Yu dɔn ɛva yɛri bɔt sɔntin lɛk dis na yu bɔdi? (Ductal Carcinoma in Situ - DCIS) Lɛ wi tɔk bɔt dis!

Yu don eva yehri boht di nem `DCIS`? Sɔntɛm wan dɔktɔ bin tɔk bɔt am we yu bin de du yu brɔst ɛgzam `(Mammogram).` Dis na rili kansa we kin apin insay di milk dakt dɛn na di bɔdi, ɛn dɛn kin no am we yu rili ali. Nɔ wɔri, we yu no dis, dat go mek yu fil fayn.

Wetin na DCIS (Dɔktal Karsinoma in Situ)?

Fɔ tɔk am simpul wan, DCIS na kansa we de divɛlɔp na di milk dakt dɛn na yu bɔdi. dis dakt dεm na dεn wan dεm we de kכri milk frכm yu brεst to yu nipl dεm we yu de gi bεlε. Di wɔd "in situ" min "in ples." dis min se di kansa sεl dεm dכn gro kכmכt na di dakt dεm εn dεn nכ spre yet to כda pat dεm na di brεst.

Sɔntɛnde, dɔktɔ dɛn kin kɔl dis nɔ-invasive ɔ prɛ-invasive brɔst kansa. dis min se di kansa sεl dεm nכ gro pas di wכl dεm na di milk dakt dεm. DCIS nɔ kin skata (mɛtastas) to ɔda pat dɛn na di bɔdi, lɛk mɔ agresiv, invasiv kansa.

כltu, pan כl we DCIS nכ de spre ausayd di brεst, insay sכm kes dεm i kin divεlכp to invasive ductal carcinoma . Dat min se i kin skata na do na di brɔst. Na dat mek i rili impɔtant fɔ tɔk to dɔktɔ bɔt dis. Dɔn yu kin tɔk bɔt di tritmɛnt opshɔn dɛm wae kin ridyus dis risk.

Aw kɔmɔn tin na DCIS?

DCIS na rili di kayn brɔst kansa we kin bɔku pan uman dɛn. i de mek 20% to 25% pan di nyu bכdi kεnsar dεm we dεn dכn no. Man dɛm kin gɛt DCIS bak, bɔt i kin rili shɔt (lɛs dan 0.1% pan di wan dɛm we dɛn kin no bɔt kansa).

Naw, di nɔmba fɔ di wan dɛn we dɛn dɔn ripɔt bɔt DCIS dɔn go ɔp smɔl. Bɔt masta sabi bukman dɛn se dis nɔto bikɔs di nɔmba fɔ di wan dɛn we gɛt DCIS dɔn bɔku, bɔt na bikɔs dɛn de no mɔ pipul dɛn ɛn trit dɛn . Dat min se, tɛst lɛk mammogram dɔn mek am pɔsibul fɔ no di sik bifo tɛm.

Wetin na di sayn dɛm fɔ DCIS?

Bɔrku tɛm, DCIS nɔr kin sho ɛni patikyula sayn . Sɔntɛm yu nɔ go ivin notis ɛnitin. Bɔt, na smɔl pipul dɛn nɔmɔ kin notis tin dɛn lɛk dis:

• Fɔ fil lɛk se na lump na di bɔdi.
• I de it na di bɔdi in skin.
• wan dischaj (e.g., bכdi) we de kכmכt frכm di nipl.

If yu si sɔntin lɛk dis, yu fɔ go to dɔktɔ we yu nɔ de te, nɔto so?

Wetin kin mek pɔsin gɛt DCIS?

DCIS de divεlכp we di hεlty sεl dεm na yu milk dakt dεm de mכt., we min se dɛn nature dɔn chenj ɛn dɛn de gro kwik kwik wan ɛn dɛn nɔ ebul fɔ kɔntrol dɛn. Jɔs lɛk aw smɔl plant de gro we i nɔ ebul fɔ kɔntrol am lɛk gras. Bɔt masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek dɛn sɛl ya kin chenj wantɛm wantɛm, ɔ wetin mek sɔm pipul dɛn DCIS kin bi agresiv kansa we ɔda wan dɛn nɔ kin chenj.

