ʻO Invasive Lobular Carcinoma: nā ʻōuli, nā mālama ʻana, a me nā mea hou aʻe

Anter

• He aha ka maʻi maʻi lobular invasive (ILC)?
• Nā ʻōuli o ka maʻi ʻaʻai umauma lobular
• Nā kumu o ka maʻi ʻaʻai umauma lobular
• Nā kumu weliweli
• Lobular carcinoma ma kahi (LCIS)
• Pehea e ʻike ʻia ai ka maʻi ʻaʻai umauma lobular?
• Nā mamamona
• ILC e hoʻokau nei
• Pehea e mālama ʻia ai ka maʻi ʻaʻai umauma lobular?
• Nā hōʻailona hōʻoluʻolu a me nā koho ʻē aʻe
• Pehea e hiki ai iaʻu ke pale aku i ka maʻi ʻaʻai umauma lobular?
• LCIS
• Ma hea e loaʻa ai iaʻu nā pūʻulu kākoʻo?
• Outlook

He aha ka maʻi maʻi lobular invasive (ILC)?

ʻO ka maʻi kanulau lobular invasive (ILC) ka maʻi ʻaʻai i loko o nā glands hana waiū. ʻAʻole hiki i ka poʻe me ILC ke manaʻo i nā puʻupuʻu Telltale. ʻIke ʻia ʻo ia ke infiltrating lobular carcinoma a i ʻole ka maʻi ʻaʻai umauma lobular.

Ulu ʻo ILC a pālahalaha ʻokoʻa i nā maʻi ʻaʻai ʻē aʻe e like me ka maʻi kanalā ductal carcinoma (IDC), a i ʻole ka maʻi ʻaʻai o nā aʻa waiū.

Ke pālahalaha ka maʻi ʻaʻai, kapa ʻia ia metastatic. I ka ILC, hoʻomaka ka maʻi ʻaʻai i loko o nā poli o ka umauma a neʻe i nāʻiʻo umauma e pili ana. Hiki iā ia ke huakaʻi i nā lymph node a me nā mea ʻē aʻe i ke kino.

Ma mua o 180,000 mau wahine i ʻAmelika Hui Pū ʻIa i kēlā me kēia makahiki e loaʻa i kahi maʻi maʻi maʻi ʻōpū invasive. Hana ʻo ILC ma kahi o 10 pakeneka o kēlā mau diagnoses.

Nā ʻōuli o ka maʻi ʻaʻai umauma lobular

Hoʻolālā ʻokoʻa ka ILC mai nā ʻano maʻamau o ka maʻi ʻaʻai umauma. Heʻuʻuku paha ka loaʻa o nā lumps maopopo. I nā wā mua, ʻaʻohe hōʻailona a hōʻailona paha. Akā i ka ulu ʻana o ka maʻi ʻaʻai, ʻike ʻoe i kou umauma:

• mānoanoa a paʻakikī paha i kekahi wahi
• ʻōhū a i ʻole piha ka manaʻo i kekahi wahi
• ka hoʻololi ʻana i ke ʻano a i ʻole ka ʻili, e like me ka dimpling
• ke hoʻomohala nei i kahi nipple hou i hoʻohuli ʻia
• ke hoʻololi nei i ka nui a i ʻole ke ʻano

Hiki i nā hōʻailona ʻē aʻe ke:

• ʻeha ka umauma
• ʻeha nipple
• hoʻokuʻu ma waho o ka waiū umauma
• he puʻu a puni ka wahi underarm

ʻO kēia nā hōʻailona mua o ka maʻi ʻaʻai umauma, me ILC. E ʻike i kāu kauka inā ʻoe e ʻike i kēia mau hōʻailona a hōʻailona paha.

Nā kumu o ka maʻi ʻaʻai umauma lobular

He aha ka mea e maopopo ʻole ai ka ILC. Akā hoʻomaka kēia ʻano maʻi ʻaʻai i ka hana ʻana o nā hunaola i loko o kāu mau ʻōpala hana waiū i kahi hoʻololi DNA e kaohi maʻamau i ka ulu a me ka make o ka cell.

