ʻO Medinalary Carcinoma o ka umauma

Anter

• He aha nā hōʻailona o ka maʻi kanesa medullary o ka umauma?
• He aha ke kumu o ka umauma medullary o ka umauma?
• He aha nā mea pilikia no ka carcinoma medullary?
• He aha nā koho lapaʻau no ka maʻi maʻi o ka umauma?
• Pehea ka maʻi o ka umauma medullary?
• He aha ka wānana no ka carcinoma medullary o ka umauma?
• He aha ke kuanaʻike no ka carcinoma medullary o ka umauma?

Hōʻike Overview

ʻO ka carcinoma medullary o ka umauma kahi subtype o ka maʻi kanesa dasse invasive. ʻO ia kahi ʻano o ka maʻi ʻaʻai umauma e hoʻomaka i nā kahe waiū. Ua kapa ʻia kēia umauma umauma no ka mea like ka tumo me ka ʻāpana o ka lolo i ʻike ʻia ʻo medulla. ʻO ka maʻi kanesa medullary o ka umauma e hōʻike ʻia ana ma kahi o 3 a 5 pakeneka o nā hihia maʻi maʻi umauma i ʻike ʻia.

ʻO ka maʻi maʻi Medullary ka mea maʻamau e hoʻolaha liʻiliʻi i nā lymph node a ʻoi aku ka pane i ka mālama ʻana ma mua o nā ʻano maʻamau o ka maʻi ʻaʻai umauma invasive. ʻO ka ʻimi ʻana iā ia i nā wā mua loa hiki ke hoʻomaikaʻi i ka wānana a hoʻoliʻiliʻi kūpono i ka pono no nā hana hou aʻe ma mua o ka hemo ʻana o ka tumo iā ia iho.

He aha nā hōʻailona o ka maʻi kanesa medullary o ka umauma?

I kekahi manawa hiki i ka carcinoma medullary ke kumu i mau ʻōuli. Hoʻomaopopo mua paha kahi wahine i kahi puʻupuʻu i kāna umauma. ʻO ka carcinoma medullary o ka umauma e ʻāwīwīwī ke hoʻokaʻawale ʻana i nā hunaola maʻi ʻaʻai. No laila, ʻike paha nā wahine he nui i ka nui i loko o kā lākou umauma i hiki ke kau i ka nui. Māmā ka puʻupuʻu a palupalu paha, a kūpaʻa paha i ka hoʻopā me nā palena i wehewehe ʻia. ʻO ka hapa nui o nā carcinomas medullary ma lalo o 2 centimetres i ka nui.

Hiki paha i kekahi mau wahine ke ʻike i nā hōʻailona ʻē aʻe e pili ana i ka carcinoma medullary, me:

• palupalu o ka umauma
• ʻeha
• ʻulaʻula
• pehu

Inā ʻoe e ʻike nei i kekahi o kēia mau ʻōuli, pono ʻoe e ʻike i ke kauka.

He aha ke kumu o ka umauma medullary o ka umauma?

ʻO ka maʻa mau, hiki i nā tumors cancerous o ka umauma ke loaʻa ka hopena hormonal. ʻO ka maʻi kanesa medullary o ka umauma, ʻaʻole naʻe he mea hoʻohuli i ka hormona. Ma kahi o, ʻike ka wahine i kahi loli i ka hanauna genetics o nā hunaola i loko o kāna umauma. ʻO kēia ke kumu o ka ulu ʻana o nā hunaola (maʻi ʻaʻai). ʻAʻole maopopo i nā kauka ke kumu o kēia hoʻololi ʻana a i ʻole pehea e pili ai i ka carulloma medullary o ka umauma.

He aha nā mea pilikia no ka carcinoma medullary?

ʻO kekahi mau wahine me ka hoʻololi kūlohelohe i ʻike ʻia ma ke ʻano he BRCA-1 a ʻoi aku ka nui o ka makaʻu no ka ʻike ʻia me ka maʻi kanesa medullary o ka umauma, e like me kā Johns Hopkins Medicine. Mālama kēia moʻokūʻauhau i ka ʻohana. No laila, inā he moʻolelo ka wahine no ka maʻi ʻaʻai umauma i nā lālā o kona ʻohana pili, ʻoi aku ia i ka makaʻu no ka maʻi. Eia nō naʻe, inā loaʻa kēia wahine i kēia wahine, ʻaʻole ia he manaʻo e loaʻa iā ia i ka maʻi kanesa medullary o ka umauma.

ʻO ke kuhi no nā carcinomas medullary ma waena o 45 a me 52 mau makahiki. ʻOi aku ka liʻiliʻi o kēia ma mua o nā wahine i ʻike ʻia me nā carcinomas medullary, i ʻike ʻia i ka makahiki 55 a ʻoi paha.

He aha nā koho lapaʻau no ka maʻi maʻi o ka umauma?

Hiki i ke kauka ke loiloi i nā koho lapaʻau like ʻole no ka carcinoma medullary. E noʻonoʻo lākou i ka nui o ka tumo, ke ʻano o ke keʻena, a inā ua palahalaha ka tumo i nā lymph node kokoke. Ma muli o ka maʻamau o ka laha ʻana o nā tumors, hiki i kekahi mau kauka ke koi aku e hemo i ka tumo wale nō a ʻaʻole e alualu hou ʻia. Heʻoiaʻiʻo kēia i ka wā he "medullary maoli" ka tumo a he mau hunaola wale nō ke ʻano e like me ka carcinoma medullary.

