Lɛ wi lan bɔt di kayn brɔst kansa we bɔku pipul dɛn kin gɛt: Invasive Ductal Carcinoma (IDC)?

Yu no se brɔst kansa kin bɔku pan uman dɛn? Pan dɛn wan ya, wan kayn de we bɔku pipul dɛn kin gɛt, we kin afɛkt lɛk et pan tɛn uman dɛn we gɛt bɔdi kansa. Na dat wi go tok abaut tide. Dɔktɔ dɛn kin kɔl dis invasive ductal carcinoma, ɔ IDC fɔ shɔt tɛm. Dis na di kayn brɔst kansa we kin apin pas ɔl we nɔ kin jɔs apin to uman dɛn, bɔt pan man dɛn bak. Bɔt tide wi go tɔk mɔ bɔt aw dis sik kin afɛkt uman dɛn.

So wetin na invasive ductal carcinoma (IDC)?

Fɔ tɔk am simpul wan, dis kayn kansa we dɛn kɔl IDC kin bigin na di sɛl dɛn we de insay di milk dakt dɛn na yu bɔdi. I tan lɛk se smɔl plant de gro. Di wɔd "invasive" min "agresiv." dat min se dεn kεnsar sεl dεm ya nכ de jכs de insay di milk dכkt dεm, bכt dεn de bigin fכ spre kכmכt na dεm εn go insay di brεst tisu we de rawnd. Tink bɔt am lɛk smɔl smɔl rut dɛn we de go rawnd. Frɔm de, dɛn kin skata mɔ , go na di blɔd ɔ di limf sistɛm , ɛn ivin go na di say dɛn we de fa fawe na di bɔdi.

Sɔntɛnde dɔktɔ dɛn kin kɔl am ``Ductal Carcinoma'' ɔ ``Infiltrating Ductal Carcinoma''. Ilɛk wetin na di nem, di kɔndishɔn na di sem. Di bɛst pat na dat, if dɛn fɛn dis kansa bifo i go na ɔda pat dɛn na di bɔdi, bɔku tɛm i kin wɛl kpatakpata . Na dat mek wi kin tɔk ɔltɛm bɔt ɛgzam fɔ di bɔdi.

Yu tink se kayn IDC dɛn de?

Yes, difrɛn kayn IDC dɛn de. dεn kin kכl dεn tin ya akɔdin to di כmon rεsεpכ ta stetכs fכ di kεnsar sεl dεm. di rεsεpכta dεm na protin mכlekyul dεm we de insay כ pan di sεl dεm. Dɛn tin ya kin kech sɔm tin dɛn na di blɔd, lɛk ɔmon dɛn lɛk ɛstrojen ɛn prɔjɛstɛron . Dɛn ɔmon ya kin ɛp sɔm kansa sɛl dɛn fɔ gro. So, we dɔktɔ dɛn no if kansa gɛt dɛn ɔmon riseptɔ ya ɔ nɔ gɛt dɛn, dɛn kin disayd us tritmɛnt we go wok fayn pas ɔl.

Di men kayn IDC dɛn we dɛn si na:

• tripl-nεgεtiv brεst kεnsar : Dis kayn nכ gεt εstrojen כ projεstεron rεsεpכta dεm, εn i nכ gεt di protin HER2.
• HER2-positiv (HER2+) brεst kεnsar : dεn kεnsar sεl dεm ya de mek tu mכch wan protin we dεn kכl HER2.
• ER-positiv (ER+) brεst kεnsar : Dɛn wan ya kin sεnsitiv to di כmon εstrojen.
• PR-positiv (PR+) brεst kεnsar : Dis dεm kin sεnsitiv to di כmon we dεn kכl prכjεstεron.

Wetin na di sayn dɛm fɔ IDC? Aw wi kin no dɛn?

