Yu go mɔs dɔn yɛri bɔku tin bɔt bɔdi kansa. Bɔt yu no se difrɛn kayn bɔdi kansa de? Wɛl, tide wi go tɔk bɔt wan spɛshal kayn we dɛn kɔl Luminal B brɔst kansa. Dis nem kin tan lɛk se i kɔmplikt smɔl, bɔt nɔ wɔri. Wi go tɔk bɔt am na wan rili simpul we we yu go ɔndastand. Na bikɔs fɔ no bɔt tin dɛn lɛk dis kin rili impɔtant to yu ɛn di wan dɛn we yu lɛk.
Wetin na Luminal B? Wetin na di spɛshal tin dɛn we i gɛt?
Fɔ tɔk am simpul wan, Luminal B na wan kayn brɛst kansa we gɛt ɔmon riseptɔ-pɔzitiv (HR+). dis na biכs sכm protin dεm (rεsεpכta dεm) we de insay di kεnsar sεl dεm de tay pan di כmon εstrojen, we de mek di kεnsar gro. di wכd "luminal" de tכk bכt di sεl dεm we de layn insay di milk dakt dεm na yu brεst. Tink bɔt am lɛk di insay pat pan tiub.
Naw lɛ wi luk di ɔda spɛshal kwaliti dɛn we Luminal B kansa sɛl dɛn gɛt. Dɛn tin ya tan lɛk di kad we de sho se dis kansa de. Dɔktɔ dɛn go tek tɛm stɔdi dɛn kwaliti ya fɔ disayd us tritmɛnt go fayn fɔ yu.
- εstrojen rεsεptכr positifu (ER+): Dis na di mכst imכtant kכntribyushכn. di luminal B kεnsar sεl dεm gεt protin dεm we dεn kכl Estrogen Receptors (ER) we kin biεn di כmon we dεn kכl εstrojen. εstrojen na כmon we dεn kin kכmכt na di uman in bכdi. So, we dis ɔmon tay pan di kansa sɛl dɛm, di kansa kin gɛt bɔst fɔ gro. I tan lɛk se yu de wata ɛn gi plant tin fɔ it.
- lכw כ nεgεtiv fכ di prכjεstεrכn rεsεpכta dεm (PR- כ lכw PR): we yu kכmpεr wit di Luminal A tכp brεst kεnsar, di Luminal B sεl dεm gεt bכku fכs, כ sכmtεm nכ wan pan di protin dεm we de biεn di כda big uman כmon, projεstεron.
- HER2 stetכs (HER2-positiv (HER2+) כ HER2-nεgεtiv (HER2-)): Dis na bak wan rili imכtant tin. HER2 tinap fכ wan protin we dεn kכl 'Human Epidermal Growth Factor Receptor 2'. Dis na sɔntin we nɔmal fɔ ɛp di sɛl dɛn fɔ gro. כltu, sכm brεst kεnsar sεl dεm de mek tu mכch pan dis HER2 protin, we dεn nכ de kכntro. insay Luminal B kεnsar, dis HER2 protin kin de fכ pasmak (HER2-positiv / HER2+), כ i kin de na nכmal lεvεl (HER2-nεgεtiv / HER2-). Di we aw dɛn kin trit dɛn kin difrɛn difrɛn wan bay dis stetɔs.
- di ay lεvεl dεm fכ Ki-67 protin (High in Ki-67):Ki-67 na spεshal protin we de כnli fכn insay sεl dεm we de divayd kwik kwik wan. Luminal B kansa dεm kin gεt hכy lεvεl dεm fכ dis protin. Dis kin ɛp dɔktɔ dɛn fɔ ɔndastand aw di kansa sɛl dɛn de sheb kwik kwik wan, we min se di kansa de gro fast fast. Na dat mek Luminal B kansa kin gro fast pas Luminal A kansa.
