Ua lohe paha ʻoe i kekahi mea e like me kēia i loko o kou mau umauma? (Ductal Carcinoma in Situ - DCIS) E kamaʻilio kākou e pili ana i kēia!

Ua lohe paha ʻoe i ka inoa ʻo 'DCIS'? Malia paha ua ʻōlelo kekahi kauka iā ia i ka wā o kāu hoʻokolokolo umauma '(Mammogram).' He maʻi kanesa kēia e kū mai ana i loko o nā ala waiū o ka umauma, a hiki ke ʻike ʻia i ka wā mua loa. Mai hopohopo, ʻo ka ʻike ʻana i kēia e hāʻawi iā ʻoe i ka nui o ka hōʻoluʻolu.

He aha ka DCIS (Ductal Carcinoma ma Situ)?

I ka ʻōlelo maʻalahi, ʻo DCIS ka maʻi kanesa e ulu ana i loko o nā ʻauwai waiū i loko o kou mau umauma. ʻO kēia mau ʻauwai nā mea e lawe i ka waiū mai kou mau umauma a i kou mau nipples ke hānai waiū ʻoe. ʻO ka huaʻōlelo "in situ" ʻo ia hoʻi "ma kahi." ʻO ke ʻano kēia ua ulu nā hunaola kanesa mai loko mai o nā ʻauwai a ʻaʻole i laha i nā wahi ʻē aʻe o ka umauma.

I kekahi manawa, kapa ʻia kēia e nā kauka he maʻi ʻaʻai umauma noninvasive a i ʻole pre-invasive . ʻO ke ʻano kēia, ʻaʻole i ulu nā hunaola maʻi ma mua o nā paia o nā ala waiū. ʻAʻole laha pinepine ʻo DCIS (metastasize) i nā ʻāpana ʻē aʻe o ke kino, e like me nā maʻi ʻaʻai invasive ʻoi aku ka ikaika.

Eia nō naʻe, ʻoiai ʻaʻole e laha ka DCIS ma waho o ka umauma, i kekahi mau hihia hiki iā ia ke ulu i loko o ka invasive ductal carcinoma . ʻO ia hoʻi, hiki iā ia ke laha ma waho o ka umauma. ʻO ia ke kumu he mea nui e kamaʻilio me ke kauka e pili ana i kēia. A laila hiki iā ʻoe ke kamaʻilio e pili ana i nā koho lapaʻau e hiki ke hōʻemi i kēia pilikia.

Pehea ka maʻamau o DCIS?

ʻO DCIS ke ʻano maʻamau o ka maʻi ʻaʻai umauma i nā wahine. He 20% a 25% ia o nā maʻi ʻaʻai umauma i ʻike hou ʻia. Hiki i nā kāne ke loaʻa iā DCIS, akā he mea kakaikahi loa ia (ʻaʻole i hiki i ka 0.1% o nā maʻi ʻaʻai i ʻike ʻia).

I kēia manawa, ua piʻi iki ka nui o nā hihia i hōʻike ʻia o DCIS. Akā, ʻōlelo nā loea ʻaʻole kēia no ka mea ua piʻi ka nui o nā hihia o DCIS, akā no ka mea, ua ʻike ʻia a mālama ʻia ka nui o ka poʻe . ʻO ia hoʻi, ua hiki i nā hoʻokolohua e like me nā mammograms ke ʻike mua i ke kūlana.

He aha nā hōʻailona o DCIS?

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike ʻo DCIS i kekahi mau hōʻailona kikoʻī . ʻAʻole paha ʻoe e ʻike i kekahi mea. Eia nō naʻe, he kakaikahi loa ka poʻe e ʻike i nā mea e like me kēia:

• Manaʻo e like me he puʻu lā ma ka umauma.
• Ka ʻāʻī ma ka ʻili o ka umauma.
• He kahe ʻana (e.g., koko) mai ka nipple mai.

Inā ʻike ʻoe i kekahi mea e like me kēia, pono ʻoe e ʻike koke i ke kauka, ʻeā?

He aha ke kumu o DCIS?

Hoʻomaka ka DCIS i ka wā e loli ai nā pūnaewele olakino i loko o kāu mau ala waiū., ʻo ia hoʻi, ua loli ko lākou ʻano a ke ulu wikiwiki nei lākou a me ke kāohi ʻole ʻia. E like me ka ulu ʻana o kahi mea kanu liʻiliʻi ma waho o ke kāohi e like me ka mauʻu. Akā, ʻaʻole maopopo i nā loea ke kumu e loli koke ai kēia mau cell, a i ʻole ke kumu e lilo ai ka DCIS o kekahi poʻe i maʻi kanesa ʻino aʻo kekahi ʻaʻole.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka DCIS?