Bɔku tɛm, bifo yu gɛt ɛni sayn, .IDC kin bi bay we dɛn tek mammogram di rayt tɛm. Na dat mek dɛn tɛst ya impɔtant. Bɔt sɔntɛnde, sɔm kayn sayn dɛn kin sho. If dat apin, na fɔ no bɔt dɛn tin ya:

• Wan chenj na di sayz, shep, ɔ kɔnto na di bɔdi .
• Fɔ fil se yu gɛt bɔku bɔku wata ɔ yu de gro na yu bɔdi ɔ yu an . Dis kin smɔl lɛk pis. Dis lump nɔ kin de ɔlsay na yu mɔnt we yu de gɛt mɔnt.
• di chenj we di bכdi כ di nipl in skin de luk כ di tεkschur. Di skin kin tan lɛk se i dɔn sink, i kin rɔtin, i kin gɛt pit, ɔ i kin rɛd ɛn i kin swel.
• Fɔ fil wan say we at ɔnda di skin, lɛk mabul .
• Blɔd ɔ klia wata we de kɔmɔt na di nipple .

If yu si sɔntin lɛk dis, di bɛst tin fɔ du na fɔ nɔ panik ɛn go to dɔktɔ .

Wetin mek dis IDC kin apin? Wetin na di tin dɛn we kin mek i apin?

Masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek dis apin. Bɔt dɛn biliv se sɔm abit ɛn ɛkspiriɛns kin mek di risk fɔ gɛt IDC bɔku. Lɛ wi tek wan luk pan wetin dɛn bi:

• Fɔ smok.
• Yuz rɔm.
• Fat.
• Bikɔs dɛn bin dɔn gɛt redyushɔn tɛrapi to di eria na di chɛst .
• di biginin fכ di mεnstral saykl bifo כ leta pas aw i nכmal.
• Fɔ bɔn pikin dɛn let.

apat frכm dat, sכ m jεnεtik mכtεshכn dεm we dεn kin gεt kin bכku di risk fכ divεlכp IDC. Dat min se sɔm abnɔmal jin dɛn we yu gɛt frɔm yu mama ɛn papa.

Dis sik kin mek ɔda prɔblɛm dɛn kam?

Yes, IDC kansa kin spre (metastasize) to ɔda pat dɛn na di bɔdi . I kin pas mɔ to ɔgan dɛn lɛk di liva , di lɔng , di bon dɛn, ɛn di bren . Na dat mek i impɔtant fɔ no am kwik kwik wan ɛn fɔ trit am.

Aw dɔktɔ dɛn kin no if yu gɛt IDC?

Fɔs, dɔktɔ go chɛk yu bɔdi . Dɛn go chɛk fɔ si if lumps na yu bɔdi ɛn limf no dɛm we dɔn swel na yu armpit. Dɔn, dɛn kin ɔda fɔ mek dɛn du sɔm ɔda tɛst dɛn. Fɔ ɛgzampul:

• Brest MRI tɛst fɔ di bɔdi.
• Breast ultrasound egzamin.
• Bayɔpsi fɔ di bɔdi. Dis min se dɛn kin tek wan smɔl pat pan di tisu frɔm wan say we dɛn kin tink se dɛn de tink ɛn chɛk am ɔnda maykroskɔp. Dɛn kin yuz dis fɔ no if i gɛt kansa ɔ nɔto so.

Bays pan di rizulyt fɔ dɛn tɛst ya, wan dɔktɔ we de mɛn kansaƐn in tim go mek di tritmɛnt plan we go fayn fɔ yu. Dɛn go no di stej ɛn di gred we di kansa gɛt .

Wetin na di "Stages" dɛm fɔ IDC?

di stej we di kansa de, na tin dεm lεk usay di tכmכro de εn di sayz. Fayv men stej dɛn de fɔ IDC:

• Stej 0: Di kansa de insay di milk dakt dɛm. dis dεn kכl dis bak noninvasive ductal carcinoma in situ . Dis min se i nɔ dɔn bi invasive yet.
• Stej I (1): di kansa dכn spre pas di milk dakt dεm insay di brεst tisu, bכt i nכ spre to di limf no dεm. sכmtεm, di kansa kin de na di limf no dεm bכt nכto na di brεst tisu we de rawnd am.
• Stej II (2): Yu gɛt smɔl tumbu we dɔn spre to wan to tri limf no dɛm. Ɔ, yu gɛt big tɔŋ we nɔ dɔn spre to di limf no dɛm.
• Stej III (3): Kansa dɔn spre to pas tri limf no dɛm. Kansa we de mek di brεst skin swel de fכl bak na dis stej.
• Stej IV (4): IDC kansa dɔn spre to ɔda ɔgan dɛm, lɛk di liva, lɔng, bren, ɔ chɛst wɔl. I kin dɔn spre bak to di bon ɔ di limf no dɛm we de fa fa say na di bɔdi. Dɛn kɔl dis mɛtastas .