Wetin na di risk factor dɛm fɔ divɛlɔp DCIS?

Sɔm tin dɛn de wae kin mek yu gɛt mɔr risk, ɔr kin mek yu gɛt DCIS. Lɛ wi tek wan luk pan wetin dɛn bi:

• If yu fambul dɛm na yu blɔd (mama, sista, gyal pikin) dɔn gɛt bɔdi kansa.
• If yu bin dɔn gɛt kansa na yu bɔdi , ɔ if yu gɛt wan sik we di sɛl dɛn na di bɔdi nɔ de gro fayn, lɛk atypical hyperplasia .
• Yu na uman (dis na tin we kin apin mɔ pan uman dɛn).
• Bikɔs i dɔn pas 30 ia . Dis risk kin go ɔp smɔl wit di ej.
• If yu bigin fɔ gɛt mɔnt bifo yu ol 12 ia .
• If yu bɔn yu fɔs pikin afta yu ol 30 ia .
• if yu brεst tisu tu dense, yu kin gεt ``dens brεst tisu'' . Dis kin jɔs no bay we dɛn tek mammogram.
• if yu gεt sכ m jin mכtεshכn dεm (e.g., BRCA1 εn BRCA2 jin dεm) we de inkrεs yu risk fכ kεnsar.
• If yu bin dɔn gɛt redyushɔn tɛrapi to yu brɔst ɔ yu chɛst (fɔ ɔda kɔndishɔn).
• If yu nɔ ɛva gɛt bɛlɛ ɔ gi pikin in bɛlɛ.
• If di mɛnɔpauz dɔn bigin afta i dɔn ol 55 ia .

Bɔt fɔ gɛt wan ɔ mɔ pan dɛn risk factor ya nɔ min se yu go gɛt DCIS, nɔto so? Fɔ ɛgzampul, fɔ gɛt famili histri fɔ brɔst kansa na wan risk factor fɔ DCIS, bɔt bɔku pipul dɛn we gɛt DCIS nɔ gɛt famili histri fɔ brɔst kansa. Risk factor dεm de כ nli inkrεs di chans fכ divεlכp wan kכndyushכn. So i impɔtant fɔ no bɔt dɛn.

Wetin na di prɔblɛm dɛn we kin kam wit DCIS?

Di impɔtant tin na dat if yu nɔ trit DCIS, i kin tɔn to invasive ductal carcinoma . dis min se di kansa kin gro kכmכt na di milk dakt dεm εn spre to כda tisu dεm na di brεst. So, if dɛn no se yu gɛt DCIS, i rili impɔtant fɔ gɛt tritmɛnt kwik kwik wan.

Apat frɔm dat, afta dɛn dɔn trit yu fɔ DCIS, yu de pan denja fɔ gɛt ɔda wɛlbɔdi prɔblɛm dɛn as yu de ol. Fɔ ɛgzampul:

• Ɔstioporosis (we di bon dɛn kin tan lɛk tin) .
• Di ay blɔd prɛshɔn
• At sik

Fɔ mek yu nɔ gɛt bɔku prɔblɛm dɛn ya, i go fayn fɔ aks yu dɔktɔ aw ɔltɛm yu fɔ go fɔ mek dɛn chɛk yu ɛn fɔ mek dɛn fala yu.

Aw dɛn kin no if pɔsin gɛt DCIS?

Dɔktɔ dɛn kin no mɔ pas 90% pan di DCIS kes dɛm tru mammogram . Dat min se, dɛn fɔ tek ɛkstrem rayt fɔ yu bɔdi. If yu mammogram rizulyt sho ɛnitin we yu de sɔprayz, lɛk smɔl smɔl kalsiɔm dipɔsit (maykrokalsifikeshɔn), dɛn go du bayɔpsi fɔ kɔnfɔm.

• Mamogram: Apat frɔm di ɛgzam fɔ yu bɔdi ɔltɛm (screening mammogram), yu dɔktɔ kin ɔda fɔ mek dɛn du spɛshal mammogram (diagnostic mammogram). dis kin tek mכr ditayl pikchכ dεm fכ yu brεst tisu frכm difrεn angul dεm. Dis kin tek smɔl tɛm pas aw dɛn kin tek mammogram ɔltɛm.
• Breast Biopsy: Dɔktɔ dɛn kin du dis tɛst fɔ mek shɔ se nɔ kansa sɛl dɛn de na yu brɔst. Insay dis tɛst, dɛn kin tek wan smɔl pat pan di tisu ɛn chɛk am ɔnda maykroskɔp.

