So wo nso wowɔ LCIS? Mma ɛnhaw wo, momma yɛnhwehwɛ nea ɛyɛ ankasa! (Lobular Kokoram a ɛwɔ Situ - LCIS) .

Bere a wɔyɛɛ wo nufu mu nhwehwɛmu esiane biribi foforo nti akyi no, so wo duruyɛfo ka kyerɛɛ wo sɛ wowɔ tebea bi a wɔfrɛ no LCIS? Ɛbɛyɛ sɛ wosuro paa bere a wotee asɛmfua ‘carcinoma’ no. Efisɛ sɛ yɛte saa asɛm no a, ntɛm ara na yɛdwen kokoram ho. Nanso mma ɛnhaw wo. Yɛbɛkasa wɔ ɔkwan a ɛnyɛ den so a wobɛtumi ate nea LCIS yɛ ankasa ase, so ɛyɛ kokoram, ne nea ɛsɛ sɛ woyɛ wɔ ho.

Dɛn ankasa ne LCIS?

Sɛ yɛbɛka no tiawa a, LCIS yɛ nkwammoaa a ɛnteɛ a enyin wɔ wo nufu mu ntini a ɛma nufusu (lobules) no mu. Susuw ho hwɛ, nkwammoaa a ɛwɔ yɛn nipadua mu no mu paapae na ɛreyɛ foforo bere nyinaa. Enti sɛ nkwammoaa a ɛwɔ saa nufusu ntini yi mu no mu paapae a, efi ase nyin bɛyɛ nkwammoaa a ɛsono emu biara kakra, a ɛnyɛ nea ɛfata mmom sen sɛ ɛbɛyɛ nkwammoaa a ɛteɛ. Ɛno ne nea LCIS yɛ.

Adeɛ a ɛho hia paa a ɛsɛ sɛ wokae wɔ ha ne sɛ, ɛmfa ho sɛ asɛmfua ‘carcinoma’ wɔ din no mu no, LCIS nyɛ nufu mu kokoram. Ɛwom sɛ ebinom bu no sɛ ɛyɛ ade a edi kokoram anim de, nanso ɛnyɛ kokoram ankasa.

Saa nkwammoaa a ɛnteɛ yi wɔ tebea bi a wɔfrɛ no ‘in situ’ mu. Ɛno kyerɛ sɛ wɔtra baabi a wɔwɔ na wɔntrɛw nkɔ nufu no afã afoforo. Ɛno nti na ɛnyɛ nea asiane wom no.

Nanso, LCIS a wowɔ no kyerɛ sɛ asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram daakye no dɔɔso kakra sen onipa a ɔte saa. Ɛte sɛ kɔkɔbɔ sɛnkyerɛnne bi a ɛwɔ kwan so. Ɛka kyerɛ wo sɛ ebia asiane bi da w’anim, enti ka kar no yiye. LCIS ​​yɛ kɔkɔbɔ a ɛte saa.

Dɛn ne LCIS ahorow titiriw?

Nnuruyɛfo de afiri a wɔde hwɛ nneɛma nketenkete hwɛ nkwammoaa a ɛnyɛ ne kwan so no na wogyina sɛnea ɛte so kyekyɛ LCIS mu atitiriw abiɛsa. Nim a wubehu ɔkwan a wowɔ no ho hia yiye na ama woasi ayaresa ho gyinae.

So LCIS ho sɛnkyerɛnne bi wɔ hɔ?

Mpɛn pii no, LCIS nni sɛnkyerɛnne pɔtee biara. Ɛno kyerɛ sɛ wonte nka sɛ wowɔ akuru wɔ wo nufu mu, wonte ɛyaw nka, na nsu biara mfi wo nufu no mu.

Dɛn ne nsɛnnennen a ebetumi aba wɔ LCIS mu?

Eyi ne ade a ɛbɔ nnipa pii hu. Ɛnyɛ obiara a ɔwɔ LCIS na obenya kokoram. Ma ɛno ntra w’adwenem. Nanso, nhwehwɛmu ada no adi sɛ nnipa du biara mu biako (10%) wɔ hokwan sɛ obenya nufu mu kokoram daakye, titiriw tebea bi a wɔfrɛ no `ductal carcinoma in situ (DCIS)` anaa `lobular breast cancer`.

Ɛho hia sɛ wo ne wo duruyɛfoɔ kasa fa saa asiane yi ho na bisa wɔn pefee sɛ asiane no teɛ, ɛfiri sɛ asiane yi tumi gu ahodoɔ gyina nneɛma te sɛ LCIS ko a wowɔ ne w’abusua abakɔsɛm a ɛfa kokoram ho.

Dɛn ne LCIS ayaresa?

Ayaresa a wobɛnya no gyina LCIS ko a wowɔ no so koraa. Ɛnyɛ obiara na wɔne no di wɔ ɔkwan koro so.

1. Nneɛma a Wɔhwɛ So a Ɛyɛ Nnam

Sɛ wowɔ ‘Classic LCIS’ a, wo duruyɛfoɔ bɛtaa akamfo saa kwan yi akyerɛ wo. Nea ɛka eyi ho ne sɛ wobɛhwɛ wo tebea no yiye a woremma wo nnuru anaa oprehyɛn biara.

