We wi tink bɔt ‘brɔst kansa’, bɔku tɛm wi kin tink bɔt wan lump na di bɔdi, nɔto so? Bɔt yu no se nɔto ɔl di bɔdi kansa dɛn kin kɔmɔt lɛk lump? Tide, wi go tɔk bɔt wan kayn kansa we de biev difrɛn smɔl, we de skata tif insay di bɔdi. Dɛn kɔl dis Invasive Lobular Carcinoma, ɔ (ILC) fɔ shɔt tɛm.
Fɔ tɔk am simpul wan, wetin na Invasive Lobular Carcinoma (ILC)?
Okay, mek wi put am dis we. Yu bɔdi gɛt gland dɛn we de mek milk. Dɔktɔ dɛn kin kɔl dɛn tin ya "lobules." Dis kayn kansa kin bigin na dɛn gland ya we de mek milk.
difrεnt frכm כda kayn brεst kεnsar, dεn ILC kεnsar sεl dεm ya, insted fכ kam togεda fכ fכm tכmכro, dεn de spre tru di brεst tisu insay rכw dεm fכ wan wan sεl dεm . Tink bɔt am lɛk wan layn we gɛt ant. Dis na di rizin we mek wan tumbu kin skata dis we.
ILC de mek lɛk 10% to 15% pan di brɛst kansa dɛn. Bɔku tɛm dis kayn kansa kin kɔmɔt frɔm di uman ɔmon we dɛn kɔl ɛstrojen. Na kansa bak we de gro sloslo . I kin de fɔ lɔng lɔng tɛm bifo yu gɛt ɛni sayn ɔr dɛn kin no am bay we dɛn tek mammogram. Lεk כda kansa dεm, ILC kin spre tru di brεst tisu כ to כda pat dεm na di bכdi.
If tumɔs nɔ de, aw yu go no di sayn dɛm fɔ dis?
Dis na di tin we impɔtant pas ɔl. Bikɔs ILC kansa nɔ de mek wan lump, yu fɔ rili tek tɛm wit ɔda chenj dɛn we nɔ klia na di bɔdi. Yu nɔ go notis ɛni chenj na di fɔs tɛm. Bɔt as di kansa de go bifo, dɛn sayn ya kin apin.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| di brεst in skin de tik כ chenj | Di skin na wan say na di bɔdi kin fil tik pas aw i kin fil. Dimpling kin de, we tan lɛk di skin we de pan ɔrɛnj peel. |
| Brest swel ɔ ful-ɔp | Ivin if wan lump nɔ de igen, wan say ɔ pat pan di bɔdi kin fil swel ɔ ful pas aw i kin fil. I kin chenj bak di shep ɔ saiz fɔ di bɔdi. |
| Nipple we dɛn dɔn invayt | di nipl we kin de na do kin luk lεk se i de sink insay. |
| Wan lump we de na di armpit | Ivin if yu nɔ gɛt wan lump na yu bɔdi, yu kin stil fil wan lump na yu armpit. |
| Brest pen ɔ wam wam | Yu kin gɛt pen na yu bɔdi ɔ yu kin wam we yu tɔch yu fɔ no patikyula rizin. |
| Di wata we de kɔmɔt na di nipple | Ɛni kayn wata we de kɔmɔt na di nipple (espɛshali we gɛt blɔd) frɔm di nipple, pas nɔmɔ yu na mama we de gi pikin in bɛlɛ. |
Di tin we impɔtant pas ɔl na dat nɔbɔdi nɔ no yu bɔdi pas yu, so if yu notis ivin smɔl chenj, nɔ ignore am.
Wetin na di tin dɛn we kin mek pɔsin gɛt dis kansa?
Jɔs lɛk ɛni kansa, i nɔ kin izi fɔ tɔk klia wan wetin kin mek pɔsin gɛt dis wan. Na wan jεnεtik mכtεshכn we de mek di hεlty sεl dεm bi kεnsar. Bɔt sɔm pipul dɛn we de stɔdi bɔt dis dɔn fɛn bɔku tin dɛn we kin mek pɔsin gɛt ILC.
- Bikɔs i dɔn pas 55 ia.
- Fɔ bɔn yu fɔs pikin afta i ol 30 ia ɔ nɔ bɔn pikin.