Hoʻomaka ka hoʻokaʻawale ʻana o nā hunaola maʻi ʻaʻai a hoʻolaha aku e like me nā lālā, ʻo ia ke kumu e ʻike ʻole ai ʻoe i kahi puʻupuʻu.

Nā kumu weliweli

Hoʻonui ka manawa o ka loaʻa ʻana o ka ILC inā ʻoe:

• wahine
• i ka ʻelemakule makahiki, ʻoi aku ma mua o nā ʻano maʻi ʻaʻai o ka umauma
• kahi wahine ma ka hoʻoliʻiliʻi hormone (HRT), ma hope o ka menopause
• hāpai 'ana i nā genes maʻi' aʻai

Lobular carcinoma ma kahi (LCIS)

E hoʻonui paha kou makaʻu i ka hoʻomohala ʻana iā ILC inā ua loaʻa iā ʻoe kahi hōʻike LCIS. ʻO ka manawa ʻo LCIS ke loaʻa nā hunaola atypical a i ʻole ʻewa ʻole, akā paʻa kēia mau hunaola i nā lobula a ʻaʻole i hoʻouka i nā mea umauma e pili ana.

ʻAʻole ʻo LCIS i maʻi ʻaʻai a manaʻo ʻia he kūlana maʻamau.

Pehea e ʻike ʻia ai ka maʻi ʻaʻai umauma lobular?

E hoʻohana kāu mau kauka i nā hoʻokolohua kiʻi ʻokoʻa e kōkua i ka hōʻoia ʻana i ka maʻi ʻaʻai umauma lobular. Aia kēia mau hoʻāʻo:

• ultrasound
• MRI
• mamamogram
• biopsy umauma

He mau subtypes kā ILC, i hoʻokumu ʻia i ke ʻano o nā hunaola ma lalo o ka microscope. I ka ʻano maʻamau o ka ILC, laina nā pūnaewele i hoʻokahi faila.

ʻO nā ʻano ulu liʻiliʻi ʻē aʻe e like me kēia:

• paʻa: ulu i nā pale nunui
• alveolar: ulu i nā pūʻulu he 20 a ʻoi paha o nā pūnaewele
• tubulolobular: ʻo kekahi mau pūnaewele kahi ʻano faila hoʻokahi a me nā ʻano o ka Tube-like
• pleomorphic: ʻoi aku ka nui ma mua o ka ILC kūmole me nā nukelea i ʻano ʻokoʻa mai kekahi i kekahi
• pūnaewele paʻa lima: hoʻopiha ʻia nā hunaola me ka mucus

Nā mamamona

Hiki i nā mamamogram ke hāʻawi i nā hopena hewa ʻole no ka maʻi maʻi lobular. ʻO kēia no ka mea, i kahi X-ray, like ke ʻano o ka maʻi ʻaʻai lobular me ka mea maʻamau.

Hoʻolahalaha pū kekahi ʻo ILC ma o kaʻiʻo o ka umauma ʻokoʻa mai ka IDC.

ʻAʻole like ka maʻamau o nā tumors a me nā waihona kalipuna i hana maikaʻi ʻia, e paʻakikī ana i kahi radiologist ke hoʻokaʻawale i ka ILC mai nāʻiʻo umauma maʻamau ma ka mammogram.

ʻOi aku paha ka hoʻomohala ʻana ma nā wahi ʻoi aku o ka umauma a i ʻole nā ​​umauma ʻelua. Inā ʻike ʻia ia ma ka mammogram, e ʻike ʻia ka liʻiliʻi ma mua o ka maoli.

ILC e hoʻokau nei

ʻO ka hana ʻana o ka umauma ke hoʻoholo ke kauka i ka holomua o ka maʻi ʻaʻai a i ka mamao paha e palahalaha ai mai ka umauma.

Hoʻokumu ʻia ke kau ʻana ma:

• ka nui o ka tumo
• ehia mau lymph node i hoʻopili ʻia
• inā ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino

ʻEhā pae o ka ILC, mai 1 a 4.

