He puʻupuʻu anei kēia ma kou umauma? E kamaʻilio kākou e pili ana i ka Phyllodes Tumor!

Ua ʻike anei ʻoe i kahi puʻupuʻu i loko o kou umauma a noʻonoʻo, "He aha kēia?"? He mea maʻamau ia. ʻAʻole weliweli nā puʻupuʻu a pau. Eia naʻe, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano puʻupuʻu umauma kakaʻikahi e pono e ʻike nā mea a pau. ʻO kēia ka mea a mākou e kapa nei he 'Phyllodes Tumor' a i ʻole ka puʻupuʻu Phyllodes.

He aha ka Phyllodes Tumor? E hoʻomaopopo pono kākou!

I ka ʻōlelo maʻalahi, he ʻano puʻupuʻu kakaikahi ka puʻupuʻu phyllodes e ulu ana i loko o ka ʻiʻo pili i loko o kou umauma. I kēia manawa ke noʻonoʻo nei paha ʻoe, "He aha kēia ʻiʻo pili?" Ke noʻonoʻo pinepine mākou i nā umauma, manaʻo mākou i ka ʻiʻo momona e hana ana i ka nui o nā umauma a i ʻole ka ʻiʻo glandular e hana ana i ka waiū, ʻeā? ʻO ka ʻiʻo pili he ʻiʻo fibrous e hoʻopaʻa ana i nā ʻano ʻiʻo ʻelua a hana ma ke ʻano he kākoʻo. Ua like ia me nā paia o ka hale, e kōkua ana i ka mālama ʻana i nā mea i kahi.

ʻO kēia kahi e hoʻokumu ʻia ai nā puʻupuʻu Phyllodes. Manaʻo lākou he paʻa, fibrous, a like me ka scar. Ke nānā ʻia ma lalo o kahi microscope, ua like lākou me kahi lau. Loaʻa ka inoa mai ka huaʻōlelo Helene "phyllon," ʻo ia hoʻi "lau." I kekahi manawa ua kapa ʻia lākou he cystosarcoma phyllodes. ʻO ka hapa nui o ka manawa, he benign kēia mau puʻupuʻu, a ʻaʻole cancerous. Eia nō naʻe, i nā hihia kakaikahi, hiki iā lākou ke lilo i malignant, a cancerous paha.

No laila, he maʻi kanesa anei ka maʻi phyllodes?

He pilikia kēia i loaʻa i nā kānaka he nui. ʻAʻole paha! Ma kahi o 75% o nā cysts phyllodes ʻaʻole ia he maʻi kanesa. ʻO ia hoʻi, ʻaʻole lākou he mea ʻino. Eia nō naʻe, ma kahi o 25% hiki ke lilo i maʻi kanesa. ʻO kēia mau cysts phyllodes kanesa he pakeneka liʻiliʻi loa ia o nā maʻi kanesa umauma āpau, ma kahi o 0.05%.

No kēia kekahi ʻano maʻi kanesa i kapa ʻia ʻo sarcoma. He maʻi kanesa ka Sarcoma e ulu ana i loko o nā ʻiʻo pili. He ʻokoʻa kēia mai nā ʻano maʻi kanesa o ka umauma a mākou e ʻike pinepine ai. No ka mea, ulu pinepine kēlā mau maʻi kanesa o ka umauma maʻamau i loko o nā ʻiʻo glandular e like me nā ducts waiū a me nā lobules.

ʻO kahi hiʻohiʻona kū hoʻokahi o nā puʻupuʻu phyllodes ʻaʻole lākou e laha maʻalahi ma o ka ʻōnaehana lymphatic. ʻO ke ʻano kēia, ʻaʻole lākou e laha koke i nā ʻāpana ʻē aʻe o ke kino e like me kekahi mau maʻi kanesa ʻē aʻe. Eia nō naʻe, ʻaʻole hiki iā lākou ke laha (metastasize) ma o ke kahe koko i nā ʻāpana ʻē aʻe o ke kino, e like me nā māmā a i ʻole nā ​​​​iwi. Akā he mea kakaikahi loa kēlā.