Gret dɛn de fɔ DCIS?

Yɛs, dɔktɔ dɛn kin put DCIS insay tri gred dɛn. Dɛn kin no dɛn gred ya bay aw di kansa sɛl dɛn nɔ kin luk ɔnda maykroskɔp ɛn aw dɛn kin gro fast fast.

• lכw grεd (slow-growing): di kεnsar sεl dεm de luk bכku lεk hεlty brεst sεl dεm. Dɛn kin gro smɔl smɔl.
• intamεdiεt gred (we de gro fast fast): di abnכmal sεl dεm de luk sכmtεm lεk hεlty brεst sεl dεm, bכt dεn difrεn sכmtεm frכm lכw grεd.
• ay gred (we de gro kwik kwik wan εn we i nכ de kכntro): di kεnsar sεl dεm de luk kכmplit difrεnt frכm di hεlty brεst sεl dεm. Dɛn wan ya na di wan dɛn we de gro fast fast ɛn we kin bi wan agresiv kansa.

Wetin na di stej dɛm fɔ DCIS?

DCIS na stej 0 brɔst kansa. Bɔku pan am, dɛn kin trit am ɛn dɛn kin mɛn am. Dɔktɔ dɛn kin klas kansa frɔm stej 0 to IV (4). Stej 0 min se di kansa de na di sem ples usay i bigin ɛn i nɔ dɔn skata. pan ɔl we DCIS kin bi stej 0 ɔltɛm, di tכmכro kin bi eni saiz εn i kin involv mכltipכl milk dakt dεm insay di brεst.

Wetin na di tritmɛnt dɛm fɔ DCIS?

Pan ɔl we DCIS nɔto siriɔs kansa, i impɔtant fɔ gɛt tritmɛnt . Ɔ mek dɔktɔ de wach yu sik ɔltɛm. Dis na bikɔs sɔm kayn DCIS, mɔ di wan dɛn we gɛt ay gred, kin bi invasive if dɛn nɔ trit dɛn. Dis min se di kansa kin spre pas yu milk dakt dεm εn insay di brεst tisu dεm we de rawnd yu.

Di tritmɛnt dɛm wae dɛn kin yuse fɔ DCIS na:

• Breast-Conserving Surgery (BCS) ɔ Lumpectomy: Dis kin min fɔ pul di eria nɔmɔ we di kansa sɛl dɛn de, wit smɔl smɔl bɔdi we gɛt wɛlbɔdi we de rawnd di kansa. dis de pul sכm sכm hεlty tisu (margin) fכ mek sכh se nכ abnכmal sεl dεm de lεf. Yu dɔktɔ go lɛf bɔku pan yu bɔdi intakt.
• Radiation therapy: Dɛn kin gi dis tritmɛnt afta dɛn dɔn du BCS ɔpreshɔn. Dɛn kin yuz am fɔ kil ɛni kansa sɛl we lɛf ɛn ridyus di risk fɔ mek di kansa kam bak. Sɔm pipul dɛn nid dis tritmɛnt fɔ sɔm dez, ɔda wan dɛn fɔ sɔm wiks. Yu dɔktɔ go tɔk to yu bɔt yu wan wan tritmɛnt plan.
• Mastectomy: Dis kin min se dɛn kin pul di wan ol bɔdi we gɛt di sik, ɔ sɔm tɛm dɛn kin pul ɔl tu di bɔdi (double mastectomy). If yu nɔ fit fɔ gɛt BCS (fɔ ɛgzampul, if DCIS dɔn skata to di wan ol bɔdi, di tumbu rili big, ɔ yu nɔ want fɔ gɛt raytin tɛrapi), yu kin nid fɔ mek dɛn pul yu mama.