E like me IDC, inā pālahalaha ʻo ILC, makemake ʻia e hōʻike i ka:

• lymph aka wahi
• iwi
• ake
• māmā
• lolo

ʻAʻole like me IDC, hoʻolaha paha ʻo ILC i nā wahi maʻamau e like me:

• ʻōpū a me nā ʻōpū
• ka uhi ʻana o ka ʻōpū
• ʻāpana hānau

E hoʻoholo inā ua laha nā hunaola maʻi ʻaʻai, e kauoha paha kāu kauka i nā hoʻokolohua e nānā i kāu mau lymph node, ke koko, a me ka hana ate.

Pehea e mālama ʻia ai ka maʻi ʻaʻai umauma lobular?

E hilinaʻi kāu koho lapaʻau maikaʻi loa i kāu pae maʻi ʻaʻai, makahiki, a me ke olakino laulā. ʻO ka mālama ʻana iā ILC ka mea maʻa mau e pili ana i ke kahakaha ʻana a me ka hoʻoponopono hou aʻe.

ʻO ke koho pono ʻana i kāu kaukukō he mea nui loa ia no ka ulu ulu ʻana o ka ILC. ʻO kahi kauka lapaʻau me ka ʻike i ka mālama ʻana i nā mea maʻi me ILC ke kī.

ʻO nā hana ʻokiʻoki liʻiliʻi e like me lumpectomy he mau hopena like me nā mālama kūpilikiʻi e like me ka mastectomy.

He koho maikaʻi paha kahi lumpectomy inā he hapa liʻiliʻi o ka umauma i loaʻa i ka maʻi ʻaʻai (i kēia ʻoki ʻana, lawe wale ka mea lapaʻau i kaʻiʻo maʻi ʻaʻai).

Inā pili ka nui o nā kiko o ka umauma, hiki i kāu kauka ke koi aku i kahi mastectomy (hoʻopau piha i ka umauma).

ʻO nā koho ʻē aʻe e pili ana i ka hoʻoneʻe ʻana i nā lymph node kokoke i kou umauma, kahi hana i kapa ʻia he biopsy lymph node sentinel, a me ka armpit, kahi i kapa ʻia he axillary lymph node dissection.

Pono ʻoe i kahi lāʻau hou aʻe, e like me ka radiation, hormonal therapy, a chemotherapy, e hōʻemi i ka makaʻu o ka maʻi ʻaʻai e ulu ana ma hope o ke kahakaha ʻana.

Nā hōʻailona hōʻoluʻolu a me nā koho ʻē aʻe

ʻOiai ʻike ʻole ʻia nā lāʻau kōkua kōkua a me nā lāʻau lapaʻau ʻē aʻe (CAM) e hōʻola ai i ka maʻi ʻaʻai o ka umauma, hiki iā lākou ke kōkua i ke kōkua ʻana i kekahi o nā ʻōuli a me nā hopena ʻē aʻe o ka maʻi ʻaʻai a me kāna mau lāʻau.

ʻO kahi laʻana, hiki i ka poʻe e lawe nei i ka lāʻau hoʻomaʻamaʻa hormonone no ka maʻi ʻaʻai umauma ke wela i ka wela, a i ʻole ka hōʻeha ʻana, ka hoʻomehana wela, a me ka hou.

Hiki paha iā ʻoe ke hōʻoluʻolu ma o:

• noʻonoʻo
• pākuʻi wikamina
• nā hana hoʻomaha
• yoga

E kamaʻilio mau i kāu kauka ma mua o ka hoʻāʻo ʻana i kahi lāʻau hou a i ʻole mea kōkua. Hiki paha iā lākou ke launa me kāu mālama ʻana i kēia manawa a hana i nā hopena ʻaoʻao i manaʻo ʻole ʻia.

Hiki ke koi ʻia ʻo Hormone therapy (HT) inā pili ka maʻi ʻaʻai ou i nā homone e like me ka estrogen a me ka progesterone.

