If yu gɛt mammogram ɛn yu dɔktɔ tɛl yu se, "Yu gɛt Stej 0 brɔst kansa, we dɛn kɔl DCIS," i nɔmal fɔ fil fɔ fred ɛn shɔk wantɛm wantɛm. Wi ɔl kin fred we wi yɛri di wɔd "kansa." Bɔt if yu ɔndastand gud gud wan wetin na DCIS, yu go no se dis fred nɔ nid fɔ de. Lɛ wi tɔk bɔt am ditayli, rili simpul wan.
Fɔ tɔk am simpul wan, wetin na DCIS (Ductal Carcinoma in Situ)?
Pan ɔl we dis nem kin tan lɛk se i kɔmplikt smɔl, di minin rili simpul. Mek wi brok am dɔŋ wɔd bay wɔd:
- Daktal: dis de tכk bכt di milk dakt dεm na yu brεst. di dakt dεm na di sכm sכm tכb dεm we lεk tכb we de kכri milk frכm di gland dεm we de prodyuz milk na di brεst to di nipl we yu de gi bεlε.
- Kansa: Dis na di mɛrɛsin nem fɔ kansa. I min se di sɛl dɛn nɔ de gro fayn.
- In Situ: Dis na di wɔd we impɔtant pas ɔl na ya. "In Situ" na Latin fɔ "in ples." dis min se dεn abnכmal kεnsar sεl dεm ya dכn כnli fכm insay di milk dakt. dεn nכ brok tru di wכl na di dakt εn spre to di brεst tisu we de rawnd.
Imajin wan wata paip. Wan layt de we gɛt rɔst insay di paip. Bɔt di rɔst nɔ go insay di paip in wɔl ɛn i nɔ kɔmɔt. DCIS na so i bi. di kansa sεl dεm (lεk rכst) de insay di milk dakt (wata paip), bכt dεn nכ spre yet na do.
Dis na di rizin we mek dɔktɔ dɛn kin kɔl DCIS "noninvasive" ɔ "pre-invasive" brɔst kansa. I nɔ de skata (metastasize) to ɔda pat dɛn na di bɔdi.
bכt di mכst imכtant, if dεn nכ trit DCIS, sכmtεm i kin divεlכp to invasive ductal carcinoma, we de brok tru di wכl fכ di milk dakt εn spre to di tisu dεm we de rawnd am. Na dat mek i rili impɔtant fɔ no ɛn trit am kwik.
Aw kכmכn dεn kכl dis kכndyushכn DCIS?
DCIS na rili wan kayn brɔst kansa we rili kɔmɔn. DCIS de mek 20% to 25% pan di nyu brɔst kansa we dɛn dɔn no. I kin bɔku pan uman dɛn. Man dɛn nɔ kin gɛt DCIS.
Dis biɛn tɛm, dɛn dɔn gɛt mɔ ripɔt bɔt DCIS kes dɛm. Bɔt masta sabi pipul dɛn se di rizin nɔto bikɔs DCIS dɔn bi mɔ kɔmɔn, bɔt na bikɔs tɛst lɛk mammogram naw kin no di sik fɔs.
Wetin na di sayn dɛm fɔ DCIS?
Mɔs tɛm na DCISNo sayn nɔ de we de sho se i gɛt dis sik . Dat min se yu nɔ go fil ɛni difrɛns. Dis na di impɔtant tin fɔ mek dɛn tek mammogram. Dɛn kin ɛp fɔ no dɛn kayn tin ya bifo di sayn dɛm sho.
Bɔt, nɔr kin bɔrku, sɔm pipul dɛn kin gɛt sɔm kayn sik lɛk dis:
- Fɔ fil wan lump na di brɔst
- Wan skin we de rɔsh
- Di wata we de kɔmɔt na di nipple (lɛk blɔd) .
Di tin dɛn we kin mek pɔsin gɛt DCIS ɛn di tin dɛn we kin mek i gɛt prɔblɛm
DCIS kin apin we di hεlty sεl dεm na di milk dakt dεm chenj (mכtεshכn) εn bigin fכ gro aut כf kכntrol. Bɔt masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek dɛn sɛl ya kin chenj dis we, ɔ wetin mek sɔm DCIS kes dɛn leta kin bi agresiv kansa.