If dɛn dɔn pul yu mama, yu kin tink bɔt fɔ mek yu bɔdi bak . Dis na ɔpreshɔn fɔ shep yu bɔdi bak. Dis kin bi di sem tɛm we yu dɔn pul yu mama ɔ afta yu dɔn pul yu mama. If yu gɛt BCS, bɔku tɛm i nɔ kin nid fɔ mek yu bɔdi bak. Tɔk to yu dɔktɔ bɔt aw yu want yu bɔdi fɔ luk afta tritmɛnt.

Wetin kin apin afta dɛn dɔn du DCIS ɔpreshɔn?

Afta di ɔpreshɔn, yu dɔktɔ kin gi yu mɛrɛsin fɔ mek DCIS nɔ kam bak, mɔ if yu DCIS na ɔmon-sɛnsitiv (ER-positiv). Di mɛrɛsin dɛn we dɛn kin yuz mɔ na:

• Tamoxifen (Tamoxifen - Nolvadex®) we de na di bɔdi.
• Aromatase inhibito dεm ( fכ egzampl anastrozol, lεtrozol) .

Dɛn kɔl dis tritmɛnt ɔmon tɛrapi . Dɛn mɛrɛsin ya kin wok bay we dɛn kin stɔp di ɔmon we dɛn kɔl ɛstrojen fɔ ɛp di kansa sɛl dɛn fɔ gro. Di ɔl tritmɛnt tɛm kin tek lɛk fayv ia so.

Yu tink se dɛn kin ebul fɔ stɔp DCIS?

Bɔku tin dɛn we kin mek pɔsin gɛt DCIS (e.g., famili istri, jenɛtiks) nɔto rili sɔntin we wi kin kɔntrol ɔ avɔyd. Bɔt if dɛn no am kwik , i go mɔs bi se dɛn go mɛn DCIS. Na dat mek mammogram rili impɔtant.

• Bɔku uman dɛn fɔ bigin fɔ tek mammogram ɛvri ia (ɔ ɛvri tu ia, i go dipen pan dɛn dɔktɔ in advays) afta dɛn dɔn rich 40 ia .
• If yu gɛt bɔku risk fɔ gɛt bɔdi kansa (fɔ ɛgzampul, if pɔsin na yu famili gɛt am), yu dɔktɔ kin tɛl yu fɔ bigin fɔ chɛk yu bɔdi ivin bifo tɛm.

I bεst fɔ tɔk to yu dɔktɔ bɔt aw ɔltɛm yu fɔ gɛt mammogram bay di tin dɛm wae de mek yu gɛt dis sik.

Wetin na di layf we pɔsin kin liv wit DCIS?

Dis na di bɛst nyus! Di sɔvayv rεt fɔ pipul dɛm wae gɛt DCIS rili ay . Di American Cancer Society se, na lɛk ɔlman we gɛt DCIS (ɛn we gɛt tritmɛnt) kin wɛl . Dat min se di 10 ia sכvayv rεt de arawnd 98-99%.

Di rizulyt afta tritmɛnt kin ɔltɛm rili fayn. DCIS nɔ kin rili kam bak. Ivin if i du am (na di sem brɔst ɔ di ɔda bɔdi, sɔntɛm as agresiv kansa), bɔku tɛm dɛn kin trit am ɛn mɛn am. So, DCIS nɔ de mek pɔsin in layf de pan denja, if dɛn trit am fayn.

Aw a fɔ kia fɔ misɛf?

Wit DCIS, yu go nid fɔ kɔntinyu fɔ de ɔnda di sɔpɔtishɔn fɔ dɔktɔ afta tritmɛnt.

• Bɔku tɛm, yu go nid fɔ go to dɔktɔ fɔ chɛk yu bɔdi ɛvri 6 to 12 mɔnt , fɔ at le fayv ia, ɛn afta dat wan tɛm insay di ia.
• Dɔn bak, i go mɔs bi se yu go nid fɔ du mamogram ɛvri ia.
• If yu de tek ɔmon tɛrapi, yu fɔ tek am jɔs lɛk aw yu dɔktɔ tɛl yu.

Bɔt, di tin dɛn we de apin to ɔlman difrɛn. Wok wit yu dɔktɔ fɔ no yu plan fɔ kia fɔ yu afta yu dɔn trit yu. I impɔtant fɔ tek tɛm fala wetin yu dɔktɔ tɛl yu fɔ du.

