Yu gɛt wan lump na yu nɛk? Lɛ wi lan bɔt wan kayn tayroyd kansa we denja? (Anaplastik Tayrɔyd Kansa - ATC)

Yu dɔn ɛva fil wan smɔl smɔl tin na yu nɛk bifo? Ɔ ɛnibɔdi we yu sabi dɔn ɛva fil am? Sɔntɛnde, yu kin ignore dɛn tin ya. Bɔt tide wi go tɔk bɔt wan kayn tayroyd kansa we siriɔs smɔl, bɔt we nɔ kin bɔku. Dɛn kɔl am `(Anaplastic Thyroid Cancer)` ɔ `(ATC)`. Dis kin tan lɛk se i kɔmplikt smɔl, bɔt lɛ wi kip am simpul, i fayn?

Wetin na Anaplastik Tayrɔyd Kansa (ATC)?

Fɔ tɔk am simpul wan, `(Anaplastic Thyroid Cancer)` ɔ `(ATC)` na wan kayn kansa we kin skata kwik kwik wan, we kin agresiv we kin apin na wi tayroyd gland. yu no se di `(tayroyd)` gland na sכm sכm bכtaflay we de na di fכs pat pan yu nεk, jכs כnda di skin. na wan rili imכtant pat pan wi bכdi in `(endocrine system)`, dat na di sistεm we de mek כmon dεm. di כmon dεm we dis `(tayroyd)` de mek de εp fכ kכntrכl bכku imכtant wok dεm na di bכdi.

dis `(ATC)` dεn kכl am bak `(undifferentiated thyroid cancer)`. di rizin fכ dis na dat dεn kεnsar sεl dεm ya nכ de luk εn bihayv lεk nכmal hεlty tayroyd sεl dεm. Dɛn difrɛn atɔl ɛn i dɔn at fɔ no. Bikɔs dis kansa kin tranga ɛn i kin kwik, di American Joint Committee on Cancer (AJCC) we kin disayd bɔt kansa kin ɔltɛm tek dis `(ATC)` as `(Stage IV)` kansa. Dis min se i kin rili go bifo we dɛn no se i gɛt am.

Udat kin gɛt dis ``(ATC)`` kansa pas ɔl?

Dɛn kin no bɔt Anaplastic Thyroid Cancer pan pipul dɛm wae dɔn pas 60. Dɛn dɔn si bak se uman dɛm kin gɛt dis kansa pas man dɛm.

Aw kɔmɔn tin dis kin apin?

Anaplastic Thyroid Cancer na rili wan kayn kansa we nɔ kin bɔku . I de mek lɛk 2% pan ɔl di tayroyd kansa dɛn. Jɔs imajin, ivin na kɔntri lɛk Amɛrika, na wan ɔ tu pipul dɛn nɔmɔ pan wan milyɔn pipul dɛn kin gɛt dis sik ɛvri ia. So, dis nɔto sik we de ambɔg bɔku pipul dɛn.

Aw fast `(ATC)` de gro?

Dis na di big prɔblɛm wit dis kansa. Anaplastic Thyroid Cancer na wan kayn kansa we de gro kwik kwik wan ɛn we de mek pɔsin vɛks . Sɔntɛnde, i kin gro kwik kwik wan insay sɔm wiks ɛn i kin go ɔda pat dɛn na di bɔdi.

Imajin, insay lεk 50% pan pipul dεm we gεt dis ``(ATC)``, bay di tεm we dεn no di sik, di kεnsar dεn dכn spre to fa fa pat dεm na di bכdi εn ``mεtastas`` . כltεm, di kεnsar kin spre dis we to כgan dεm lεk di ``(lכng)``, ``(bon)``, εn ``(bren).

Wetin na di sayn dɛm fɔ `(Anaplastic Thyroid Cancer)`?