Wetin na "grɛd" na IDC?

di gred fכ di kεnsar sεl dεm na aw dεn fiba כ difrεnt frכm nכmal sεl dεm we dεn si dεm wit maykroskכp. Dis gredin na di mɛdikal patɔlɔjis dɛn de du am . Dɛn kin chɛk tri pat dɛn na wan sɛl ɛn gi ɛni pat gred. Sɔntɛnde, dɛn kin yuz di wɔd dɛn we dɛn kɔl "well-differentiated," "moderately differentiated," ɔ "poorly differentiated" insted ɔf nɔmba. Di tri men gred dɛn na:

• Gret 1 (we difrεnt fayn fayn wan): di kεnsar sεl dεm de gro sloslo εn dεn rili sכm lεk nכmal brεst sεl dεm.
• Gret 2 (mכdarεt difrεns): di sεl dεm de gro fast fast pas gred 1 εn dεn lεk kεnsar sεl dεm pas nכmal sεl dεm.
• Gret 3 (we dεn nכ difrεnt fayn): di sεl dεm rili difrεn frכm nכmal sεl dεm εn i go lεk fכ gro εn spre kwik pas gred 1 εn 2.

Wetin na di tritmɛnt dɛm fɔ IDC?

Di tritmɛnt we dɛn kin pik kin difrɛn fɔ yu, di stej we di kansa gɛt, ɛn wetin yu lɛk. IDC tritmɛnt dɛn kin inklud:

• Ɔpreshɔn fɔ kansa na di bɔdi: If dɛn du di ɔpreshɔn, i kin bi se dɛn kin pul di bɔdi we gɛt bɔdi kansa (dɛn kin pul di bɔdi nɔmɔ) ɔ we dɛn kin pul di wan ol bɔdi) . Dɛn kin du di brɔst bak afta dɛn dɔn du di ɔpreshɔn.Yu kin du am.
• Kimotɛrapi: Dɛn kin gi am kemotɛrapi bifo dɛn du di ɔpreshɔn fɔ mek di tumbu smɔl ɔ fɔ kil ɛni kansa sɛl we lɛf afta dɛn du di ɔpreshɔn. Insay kes dɛm we di kansa dɔn skata (Stage IV - metastatic), dis kin bi di men tritmɛnt.
• Radiation therapy: Dɛn kin gi dis tritmɛnt afta dɛn dɔn ɔpreshɔn fɔ kil ɛni kansa sɛl we lɛf. Dis na opshɔn bak if ɔpreshɔn nɔ pɔsibul bikɔs ɔf di sayz ɔ di say we di tɔŋ de.
• Targeted therapy: Dis kansa tritmεnt de target di jεnεtik chenj dεm we de tכn hεlty sεl dεm to kansa sεl dεm.
• Ɔmon tɛrapi: Di ​​kansa sɛl dɛn nid ɔmon fɔ mek dɛn gro ɛn bɔku. Ɔmon tɛrapi kin wok bay we i kin kɔt da akses de.
• Immunotherapy: Dis kin ɛp yu yone imyun sistɛm fɔ fɛn ɛn pwɛl di kansa sɛl dɛm.

Di tin we impɔtant pas ɔl na dat yu mɛdikal tim go disayd di bɛst tritmɛnt fɔ yu, so tɔk opin ɛn ɔnɛs to dɛn bɔt ɔltin.

Ɛni bad tin de we di tritmɛnt kin du?

Yɛs, lɛk ɔl di tritmɛnt dɛn, sɔm kayn bad bad tin dɛn de we kin apin to am. If dɛn du yu ɔpreshɔn, i nɔmal fɔ mek yu fil pen afta di ɔpreshɔn. Dɔktɔ dɛn kin jɔyn ɔda tritmɛnt dɛn wit ɔpreshɔn. Di kɔmɔn sayd ɛfɛkt dɛm we kemotɛrapi ɛn redyushɔn tɛrapi kin gɛt na fɔ taya , nɔs ɛn vɔmit .