ʻO kēia ka hihia maʻamau i ka maʻi ʻaʻai umauma lobular. Hiki iā HT ke pale i nā homone o kou kino mai ka hōʻailona ʻana i nā hunaola maʻi ʻaʻai e ulu.

Pehea e hiki ai iaʻu ke pale aku i ka maʻi ʻaʻai umauma lobular?

Hiki ke ulu ka carcinoma Lobular, e like me nā maʻi ʻaʻai ʻē aʻe, i nā kānaka olakino ʻē aʻe. Hiki iā ʻoe ke hōʻemi i kou makaʻu e:

• inu waiona i ke kaulike, inā paha
• hana hoʻāʻo ʻana iā ʻoe iho
• ke kiʻi ʻana i nā kaha makahiki, e like me nā mammograms
• ka mālama ʻana i kahi kaupaona olakino
• ʻai i ka papaʻai kaulike a me ka hoʻoikaika mau

Inā ʻoe e noʻonoʻo ana iā HRT, e kūkākūkā i nā pilikia a me nā pōmaikaʻi o kēia hoʻomaʻamaʻa me kāu kauka. Hiki i ka HRT ke hāpai i ka makaʻu o ka maʻi maʻi lobular a me nā ʻano ʻano ʻē aʻe o ka maʻi ʻaʻai umauma.

Inā koho ʻoe e lawe i ka HRT, pono ʻoe e lawe i ka lāʻau haahaa haʻahaʻa loa no ka manawa pōkole loa.

LCIS

Ma hea e loaʻa ai iaʻu nā pūʻulu kākoʻo?

ʻO ka loaʻa ʻana o kahi hōʻailona maʻi ʻaʻai o kēlā me kēia ʻano hiki ke loli. ʻO ke aʻo ʻana e pili ana i ka maʻi ʻaʻai umauma a me nā koho lapaʻau e kōkua iā ʻoe e hōʻoluʻolu hou aʻe i kou neʻe ʻana i kāu huakaʻi.

Nā wahi hiki iā ʻoe ke huli no ke kākoʻo inā ʻike ʻia ʻoe me ka maʻi ʻaʻai umauma lobular pū me:

• kou kime mālama ola
• nā hoaaloha a me ka ʻohana
• nā kaiāulu pūnaewele
• nā hui kākoʻo kūloko

Loaʻa ka nui o ka makaʻu o ka hoʻomohala ʻana i ka maʻi ʻaʻai maʻi maʻi inā loaʻa ʻoe i LCIS. Hiki iā ʻoe ke lawe i nā lāʻau, e like me tamoxifen, e hoʻohaʻahaʻa i kou makaʻi.

Hōʻike paha kāu kauka i kahi mastectomy inā he moʻolelo ʻohana kou i ka maʻi ʻaʻai umauma.

ʻO ke kaiāulu kanesa o ka umauma he mea hiki ke ʻike ʻia a leo nui hoʻi. Kōkua paha nā pūʻulu kākoʻo kūloko i ka hoʻohui ʻana iā ʻoe me nā poʻe ʻē aʻe e hele nei i nā ʻike like.

Outlook

ʻO ka hōʻailona mua a me nā holomua i ka hoʻomaʻamaʻa e kōkua i ka hoʻonui i kou manawa e ola i kahi ola lōʻihi a olakino hoʻi. ʻO ka nānā lōʻihi o ka ILC e pili ana i nā kumu he nui, e like me:

• ke kahua o ka maʻi ʻaʻai
• papa a me subtype
• nā palena o ke kaʻa ʻoki, a pehea ke kokoke o nā hunaola maʻi ʻaʻai i kaʻiʻo i lawe ʻia mai ka umauma
• kou mau makahiki
• kou olakino holoʻokoʻa
• pehea kāu pane i ka lāʻau

ʻO kekahi kumu e hoʻopili i ka hopena i ka ILC ʻo ia hoʻi ʻo estrogen, progesterone, a i ʻole HER2 (receptor 2) e loaʻa nā mea loaʻa ma ka ʻili o nā hunaola maʻi ʻaʻai.