- Bikɔs i bin dɔn gɛt bɔdi kansa bifo.
- Fɔ gɛt pɔsin na yu famili (especially mama, sista, gyal pikin) we gɛt bɔdi kansa ɔ ovarian kansa.
- Fɔ gɛt wan sik we dɛn kɔl Lobular Carcinoma In Situ (LCIS): Dis nɔto kansa, bɔt na chenj na di sɛl we de mek di risk fɔ gɛt kansa tumara bambay.
- Sɔm tin dɛn we kin chenj na di jɛnɛtiks kin kɔmɔt frɔm dɛn mama ɛn papa.
- Puberty bifo i ol 12 ia.
- Menopause kin apin afta i ol 55 ia.
- Fɔ tek sɔm ɔmon tɛrapi fɔ di sayn dɛm we kin apin afta yu dɔn menɔpauz.
Wetin na di patikyula kɔmplikeshɔn dɛn we ILC kin gɛt?
Tu kɔmplikeshɔn dɛn de we difrɛn smɔl fɔ ILC kansa we nid spɛshal atɛnshɔn.
1. I kin spre to say dɛn we nɔ kɔmɔn na di bɔdi: Ɔda kayn bɔdi kansa kin pas na di bren, bon, liva, ɛn lɔng. ILC kansa kin spre bak to dɛn ples dɛn de. Bɔt apat frɔm dat, i kin go bak na say dɛn we nɔ kɔmɔn usay kansa nɔ kin skata.
- dijestiv sistεm (intestinal, bεlε) .
- di uman in riprodaktiv sistεm (ovaries, uterus) .
- di insay layn na di bכdi (peritoneum) .
- di kכva dεm we de rawnd di bren εn di spεnal kכd (Leptomeninges) .
- Tisu we de rawnd di yay
2. I kin kam bak afta sɔm tɛm we dɛn dɔn trit am: Dis na di tin we de mek pɔsin denja pas ɔl pan dis kansa. Ivin afta dɛn dɔn trit am ɛn tink se i dɔn wɛl, di kansa kin kam bak na wan pat na di bɔdi we de fa ivin afta 10 to 15 ia . Wi kin kɔl dis `(Mɛtastatik Invasiv Lɔbular Karsinɔma)`.
Aw dɔktɔ dɛn kin fɛn dis?
We yu go to dɔktɔ bɔt wan brɔst lɔmp, i go aks yu fɔs bɔt di sayn dɛn we yu gɛt ɛn chɛk yu bɔdi ɛn yu armpit. Bikɔs ILC nɔto lump, dɛn nɔ kin no am bay we dɛn de du ɛgzam we dɛn kin du ɔltɛm. So, dɛn kin rifer yu fɔ du tɛst dɛn lɛk dɛn wan ya.
- Mamogram: Na ɛkstrem rayt fɔ di bɔdi. Bɔt bikɔs ɔf di we aw ILC kansa de skata, sɔntɛnde dɛn nɔ kin si am klia wan pan mammogram.
- Breast Ultrasound: Dis de ɛp fɔ mek yu luk gud wan pan wan patikyula eria na di brɛst.
- Breast MRI scan: dis kin mek yu mek rili klia, ditayl imej dεm fכ di brεst tisu. MRI impɔtant fɔ no bɔt kansa dɛn we at fɔ no lɛk ILC.
If ɛni dawt kam pan dɛn tɛst ya, di nɛks tin we dɛn fɔ du na fɔ tek bayɔpsi . dis min se dεn de tek wan rili sכm tisu frכm di brεst כnda anεsthεsia εn dεn de egzamin am wit maykroskכp. na dis bayopsi nכmכ kin kכnfכm 100% if kεnsar sεl dεm de כ nכ de.
Stej dɛn we kansa kin gɛt
Wae di bayopsi kכnfכm se na kεnsar, dεn kin no aw di kansa de εn dεn kin no aw i stej. Dɛn kin plan fɔ trit am bay dis stej.
| Stej | Tɔk bɔt |
|---|---|
| Stej I. Stej I | Di kansa smɔl pas 2 sɛntimita. I kin dɔn spre to di limf no dɛm we de nia am ɔ i kin dɔn go. |
| Stej II | di kansa de bitwin 2-5 sεntimita in sayz εn i dכn spre to di limf no dεm we de nia. Ɔ i big pas 5 sɛntimita bɔt i nɔ dɔn spre to di limf no dɛm. |
| Stej III | Di kansa dɔn spre to sɔm limf no dɛm na di brɛst ɛn di limf no dɛm we de nia de. |
| Stej IV | Di kansa dɔn skata to di pat dɛn we de fa na di bɔdi, lɛk di lɔng, di liva, ɔ di bon dɛn. (Mɛtastatik) . |
Wetin na di tritmɛnt dɛm fɔ ILC?