- Grɛd we ay pas ɔl: Di gred we kansa gɛt na aw di kansa sɛl dɛn fiba ɔ difrɛn frɔm di sɛl dɛn we gɛt wɛlbɔdi we dɛn si am ɔnda maykroskɔp. ay gred min se di kansa sεl dεm rili difrεn frכm hεlty sεl dεm εn i go lεk fכ gro εn spre kwik. Luminal B kansa kin gɛt ay gred pas Luminal A. Dis min se dɛn kin agresiv mɔ, dɛn kin gro big, ɛn dɛn kin kam bak afta dɛn dɔn trit dɛn.
yu kin si, כl dεn lεta dεm, nכmba dεm, εn abreviεshכn dεm (lεk ER, PR, HER2, Ki-67) ad pan bכku infכmeshכn bכt di kεnsar sεl dεm na yu brεst. Na bay we dɛn analays dis infɔmeshɔn, dɔktɔ dɛn kin plan fɔ yu yon tritmɛnt ɛn tɔk bɔt us kayn rizɔlt yu go ɛkspɛkt frɔm di tritmɛnt.
Aw kɔmɔn tin na Luminal B brɔst kansa?
Naw yu go de wɔnda, ‘Ɔmɔs pipul dɛn gɛt dis sik?’ Infakt, bitwin 15% ɛn 20% pan di wan dɛn we gɛt bɔdi kansa we dɛn ripɔt ɔlsay na di wɔl gɛt dis kayn kansa. Dis smɔl smɔl pas di kayn we we dɛn kin kɔl Luminal A. Bɔt, dis pasɛnt nɔto tin we nɔ impɔtant, nɔto so? Na dat mek i impɔtant fɔ no bɔt dis.
Wetin na di sayn dɛm fɔ Luminal B brɔst kansa?
Bɔku tɛm, dɔktɔ dɛn kin no am bifo yu gɛt ɛni sayn, bay we dɛn de chɛk yu brɔst ɔltɛm , lɛk fɔ tek mammogram. Na dat mek i impɔtant fɔ mek dɛn du dɛn tɛst ya we yu ol. Bɔt sɔntɛnde yu kin gɛt wan ɔ mɔ pan dɛn sayn ya:
- Lump na di brεst: Dis kin bi wan hat, rכba lump we nכ de muv izi.
- Breast pen: Yu kin fil pen na wan ɔ ɔl tu di brɔst.
- Nipple dischaj: Yu fɔ wɔri if yu gɛt nipple dischaj, mɔ if i miks wit blɔd.
- Skin chenj: Yu kin notis se di skin de dimpling, tik, ɔ di kɔlɔ we de chenj na di bɔdi.
- swεla כnda di armpit: di limf no dεm na di armpit εria kin swεla.
If yu si wan sayn lɛk dis, .Nɔ panik ɛn go to dɔktɔ wantɛm wantɛm. Nɔto ɔl lump gɛt kansa, bɔt i fayn fɔ mek dɛn chɛk am.
Wetin kin mek pɔsin gɛt Luminal B brɔst kansa?
infakt, Luminal B brεst kεnsar de divεlכp we di hεlty brεst sεl dεm de mute wan wan εn bigin fכ gro we dεn nכ de kכntro. Bɔt masta sabi bukman dɛn stil nɔ no di rayt tin we mek dis kin apin. I kin bi bikɔs ɔf tin dɛn we dɛn jɔyn togɛda.
as wi bin dכn tכk bכt, di Luminal B sεl dεm gεt protin dεm we de mek di kεnsar gro we dεn de biεn di כmon εstrojen. So, if yu εstrojen lεvεl de hכy fכ lכng tεm, i kin mek yu risk fכ gεt dis kεnsar sכmtεm. Fɔ ɛgzampul:
- If yu prɛgnɛshɔn bigin bifo pas aw i fɔ bi, dat na bifo yu ol 12 ia.
- Ɔ if di mɛnɔpauz, we min se i dɔn lɛf fɔ gɛt mɔnt kpatakpata, apin leta pas aw i fɔ bi, afta i dɔn ol 55 ia.
- Ɔ if yu dɔn de tek ɔmon riplesmɛnt tɛrapi (HRT) fɔ lɔng tɛm fɔ kɔntrol di sik dɛn we gɛt fɔ du wit yu mɛnɔpauz.
Apat frɔm dɛn tin ya, sɔm ɔda tin dɛn de we kin mek di risk fɔ gɛt luminal B brɔst kansa:
- Famili istri: If yu mama, sista, gyal pikin, ɔ yu fambul we de nia yu dɔn gɛt bɔdi kansa ɔ ovarian kansa, yu go gɛt smɔl prɔblɛm.