Aia kekahi mau kumu e hiki ke hoʻonui i kou pilikia, a i ʻole ka likelike, o ka hoʻomohala ʻana i ka DCIS. E nānā kākou i ko lākou ʻano:

• Inā ua loaʻa i kou mau hoahānau koko (makuahine, kaikuahine, kaikamahine) ka maʻi ʻaʻai umauma.
• Inā ua loaʻa iā ʻoe ka maʻi ʻaʻai umauma ma mua , a inā he ʻano kou e ulu ai nā pūnaewele i loko o ka umauma i ke ʻano ʻē, e like me ka hyperplasia atypical .
• He wahine ʻoe (ʻo kēia ka mea maʻamau i waena o nā wāhine).
• ʻOiai ʻoi aku ma mua o 30 mau makahiki . Hoʻonui iki kēia pilikia me ka makahiki.
• Inā ua hoʻomaka ʻoe i ka menstruation ma mua o ka piha ʻana o 12 mau makahiki .
• Inā ua loaʻa iā ʻoe kāu pēpē mua ma hope o 30 mau makahiki .
• Inā paʻa loa kou ʻiʻo umauma, aia paha iā ʻoe ka "ʻiʻo umauma paʻa" . Hiki ke ʻike ʻia kēia ma o ka mammogram wale nō.
• Inā he mau hoʻololi ʻana o kekahi mau genes (e laʻa, nā genes BRCA1 a me BRCA2) e hoʻonui ai i kou pilikia o ka maʻi kanesa.
• Inā ua loaʻa mua iā ʻoe ka radiation therapy i ka umauma a i ʻole ka umauma (no kekahi kūlana ʻē aʻe).
• Inā ʻaʻole ʻoe i hāpai a hānai waiū paha i kahi pēpē.
• Inā ua hoʻomaka ka menopause ma hope o 55 mau makahiki .

Eia nō naʻe, ʻo ka loaʻa ʻana o hoʻokahi a ʻoi aku paha o kēia mau mea pilikia ʻaʻole ia he manaʻo e loaʻa iā ʻoe ʻo DCIS, ʻeā? No ka laʻana, ʻo ka loaʻa ʻana o kahi mōʻaukala ʻohana o ka maʻi ʻaʻai umauma he mea pilikia ia no DCIS, akā ʻo ka hapa nui o ka poʻe me DCIS ʻaʻohe mōʻaukala ʻohana o ka maʻi ʻaʻai umauma. Hoʻonui wale nā ​​​​mea pilikia i ka manawa kūpono e loaʻa ai kahi maʻi. No laila he mea nui e makaʻala iā lākou.

He aha nā pilikia e hiki ke loaʻa mai ka DCIS?

ʻO ka mea nui, inā ʻaʻole ʻoe e mālama i ka DCIS, hiki iā ia ke lilo i invasive ductal carcinoma . ʻO ke ʻano kēia, hiki i ke kanesa ke ulu mai loko mai o nā ducts waiū a laha i nā ʻiʻo ʻē aʻe o ka umauma. No laila, inā ua ʻike ʻia ʻoe me DCIS, he mea nui loa ia e loaʻa koke ka lāʻau lapaʻau.

Eia kekahi, ma hope o kou mālama ʻia ʻana no DCIS, aia ʻoe i ka pilikia o ka loaʻa ʻana o nā maʻi olakino ʻē aʻe i kou wā ʻelemakule. Eia kekahi laʻana:

• ʻO ka Osteoporosis (ka lahilahi o nā iwi)
• Ke koko kiʻekiʻe
• Maʻi puʻuwai

I mea e hōʻemi ai i ka pilikia o kēia mau pilikia, he mea naʻauao ke nīnau i kāu kauka i ka pinepine o kou hele ʻana no nā hoʻokolohua a me nā nānā ʻana.

Pehea e ʻike ʻia ai ka DCIS?

ʻIke nā kauka ma mua o 90% o nā hihia DCIS ma o nā mammograms . ʻO ia hoʻi, he X-ray o kou mau umauma. Inā hōʻike kāu mau hopena mammogram i kekahi mea kānalua, e like me nā waihona calcium liʻiliʻi (microcalcifications), e hana lākou i kahi biopsy e hōʻoia.