Di tritmɛnt dɛm we dɛn kin tɔch ɛn di imyunotɛrapi kin mek bak gɛt prɔblɛm wit di bɛlɛ, lɛk kɔnstipɛshɔn ɛn dayarɛa. Di bad tin dɛn we kin apin we pɔsin gɛt ɔmon tritmɛnt kin bi we pɔsin kin wam , we i kin gɛt pen na di jɔyn dɛn, ɛn we i nɔ kin want fɔ du mami ɛn dadi biznɛs igen .

Ɔlman kin ansa difrɛn we we dɛn de trit am. If yu de gɛt tritmɛnt, aks yu dɔktɔ aw i go afɛkt yu ɛn yu ɛvride layf. Dɔn bak, aks bɔt aw fɔ kia fɔ di sik we dɛn kɔl palliative care . Palliative care de ɛp yu fɔ manej di sayn dɛm fɔ brɔst kansa ɛn di sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt, ɛn ɛp yu fɔ fil fayn as yu ebul.

Yu tink se dɛn kin ebul fɔ stɔp IDC?

Pan ɔl we dɛn nɔ go ebul fɔ stɔp am ɔl, bɔku tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt IDC:

• Gɛt mammogram dɛn di rayt tɛm. If yu na uman ɛn yu gɛt famili histri bɔt brɔst kansa, aks yu dɔktɔ if yu fɔ bigin fɔ tek mammogram kwik pas ɔda pipul dɛn.
• It balans it we go ɛp yu fɔ gɛt wɛlbɔdi wet we fit yu.
• Nɔ smok.
• Limit fɔ drink rɔm fɔ wan drink fɔ wan de., ɔ stɔp kpatakpata.
• Ɛksesaiz ɔltɛm.
• Tɔk to yu dɔktɔ bɔt tɛst dɛn we go ɛp fɔ no if yu gɛt jɛnɛtik muteshon we de mek yu gɛt mɔ kansa na yu bɔdi.

Aw lɔŋ yu kin liv wit invasive breast cancer?

Di rεt wae de liv fɔ dis kayn kansa na εstimat bay di εkspiriεns wae pipul dεm wae dɔn gɛt dis sik dɔn gɛt. Ɔganayzeshɔn dɛn lɛk di Nashɔnal Kɛnsa Instityut kin gɛda dis data bay aw di IDC dɔn skata (lɔkal, rijinal, fa fawe).

Bɔt we yu de tink bɔt dɛn statystik ya, i impɔtant fɔ mɛmba se dɛn tin ya na jɔs ɛstimat bay wetin ɔda pipul dɛn dɔn ɛkspiriɛns. Kansa kin afɛkt ɔlman difrɛn we. If yu gɛt patikyula kwɛstyɔn bɔt dis, tɔk to yu dɔktɔ. Na in no di tin we de apin to yu pas ɔlman, so i go ebul fɔ gi yu di bɛst infɔmeshɔn.

If a gɛt IDC, aw a go tek kia ɔf misɛf?

Fɔ liv wit IDC nɔ izi. Sɔm dez, i kin tan lɛk se na big big lod. Tink bɔt dɛn advays ya fɔ ɛp yu fɔ kia fɔ yusɛf di tɛm we dɛn de chɛk yu sik ɛn tritmɛnt:

• Gɛt inof rɛst. IDC ɛn tritmɛnt kin mek yu fil taya bad bad wan. Mɛmba fɔ rɛst nɔto jɔs we yu ebul, bɔt bak we yu nid fɔ rɛst.
• It gud gud wan. Di tritmɛnt kin mek yu nɔ want fɔ it. If yu it tin dɛn we gɛt bɔku frut, vɛjitebul, tin dɛn we nɔ gɛt bɔdi, ɛn tin dɛn we gɛt wɛlbɔdi, dat go ɛp yu fɔ gɛt trɛnk we yu de trit yu.
• Manej yu strɛs. Kansa na big tin we kin mek pɔsin strɛs. Tin dɛn lɛk simpul ɛksɛsayz lɛk fɔ waka ɔltɛm to spɛshal ɛksɛsayz program dɛn kin ɛp.
• Fɛn sɔpɔt. Yu dɔn bi pɔsin we dɔn sev frɔm brɔst kansa frɔm di de we dɛn no se yu gɛt am. Aks yu dɔktɔ bɔt kansa sɔvayv program dɛm wae kin ɛp yu fɔ manej de chalenj dɛm wae yu de liv wit IDC.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt sɔm sayn dɛm we de sho se IDC dɔn skata frɔm di milk dakt dɛm to di brɔst tisu, di limf no dɛm we de nia yu, ɔ ɔda pat dɛm na di bɔdi, go to dɔktɔ wantɛm wantɛm. Di simptom dɛm fɔ mɛtastas IDC kin inklud:

