Afta dɛn dɔn tek yu bɔdi fɔ ɔda rizin, yu dɔktɔ tɛl yu se yu gɛt wan sik we dɛn kɔl LCIS? Yu go mɔs dɔn rili fred we yu yɛri di wɔd ‘karsinoma’. Bikɔs we wi yɛri da wɔd de, wi kin tink bɔt kansa wantɛm wantɛm. Bɔt nɔ wɔri. Wi go tɔk na simpul we we yu go ɔndastand wetin LCIS rili bi, if na kansa, ɛn wetin fɔ du bɔt am.
Wetin na LCIS rili?
Fɔ tɔk am simpul wan, LCIS na di gro we di sεl dεm we nɔ nכmal de gro na di gland dεm we de mek milk (lobules) na yu brεst. Tink bɔt dis, di sɛl dɛn na wi bɔdi de sheb ɔltɛm ɛn de mek dɛnsɛf nyu. So we di sεl dεm we de insay dεn milk gland dεm ya divayd, dεn kin bigin fכ gro to sכm difrεnt sεl dεm we nכ nכmal insted fכ nכmal sεl dεm. Na dat LCIS bi.
Di impɔtant tin we yu fɔ mɛmba ya na dat, pan ɔl we di wɔd ‘carcinoma’ de na di nem, LCIS nɔto brɔst kansa. Pan ɔl we sɔm pipul dɛn kin tek am se na pɔsin we kin mek pɔsin gɛt kansa, i nɔto kansa insɛf.
dis abnכmal sεl dεm de insay wan stet we dεn kכl ‘in situ’. Dat min se dεn de de usay dεn de εn dεn nכ spre to כda pat dεm na di brεst. Na dat mek i nɔ denja.
Bɔt, fɔ gɛt LCIS min se yu gɛt smɔl ay risk fɔ gɛt bɔdi kansa tumara bambay pas di avɛrej pɔsin. I tan lɛk sayn we de wɔn pipul dɛn na rod. I de tɛl yu se sɔntɛm denja de bifo yu, so tek tɛm drayv. LCIS na da kayn wɔnin de.
Wetin na di men kayn LCIS?
Dɔktɔ dɛn kin luk di abnɔmal sɛl dɛn ɔnda maykroskɔp ɛn sheb LCIS to tri men kayn dɛn bay aw dɛn luk. Fɔ no us kayn yu gɛt rili impɔtant fɔ disayd fɔ tritmɛnt.
| LCIS tayp | Aw i de luk ɔnda maykroskɔp (simplified) . |
|---|---|
| Klasik LCIS we dɛn kɔl | di abnכmal sεl dεm we de layn di mama gland dεm de sho sכm sכm pas di nכmal sεl dεm. Dis na di kayn we we pipul dɛn kin gɛt mɔ. |
| Pleomorfik LCIS we dɛn kɔl | na ya, di abnכmal sεl dεm big pas di nכmal sεl dεm εn di we aw dεn de luk rili difrεnt. |
| Flɔrid LCIS (Flɔrid LCIS) . | Di sɛl dɛn we nɔmal dɔn gɛda fɔ mek wan mas. Sɔntɛnde, yu kin si wan mas we gɛt day sɛl dɛn na di midul pan di mas. |
Ɛni sayn de fɔ LCIS?
Bɔrku tɛm, LCIS nɔr kin gɛt ɛni patikyula sayn. Dat min se yu nɔ de fil lɛk se yu gɛt lump na yu bɔdi, yu nɔ de fil pen, ɛn yu nɔ de gɛt ɛni wata we de kɔmɔt na di bɔdi.
So aw dɛn kin no am? Bɔku tɛm, dɛn kin diskɔba am bay chans. Fɔ ɛgzampul, dɛn kin no LCIS we dɛn de du bayɔpsi fɔ ɔda rizin, sɔntɛm bikɔs ɔf wan chenj we dɛn si pan mammogram ɔ bikɔs ɔf ɔda lump we dɛn fil na di bɔdi.
Wetin na di prɔblɛm dɛn we kin kam wit LCIS?
Dis na di tin we de mek bɔku pipul dɛn fred. Nɔto ɔlman we gɛt LCIS go gɛt kansa. Yu fɔ mɛmba dat. כltu, stכdi dεn sho se lεk wan pan tεn (10%) pipul dεm we gεt LCIS gεt chans fכ gεt brεst kεnsar insay di fכs tεm, spεshal wan kכndyushכn we dεn kכl `ductal carcinoma in situ (DCIS)` כ `lobular breast cancer`.
I impɔtant fɔ tɔk to yu dɔktɔ bɔt dis risk ɛn aks dɛn klia wan wetin na yu risk, bikɔs dis risk kin difrɛn difrɛn tin lɛk di kayn LCIS we yu gɛt ɛn yu famili histri bɔt kansa.
Wetin na di tritmɛnt fɔ LCIS?
Di tritmɛnt we yu de gɛt de dipen ɔl pan di kayn LCIS we yu gɛt. Nɔto ɔlman dɛn kin trit di sem we.
1. Aktiv Sɔvɛlayshɔn
If yu gɛt ‘Klasik LCIS’, bɔku tɛm yu dɔktɔ go tɛl yu fɔ du dis. Dis min se yu fɔ wach yu sik gud gud wan ɛn nɔ gi yu ɛni mɛrɛsin ɔ ɔpreshɔn.
- Yu dɔktɔ fɔ du yu brɔst ɛgzam ɛvri 6 mɔnt .
- Fɔ gɛt mammogram ɛvri ia .
- Dɛn kin advays bak fɔ du ɔda tɛst dɛn lɛk fɔ du MRI skan na di bɔdi.