ʻO ka hapa pinepine, mālama ʻia kēia ma kahi o ka puʻupuʻu wale nō. I ka hapanui o nā hihia, hiki ke ho'ōla ʻia me kahi ʻoki maʻalahi i kapa ʻia he lumpectomy, kahi e wehe wale ai i ka puʻupuʻu. ʻAʻole pane maikaʻi nā puʻupuʻu Phyllodes i nā lāʻau lapaʻau o ke kino holoʻokoʻa, e like me ka chemotherapy, i hoʻohana ʻia no nā maʻi ʻaʻai umauma ʻē aʻe.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o nā cysts phyllodes?

ʻAʻole i emi iho ma mua o 1% o nā ʻōpū umauma āpau nā cysts Phyllodes. ʻO ke ʻano kēia he mea kakaikahi loa lākou. Loaʻa pinepine lākou i nā umauma o nā wahine. Eia naʻe, he mea kakaikahi loa, ua hōʻike ʻia e loaʻa lākou i nā kāne.

ʻOiai hiki ke ulu kēia mau puʻupuʻu i kēlā me kēia makahiki, ʻoi aku ka maʻamau o lākou i nā wahine waena, ma waena o 40 a me 50 mau makahiki. Ua ʻike ʻia hoʻi ʻo ka poʻe me kahi maʻi genetic i kapa ʻia ʻo Li-Fraumeni syndrome, ka mea e hoʻonui ai i ka pilikia o ka maʻi kanesa, ʻoi aku ka nui o ka loaʻa ʻana o kēia mau puʻupuʻu phyllodes.

He aha nā hōʻailona o ka puʻupuʻu phyllodes? Pehea ʻoe e ʻike ai?

E ʻike paha ʻoe i kahi puʻupuʻu paʻakikī, laumania, a wehewehe pono ʻia i loko o kou umauma. ʻOi aku ka nui o ka cyst phyllodes ma mua o 3 kenimika, a i kekahi manawa hiki ke nui loa. ʻO ka mea kupanaha, hiki i kēia mau cysts ke ulu wikiwiki i loko o kahi manawa pōkole, maʻamau i kekahi mau pule .

I ka ulu ʻana o ka puʻupuʻu, hiki i ka ʻili ma ia wahi ke lilo i ʻālohilohi, translucent, a ʻeha paha i ka wā e kīkoʻo ai ka puʻupuʻu. ʻOiai ʻaʻole ʻike ʻia ke kumu pololei, ua ʻōlelo ʻia he ʻoi aku ka maʻamau o kēia mau puʻupuʻu phyllodes ma ka umauma hema ma mua o ka ʻākau.

Mea nui: Inā ʻike ʻoe i kahi puʻupuʻu hou i loko o kou umauma, manaʻo ʻoe e ulu wikiwiki ana, a ʻike paha i kahi loli i kou ʻili, e ʻike pono i ke kauka.

Inā he maʻi kanesa (ʻino) kahi puʻupuʻu phyllodes, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe me kēia mau hōʻailona. Eia kekahi laʻana:

• Luhi
• Pōkole o ka hanu
• ʻEha iwi

ʻO nā hōʻailona e like me kēia ke ʻano ua laha paha ke kanesa i nā iwi a i ʻole nā ​​māmā. No laila pono ʻoe e makaʻala i kēia mau mea.

Pehea e ʻike ʻia ai nā maʻi Phyllodes?

Ke ʻike ʻoe i ke kauka, e hana mua paha ʻo ia i nā hoʻokolohua maʻamau no nā puʻupuʻu umauma, e like me ka ultrasound scan a me ka mammogram, e hōʻoia ʻaʻole kēia he mau ʻano puʻupuʻu ʻē aʻe.

Eia nō naʻe, no ka hoʻokaʻawale ʻana i kahi puʻupuʻu phyllodes mai kekahi ʻano puʻupuʻu umauma i kapa ʻia ʻo fibroadenoma, pono pinepine ʻia kahi biopsy. ʻO Fibroadenoma kahi puʻupuʻu maikaʻi ʻole e hana ʻia i loko o nā ʻiʻo pili. I kekahi manawa hiki ke paʻakikī ke hoʻokaʻawale i nā mea ʻelua mai nā scan wale nō.