- Ej: Di risk fɔ gɛt bɔdi kansa kin bɔku afta yu dɔn ol 50 ia.
- Dens breast tissue: If di breast tissue de sho dens pan mammogram, dat na risk factor bak.
- di jεnεtik vεryushכn dεm: di mכtεshכn dεm we dεn kin gεt fכ sכm jin dεm, lεk BRCA1 εn BRCA2, kin bכku bכku wan inkrεs di risk fכ brεst kεnsar.
- Past redyushɔn tɛrapi: If yu bin dɔn gɛt redyushɔn tɛrapi to di chɛst ɔ yu brɔst eria fɔ ɔda rizin.
If yu gɛt dɛn tin ya we kin mek yu gɛt kansa, dat nɔ min se yu go rili gɛt kansa. Bɔt, i impɔtant fɔ no bɔt dɛn.
Aw dɛn kin no se pɔsin gɛt Luminal B brɔst kansa?
Imajin se yu gɛt sayn dɛn we de sho se yu gɛt kansa na yu bɔdi, ɔ we yu tek yu mama in bɔdi, yu go si sɔntin we yu nɔ biliv. Di fɔs tin we dɔktɔ go du na fɔ du in bɔdi ɛgzam. Dis min se dɛn go chɛk yu bɔdi fɔ chɛk fɔ si if i gɛt lumps ɔ ɔda chenj dɛn.
Dɔn, fɔ no mɔ, bɔku tɛm dɛn kin ɔda fɔ du ɔda tɛst dɛn fɔ tek pikchɔ lɛk dɛn wan ya:
- Diagnostic mammogram: Dis kin bi mɔ ditayli pas di mammogram we dɛn kin du ɔltɛm.
- Ultrasound scan: Dis kin ɛp fɔ no if di lump na sɔlid ɔ na sist we ful-ɔp wit wata.
- MRI (Magnetic Resonance Imaging) skan: Dis kin nid bak pan sɔm spɛshal kes dɛm.
Afta dɛn tɛst ya, di dɔktɔ go mɔs tek wan brɔst tisu sɛmpul (brɛst bayɔpsi) ɛn sɛn am fɔ tɛst. Dis na di wangren we fɔ no if kansa de ɔ nɔ de, ɛn if na so, us kayn i bi. Bayopsi min fɔ tek wan smɔl pat pan di tisu frɔm wan say we dɛn tink se dɛn de du am ɛn sɛn am na lab fɔ mek dɛn go chɛk am ɔnda maykroskɔp.
Patɔlɔjis, dɔktɔ we spɛshal fɔ chɛk di tisu, go chɛk yu tisu sɛmpul fɔ si if kansa sɛl dɛn de. if dεn fכnshכn kεnsar sεl dεm, dεn go du כmon rεsεpכta tεst (fכ ER, PR) εn HER2 tεst fכ no di sכbtayp fכ di kεnsar. Fɔ dɛn tɛst ya, di wan we dɛn kin yuz mɔ na wan tɛst we dɛn kɔl immunohistochemistry (IHC) . dis de yuz fכrosεnt day εn εnzym dεm fכ hεlayt spεsifi k mכlikul dεm na di kεnsar sεl dεm. Sɔntɛnde, dɛn kin chɛk Ki-67 lɛvɛl dɛn bak dis we.
Dɛn tɛst ya pan yu tisu sɛmpul kin ɛp yu mɛdikal tim fɔ no us tritmɛnt go woke fayn fɔ yu, ɛn dɛn kin gi yu wan aidia bɔt aw i go bi se di kansa go kam bak afta tritmɛnt.
Aw dɛn kin yuz Luminal B fɔ trit bɔdi kansa?
Di tritmɛnt fɔ Luminal B brɔst kansa kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan bɔku tin dɛm, lɛk yu wan wan sityueshɔn, di stej we di kansa de, yu HER2 stetɔs (HER2+ ɔ HER2-), yu Ki-67 lɛvɛl, ɛn yu ɔl wɛl bɔdi. Yu mɛdikal tim go tink bɔt ɔl dɛn tin ya fɔ mek di bɛst tritmɛnt plan fɔ yu.