• Mammogram: Ma waho aʻe o ka hoʻokolokolo umauma maʻamau (mammogram nānā), hiki i kāu kauka ke kauoha i kahi mammogram kūikawā (mammogram diagnostic). Hiki i kēia ke kiʻi i nā kiʻi kikoʻī o kou ʻiʻo umauma mai nā kihi like ʻole. He lōʻihi iki kēia ma mua o ka mammogram maʻamau.
• Biopsy o ka umauma: Hana nā kauka i kēia hoʻāʻo e hōʻoia ʻaʻohe mau hunaola kanesa i loko o kou umauma. Ma kēia hoʻāʻo, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo a nānā ʻia ma lalo o kahi microscope.

Aia kekahi mau māka o DCIS?

ʻAe, hoʻokaʻawale nā ​​kauka i ka DCIS i ʻekolu mau papa. Hoʻoholo ʻia kēia mau papa e ke ʻano ʻē o nā hunaola kanesa ma lalo o kahi microscope a me ka wikiwiki o ko lākou ulu ʻana.

• Haʻahaʻa ke ʻano (ulu lohi): Ua like loa nā hunaola kanesa me nā hunaola umauma olakino. Ulu lohi lākou.
• Papa waena (ulu wikiwiki): Ua like iki ke ʻano o nā pūnaewele ʻē me nā pūnaewele umauma olakino, akā he ʻokoʻa iki lākou mai ka papa haʻahaʻa.
• Ke kūlana kiʻekiʻe (ulu wikiwiki a me ke kāohi ʻole ʻia): ʻOkoʻa loa ke ʻano o nā hunaola kanesa mai nā hunaola umauma olakino. ʻO kēia nā mea ulu wikiwiki loa a ʻoi aku ka nui o ka lilo ʻana i kanesa ʻino.

He aha nā pae o DCIS?

He maʻi ʻaʻai umauma pae 0 ka DCIS. Hiki ke mālama ʻia a hoʻōla ʻia. Hoʻokaʻawale nā ​​kauka i nā maʻi ʻaʻai mai ke kahua 0 a i ka IV (4). ʻO ke kahua 0 ke ʻano o ke kanesa ma kahi like i hoʻomaka ai a ʻaʻole i laha. ʻOiai ʻo DCIS ke kahua 0 mau, hiki i ka puʻupuʻu ke nui a hiki ke hoʻopili i nā ʻauwai waiū he nui i loko o ka umauma.

He aha nā lāʻau lapaʻau no DCIS?

ʻOiai ʻaʻole he maʻi kanesa koʻikoʻi ʻo DCIS, he mea nui e loaʻa ka lāʻau lapaʻau . A i ʻole e nānā mau ʻia kou kūlana e ke kauka. ʻO kēia no ka mea hiki i kekahi mau ʻano DCIS, ʻoiai nā mea kiʻekiʻe, ke lilo i mea komo inā ʻaʻole mālama ʻia. ʻO ke ʻano kēia, hiki i ke kanesa ke pālahalaha ma waho o kāu mau ala waiū a i loko o nā ʻiʻo umauma a puni.

ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia no DCIS:

• ʻO ke ʻoki mālama umauma (BCS) a i ʻole Lumpectomy: ʻO kēia ka wehe ʻana i kahi o nā hunaola kanesa, me kahi liʻiliʻi o nā ʻiʻo umauma olakino a puni ke kanesa. Wehe kēia i kahi liʻiliʻi o nā ʻiʻo olakino (margin) e hōʻoia i ʻaʻohe hunaola ʻē i koe. E waiho kāu kauka i ka hapa nui o kou umauma.
• Lapaʻau radiation: Hāʻawi pinepine ʻia kēia lāʻau lapaʻau ma hope o ke ʻoki ʻana o BCS. Hoʻohana ʻia ia e pepehi i nā hunaola kanesa i koe a hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa. Pono kekahi poʻe i kēia lāʻau lapaʻau no kekahi mau lā, ʻo kekahi no kekahi mau pule. E kamaʻilio kāu kauka me ʻoe e pili ana i kāu hoʻolālā lapaʻau pilikino.
• Mastectomy: Pili kēia i ka wehe ʻana i ka umauma holoʻokoʻa i hoʻopilikia ʻia, a i ʻole i kekahi manawa nā umauma ʻelua (mastectomy pālua). Inā ʻaʻole ʻoe kūpono no BCS (no ka laʻana, inā ua pālahalaha ʻo DCIS i ka umauma holoʻokoʻa, ua nui loa ka puʻupuʻu, a ʻaʻole ʻoe makemake i ka radiation therapy), pono paha ʻoe e loaʻa i kahi mastectomy.