Bɔku tɛm, di kɔndishɔn ``Anaplastic Thyroid Cancer`` kin apia fɔs.tכmכro כ lump we de fכm na di fכnt pat na di nεk, nia di tayroyd gland.

dis ``(ATC)`` tכmכro dεm de gro kwik kwik wan, so i izi fכ di sikman, in fambul, εn padi dεm kin si dεm. We yu tɔch dis tumbu, yu kin fil tranga smɔl ɛn yu kin fil pen .

as dis tכmכro de gro, i de bigin fכ prεs pan כda pat dεm na di nεk (lεk di briz paip, εsophagus). Sɔm kayn sik lɛk dis kin apin:

• I nɔ kin izi fɔ swɛla (dysphagia) .
• I nɔ izi fɔ blo (dyspnea) .
• Fɔ mek yu vɔys ala ɔ chenj yu vɔys
• Kɔf we de kɔntinyu fɔ kɔf
• Vokal kɔd paralayz

Pipul dɛm wae dɛn kansa dɔn spre (metastasized) to ɔda pat dɛm na dɛn bɔdi kin gɛt ɔda sayn dɛm wit dɛn sik ya. Fɔ ɛgzampul:

• Bɔn pen
• Swel na di joyn dεm (lumps) .
• Di bɔdi we wik
• Prɔblɛm dɛn na di nervɔs sistɛm (e.g., ed we de at, we yu de siz) .

Wetin kin mek yu gɛt Anaplastic Thyroid Cancer?

Fɔ tɔk tru, sayɛnsman dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt Anaplastic Thyroid Cancer (ATC). Bɔt sɔm tɛm, pipul dɛn we gɛt ɔda kayn tayroyd kansa (lɛk papillary ɔ fɔlikul tayroyd kansa) kin gɛt ATC as tɛm de go.

כlso, insay lεk 80% pan di sik pipul dεm we gεt ``ATC'', dis kεnsar de apin wit wan ``goiter'' (tayroyd gland we dεn big) we de fכ lכng tεm . I pɔsibul se ɔda kayn tayroyd kansa de we dɛn nɔ bin dɔn no bifo tɛm.

Aw dɛn kin no dis sik `(Anaplastic Thyroid Cancer)`?

Dɔktɔ dɛn kin du fayn nidul aspirashɔn (FNA) ɔ nidul bayɔpsi fɔ no if yu gɛt anaplastik tayroyd kansa (ATC). Dis min se yu fɔ tek wan rili smɔl tisu, we dɛn kɔl bayɔpsi, frɔm di smɔl smɔl tin we de na yu nɛk bay we yu yuz wan nidul we rili tan . Dɔn wan dɔktɔ we de mɛn di sik kin luk di tisu sɛmpul ɔnda maykroskɔp fɔ si if i gɛt kansa sɛl dɛn ɛn if na so i gɛt, us kayn tayroyd kansa i bi.

Sɔntɛnde, di dɔktɔ kin se bak fɔ du ``kɔr bayɔpsi'', we dɛn kin du wit nidul we big smɔl.

Wae dɛn dɔn kɔnfyus ATC, yu mɛdikal tim go ɔda bɔku ɔda tɛst dɛm fɔ asɛs yu ɔl wɛl bɔdi ɛn no if di kansa dɔn skata. Dɛn tin ya kin bi fɔ tɛst blɔd ɛn fɔ tek pikchɔ, lɛk:

• ``CT (kompyuta tomografi) skan''.
• ``Magnetik rεsכnans imej (MRI) skan''.
• ``F-fluorodeoxyglucose positron emission tomografi (FDG-PET) skan''.

Bikɔs ɔf di agresiv we dis kansa gɛt, dɛn kin tek ɔl pipul dɛn we gɛt Anaplastic Thyroid Cancer as Stej IV pasɛnt. Bɔt tri sɔbtayp dɛn de:

• Stej IVA : (ATC) na di tayroyd gland nכmכ de fכn am. Na lɛk 10% pan di sik pipul dɛm we dɛn dɔn no bɔt kin fɔdɔm insay dis kategori.
• Stej IVB : (ATC) lεk di tayroyd gland, di kansa dεn dכn spre to di nεk (bכku tεm to di limf no dεm) bכt i nכ spre to fa fa say dεm na di bכdi. Na lɛk 40% pan di sik pipul dɛn kin fɔdɔm insay dis kategori.
• Stej IVC : (ATC) apat frכm di tayroyd gland, di kεnsar dεn dכn spre to כda say dεm we de fa na di bכdi (e.g., bon dεm, lכng dεm, bren). Na lɛk 50% pan di sik pipul dɛn gɛt dis stej.