ʻO ka biopsy ka wā e lawe ai kāu kauka i kahi hāpana liʻiliʻi o ka ʻiʻo mai kou umauma a hoʻouna iā ia i kahi keʻena hoʻokolohua e nānā iā ia ma lalo o kahi microscope. Hana pinepine ʻia kēia me ke kōkua o kahi mīkini ultrasound a me kahi nila hakahaka kūikawā. ʻAʻole ia he ʻeha loa.

I kekahi manawa, inā paʻakikī ke ʻike ʻana i ka hāpana ʻiʻo i lawe ʻia ma kēia ʻano, hiki i kāu kauka ke kuhikuhi i kahi "excision biopsy". ʻO ke ʻano kēia, ua wehe ʻia ka puʻupuʻu holoʻokoʻa a nānā ʻia. ʻO ka ʻoiaʻiʻo, ʻo kēia ka lāʻau lapaʻau a nā kauka e ʻōlelo ai inā loaʻa iā ʻoe kahi puʻupuʻu phyllodes. Hiki i kēia biopsy ke haʻi pololei iā ʻoe i ke ʻano o ka puʻupuʻu, inā he maʻi kanesa a ʻaʻole paha. Inā he maʻi kanesa, hiki ke hoʻohana ʻia e nānā inā ua pālahalaha i nā ʻāpana ʻē aʻe o ke kino.

He aha ka ʻokoʻa ma waena o ka Fibroadenoma a me ka Phyllodes Tumor?

He nīnau koʻikoʻi loa kēia. No ka mea, ʻo 'Fibroadenoma' ke ʻano maʻamau o ka puʻupuʻu maikaʻi ʻole i ʻike ʻia ma ka umauma. Hoʻokumu pū ʻia kēia mau mea i loko o nā ʻiʻo pili o ka umauma. No laila, i kekahi manawa he mea paʻakikī ke hoʻokaʻawale ma waena o nā mea ʻelua ma o nā hoʻokolohua lapaʻau, a me nā scan.

ʻAʻole ʻino nā Fibroadenomas. Eia nō naʻe, ʻaʻole hiki iā lākou ke loli pinepine i nā ʻano puʻupuʻu ʻē aʻe. Manaʻo kekahi mau kauka hiki i nā fibroadenomas ke lilo i mau puʻupuʻu phyllodes i kekahi manawa.

He mea nui loa i kāu kauka ke hoʻoholo inā he fibroadenoma a he puʻupuʻu phyllodes paha kāu puʻupuʻu. Ma muli o ke ʻano like ʻole o nā ʻano puʻupuʻu ʻelua, mālama like ʻole nā ​​​​kauka iā lākou. ʻO ka maʻamau, noho like ʻo Fibroadenomas a liʻiliʻi paha i ka hala ʻana o ka manawa. Eia nō naʻe, ʻoiai he maikaʻi ʻole nā ​​​​puʻupuʻu phyllodes, hiki ke ulu koke a hōʻeha. No laila, wehe pinepine ʻia lākou i ka wā mua e pale aku i nā pilikia e hiki mai ana.

Pono maoli anei e wehe ʻia nā cysts phyllodes?

ʻAe, ʻo ia ka mea a nā kauka e ʻōlelo nei. ʻOiai inā he ʻano maikaʻi ʻole ka puʻupuʻu, ʻoi aku ka maikaʻi o ka wehe ʻana. ʻO ka wehe ʻana i kahi puʻupuʻu phyllodes maikaʻi ʻole hiki ke pale iā ia mai ka nui ʻana, ka ʻeha ʻana, a i ʻole ka lilo ʻana i maʻi kanesa i ka wā e hiki mai ana. ʻOiai hiki i kēia mau puʻupuʻu ke ulu a loli koke, ʻoi aku ka maʻalahi iā ʻoe a me kāu kauka ke wehe iā lākou āpau i ka manawa hoʻokahi ma mua o ka pono e hana hou i nā biopsies.