Ustɛm a fɔ go to dɔktɔ?

Nɔ mis yu chɛk-ap ɛn mammogram lɛk aw yu dɔktɔ tɛl yu. Insay da tɛm de, tek kia ɔf yu bɔdi.

• If yu notis nyu lump na yu brɔst.
• If yu notis chenj dεm na di skin na yu brεst (dεn rεd, dimpling, wrinkling, כ wan כrεnj pil apin).
• If yu notis chenj na yu nipple (indentation, redness, skin flaking, dischaj).
• If yu gɛt pen we nɔ de dɔn na yu bɔdi ɔ yu armpit.

If yu notis ɛni chenj we kin bi sayn fɔ brɔst kansa , nɔ panik ɔ delay, bɔt go to dɔktɔ wantɛm wantɛm.

Us kwɛstyɔn dɛn yu fɔ aks yu dɔktɔ?

We yu kam fɔ no se yu gɛt DCIS, na nɔmal tin fɔ gɛt bɔku kwɛstyɔn. Aks yu dɔktɔ bɔt dɛn ɔl. Na sɔm ɛgzampul dɛn ya:

• Us gred fɔ DCIS a gɛt?
• Us kayn tritmɛnt a nid? Ɔpreshɔn? Redyushɔn tɛrapi? Ɔmon tɛrapi?
• Wetin na di bad tin dɛn we dɛn tritmɛnt ya kin du?
• Aw lɔng tritmɛnt kin tek?
• A go ebul fɔ wok we a de gɛt tritmɛnt?
• Wetin na di chans fɔ mek DCIS kam bak?
• Aw ɔltɛm a go gɛt fɔ kam fɔ fala-ɔp?
• Aw ɔltɛm a go nid fɔ tek mammogram?
• Mi famili de pan denja? Wetin dɛn fɔ du?

Fɔ no se yu gɛt kansa na tin we kin chenj yu layf. Na nɔmal tin fɔ fil fɔ fred ɛn wɔri bikɔs yu nɔ no wetin fɔ ɛkspɛkt. Yu dɔktɔ de ya fɔ ɛp yu. DCIS na wan kayn kansa wae gɛt bɔrku chans fɔ wɛl . Yu dɔktɔ kin mek yu yon tritmɛnt plan we go fayn fɔ yu.

Di tin we impɔtant pas ɔl fɔ mek yu mɛmba (Take-Home Message) .

Okay, so na sɔm tin dɛm we yu nid fɔ mɛmba bɔt di `DCIS` (Ductal Carcinoma in Situ) we wi bin tɔk bɔt:

• DCIS na wan kεnsar we rili εli stej (Stej 0) we de kכnfyus na di milk dakt dεm na di brεst. Dis min se i nɔ skata yet na do na di bɔdi.
• Bɔrku tɛm, e nɔr kin sho ɛni patikyula sayn . Bɔku tɛm, dɛn kin no am bay we dɛn tek wan mammogram .
• Bikɔs DCIS gɛt di pawa fɔ bi kansa we de kam insay pɔsin in bɔdi, i impɔtant fɔ no ɛn trit am kwik .
• Di tritmɛnt na ɔpreshɔn (lumpectomy ɔ mastectomy) . Dɛn kin gi dɛn bak redyushɔn tɛrapi ɛn ɔmon tɛrapi.
• DCIS na wan sik we dɛn kin mɛn bad bad wan . So nɔ fred ɛn fes di tritmɛnt wit kɔrej.
• Mek shɔ se yu chɛk-ap ɛn tek mammogram di tɛm we yu dɔn plan fɔ du lɛk aw yu dɔktɔ advays yu .

Di tin we impɔtant pas ɔl na dat, nɔto yu wangren de. Yu dɔktɔ, yu fambul, ɛn yu padi dɛn ɔl de wit yu. Tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt dis. Fɔ kia fɔ yu wɛlbɔdi na di big ɛp we yu go ebul fɔ du.

` DCIS, Daktal Karsinoma in Situ, Brest Kansa, Milk Daktal Kansa, Mammogram, Bayopsi, Lumpectomy, Mastectomy, Breast Health