Aw dɛn kin trit Anaplastic Thyroid Cancer?

Fɔ tɔk tru, `(Anaplastic Thyroid Cancer - ATC)` na kansa we rili at fɔ trit . di rizin na dat i kin rili agresiv εn i kin spre kwik kwik wan, insay di nεk εn to di pat dεm we de fa na di bכdi (lεk di lכng dεm, di bon dεm, εn di bren).

So, i rili impɔtant fɔ bigin tritmɛnt kwik kwik wan ɛn fɔ fɛn tritmɛnt frɔm dɔktɔ dɛn we gɛt ɛkspiriɛns fɔ trit `(ATC)`.

We dɛn de trit ATC, wan tim we gɛt bɔku bɔku dɔktɔ dɛn kin wok togɛda. Dis tim kin gɛt dɛn spɛshal pipul ya:

• Ɛndokrinɔlɔjis dɛn
• Mɛdikal ɔnkɔlɔjis dɛn
• Di wan dɛn we de stɔdi bɔt rɛdyushɔn ɔnkɔlɔji
• Di dɔktɔ dɛn we de du ɔpreshɔn

Tritmɛnt fɔ `(ATC)` kin bi wan kɔmbaynshɔn pan dɛn tin ya:

• Ɔpreshɔn
• Redyushɔn tɛrapi
• Kimotɛrapi
• Palliative care (kia fɔ ridyus di simptom dɛm) .

Ɔpreshɔn fɔ `(ATC)`

If yu gɛt ATC, yu mɛdikal tim go mɔs tɛl yu fɔ du ɔpreshɔn fɔ pul di tumbu. Bɔt if yu gɛt ɔda prɔblɛm dɛn we gɛt fɔ du wit yu wɛlbɔdi biznɛs, dat kin mek yu du ɔpreshɔn pan yu prɔblɛm.

Di ɔspitul we dɛn kin yuz fɔ trit ATC na di ɔpreshɔn we dɛn kin du fɔ pul bɔku bɔku bɔdi . Dis min se yu fɔ pul bɔku pan di kansa tumbu as yu ebul, mɔ we yu de tray fɔ protɛkt yu larynx (di pat pan yu vɔys bɔks) we yu de pul ɛni pat we go bi trɛtin fɔ yu aywe.

Bɔt, i sɔri fɔ no se bɔku tɛm, dɛn nɔ kin ebul fɔ du ɔpreshɔn bikɔs di tumbu so big, usay i de, ɛn aw i dɔn skata.

Bɔt i impɔtant bak fɔ no dis: Ripɔt de bak bɔt sik pipul dɛn we dɔn liv fɔ sɔm ia afta dɛn dɔn gɛt wan agresiv kɔmbaynshɔn fɔ redyushɔn ɛn kemotɛrapi (ATC) pan ɔl we dɛn nɔ bin ebul fɔ du ɔpreshɔn.

Radieshɔn tɛrapi fɔ `(ATC)`

Radiation therapy na tritmɛnt wae de yuse pawaful enaji bim (radiation) fɔ kil kansa sɛl dɛm ɔr stɔp dɛm fɔ grow.

If yu gɛt ATC, yu mɛdikal tim go mɔs tɛl yu fɔ yuz wan spɛshal kayn redyushɔn we dɛn kɔl External Beam Radiation Therapy (EBRT). dis involv fכ tכk bכt εks-ray fכ tכk bכt di εria dεm we nid fכ trit (bכku tεm di tכmכro insεf כ di kεnsar we dεn spre to di bon dεm כ כda כgan dεm).