Bɔt dɛn dɔn no bɔku tin dɛn we de mek di chans, ɔ risk, fɔ gɛt DCIS, bɔku.
| Risk Factor | Tɔk bɔt |
|---|---|
| Famili istri | Fɔ gɛt bɔdi kansa pan blɔd fambul dɛm (mama, sista, gyal pikin). |
| Pɔsin in yon istri | Fɔ dɔn gɛt brɔst kansa bifo ɔ abnɔmal sɛl growth (atypical hyperplasia). |
| Ej ɛn man ɔ uman | Fɔ bi uman ɛn we dɔn pas 30 ia. |
| Di tin dɛn we di ɔmon dɛn kin du | Puberty bifo di ej 12, menopause afta di ej 55. |
| We uman gɛt bɛlɛ | Nɔ ɛva gɛt bɛlɛ, fɔ bɔn yu fɔs pikin afta i ol 30 ia, ɔ nɔ fɔ gi yu pikin dɛn bɛlɛ. |
| Di tin dɛn we de mek pɔsin gɛt jɛnɛtiks | fכ gεt jεnεtik mכtεshכn ( BRCA 1 εn BRCA 2 ) we de inkrεs di risk fכ brεst kεnsar. |
| Ɔda tin dɛn we kin apin | Fɔ gɛt dense brɔst tisu, fɔ gɛt redyushɔn tɛrapi to di chɛst eria. |
Di impɔtant tin fɔ ɔndastand ya na dat fɔ gɛt wan ɔ mɔ pan dɛn risk factor ya nɔ min se yu go rili gɛt DCIS. Fɔ ɛgzampul, pipul dɛm wae nɔr gɛt bɔrku kansa na dɛn famili kin stil gɛt DCIS. Dɛn jɔs min se di chans fɔ du am bɛtɛ smɔl.
Aw dɛn kin no if pɔsin gɛt DCIS?
Mɔ pas 90% pan di DCIS kes dɛm we dɛn kin no pan mammogram . di mammogram dεm sho kכlכsta dεm fכ sכm sכm sכm sכm sכm kalsiכm dεm (maykrokalsifikεshכn) na di brεst. Dis na di men sayn fɔ DCIS.
If di mammogram sho ɛnitin we pɔsin kin sɔprayz pan, i go mɔs bi se di dɔktɔ go se dɛn fɔ tek bayɔpsi . Bayopsi min fɔ tek wan rili smɔl sampul pan di tisu we dɛn tink se de na di bɔdi ɛn chɛk am ɔnda maykroskɔp fɔ si if i gɛt kansa sɛl dɛn.
Gret ɛn Stej dɛn na DCIS
We dɛn dɔn no se DCIS gɛt am, di dɔktɔ dɛn kin disayd di gred ɛn stej we i gɛt.
- Stej: DCIS na Stej 0 brɔst kansa ɔltɛm . Dis na rili gud nyus bikɔs i min se di kansa nɔr dɔn skata.
- Gret: Dis de tɔk bɔt aw di kansa sɛl dɛn fiba ɔ difrɛn frɔm di sɛl dɛn we gɛt wɛlbɔdi ɛn aw dɛn de gro fast fast. Tri men gred dɛn de.
- Lɔw Gret: Di kansa sɛl dɛn kin tan lɛk wɛlbɔdi sɛl dɛn ɛn dɛn kin gro sloslo.
- Intamεdiεt Gret: di kεnsar sεl dεm difrεn sכmtεm frכm hεlty sεl dεm.
- Ay Gret: Kansa sel dεm difrεn kכmplit frכm hεlty sεl dεm εn dεn kin gεt di tεndens fכ gro kwik kwik wan.
Wetin na di tritmɛnt dɛm fɔ DCIS?
Pan ɔl we DCIS nɔto agresiv kansa, i impɔtant fɔ trit am fɔ mek i nɔ go bi agresiv kansa leta. Yu dɔktɔ go disayd di bɛst tritmɛnt fɔ yu bay tin dɛn lɛk yu ej, di gred we yu gɛt fɔ DCIS, ɛn wetin yu lɛk.
