ʻO nā mea āpau āu e ʻike ai e pili ana i ka maʻi ʻaʻai Multifocal

Anter

• He aha nā ʻano o ka maʻi ʻaʻai umauma?
• Pehea e ʻike ʻia ai ka maʻi ʻaʻai umauma multifocal?
• Pehea e mālama ʻia ai?
• He aha nā hopena hopena maʻamau?
• He aha ke kuanaʻike?
• He aha ke ʻano o ke kākoʻo e loaʻa?

He aha ka maʻi ʻaʻai umauma multifocal?

Multifocal loaʻa ka maʻi ʻaʻai o ka umauma i ka wā he ʻelua a ʻoi aku nā tumors i ka umauma hoʻokahi. Hoʻomaka nā ʻōpala āpau i hoʻokahi tumo kumu. ʻO nā tumors pū kekahi i ka quadrant like - a i ʻole ʻāpana - o ka umauma.

Multicentric ʻO ka maʻi ʻaʻai ka maʻi ʻaʻano like o ka maʻi ʻaʻai. ʻOi aku ka ulu ʻana o kahi tumo, akā i nā ʻano quadrants ʻokoʻa o ka umauma.

Ma nā wahi āpau mai 6 a 60 paha pākēneka o nā puʻupuʻu umauma i multifocal a i ʻole multicentric, e pili ana i ka wehewehe a ʻike ʻia ʻana.

Hiki i nā tumors Multifocal ke noninvasive a i ʻole invasive.

• Noninvasive noho nā kanesa i loko o nā ka waiū a i ʻole nā ​​aʻa hana waiū (lobule) o ka umauma.
• Hoʻouka hiki i nā kanesa ke ulu i nā ʻāpana ʻē aʻe o ka umauma a pāhola i nā meaola ʻē aʻe.

E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe e pili ana i nā ʻano o ka maʻi ʻaʻai umauma i hoʻomohala ʻia me ka maʻi ʻaʻai umauma multifocal, he aha nā ʻano lāʻau e pono ai, a me nā mea hou aʻe.

He aha nā ʻano o ka maʻi ʻaʻai umauma?

Nui a hewahewa nā ʻano maʻi ʻaʻai o ka umauma, a hoʻokumu ʻia lākou i ke ʻano o nā hunaola e ulu ai ka maʻi ʻaʻai.

ʻO ka hapa nui o nā maʻi ʻaʻai umauma he carcinomas. ʻO ke kumu o kēia hoʻomaka lākou i nā hunaola epithelial e hoʻopili ana i nā umauma. ʻO Adenocarcinoma kahi ʻano carcinoma e ulu aʻe mai nā aʻa waiū a i ʻole nā ​​lobule.

Hoʻonohonoho hou ʻia ka maʻi ʻaʻai umauma i loko o kēia mau ʻano:

• Ka maʻi kanesa o Ductal carcinoma ma situ (DCIS) hoʻomaka i loko o nā kahe waiū. Kapa ʻia ia noninvasive no ka mea ʻaʻole ia i pālahalaha ma waho o kēia mau aʻa. Eia nō naʻe, ʻo ka loaʻa ʻana o kēia maʻi ʻaʻai hiki ke hoʻonui i kou makaʻaka no ka maʻi ʻaʻai umauma invasive. ʻO DCIS ka ʻano maʻamau o ka maʻi ʻaʻai ʻole noninvasive. He 25 pakeneka ka nui o nā maʻi ʻōpū umauma i ʻike ʻia ma United States.
• Lobular carcinoma ma kahi (LCIS) noninvasive pū kekahi. Hoʻomaka nā hunaola ʻino ʻole i nā glands hana waiū o ka umauma. Hiki i ka LCIS ke hoʻonui i kou makaʻu no ka loaʻa ʻana o ka maʻi ʻaʻai umauma i ka wā e hiki mai ana. Kākaʻikahi ʻo LCIS, e hōʻike wale ʻia ana ma 0.5 wale nō a 4 mau pakeneka o nā biopsies umauma noncancerous.
• Ka maʻi kanesa hoʻoweliweli (IDC) ʻo ia ka ʻano maʻamau o ka maʻi ʻaʻai umauma, e helu ana ma kahi o 80 pākēneka o kēia mau maʻi ʻaʻai. Hoʻomaka ka IDC i nā hunaola e laina i nā kahe waiū. Hiki iā ia ke ulu a lilo i ke koena o ka umauma, a me nā ʻāpana ʻē aʻe o ke kino.
• Ka maʻi maʻi lobular invasive (ILC) hoʻomaka i nā lobule a hiki ke hoʻolaha i nā ʻāpana ʻē aʻe o ke kino. Ma kahi o 10 pākēneka o nā maʻi maʻi umauma invasive ʻo ILC.
• Maʻi ʻaʻai umauma inflammatory he ʻano laha ʻole e palahalaha nui aku. Ma waena o 1 a me 5 pākēneka o nā maʻi ʻōpū umauma kēia ʻano.
• Maʻi ʻo Paget o ka nipple kahi maʻi ʻaʻai liʻiliʻi e hoʻomaka ana i nā kahe waiū akā pāhola i ka piko. Ma kahi o 1 a 3 pākēneka o nā umauma umauma ʻo kēia ʻano.
• Nā puʻupuʻu Phyllodes e kiʻi i ko lākou inoa mai ka lau e like me ka ulu ʻana o nā hunaola maʻi ʻaʻai. Kākaʻikahi kēia mau tumors. ʻO ka hapa nui ʻole noncancerous, akā hiki nō ke hōʻino. Hana ʻia nā tumo Phyllodes ma lalo o 1 pākēneka o nā maʻi ʻōpū umauma.
• Angiosarcoma hoʻomaka i loko o nā pūnaewele e pili ana i ke koko a i ʻole nā ​​kīʻaha lymph. ʻOi aku ka liʻiliʻi ma mua o nā maʻi ʻōpū o ka umauma.

Pehea e ʻike ʻia ai ka maʻi ʻaʻai umauma multifocal?

Hoʻohana nā kauka i kekahi mau hoʻokolohua like ʻole e hōʻoia i ka maʻi ʻaʻai o ka umauma.

Pākuʻi ʻia kēia mau mea:

• Hōʻoia umauma maʻi. E ʻike kāu kauka i kou umauma a me nā lymph node no kekahi puʻupuʻu a i ʻole nā ​​loli ʻē aʻe.
• Mamamogram. Hoʻohana kēia ho'āʻo i kahi X-ray e ʻike i nā loli i nā umauma a me ka pale no ka maʻi ʻaʻai. ʻO ka makahiki āu e hoʻomaka ai i kēia hoʻokolohua, a me kona pinepine, kaukaʻi ʻia i ka makaʻu o kou umauma umauma. Inā loaʻa iā ʻoe kahi mammogram pono ʻole, hiki i kāu kauka ke ʻōlelo aku i hoʻokahi a ʻoi paha o nā hoʻokolohua ma lalo.
• Mākēneki resonance kiʻi (MRI). Hoʻohana kēia ho'āʻo i nā mākēneki mana a me nā nalu uila e hana i nā kiʻi kikoʻī o loko o ka umauma. ʻOi aku ka pololei i ka ʻohi ʻana i ka maʻi ʻaʻai umauma multifocal ma mua o ka mammography a me ka ultrasound.
• Kukuna ultrasound. Hoʻohana kēia hoʻokolohua i nā nalu kani e nānā i nā lehulehu a i ʻole nā ​​hoʻololi ʻē aʻe i kou umauma.
• ʻO Biopsy. ʻO kēia wale nō ke ala e ʻike pono ai kāu kauka ua loaʻa ʻoe i ka maʻi ʻaʻai. E hoʻohana kāu kauka i kahi kui kele e hoʻoneʻe i kahi liʻiliʻi o nā mea mai kou umauma. Lawe pū ʻia kahi biopsy o ka sentinel lymph node - ka lymph node kahi e laha mua ai nā hunaola maʻi maʻi mai ka tumo. Hoʻouna ʻia kahi laʻana i kahi lab, kahi e nānā ai no ka maʻi ʻaʻai.

Ma muli o kēia a me nā hopena hoʻokolohua ʻē aʻe, e hoʻokau ke kauka i kāu maʻi ʻaʻai. Hōʻike ke kahua i ka nui o ka maʻi ʻaʻai, inā paha ua pālahalaha ia, a inā pēlā, pehea ka lōʻihi. Hiki iā ia ke kōkua i kāu kauka e hoʻolālā i kāu lāʻau.