Hoʻōla ʻia nā ʻōpū phyllodes maikaʻi a maikaʻi ʻole me ka lumpectomy. Pili kēia i ka wehe ʻana i ka ʻōpū me kahi liʻiliʻi o nā ʻiʻo olakino (kahi palena) a puni. Wehe ʻia kēia ʻiʻo olakino e pale i ka hoʻi hou ʻana mai o ka ʻōpū ma kahi like (kahi hoʻi hou ʻana), no ka mea hiki i nā ʻano ʻelua o nā ʻōpū ke hoʻi hou.

Inā he maʻi ʻino kou puʻupuʻu, hiki i kāu kauka ke ʻōlelo aku i ka radiation therapy i ka umauma ma hope o ke ʻoki ʻana e luku i nā hunaola kanesa i koe a pale i ke kanesa mai ka hoʻi hou ʻana mai.

Hiki ke ho'ōla ʻia nā ʻōpū phyllodes malignant?

ʻAe, hiki ke ho'ōla ʻia.Inā ua wehe loa ʻia ke kanesa, hiki i ke ʻoki kino ke hoʻōla iā ia. ʻOi aku ka maʻalahi o kēia hana inā ʻaʻole i laha ke kanesa ma mua o ka puʻupuʻu mua. Ke laha ke kanesa i nā ʻāpana ʻē aʻe o ke kino (ka kanesa metastatic), ʻoi aku ka paʻakikī o ka loaʻa ʻana a me ka wehe ʻana i nā hunaola kanesa āpau. Hoʻōla ʻia kekahi mau kanesa i laha me ka chemotherapy kino holoʻokoʻa. Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole maikaʻi loa kēia lāʻau no nā puʻupuʻu phyllodes.

ʻOiai inā paha ua nalowale loa ke kanesa, hiki ke hoʻi hou mai. Hiki i nā cysts phyllodes benign a me malignant ke ulu hou i nā makahiki ma hope o ko lākou wehe ʻia ʻana. Inā hana ʻia kēia, hiki ke ho'ōla pinepine ʻia ka puʻupuʻu hou ma ka wehe ʻana iā ia me kahi palena ākea o nā ʻiʻo olakino ma mua o ka mea ma mua. Eia nō naʻe, ma kahi o 30% o ka poʻe me nā cysts phyllodes cancerous i loko o ka umauma e make i ka maʻi. No laila, he mea nui e makaʻala i kēia a hahai i ka ʻōlelo aʻo a kāu kauka.

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

ʻAe, ua kamaʻilio nui mākou e pili ana i nā nati phyllodes. Eia nā mea nui loa hiki iā ʻoe ke lawe mai kēia moʻolelo:

• He ʻano puʻupuʻu umauma kakaʻikahi loa nā puʻupuʻu phyllodes. ʻOi aku ka kakaʻikahi o nā puʻupuʻu phyllodes maʻi kanesa.
• Inā ʻike ʻoe i kahi puʻupuʻu i loko o kou umauma, mai hopohopo a e ʻike i ke kauka. ʻOiai inā he puʻupuʻu phyllodes ia, ʻo ka wehe ʻana iā ia e hoʻoponopono pinepine i ka pilikia.
• E hoʻomau ke kauka i ka hāʻawi ʻana iā ʻoe i nā nānā maʻamau e ʻike ai inā ulu hou ka puʻupuʻu.
• Aia kekahi mea āu e pono ai e hana ma kāu ʻaoʻao: e nānā mau i kou mau umauma ('nā hoʻokolohua ponoʻī o ka umauma').
• ʻO ka wikiwiki o kou ʻike ʻana i nā puʻupuʻu, ʻoi aku ka maikaʻi o ka hopena.

Mai poina: ʻO ʻoe ka mea ʻike maikaʻi loa i kou kino. Inā ʻike ʻoe i kekahi mau loli a i ʻole kekahi mea ʻē, ʻaʻole loa e lohi ke kamaʻilio me ke kauka e pili ana i ia mea. ʻO ka noho olakino ka mea nui loa!

ʻO ka puʻupuʻu Phyllodes, nā cysts umauma, ka maʻi ʻaʻai umauma, nā cysts phyllodes, fibroadenoma, ʻoki umauma, nānā ponoʻī ʻana i ka umauma