Tu men we dɛn de fɔ trit pɔsin:
| Di we aw dɛn de trit am | Fɔ tɔk am simpul wan... |
|---|---|
| 1. Lumpectomy / Breast-Conserving Surgery + Rɛdyeshɔn Tɛrapi | dis involv fכ כpεrayshכn nכmכ di εria fכ di tisu wit DCIS, wit sכm hεlty tisu we de rawnd am. Dis kin mek bɔku pan yu bɔdi nɔ pwɛl. Afta dɛn dɔn du di ɔpreshɔn, dɛn kin gi redyushɔn tɛrapi fɔ kil ɛni kansa sɛl we lɛf. |
| 2. Dɛn kin pul di mama | insay dis, dεn kin כpεrayshכn kכl di כl brεst we DCIS afekt. dis prosidur dεn kin rεkomεnd if di DCIS dכn spre to big εria na di brεst כ to sεvεra milk dakt dεm, כ if lumpectomy nכto opshכn. Bɔku tɛm, dɛn nɔ kin nid fɔ gɛt raytin tɛrapi afta dɛn dɔn pul di mama. |
If yu gɛt mastectomy, yu kin tɔk to yu dɔktɔ bɔt ɔpreshɔn fɔ mek yu bɔdi fayn bak.
Di tritmɛnt we dɛn kin gi afta dɛn du di ɔpreshɔn
Afta di ɔpreshɔn, yu dɔktɔ kin tɛl yu fɔ gi yu ɔmon tritmɛnt fɔ mek di DCIS nɔ kam bak. Dis involv fɔ yuz drɔgs lɛk Tamoxifen ɔ Aromatase Inhibitors . Dis tritmɛnt kin te fɔ lɛk fayv ia so.
Yu tink se dɛn kin mɛn DCIS ɔltogɛda?
Yɛs, fɔ tru! DCIS na wan sik we dɛn kin trit bad bad wan ɛn we dɛn kin mɛn ɔltogɛda . Di rit fɔ mɛn fɔ di wan dɛn we de gɛt tritmɛnt rili ay, klos to 100%.
Di risk fɔ mek DCIS kam bak afta tritmɛnt rili smɔl. Ilɛksɛf i kam bak, bɔku tɛm i nɔ kin mek pɔsin in layf de pan denja.
Wetin yu fɔ du?
Pan ɔl we no patikyula we nɔ de fɔ mek dɛn nɔ gɛt DCIS, if dɛn no am kwik, dat kin mek i wɛl ful wan.
- Gɛt mammogram ɔltɛm: I kin fayn fɔ mek yu du mammogram wan tɛm insay di ia afta yu dɔn ol 40. Bɔt tɔk to yu dɔktɔ bɔt aw ɔltɛm yu fɔ du dis, bay di tin dɛn we de mek yu gɛt dis sik.
- Fɔ fala yu dɔktɔ in instrɔkshɔn: Afta yu dɔn trit yu, go fɔ chɛk-ap lɛk aw yu dɔktɔ tɛl yu. Tipikli, dεn nid fכ chεk-ap εvri 6-12 mכnt fכ di fכs fayv ia εn εvri ia afta dat.
- Aks yu dɔktɔ kwɛstyɔn: We yu kam fɔ no se yu gɛt DCIS, tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Aks kwɛstyɔn dɛm lɛk, "Wetin na di bɛst tritmɛnt fɔ mi?", "Aw lɔŋ tritmɛnt go tek?", "A go ebul fɔ kɔntinyu fɔ wok insay dis tɛm?"
Na nɔmal tin fɔ fil fɔ fred ɛn wɔri we yu kam fɔ no se yu gɛt kansa. Bɔt mɛmba se DCIS na wan we fɔ gɛt bɔdi kansa we kin apin kwik kwik wan, we nɔ kin gɛt bad bad sik, ɛn we kin mɛn bad bad wan. If yu gɛt di rayt tritmɛnt ɛn fala yu, yu kin liv yu layf we gɛt wɛlbɔdi.
Mɛsej we dɛn kin kɛr go na os
- DCIS na di fכs stej (Stej 0) fכ brεst kεnsar. na ya, di kansa sεl dεm de כnli insay di milk dakt dεm εn dεn nכ spre to di tisu dεm we de rawnd.
- Dis na kansa we nɔ de ambɔg pɔsin, so i nɔ de skata to ɔda pat dɛn na di bɔdi.
- Bɔku tɛm DCIS nɔ kin gɛt ɛni sayn . Bɔku tɛm, dɛn kin no am bay we dɛn de tek mammogram.
- DCIS kin ɔlmost wɛl wit tritmɛnt, so nɔr nid fɔ frayd.
- If dɛn nɔ trit am, i kin izi fɔ mek i bi wan agresiv kansa, so i rili impɔtant fɔ go to tritmɛnt akɔdin to dɔktɔ advays .
- Fɔ chɛk-ap ɔltɛm na dɔktɔ ɛn fɔ tek mammogram na di bɛst we fɔ no di sik kwik kwik wan.
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