Kimotɛrapi fɔ `(ATC)`

Kimotɛrapi na wan kayn tritmɛnt fɔ kansa we de pwɛl di kansa sɛl dɛn ɛn mek dɛn nɔ bɔku.

If yu gɛt ATC, yu mɛdikal tim kin tɛl yu fɔ tek kimotɛrapi as ɔda tritmɛnt afta yu dɔn ɔpreshɔn ɔ fɔ kil ɛni kansa sɛl we lɛf. Kimotɛrapi, mɔ fɔ ATC, kin mek di raytin tɛrapi wok fayn. Dis min se i kin mek di kansa fil fayn to redyushɔn, ɔ mek redyushɔn tɛrapi wok fayn.

Nyu kemotɛrapi drɔgs we dɔn sho fayn fayn rizɔlt fɔ trit ɔda agresiv kansa dɛn de naw fɔ agresiv tayroyd kansa. Pan ɔl we dɛn mɛrɛsin ya nɔ kin ebul fɔ mɛn agresiv kansa we dɔn skata ɔlsay na di bɔdi, dɛn kin slo ɔ ivin kɔntrol di kansa fɔ gro te to sɔm mak.

Sɔm pan di kemotɛrapi mɛrɛsin dɛn we dɛn kin yuz fɔ tayroyd kansa na:

• Taksan dεm (e.g., paklitaksεl כ dכsεtaksεl) .
• Antrasayklin dεm (e.g. dכksorubisin) .
• Platinכm analכg dεm (e.g. cisplatin כ kaboplatin) .

Paliativ Keya fɔ (ATC) .

Palliative care na wan kayn mɛrɛsin wae de ridyus pen, sayn dɛm, ɛn pwɛl hat wae kin kam wit siriɔs sik.

If yu gɛt `(ATC)`, yu mɛdikal tim kin rɛkɔmɛnd dɛn palliativ kia tritmɛnt ya fɔ ɛp fɔ manej di `(ATC)` simptom dɛm ɛn di sayd ifɛkt dɛm we di tritmɛnt kin gɛt.

Palliative care for (ATC) kin inklud:

• Tracheostomy (fɔ put tiub tru di trot fɔ ɛp fɔ blo) .
• we yu put tכb insay di bεlε fכ it (gastrostomy tube כ G-tube) .
• Fɔ gi mɛrɛsin fɔ mek pɔsin fil pen

Dɔktɔ dɛn kin gi di kansa di sem tɛm we dɛn de trit di kansa. Palliative care nɔ min se di tritmɛnt fɔ kansa nɔ go wok fayn.

Yu tink se Anaplastic Thyroid Cancer kin wɛl ɔltogɛda?

Bɔt i sɔri fɔ no se, lɛk sɔm ɔda kayn tayroyd kansa, anaplastik tayroyd kansa nɔ kin ebul fɔ wɛl ɔl if dɛn du ɔpreshɔn. Ivin we dɛn pul di tayroyd, we de pul di wan ol tayroyd gland, nɔ de mek di wan dɛn we gɛt ATC liv lɔng.

Yu tink se dɛn kin ebul fɔ avɔyd Anaplastic Thyroid Cancer?

I sɔri fɔ no se bɔku tɛm, no we nɔ de fɔ mek dɛn nɔ gɛt Anaplastic Thyroid Cancer (ATC).

Bɔt if dɛn dɔn no se yu gɛt goiter ɔ nɔ gɛt kansa (benign) tayroyd nodul, i impɔtant fɔ mek dɔktɔ chɛk yu tayroyd wɛlbɔdi ɔltɛm. Sɔntɛnde, ATC kin kɔmɔt frɔm ɔda kayn tayroyd kansa ɔ frɔm di goiter.

If a gɛt `(Anaplastic Thyroid Cancer)`, wetin a fɔ ɛkspɛkt?

Lɛk ɔlman, ɛvri kes fɔ Anaplastic Thyroid Cancer (ATC) difrɛn. Ɛn na so bak di we aw pipul dɛn kin biev we dɛn gɛt tritmɛnt. We wi tink bɔt di kayn we aw ATC tan, i nɔ izi fɔ tɔk kɔrɛkt wan bɔt wetin go apin tumara bambay .