• Ma wo duruyɛfo nhwɛ wo nufu mu asram 6 biara .
• Mammogram a wɔbɛyɛ afe biara .
• Wobetumi akamfo nhwehwɛmu foforo te sɛ nufu mu MRI mfonini nso akyerɛ.

2. Ayaresa a Wɔde Siw Ano

Saa ayaresa ahorow yi botae ne sɛ ɛbɛma saa nkwammoaa a ɛnteɛ no anyɛ kokoram. Wɔde nnuru a ɛboa ma kokoram ho asiane so tew na edi dwuma.

• Eyi nti, wubetumi de nnuru te sɛ `Selective Estrogen Receptor Modulators (SERM)` anaa `Aromatase Inhibitors` adi dwuma. Eyinom boa ma asiane a ɛwɔ hɔ sɛ wobenya kokoram a ɛma obi nya estrogen (ER-positive) titiriw no so tew. Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo kɔ akyiri.

3. Oprehyɛn a wɔyɛ

Wɔtaa kamfo oprehyɛn kyerɛ nnipa a wɔwɔ LCIS ahorow ‘Pleomorphic’ anaa ‘Florid’, efisɛ saa ahorow no wɔ asiane a ɛkɔ soro kakra sɛ wobenya kokoram.

• Lumpectomy: Eyi hwehwɛ sɛ wɔyɛ oprehyɛn yi baabi a nkwammoaa a ɛnyɛ ne kwan so ne ntini kakraa bi a ɛte apɔw a atwa ho ahyia no nkutoo.
• Prophylactic Bilateral Mastectomy: Eyi yɛ oprehyɛn a ɛsõ kakra. Wɔ eyi mu no, woyi nufu abien no nyinaa. Nanso, wɔkamfo kyerɛ wɔ nsɛm a asiane kɛse wom mu. Sɛ nhwɛso no, sɛ abusua muni bi a ɔbɛn wo paa, te sɛ wo maame, wo nuabea, anaa wo babea anya nufu mu kokoram a, ebia wo duruyɛfo ne wo besusuw ɔkwan yi ho.

Dɛn na yebetumi ayɛ de atew asiane a ɛwɔ LCIS mu no so?

Ɛwom sɛ ɔkwan pɔtee biara nni hɔ a wobɛfa so asiw LCIS ano de, nanso nneɛma pii wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya nufu mu kokoram no so.

• Di wo mu duru so: Kɛse mmoroso yɛ ade titiriw a ɛde nufu mu kokoram ba. Enti bɔ mmɔden sɛ wobɛkɔ so ayɛ wo mu duru a ɛfata.
• Apɔw-mu-teɛteɛ a wɔyɛ no daa: Ɛyɛ papa sɛ anyɛ yiye koraa no wobɛyɛ simma 150 dapɛn biara (sɛ nhwɛso no simma 30 da biara, nnafua 5 dapɛn biara) apɔw-mu-teɛteɛ a emu yɛ den te sɛ nantew anaa sakre so.
• To nsanom ano hye: Nhwehwɛmu ada no adi sɛ abusuabɔ bi da nsa ne nufu mu kokoram ntam. Enti, ɛho hia sɛ wugyae nsanom koraa anaasɛ woto ano hye kɛse.
• Hwɛ nnuru a worenom: Sɛ worenom hormone therapy anaa awo ano aduru ahorow bi a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa asiane a ɛwɔ eyinom mu wɔ LCIS ho. Ebia wɔbɛkamfo akyerɛ sɛ wɔbɛdan akɔ aduru foforo so.

Mɛyɛ dɛn ahwɛ me ho bere a me ne LCIS te no?

Sɛ wuhu sɛ wowɔ LCIS a, wote ehu nka, nanso ɛsɛ sɛ wohwɛ wo nipadua nso yiye.

• Nufu mu ankasa nhwehwɛmu: Hwɛ wo nufu mu ɔsram biara. Sɛ wuhu biribi foforo te sɛ akisikuru, honam ani nsakrae, anaa akisikuru a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
• Hu nsakrae no: Bisa wo duruyɛfo no sɛnkyerɛnne ahorow a ebetumi aba sɛ LCIS dan kokoram a.
• Mma ayaresabea ahorow no nmpa wo ti so:Hwɛ hu sɛ wobɛkɔ bere a wo duruyɛfo de ma wo no nyinaa akyi. Saa sɔhwɛ ahorow yi bɛboa wo ma woahu nsakrae biara ntɛm.

Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka bere a wɔahu sɛ wowɔ LCIS no. Nanso ɛnkyerɛ sɛ wowɔ kokoram. Nea ɛkyerɛ ara ne sɛ ɛsɛ sɛ wohwɛ w’akwahosan so kakra. Sɛ wunya nsɛm a ɛfata na wo ne wo duruyɛfo no bom yɛ adwuma a, wubetumi de tebea yi atra ase a ahoɔden wom na anigye wom.