Inā ua hana ʻia ʻoe i kahi mastectomy, makemake paha ʻoe e noʻonoʻo i ke kūkulu hou ʻana o ka umauma . He ʻoki kino kēia e hoʻoponopono hou i kou mau umauma. Hiki ke hana ʻia kēia i ka manawa like me kāu mastectomy a ma hope paha. Inā he BCS kou, ʻaʻole pono pinepine ke kūkulu hou ʻana o ka umauma. E kamaʻilio me kāu kauka e pili ana i ke ʻano āu e makemake ai e mālama i kou mau umauma ma hope o ka mālama ʻana.

He aha ka mea e hana ʻia ma hope o ke ʻoki ʻana o DCIS?

Ma hope o ke ʻoki ʻana, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau e pale aku i ka DCIS mai ka hoʻi hou ʻana, ʻoiai inā he hormone-sensitive (ER-positive) kāu DCIS. ʻO nā lāʻau lapaʻau maʻamau:

• ʻO Tamoxifen (Tamoxifen - Nolvadex®)
• ʻO nā mea hoʻopaneʻe aromatase ( e.g. anastrozole, letrozole)

Ua kapa ʻia kēia lāʻau lapaʻau he hormone therapy . Hana kēia mau lāʻau lapaʻau ma ke kāohi ʻana i ka hormone estrogen mai ke kōkua ʻana i ka ulu ʻana o nā hunaola kanesa. ʻO ka manawa lapaʻau holoʻokoʻa he ʻelima mau makahiki ka lōʻihi.

Hiki ke pale ʻia ka DCIS?

ʻAʻole hiki iā mākou ke kāohi a pale aku i nā kumu pilikia he nui no DCIS (e laʻa, ka mōʻaukala ʻohana, nā genetics). Eia nō naʻe, inā ʻike mua ʻia , ʻoi aku ka nui o ka hiki ke ho'ōla ʻia ʻo DCIS. ʻO ia ke kumu he mea nui nā mammograms .

• Pono ka hapa nui o nā wāhine e hoʻomaka i ka mammograms i kēlā me kēia makahiki (a i ʻole i kēlā me kēia ʻelua makahiki, ma muli o ka ʻōlelo aʻo a kā lākou kauka) ma hope o ko lākou piha ʻana i 40 .
• Inā ʻoi aku kou pilikia no ka maʻi ʻaʻai umauma (no ka laʻana, inā loaʻa i kekahi o kou ʻohana), hiki i kāu kauka ke ʻōlelo aku e hoʻomaka ʻoe i ka nānā ʻana ma mua.

He mea maikaʻi ke kamaʻilio me kāu kauka e pili ana i ka pinepine o kāu mammogram ma muli o kāu mau kumu pilikia.

He aha ka manaʻolana ola e hiki mai ana me DCIS?

ʻO kēia ka nūhou maikaʻi loa! Kiʻekiʻe loa nā helu ola no ka poʻe me DCIS . Wahi a ka American Cancer Society, aneane hiki ke ho'ōla ʻia nā mea āpau me DCIS (a me ka poʻe i loaʻa ka lāʻau lapaʻau) . ʻO ia hoʻi, ʻo ka helu ola 10 makahiki ma kahi o 98-99%.

ʻO ka maʻamau, maikaʻi loa nā hopena ma hope o ka mālama ʻana. Kākaʻikahi ka hoʻi hou ʻana o ka DCIS. ʻOiai inā hana ia (ma ka umauma hoʻokahi a i ʻole ka umauma ʻē aʻe, malia paha he maʻi ʻaʻai koʻikoʻi), hiki ke mālama pinepine ʻia a ho'ōla ʻia. No laila, ʻaʻole hoʻoweliweli ke ola o ka DCIS, inā mālama pono ʻia.

Pehea lā wau e mālama ai iaʻu iho?

Me DCIS, pono ʻoe e hoʻomau i lalo o ka nānā ʻana o ke kauka ma hope o ka mālama ʻana.

• ʻO ka maʻamau, pono ʻoe e ʻike i ke kauka no ka hoʻokolokolo kino i kēlā me kēia 6 a 12 mau mahina , no ka liʻiliʻi o ʻelima mau makahiki, a laila hoʻokahi manawa i ka makahiki.
• Eia kekahi, pono ʻoe e hana i kahi mammogram i kēlā me kēia makahiki.
• Inā ʻoe e lawe nei i ka lāʻau lapaʻau hormone, pono ʻoe e lawe ia e like me ka ʻōlelo a kāu kauka.

Eia nō naʻe, ʻokoʻa ke kūlana o kēlā me kēia kanaka. E hana pū me kāu kauka e hoʻoholo i kāu hoʻolālā mālama ma hope o ka mālama ʻana. He mea nui e hahai pono i nā ʻōlelo a kāu kauka.