Bɔt sayɛnsman dɛn de fɛn nyu tritmɛnt ɛvride fɔ trit tayroyd kansa we dɔn go bifo, inklud (ATC). Pan ɔl we i nɔ kin izi fɔ trit yu, i impɔtant fɔ mek yu nɔ giv ɔp we yu fɔs no se yu gɛt di sik .

I impɔtant fɔ wok wit wan tim fɔ dɔktɔ dɛn we gɛt ɛkspiriɛns pan Anaplastic Thyroid Cancer. If yu nɔ ebul fɔ go na big ɔspitul wit dɔktɔ dɛn we gɛt ɛkspiriɛns pan ATC, aks yu lokal dɔktɔ dɛn fɔ wok wit spɛshal pipul dɛn na dɛn sɛnta dɛn de we gɛt ɛkspiriɛns fɔ mek yu tritmɛnt plan.

I impɔtant bak fɔ ɔndastand di prɔblɛm ɛn bɛnifit dɛn we difrɛn tritmɛnt dɛn kin gɛt. Yu nid fɔ tɔk fɔ yusɛf, ɛn gɛt sɔpɔt frɔm yu fambul ɛn padi dɛn.

Wetin na di rεt we de liv fכ `(Anaplastic Thyroid Cancer)`?

Di avrej tɛm fɔ liv fɔ Anaplastic Thyroid Cancer (ATC) na fayv to siks mɔnt afta dɛn dɔn no se i gɛt am. Les dan 20% pan di pipul dɛm wae gɛt ATC kin liv wan ia afta dɛn dɔn no se dɛn gɛt dis sik .

Pan ɔl we dɛn statystik ya kin mek wi fred smɔl, i impɔtant fɔ mɛmba se pipul dɛn de we dɔn liv fɔ sɔm ia afta dɛn dɔn gɛt tritmɛnt fɔ `(Anaplastic Thyroid Cancer)`.

Wetin na di prɔgnosis fɔ Anaplastic Thyroid Cancer?

Bikɔs ɔf di agresiv we aw anaplastik tayroyd kansa kin gɛt ɛn di nɔ kin gɛt fayn tritmɛnt opshɔn, bɔku tɛm di prɔgnosis fɔ di sik nɔ kin fayn .

כl di pipul dεm we gεt ATC kin day insay wan ia, i kin bi fכ di tכmכro we de ambɔg di aywe כ frכm di kכmplikεshכn dεm we di kεnsar de spre to di lכng dεm (pulmonary metastases).

Bɔt, di sik pipul dɛn we gɛt ``(ATC)`` we gɛt dɛn tin ya kin jɔs gɛt smɔl bɛtɛ lukin-grɔn:

• Bikɔs i nɔ rich 60 ia yet.
• di tכmכro de na wan say nכmכ na di tayroyd gland (yunilateral tכmכro).
• di sayz fכ di kεnsar tכmכro nכ rich 5 sεntimita (5 cm).
• Di kansa nɔ dɔn spre to di limf no dɛm ɔ say dɛm we de fa.

Aw a go tek kia ɔf misɛf if a gɛt Anaplastic Thyroid Cancer?

If yu gɛt anaplastic tayroyd kansa, di bɛst we fɔ tek kia ɔf yusɛf na fɔ ɔndastand yu prɔgnosis klia wan. Aks yu dɔktɔ wetin yu kin ɛkspɛkt bay di patikyula sik we yu gɛt.

Dis nɔto izi tɔk fɔ yu ɔ yu dɔktɔ, bɔt dɛn rili impɔtant. Yu dɔktɔ kin ɛp yu fɔ ɔndastand wetin de apin to yu bɔdi ɛn wetin kin apin tumara bambay. Dɛn kin ɛp yu bak fɔ tink bɔt di tin dɛn we yu go ebul fɔ du ɛn tɔk bɔt tin dɛn we go ɛp yu.