Eia nō naʻe, hiki i ke kauka ke koi aku e hemo i ka tumo a ʻo nā ʻano ʻē aʻe o ka mālama ʻana i ka maʻi ʻaʻai. Heʻoiaʻiʻo kēia ke loaʻa paha i ka maʻi ʻaʻai nā "ʻano medullary." ʻO kēia ke ʻano o kekahi mau hunaola e like me ka carcinoma medullary kahi e nānā ai nā poʻe ʻē aʻe e like me ka maʻi kanalā ductal cell carcinoma. Hiki paha i ke kauka ke koi aku i nā mālama hou inā ua palahalaha ka maʻi ʻaʻai i nā lymph node. Hiki i kēia mau hōʻailona ke komo pū me ka chemotherapy (nā lāʻau e hoʻomake ai i nā pūnaewele ulu wikiwiki) a i ʻole ka pāhawewe.

ʻO kekahi mau lāʻau i hoʻohana mau ʻia e mālama i ka maʻi ʻaʻai o ka umauma ʻaʻole maikaʻi e hana maikaʻi ma ka maʻi maʻi o ka umauma. Hoʻopili kēia i nā lāʻau e pili ana i ka hormone e like me tamoxifen a i ʻole nā ​​mea kāohi aromatase. ʻO ka nui o nā maʻi ʻaʻai umauma medullary he "triple-negative" cancer. ʻO kēia ka pane ʻole o ka maʻi ʻaʻai i nā homone progesterone a me / a i ʻole estrogen a i ʻole protein ʻē aʻe i ʻike ʻia ʻo ka protein HER2 / neu.

Pehea ka maʻi o ka umauma medullary?

Ma muli o ka loaʻa ʻole o ka maʻi kanesa medullary o ka umauma, paʻakikī paha nā kauka i ka hōʻoia mua ʻana i ke ʻano maʻi ʻaʻai kikoʻī. Hiki iā lākou ke hoʻomaopopo i kahi liona umauma ma ka mammogram, kahi ʻano kūikawā o ke kiʻi X-ray i hoʻohana ʻia e nānā i ka umauma. ʻO ka liona maʻamau a pōʻai paha i ke kinona a ʻaʻohe ona palena i wehewehe pono ʻia. Kauoha paha ke kauka i kekahi mau noi kiʻi ʻē aʻe. Hiki i kēia ke hoʻopili i kahi ultrasound a i ʻole kahi scanner kiʻi resonance magnet (MRI) scan.

ʻO nā carcinomas medullary o ka umauma hiki ke kū hoʻokahi i ke kuhi. I kekahi manawa, ʻike paha ka wahine i kahi liona maʻi ʻaʻai ma o ka manaʻo, ma mua o ka mea i ʻike ʻia ma kahi noiʻi kiʻi. No kēia kumu, he mea nui ka wahine e alakaʻi i ka nānā ʻana iā ia iho i kēlā me kēia mahina, kahi e ʻike ai ʻo ia i kona ʻiʻo a me ka nipple no nā lumps.

Inā ʻike ke kauka i kahi puʻupuʻu e ka pā ʻana a i ʻole ke kiʻi ʻana, noi paha lākou i kahi biopsy o ka puʻupuʻu. Hoʻopili kēia i ka hemo ʻana o nā pūnaewele a i ʻole ka puʻupuʻu ponoʻī no ka hoʻāʻo ʻana. ʻO ke kauka i loea i ka nānā ʻana i nā hunaola no nā mea kūpono ʻole i ʻike ʻia ma ke ʻano he pathologist. E nānā kahi pathologist i nā hunaola ma lalo o kahi microscope. Loaʻa i nā hunaola maʻi ʻaʻai Medullary kekahi p53 genetation mutation. ʻO ke hoʻāʻo ʻana no kēia hoʻololi hiki ke hāʻawi i ke kākoʻo i kahi kuhi o ka carcinoma medullary, ʻoiai ʻaʻole i loaʻa i nā maʻi āpau āpau ka p53 mutation.

He aha ka wānana no ka carcinoma medullary o ka umauma?

ʻO nā helu ola ʻelima mau makahiki no ka maʻi kanesa medullary o ka umauma ma kahi o 89 a 95 pakeneka. ʻO kēia ka manaʻo he ʻelima mau makahiki ma hope o ka hōʻoia ʻana, mai kahi 89 a 95 paha ka pākēneka o nā wahine me kēia ʻano maʻi ʻaʻai e noho nei.

He aha ke kuanaʻike no ka carcinoma medullary o ka umauma?

ʻO ka lāʻau maʻi Medullary o ka umauma e nānā i ka maikaʻi o ka pane ʻana i ka mālama ʻana i ka maʻi ʻaʻai umauma ma mua o nā ʻano carcinomas maʻi maʻi invasive. Me ka ʻike mua ʻana a me ka mālama ʻana, makemake maikaʻi ʻia ka wānana a me nā helu ola.