• Nyu lumps na di brɔst.
• Di limf no dɛm we dɔn swel na di armpit.
• Chɛst de pen.
• I nɔ izi fɔ blo (dyspnea).
• Bɔn pen.
• Bɛlɛ de pen.
• Kɔnfyus.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu de gɛt tritmɛnt ɛn yu gɛt sayd ɛfɛkt dɛn we rili bad pas aw yu bin de tink, go na imejensi rum. Dɔn bak, yu fɔ du datIf yu gɛt kol, ɔ yu gɛt fiva we de 100.4 digri F (38 digri sɛlshiɔs) ɔ pas dat , i kin bi sayn fɔ se yu gɛt di sik ɛn yu fɔ go to dɔktɔ wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Fɔ aks kwɛstyɔn fɔ ɔndastand yu sik na wan pan de bɛst tin wae yu kin du fɔ kia fɔ yu wɛl bɔdi. Kip dɛn kwɛstyɔn ya na yu maynd we yu de aks bɔt IDC:

• Usay di tumbu de?
• Aw big di tumbu de?
• Wetin na di ɔmon stetɔs fɔ di tumbu?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Aw di tritmɛnt go afɛkt mi ɛvride layf?
• Wetin na di sɔvayv rɛt ɛstimat?

Wetin na di kayn bɔdi kansa we kin mek pɔsin vɛks pas ɔl?

Di kayn brɔst kansa we kin agresiv pas ɔl na di mɛtastatik brɔst kansa , we min se di kansa dɔn skata frɔm di bɔdi tisu to fa fa pat dɛn na di bɔdi.

Wetin na triplɛ-nɛgitiv invasiv daktal kansa?

bכt 15% pan כl di brεst kεnsar dεm na tripl-nεgεtiv. insay dεn kayn tin ya, di kεnsar sεl dεm nכ gεt εstrojen כ projεstεron rεsεpכta dεm. dεn nכ de mek bכku pan wan protin we dεn kכl HER2 bak. tripl-nεgεtiv invasiv daktal kεnsar de gro εn spre kwik pas כda kayn brεst kεnsar. Di men tritmɛnt fɔ dis kayn bɔdi kansa na kemotɛrapi. Sɔm pasɛnt dɛn kin gɛt kemotɛrapi bak wit di imyunotɛrapi.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

If yu gɛt bɔdi kansa, et pan tɛn chans de fɔ mek i bi invasive ductal carcinoma (IDC) . dis kin stat na di layn we di milk dakt dεm na di brεst. Bɔt di gud nyus na dat bikɔs dɛn de chɛk dɛn bɔdi kansa, dɛn kin no se pas af pan uman dɛn gɛt IDC bifo i skata. Bikɔs dɛn kin no am kwik, bɔku tɛm dɔktɔ dɛn kin mɛn IDC we nɔ dɔn skata. Na dat mek fɔ chɛk fɔ si if pɔsin gɛt bɔdi kansa rili impɔtant.

If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt aw fɔ divɛlɔp IDC, tɔk to dɔktɔ. Dɛn go asɛs yu sityueshɔn ɛn tɛl yu bɔt di nɛks tin dɛn we yu fɔ du we go fayn fɔ yu. Nɔ ɛva ignore di sayn dɛm. If yu du sɔntin kwik kwik wan, dat go sev yu layf.

` IDC, brɔst kansa, invasive ductal carcinoma, brɔst kansa simptom dɛm, kansa tritmɛnt, mammogram, uman dɛn wɛlbɔdi