I ka maʻi ʻaʻai multifocal, ua ana ʻokoʻa ʻia kēlā me kēia tumo. Hoʻokumu ʻia ka maʻi ma muli o ka nui o ka tumo nui loa. Wahi a kekahi poʻe loea ʻaʻole pololei kēia hana no ka mea ʻaʻole ia e noʻonoʻo i ka nui o nā tumors i ka umauma. Eia nō naʻe, ʻo kēia ke ʻano o ka hoʻonohonoho pinepine ʻia ʻana o ka maʻi ʻaʻai umauma multifocal.

Pehea e mālama ʻia ai?

E pili kāu lāʻau i ke kahua o kou maʻi ʻaʻai. Inā hoʻomaka ka maʻi ʻaʻai - ʻo ia hoʻi aia nā tumors i hoʻokahi wale nō quadrant o kou umauma - hiki ke mālama ʻia i ka pale umauma (lumpectomy). Lawe kēia hana i ka nui o nā maʻi ʻaʻai e like me ka hiki, ʻoiai e mālama ana i kaʻiʻo umauma olakino a puni ia.

Ma hope o ke kahakaha ʻana, e loaʻa ʻoe i ka pāhawewe e pepehi i nā hunaola maʻi ʻaʻai paha i waiho ʻia ma hope. ʻO Chemotherapy kahi koho ʻē aʻe ma hope o ke kaha ʻana.

ʻO nā tumors nui a i ʻole nā ​​maʻi ʻalā i hohola ʻia e koi paha i ka mastectomy - ʻoki e wehe i ka umauma holoʻokoʻa. Hiki ke hoʻoneʻe ʻia nā Lymph node i ka wā o ke ʻoki.

He aha nā hopena hopena maʻamau?

ʻOiai ʻo ka hoʻomaʻamaʻa ʻana i ka maʻi ʻaʻai umauma i hiki ke hoʻomaikaʻi i kou ola ola, hiki iā lākou ke loaʻa nā hopena ʻaoʻao.

ʻO nā hopena ʻē aʻe mai ke ʻoki mālama mālama umauma pū me:

• ʻeha ma ka umauma
• scarring
• pehu i ka umauma a lima paha (lymphedema)
• hoʻololi i ke ʻano o ka umauma
• kahe ana ke koko
• maʻi maʻi

Nā hopena ʻaoʻao uila me:

• ʻulaʻula, ʻili, ihi ʻana, a me ka huhū o ka ʻili
• luhi
• pehu i ka umauma

He aha ke kuanaʻike?

ʻOi aku ka nui o nā maʻi maʻi umauma Multifocal ma mua o nā Tumors hoʻokahi e hoʻolaha i nā lymph node. Eia nō naʻe, hōʻike ʻia ka noiʻi ʻaʻole ʻokoʻa nā helu ola 5 mau makahiki no nā puʻupuʻu multifocal ma mua o nā tumors hoʻokahi.

Pili ka liʻiliʻi o kāu kuana i ka nui o nā tumors i loaʻa iā ʻoe i hoʻokahi umauma, a ʻoi aku ka nui o kāu tumors a inā paha ua palahalaha lākou. Ma ka hapanui, ʻo ka helu ola 5 mau makahiki no ka maʻi ʻaʻai i hoʻopaʻa ʻia i ka umauma he 99 pakeneka. Inā ua pālahalaha ka maʻi ʻaʻai i nā lymph node ma ia wahi, ʻo ka nui o ke ola he 5 mau makahiki he 85 pakeneka.

He aha ke ʻano o ke kākoʻo e loaʻa?

Inā ua ʻike hou ʻia ʻoe me ka maʻi ʻaʻai umauma multifocal, he nui paha kāu mau nīnau e pili ana i nā mea āpau mai kāu koho lapaʻau ʻana a i ka nui o kā lākou kumukūʻai. Hiki i kāu kauka a me ke koena o kāu kime olakino ke lilo i kumu maikaʻi no kēia ʻike.

Hiki iā ʻoe ke ʻike hou aku i ka ʻike a me nā hui kākoʻo i kou wahi ma o nā ʻoihana maʻi ʻaʻai e like me kēia:

• ʻAhahui Kanaka ʻAmelika
• ʻO ka Foundation National Cancer Breast
• ʻO Susan G. Komen