inoderedza njodzi inonzi selective estrogen receptor modulators (SERMs) inogona kupihwa. Aya mishonga, senge tamoxifen kana raloxifene, inogona kuderedza njodzi yekenza yemukaka ne50% asi ine njodzi dzayo uye mabhenefiti ekukurukura nachiremba wako.

Kune vakadzi vane njodzi yakakwira kwazvo, mastectomy anodzivirira anogona kufungwa, kunyange zvazvo iri sarudzo huru inoda mazano akanyatsojeka. Vakadzi vazhinji vane LCIS vanosarudza kuongororwa kwakawedzerwa pane kudzivirira kwemishonga.

Maitiro ekugadzirisa Lobular Carcinoma in Situ pamba?

Tarisisa pakuchengetedza hutano hwemukaka hwakakwana kuburikidza nekuziva kwako pachako uye sarudzo dzehupenyu hwakakodzera. Kunyange zvazvo usingakwanisi kuchinja chirwere chako cheLCIS, unogona kuvandudza hutano hwako hwakazara.

Ramba uchiziva kuti mazamu ako anotaridzika sei uye anonzwa sei, uchizivisa chero kuchinja kuchiremba wako nekukurumidza. Izvi hazvisi nezvekuita kuongororwa kwako pachako asi kuziva muviri wako.

Funga nezvekuchinja mararamiro anogona kutsigira hutano hwemukaka, senge kuchengetedza uremu hwakakodzera, kuderedza kunwa doro, kuramba uchiita zvemuviri, uye kudya kudya kwakakwana kwakazara nemiriwo nemiriwo.

Gadzirisa kushushikana uye kunetseka nezvechirwere chako kuburikidza nemapoka ekutsigira, mazano, kana nzira dzekudzikamisa. Nzvimbo dzakawanda dzekurapa kenza dzinopihwa rutsigiro kunyanya kune vakadzi vane mamiriro emukaka ane njodzi yakakwira.

Unofanira kugadzirira sei musangano wako nachiremba?

Uyai nehutsanangudzo yakazara yemishonga yako, kusanganisira mishonga inotengeswa pasina chinyorwa chechiremba uye mahomoni. Chiremba wako anoda kuziva nezve hormone replacement therapy kana mapiritsi ekudzivirira pamuviri aunotora.

Gadzirira nhoroondo yakazara yemhuri yekenza yemukaka, ovarian, uye dzimwe kenza kurutivi rwemhuri yako. Sanganisira mazera panguva yekurwara uye marudzi ekenza, sezvo ruzivo urwu ruchikanganisa kuongororwa kwako kwenjodzi.

Nyora mibvunzo nezvechirwere chako, kurapwa kwenguva refu, uye sarudzo dzedziviriro. Funga kubvunza nezvemaitiro ekutarisa, sarudzo dzemishonga, mazano ekurapa majeni, uye kuchinja mararamiro.

Uyai neripoti yenyu yepathology uye chero migumisiro yekuongororwa kwemukaka yakapfuura. Kuva nemapepa aya kunobatsira chiremba wako kupa mazano akakodzera ekurapa kwako.

Chii chinonyanya kukosha nezveLobular Carcinoma in Situ?

LCIS chiratidzo chenjodzi yakakwira, kwete kenza pachayo, inoratidza kuti unoda kuongororwa kwakanyanya kwehutano hwemukaka. Vakadzi vazhinji vane LCIS havazomboiti kenza yemukaka, asi kuongororwa kwakakodzera kwakakosha.

Shanda nesangano rako rezvehutano kuti ugadzire chirongwa chako chekuongororwa uye kuderedza njodzi. Iyi nzira yekubatana inokubatsira kuita sarudzo dzakachenjera pamusoro pekurapa kwako uchigadzirisa kunetseka nezvechirwere chako.

Yeuka kuti kuva neLCIS zvinoreva kuti iwe uri iye zvino munzvimbo yekubata chero kuchinja kwemukaka mune ramangwana, kana kurapwa kuchikosha. Kuziva kwako kwakawedzera uye kuongororwa kwemishonga inzira dzakasimba dzekuchengetedza hutano hwako.

Mibvunzo inobvunzwa kazhinji nezveLobular Carcinoma in Situ

LCIS yakafanana here ne invasive lobular carcinoma?

Kwete, LCIS ne invasive lobular carcinoma mamiriro akasiyana zvachose. LCIS ine masero asingawanzo kuita ari mukati melobules dzemukaka, nepo invasive lobular carcinoma iri kenza chaiyo yakapararira kunze kwe lobules kuenda kumatishu akapoteredza. Kuva neLCIS hazvirevi kuti une kana kuti uchave nekutenga kenza.

Ndinofanira kuudza nhengo dzemhuri yangu nezvechirwere changu cheLCIS here?

Funga nezvekugovera chirwere chako nehama dzako dzevakadzi pedyo, sezvo zvingakanganisa sarudzo dzavo dzehupenyu hwemukaka. Kunyange zvazvo LCIS pachayo isingagari nhaka, nhoroondo yemhuri yemamiriro emukaka inogona kukosha kuti vanachiremba vavo vazive. Hama dzako dzingabatsirwa nekuongororwa kwemukaka kwakakurumidza kana kwakawanda.

Ndingaramba ndichitora hormone replacement therapy here kana ndine LCIS?

Iyi sarudzo inoda kukurukura kwakanyatsojeka nachiremba wako nezvenjodzi dzako uye mabhenefiti. Hormone replacement therapy inogona kuwedzera njodzi yekenza yemukaka, izvo zvingave zvinotyisa zvikuru uchifunga nezvechirwere chako cheLCIS. Chiremba wako achabatsira iwe kuenzanisa mabhenefiti ehormone therapy nekuwedzera kwenjodzi yako yekenza yemukaka.

Kuva neLCIS kuchashandura here kugona kwangu kuyamwisa mune ramangwana?

LCIS pachayo haifaniri kukanganisa kugona kwako kuyamwisa, sezvo kazhinji isingadi kurapwa kwemishonga kunogona kukuvadza tishu yemukaka. Zvisinei, kana uri kutora mishonga inoderedza njodzi senge tamoxifen, unofanira kukurukura nezvekurapa nemhuri nachiremba wako, sezvo aya mishonga isina kuchengeteka panguva yepamuviri kana kuyamwisa.

Ndingazova nemisangano yekutevera uye kuongororwa kakawanda sei?

Pakutanga, ungave nekuongororwa kwemukaka kwemwedzi mitanhatu kusvika ku12 uye mammograms pagore. Vakadzi vamwe vanowanawo kuongororwa kweMRI kwemukaka pagore. Chirongwa chako chekutevera chinogona kugadziriswa nekufamba kwenguva zvichienderana nenjodzi dzako, zera, uye chero kuchinja mutishu yemukaka wako. Sangano rako rezvehutano richagadzira chirongwa chako chekuongororwa.