Di men tritmɛnt we dɛn kin yuz na:
- Ɔmon tɛrapi: Bikɔs Luminal B na ɔmon-sɛnsitiv (HR+) kansa, dis na di men tritmɛnt we dɛn kin yuz mɔ. dis de wok bay we i de blok di כmon εstrojen fכ fכ rich di kεnsar sεl dεm, כ bay we i de ridyus di lεvεl fכ εstrojen na di bכdi. Dɛn kin yuz drɔgs lɛk Tamoxifen ɛn Aromatase Inhibitors fɔ dis.
- Ɔpreshɔn: Dis kin min fɔ pul di kansa sɛl dɛn na di bɔdi.
- Lumpectomy: Dis min se dɛn kin pul di kansa tumɔs nɔmɔ ɛn smɔl smɔl wɛlbɔdi tisu dɛn we de rawnd am, ɛn lɛf bɔku pan di bɔdi intakt.
- Mastectomy: Dis min se dɛn kin pul di wan ol bɔdi.
We dɛn de du ɔpreshɔn, dɛn kin pul di limf no dɛn na di an fɔ si if di kansa dɔn skata.
- Redyushɔn tɛrapi: .Afta dɛn dɔn du di ɔpreshɔn, dɛn kin gi redyushɔn tɛrapi fɔ kil ɛni kansa sɛl we lɛf na di eria. Bɔku tɛm dɛn kin gi dis, mɔ if dɛn dɔn du lumpectomy.
- Targeted therapy: Dis kayn tritmɛnt de target sɔm patikyula mɔlyul dɛm we de ɛp di kansa sɛl dɛm fɔ gro. fכ egzampl, if di Luminal B kεnsar na HER2-positiv (HER2+), dεn kin gi dεm dεm we de tכk to di HER2 protin (e.g. Trastuzumab). dis dεm de ditarmin bay di stej fכ di kεnsar εn כda rεsεpכta profayl dεm.
- Kimotɛrapi: Dɛn kin gi adjuvant kemotɛrapi fɔ kil di kansa sɛl dɛn we ɔda tritmɛnt nɔ kil, ɔ fɔ mek di kansa nɔ go ɔlsay na di bɔdi. Luminal B kansa dεm de gro fast pas Luminal A εn dεn gεt hכy Ki-67 lεvεl, so dεn kin rεkomεnd dis fכ sכm hεy risk pasεnshכn dεm. Yu dɔktɔ go tɛl yu if dis na fayn tin fɔ yu.
Mɛmba se di tritmɛnt fɔ pɔsin we gɛt HER2-positiv (HER2+) Luminal B kansa kin difrɛn frɔm di tritmɛnt fɔ pɔsin we gɛt HER2-negative (HER2-) Luminal B kansa. Na dat mek i impɔtant fɔ no ɔl dɛn kayn tin ya we de sho se yu gɛt kansa.
Wetin na di prɔgnosis fɔ pipul dɛm wae gɛt Luminal B brɔst kansa?
di prכgnosis, כ di op fכ liv εn kכl, fכ pכsin we gεt Luminal B brεst kεnsar de dipכnt pan aw di tכmכro advans we dεn no am (di stej fכ kεnsar). Jɔs lɛk ɛni kansa, di mɔ yu bigin fɔ trit am kwik kwik wan, na di mɔ yu go gɛt chans fɔ liv.
Dipen pan di stej we dɛn no di sik, Luminal B brɔst kansa kin mɛn , we min se di sik kin go insay rɛmishɔn wit tritmɛnt. Bɔt, i kin kam bak bak. Luminal B kansa kin kam bak smɔl pas Luminal A.
Di risk fɔ mek kansa kam bak de dipen pan sɔm tin dɛm, lɛk di stej we di sik de, di rit we i de gro, di Ki-67 lɛvɛl, di HER2 stetɔs, ɛn di we aw i de ansa to tritmɛnt. So, ivin if yu de na remission, yu dɔktɔ go kɔntinyu fɔ wach yu wɛlbɔdi. I impɔtant fɔ gɛt pipul dɛn we de fala yu ɔltɛm . Dɛn kin se bak fɔ gi ɔda tritmɛnt (lɛk ɔmon tɛrapi) afta dɛn dɔn ɔpreshɔn ɛn fɔ mek di kansa nɔ kam bak.