Yu dɔktɔ go tink bɔt bɔku tin dɛn, lɛk di stej we yu kansa gɛt, if i gɛt ɔmon-sɛnsitiv (ER+), ɛn yu ɔl wɛlbɔdi, fɔ mek i gɛt tritmɛnt plan we go fayn fɔ yu. Bɔrku tɛm, dis kin gɛt fɔ du wit wan ɔr kɔmbayn tritmɛnt.
- Ɔpreshɔn: Dɛn kin pul di pat pan di bɔdi ɔ di wan ol bɔdi we gɛt kansa sɛl dɛn.
- Kimotɛrapi: Fɔ gi pawaful mɛrɛsin fɔ kil di kansa sɛl dɛn. Dɛn kin gi am bifo ɔ afta di ɔpreshɔn.
- Radiation Therapy: Dɛn kin yuz ay ɛnaji rayt fɔ pwɛl ɛni kansa sɛl we kin lɛf afta dɛn dɔn ɔpreshɔn.
- Ɔmon Tɛrapi: If di kansa gɛt ɛstrojen-sɛnsitiv (ER+), dɛn kin gi am mɛrɛsin dɛn we de mek dɛn ɔmon dɛn de nɔ wok.
- Targeted Therapy: Drug dεm we de target spεshal jεnεtik chenj dεm we de afekt di growth fכ di kεnsar sεl dεm.
De tɛm wae yu kin wɛl afta yu gɛt tritmɛnt kin difrɛn frɔm pɔrsin to ɔda pɔrsin ɛn i kin difrɛn pan de tritmɛnt wae yu de gɛt. Tɔk to yu dɔktɔ bɔt dis opin wan.
Wetin na de chans fɔ liv wit dis sik?
Wi ɔl kin fred we wi yɛri di wɔd kansa. Bɔt i impɔtant fɔ no dɛn tin ya. dis ``survival rates'' na di pasεnshכn fכ pipul dεm we de liv 5 כ 10 ia afta dεn no se dεn gεt kεnsar.
Risach sho se 94% pan di uman dɛm we dɛn no se gɛt ILC kansa stil de alayv afta 5 ia. Afta 10 ia, dis pasɛnt kin go ɔp to lɛk 86% . We yu kɔmpia am wit ɔda kayn bɔdi kansa, di 10 ia we pɔsin kin liv kin smɔl smɔl. Dɔktɔ dɛn de kɔntinyu fɔ du risach fɔ no di tin dɛn we kin mek i sik ɛn fɔ mek di tritmɛnt dɛn bɛtɛ.
Mɛmba se dɛn tin ya na jɔs statystik. Dɛn nɔto prɛdikshɔn bɔt yu yon sityueshɔn. Na yu dɔktɔ nɔmɔ go ebul fɔ ɛksplen yu di bɛst we fɔ no wetin de apin to yu.
Mɛsej we dɛn kin kɛr go na os
- Invasive Lobular Carcinoma (ILC) na wan kayn brɔst kansa we nɔ kin apin ɔltɛm lɛk lump.
- Yu fɔ no bɔt di chenj dɛn we nɔ klia na di bɔdi in skin, lɛk we di nipple de tik, we i de swel, we i chenj in shep, ɛn we di nipple de insay.
- I rili impɔtant fɔ no di nɔmal we aw yu bɔdi de. Du yu brɔst sɛlf-ɛgzam ɛvri mɔnt.
- If yu notis smɔl ɔ nɔmal chenj, nɔ ignore am ɛn tink se, "I go mɔs bi se na natin." Go to dɔktɔ wantɛm wantɛm.
- Lɛk ɛni kansa, di mɔ we dɛn no dis kwik kwik wan, na di mɔ i go izi fɔ mek dɛn trit am fayn.
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