If a gɛt Anaplastic Thyroid Cancer, a fɔ tink bɔt aw fɔ kia fɔ mi na hospice?

Hospice care na kia wae de ɛp pipul dɛm wae gɛt siriɔs, layf wae de stɔp dɛn fɔ liv dɛn las de wit kɔmfɔt, rɛspɛkt, kɔntrol, ɛn kwaliti layf.

We pipul dɛn de fɛt wit siriɔs sik, bɔku tɛm dɛn kin yuz dɛn tɛm ɛn trɛnk fɔ kia fɔ dɛn. We dɛn de tink bɔt aw dɛn kin kia fɔ pipul dɛn we dɛn de mɛn pipul dɛn we dɛn dɔn mɛn na os, da maynd de kin kɔmɔt nia di sik ɛn go to aw dɛn want fɔ spɛn dɛn tɛm. Bɔrku pipul kin disayd fɔ go na hospice kia afta dɛn dɔn tɔk bɔt am wit dɛn dɔktɔ, famili, ɛn ɔda pipul dɛm wae dɛn lɛk. If yu de tink bɔt aw fɔ kia fɔ yu na hospice, aks yu dɔktɔ fɔ ɛp fɔ fɛn infɔmeshɔn ɛn tin dɛn fɔ ɛp yu.

If dɛn no se yu gɛt kansa, ilɛk us kayn kansa, dat kin mek yu sɔprayz. Wit di bad bad tin we de apin fɔ anaplastic tayroyd kansa, i kin mek pɔsin fred mɔ. Pan ɔl we fɔ trit anaplastic thyroid cancer (ATC) kin tranga, i impɔtant fɔ nɔr giv ɔp wae dɛn fɔs no se yu gɛt am. If yu de strɛs wit de tink bɔt wan sik wae kin kil yu, tɔk to yu wɛl bɔdi tim. Dɛn kin ɛp yu fɔ fɛn tin dɛn fɔ ɛp yu fɔ waka na yu rod.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt (Take-Home Message) .

Okay, so naw yu gɛt sɔm aidia bɔt di `(Anaplastic Thyroid Cancer - ATC)` we wi bin tɔk bɔt. Pan ɔl we dis na siriɔs tɔpik smɔl, i rili impɔtant fɔ no.

Di tin we impɔtant pas ɔl na dat if yu gɛt sɔm sayn dɛn lɛk nyu wan we de gro kwik kwik wan na yu nɛk, i nɔ izi fɔ swɛla, i nɔ izi fɔ blo, ɔ yu vɔys chenj, yu fɔ rili go to dɔktɔ.

• ATC na wan kayn tayroyd kansa we nɔ kin bɔku, bɔt we kin rili agresiv, we kin skata kwik kwik wan .
• Bɔku tɛm i kin afɛkt uman dɛn we dɔn pas 60 ia .
• Di sayn dɛm kin sho kwik kwik wan. Di men wan dɛn na wan lummp na di nɛk, pen, i nɔ kin izi fɔ swɛla, ɛn i nɔ kin izi fɔ blo .
• I nɔ izi fɔ mek dɛn trit am, bɔt dɛn kin du tritmɛnt bay we dɛn kin jɔyn difrɛn tritmɛnt dɛn (ɔpareshɔn, redyushɔn, kemotɛrapi, palliativ kia).
• I rili impɔtant fɔ no di sik kwik kwik wan ɛn go to tritmɛnt frɔm wan dɔktɔ we gɛt ɛkspiriɛns .
• Insai tranga situeshɔn lɛk dis , trɛnk na yu maynd ɛn di sɔpɔt we famili ɛn padi dɛn de gi wi rili impɔtant.

Wi op se dis infɔmeshɔn go ɛp yu. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, duya go to dɔktɔ. Stay wit wɛlbɔdi!

` Anaplastik tayroyd kansa, tayroyd kansa, nɛk tɔŋ, kansa simptom dɛm, kansa tritmɛnt, ATC, tayroyd gland