Luminal B Breast Kansa Survival Rεt
Naw lɛ wi tɔk smɔl bɔt dɛn statystik ya. Bɔt dɛn tin ya na jɔs avrej valyu dɛn.Yu nid fɔ mɛmba se dɛn tin ya nɔto kɔrɛkt ɛstimat fɔ aw lɔng yu go liv ɔ aw yu go ansa to wan patikyula tritmɛnt. Dɛn de bays pan data frɔm wan big grup fɔ pasɛnt dɛn.
- di fayv ia sכvayv rεt fכ pipul dεm we gεt HR+/HER2+ (hכmon rεsεptכr positifu/hכman εpidamal growth fכktכ rεsεptכr 2 positifu) brεst kεnsar na bכt 91.5% . Dis min se pan ɛvri 100 pipul dɛm wae gɛt dis kayn kansa, lɛk 91 pipul dɛm go de alayv fayv ia afta dɛn dɔn no se dɛn gɛt dis sik.
- dis pasεnshכn fכ pipul dεm we gεt HR+/HER2- (hכmon rεsεptכr positifu/hכman εpidamal growth fכktכ rεsεptכr 2 nεgεtiv) brεst kεnsar na bכt 95.1% .
Di tin we impɔtant pas ɔl na fɔ tɔk opin wan wit yu dɔktɔ fɔ ɔndastand gud gud wan aw dɛn statystik ya de afɛkt yu. I kin ɛksplen dɛn to yu di we we fit yu wan wan.
Aw Luminal B de ridyus di risk fɔ gɛt bɔdi kansa?
Wi nɔ go ebul fɔ chenj sɔm tin dɛn we kin mek pɔsin gɛt dis sik, lɛk di famili histri bɔt dis sik. Bɔt fɔ mek sɔm chenj dɛn na yu layf kin ɛp fɔ ridyus di risk fɔ gɛt ɛni kayn bɔdi kansa, inklud luminal B:
- Nɔ smok: Smok na tin we kin mek pɔsin gɛt bɔku kansa.
- Mek yu bɔdi wok mɔ: I rili fayn fɔ ɛksesaiz fɔ at le 30 minit sɔm dez insay di wik.
- Nɔ drink rɔm: I impɔtant fɔ mek yu nɔ drink bɔku rɔm.
- Mek yu gɛt wɛl bɔdi wet: Fɔ mek yu gɛt wɛl bɔdi fɔ yu ayt rili impɔtant, mɔ afta yu dɔn menɔpauz.
- Di it we balans: It it we gɛt bɔku frut, vɛjitebul, ɛn ɔl di tin dɛn we yu kin it.
Aw a kin kia fɔ misɛf? Wetin a fɔ du we a de liv wit kansa?
Luminal B Fɔ liv wit brɔst kansa kin rili tranga, pan yu bɔdi ɛn maynd. Sɔm dez yu kin fil fayn, ɛn di nɛks de yu kin fil bad, strɛs, sɔri, ɛn frayd. Dat na nɔmal tin. So, e fayn fɔ tek kia ɔf yusɛf fayn fayn wan ɔl di tɛm we yu de no di sik ɛn tritmɛnt.
Na sɔm tin dɛn we go ɛp yu:
- It fayn: It tin dɛn we gɛt fayn fayn tin dɛn fɔ it. Put frut, vɛjitebul, tin dɛn we nɔ gɛt bɛtɛ blɔd, ɛn ɔl di tin dɛn we yu de it. If yu nɔ want fɔ it we yu de trit yu, go to yu dɔktɔ ɔ pɔsin we sabi bɔt it.
- Fɛn we dɛn fɔ kɔntrol di strɛs:Yu kin rilaks yu maynd bay we yu de du tin dɛn lɛk fɔ tink gud wan, yoga, ɛksesaiz fɔ blo, ɛn du sɔntin we yu lɛk fɔ du we go mek yu gladi.
- Gɛt bɔku rɛst: Fɔ slip fayn rili impɔtant. No wok ol de, tek likl brek in bitwin.