Āhea wau e ʻike ai i ke kauka?

Mai poina i kāu mau nānā kino a me nā mammogram e like me ke kauoha a kāu kauka. I kēia manawa, e mālama pono i kou mau umauma.

• Inā ʻike ʻoe i kahi puʻupuʻu hou i loko o kou umauma.
• Inā ʻike ʻoe i nā loli i ka ʻili o kou mau umauma (ʻulaʻula, dimpling, wrinkling, a i ʻole ke ʻano o ka ʻili ʻalani).
• Inā ʻike ʻoe i kahi loli i kou nipple (indentation, redness, flaking skin, discharge).
• Inā he ʻeha mau kou ma kou umauma a i ʻole kou ʻūhā.

Inā ʻike ʻoe i kekahi mau loli i hiki ke lilo i mau hōʻailona o ka maʻi ʻaʻai umauma , mai hopohopo a hoʻopaneʻe paha, akā e ʻike koke i ke kauka.

He aha nā nīnau āu e nīnau ai i kāu kauka?

Ke ʻike ʻoe he DCIS kou, he mea maʻamau ka loaʻa ʻana o nā nīnau he nui. E nīnau i kāu kauka e pili ana iā lākou āpau. Eia kekahi mau laʻana:

• He aha ka papa o DCIS iaʻu?
• He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu? ʻO ke ʻoki kino? Lapaʻau radiation? Lapaʻau hormone?
• He aha nā hopena ʻaoʻao o kēia mau lāʻau lapaʻau?
• Pehea ka lōʻihi o ka mālama ʻana?
• E hiki anei iaʻu ke hana i ka wā e loaʻa ana ka lāʻau lapaʻau?
• He aha ka manawa e hiki hou mai ai ʻo DCIS?
• ʻEhia pinepine e pono ai iaʻu e hele mai no nā hana hahai?
• ʻEhia mau manawa e pono ai iaʻu ke hana i kahi mammogram?
• Aia koʻu ʻohana i ka pilikia? He aha kā lākou e hana ai?

He mea hoʻololi ola ka ʻike ʻana ua loaʻa iā ʻoe ka maʻi kanesa. He mea maʻamau ka makaʻu a me ka hopohopo no ka mea ʻaʻole ʻoe i ʻike i ka mea e manaʻo ai. Eia kāu kauka e kōkua iā ʻoe. ʻO DCIS kahi ʻano maʻi kanesa i loaʻa ka manawa kūpono loa e ho'ōla ʻia . Hiki i kāu kauka ke hana i kahi hoʻolālā lapaʻau pilikino e kūpono iā ʻoe.

ʻO ka mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, eia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo e pili ana i ka `DCIS` (Ductal Carcinoma in Situ) a mākou i kamaʻilio ai:

• He maʻi ʻaʻai pae mua loa (Stage 0) ka DCIS i kaupalena ʻia i nā ala waiū o ka umauma. ʻO ke ʻano kēia, ʻaʻole ia i laha ma waho o ka umauma.
• ʻO ka hapa nui o ka manawa, ʻaʻole ia e hōʻike i kekahi mau hōʻailona kikoʻī . ʻIke pinepine ʻia ma o ka mammogram .
• Ma muli o ka hiki i ka DCIS ke lilo i maʻi kanesa invasive, he mea nui e ʻike a mālama iā ia i ka wā mua .
• ʻO ka maʻamau, ʻo ke ʻoki ʻana (lumpectomy a mastectomy paha) ka lāʻau lapaʻau. Hiki ke hāʻawi ʻia ka radiation therapy a me ka hormone therapy.
• He maʻi hiki ke ho'ōla koke ʻia ʻo DCIS. No laila, mai makaʻu a e kū i ka lāʻau me ka wiwo ʻole.
• E hōʻoia e hana i nā nānā kino a me nā mammograms i nā manawa i hoʻonohonoho ʻia e like me ka ʻōlelo a kāu kauka .

ʻO ka mea nui loa, ʻaʻole ʻoe hoʻokahi. Aia pū kāu kauka, ʻohana, a me nā hoaaloha me ʻoe. E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e pili ana i kēia. ʻO ka mālama ʻana i kou olakino ke kōkua nui loa hiki iā ʻoe ke hana.

ʻO DCIS, Ductal Carcinoma in Situ, Kanesa ʻUma, Kanesa Ductal Waiū, Mammogram, Biopsy, Lumpectomy, Mastectomy, Ola Kino o ka ʻUma