2. Prɛvɛntiv Tɛrapi
Di gol fɔ dɛn tritmɛnt ya na fɔ mek dɛn nɔmal sɛl dɛn de nɔ gɛt kansa. Dɛn kin yuz drɔgs we kin ɛp fɔ ridyus di risk fɔ gɛt kansa.
- fכ dis, yu kin yuz dכg dεm lεk `Selective Estrogen Receptor Modulators (SERM)` כ `Aromatase Inhibitors`. dis dεm de εp fכ ridyus di risk fכ εstrojen-sεnsitiv (ER-positiv) kεnsar spεshal wan. Yu dɔktɔ go ɛksplen dis to yu mɔ.
3. Ɔpreshɔn
Bɔku tɛm dɛn kin se dɛn fɔ du ɔpreshɔn fɔ pipul dɛn we gɛt ‘Pleomorphic’ ɔ ‘Florid’ kayn LCIS, bikɔs dɛn kayn LCIS dɛn de gɛt smɔl smɔl risk fɔ gɛt kansa.
- Lumpectomy: Dis min se dɛn kin du ɔpreshɔn fɔ pul di say nɔmɔ we gɛt di sɛl dɛn we nɔ de wok ɛn smɔl smɔl wɛlbɔdi tisu dɛn we de rawnd am.
- Prophylactic Bilateral Mastectomy: Dis na ɔpreshɔn we big smɔl. insay dis, dεn kin pul di tu bכdi dεm. Bɔt dɛn kin advays am pan kes dɛn we rili gɛt bɔku prɔblɛm. Fɔ ɛgzampul, if pɔsin we de nia yu fambul lɛk yu mama, sista, ɔ gyal pikin dɔn gɛt bɔdi kansa, yu dɔktɔ kin tɔk to yu bɔt dis opshɔn.
Wetin wi kin du fɔ ridyus di risk fɔ gɛt LCIS?
Pan ɔl we no patikyula we nɔ de fɔ mek yu nɔ gɛt LCIS, bɔku tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt bɔdi kansa.
- Kɔntrol yu wet: Fɔ fat na big tin we kin mek yu gɛt kansa na yu bɔdi. So tray fɔ kɔntinyu fɔ gɛt wɛlbɔdi wet.
- Ɛksesaiz ɔltɛm: I bɛtɛ fɔ du at le 150 minit insay di wik (e.g. 30 minit insay di de, 5 dez insay di wik) ɛksesaiz we gɛt mɔdaret intɛnsity lɛk fɔ waka ɔ bayk.
- Nɔ drink rɔm: Risach dɔn sho se rɔm ɛn bɔdi kansa gɛt sɔntin fɔ du wit am. So, i impɔtant fɔ stɔp fɔ drink rɔm ɔl ɔ stɔp fɔ drink rɔm bad bad wan.
- Yu fɔ no bɔt di mɛrɛsin dɛn we yu de tek: If yu de tek ɔmon tɛrapi ɔ sɔm kayn bɔn kɔntrol pils, mek shɔ se yu tɔk to yu dɔktɔ bɔt di risk fɔ dɛn tin ya wit LCIS. Dɛn kin se yu fɔ chenj to ɔda mɛrɛsin.
Aw a kin tek kia ɔf misɛf we a de liv wit LCIS?
We yu kam fɔ no se yu gɛt LCIS, yu kin fil se yu de fred, bɔt yu nid fɔ tek kia ɔf yu bɔdi mɔ.
- Fɔ chɛk yu bɔdi fɔ yusɛf: Chɛk yu bɔdi ɛvri mɔnt. If yu notis ɛni nyu tin, lɛk wan smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
- Yu fɔ no bɔt di chenj dɛm: Aks yu dɔktɔ bɔt di pɔsibul sayn dɛm if LCIS tɔn to kansa.
- Nɔ mis di klinik dɛn:Mek shɔ se yu atɛnd ɔl di fɔlɔp apɔntinmɛnt dɛn we yu dɔktɔ gi yu. Dɛn tɛst ya go ɛp yu fɔ no kwik kwik wan ɛni chenj.
Na nɔmal tin fɔ fil fɔ fred we dɛn dɔn no se yu gɛt LCIS. Bɔt i nɔ min se yu gɛt kansa. I jɔs min se yu nid fɔ tek tɛm kia fɔ yu wɛlbɔdi smɔl. If yu gɛt di rayt infɔmeshɔn ɛn yu de wok togɛda wit yu dɔktɔ, yu kin liv wɛl, gladi layf wit dis sik.
Mɛsej we dɛn kin kɛr go na os
- LCIS (Lobular Carcinoma in Situ) nɔto brɔst kansa, bɔt na wan kɔndishɔn we de mek di risk fɔ gɛt bɔdi kansa tumara bambay.
- Dis sik nɔ kin gɛt ɛni sayn ɛn bɔku tɛm dɛn kin no am we dɛn de du bayɔpsi fɔ ɔda rizin.
- Di tritmɛnt dipen pan di kayn LCIS we yu gɛt. Fɔ sɔm pipul dɛn, fɔ wach nɔmɔ i go du fɔ dɛn, bɔt ɔda wan dɛn kin nid fɔ tek mɛrɛsin ɔ ɔpreshɔn.
- Tɔk opin wan wit yu dɔktɔ ɛn ɔndastand di prɔblɛm dɛn we yu kin gɛt ɛn di tritmɛnt we yu kin gɛt. Nɔ fred ɛn disayd fɔ du sɔntin we yu no.
- Fɔ liv fayn layf (fɔ kip yu wet fayn, fɔ du ɛksɛsayz, fɔ nɔ drink pasmak) de ɛp fɔ ridyus di risk fɔ gɛt kansa na yu bɔdi.
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