- Join wan kɔmyuniti we de sɔpɔt yu: Aks yu dɔktɔ bɔt di program ɔ sɔpɔt grup dɛm fɔ sev frɔm kansa. Dɛn grup ya kin ɛp yu fɔ mit pipul dɛm wae de go tru di sem tin dɛm lɛk yu, sheb dɛn aydia, ɛn nɔr de fil lɛk yu wan. Yu famili ɛn padi dɛn bak kin rili ɛp yu.
Ustɛm a fɔ go to dɔktɔ?
We yu de du tritmɛnt ɛn afta yu dɔn gɛt ɛni nyu sik ɔ if yu sik de wɔs, tɛl yu dɔktɔ wantɛm wantɛm. Dɔn bak, tɛl yu dɔktɔ if yu fil ɛni pen ɔ wikɛd tin na ɛni pat na yu bɔdi. Nɔ mis yu fɔlɔp apɔntinmɛnt dɛn.
Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?
We yu kam fɔ no se yu gɛt Luminal B brɔst kansa, i nɔmal fɔ gɛt bɔku kwɛstyɔn na yu maynd. Nɔ fred fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt. Na sɔm kwɛstyɔn dɛn we yu kin aks:
- Mi kansa na HER2-positiv ɔ HER2-negativ?
- Wetin na di gred ɛn stej fɔ mi kansa?
- Us tritmɛnt opshɔn dɛn a gɛt?
- Aw dis tritmɛnt kin wok?
- Aw ɔltɛm a nid fɔ go to dɔktɔ afta tritmɛnt (fɔl-ɔp)?
- Wetin na di bad tin dɛn we kin apin we pɔsin gɛt tritmɛnt? Aw a fɔ dil wit dɛn?
- Wetin na mi Ki-67 pasɛnt? Wetin i min?
- Wetin yu kin tɛl mi bɔt mi prɔgnosis?
We yu yɛri di wɔd dɛm "yu gɛt kansa" kin bi di tin we de mek yu fred pas ɔl we yu go ɛva yɛri. Na nɔmal tin fɔ gɛt bɔku kwɛstyɔn dɛn we de rɔn na yu maynd as yu de ajɔst to dis nyu tin ɛn di tin we nɔ shɔ. Yu mɛdikal tim de fɔ ɛp yu. Trɔst dɛn. Wit Luminal B brεst kεnsar, dεn kin tayla yu tritmεnt plan bays pan infכmeshכn na di mכlikul lεvεl fכ yu sεl dεm. Tɔk to yu dɔktɔ fɔ no mɔ bɔt aw yu lab rizɔlt go afɛkt yu tritmɛnt plan. Mɛmba se nɔto yu wangren de.
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Luminal B brεst kεnsar na wan kayn brεst kεnsar we de sεnsitiv כmon dεm εn i kin gro kwik kwik wan. na εstrojen rεsεpכta (ER) positifu (+), HER2 stetכs kin bi positifu (+) כ nεgεtiv (-), εn di Ki-67 lεvεl dεm kin hכy.
- Wach fɔ di sayn dɛn we de sho se yu gɛt dis sik:If yu notis se yu brɔst gɛt 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.
- I impɔtant fɔ no di sik kɔrɛkt wan: Na bayɔpsi ɛn tɛst dɛn we gɛt fɔ du wit am na di wangren we fɔ no di rayt kayn kansa.
- Sɔm tritmɛnt dɛn de we yu kin pik: ɔmon tɛrapi, ɔpreshɔn, redyushɔn tɛrapi, targeted tritmɛnt, ɛn kemotɛrapi. Yu dɔktɔ go disayd wetin bɛtɛ fɔ yu.
- If yu trit yu kwik, dat kin mek yu gɛt bɛtɛ tin fɔ du: If yu no di sik kwik kwik wan ɛn trit yu, dat kin mek yu gɛt chans fɔ wɛl.
- Nɔto yu wan de: Dɔktɔ, nɔs, fambul, padi, ɛn sɔpɔt grup de fɔ ɛp yu pan dis waka.
Wi op se dis infɔmeshɔn dɔn ɛp yu fɔ ɔndastand dis sik sɔm kayn we. Stay wit wɛlbɔdi!
` Luminal B brεst kεnsar, brεst kεnsar, כmon rεsεpכta dεm, εstrojen, HER2, kεnsar kכntribyushכn, kεnsar tritmεnt, uman dεm hεlth











💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt