Man dɛn kin gɛt bɔdi kansa bak? (Male Breast Cancer) Lɛ wi tɔk bɔt dis!

We wi tink bɔt bɔdi kansa, wi kin tink bɔt uman dɛn, nɔto so? Bɔku pipul dɛn kin tink se dis na sik we na uman dɛn nɔmɔ kin ambɔg. Bɔt yu no se man dɛn kin gɛt bɔdi kansa bak (Male Breast Cancer). Na tru se i nɔ kin apin smɔl. Na lɛk wan pan ɛvri 100 pipul dɛn we gɛt bɔdi kansa na man. Bɔt, wi nɔ go ebul fɔ ignore am jɔs bikɔs i nɔ bɔku. If yu si wan lump ɔ tumor na yu chɛst, nɔ jɔs dismis am as "Oh, dis nɔ kin apin to man." I rili impɔtant fɔ sho ɛni lump we yu tink se na dɔktɔ ɛn mek dɛn chɛk am.

Wetin na Man Breast Cancer?

Fɔ tɔk am simpul wan, man in bɔdi kansa na we di sɛl dɛn we de na di bɔdi tisu na yu chɛst bigin fɔ gro we nɔmal ɛn we nɔ de kɔntrol. Man dεm tu gεt brεst tisu, jכs lεk uman dεm, bכt na sכm sכm. Na insay dis tisu we kansa kin kam.

I rili impɔtant fɔ no bɔt dis tin we de apin na Sri Lanka bak. Bikɔs, sɔmtɛm bikɔs ɔf shem ɔr di rɔng abit fɔ "us kayn bɔdi kansa na fɔ man dɛm?", bɔku pipul dɛn kin delay fɔ go to dɔktɔ ivin we dɛn gɛt sɔm sayn dɛm. Dis kin mek di chans fɔ mek di sik wɔs.

Wetin na di kayn man dɛn we gɛt kansa na in bɔdi?

Dis kansa de stat na di brεst tisu na yu chεst. di man in brεst, lεk uman in yon, gεt sכm sכm milk gland dεm (lobules) εn sכm sכm tכb dεm (ducts) we de kכri milk (if i de) to di nipl. Bɔt pan man dɛn, dɛn tin ya nɔ kin big lɛk dat, bikɔs dɛn nɔ nid fɔ gi pikin dɛn bɛlɛ. So, bɔku tɛm, dis kansa kin bigin na di dakt dɛm. Tu men we dɛn de:

• Ductal Carcinoma: Dis kayn kansa kin mek lɛk 9 pan 10 pipul dɛn we gɛt man in bɔdi kansa. pan dis kayn we, di kansa de stat na di dakt dεm we de kכri milk εn afta dat i de spre to כda pat dεm na di brεst. Tu kayn dis kayn de:
• Invasive Ductal Carcinoma: Dis na di kayn we we dɛn kin gɛt mɔ. di kansa de stat na di dakt dεm εn i de spre to di brεst tisu we de rawnd am.
• Ductal Carcinoma In Situ (DCIS): Dis nɔ kin apin smɔl. na ya, di kansa de insay di dakt dεm εn i nכ spred na do.

• Lobular Carcinoma: Dis na wan kayn kansa we de stat na di gland dɛm we de mek milk (lobules). Invasive Lobular Carcinoma min se i dɔn spre to di tisu we de rawnd am. Bɔt dis kayn tin nɔ kin apin to man dɛn, bikɔs man dɛn nɔ kin gɛt bɔku ɔ nɔ gɛt lobules.

imכtant, sכmtεm di kεnsar sεl dεm kin gεt spεshal ‘antena’ lεk rεsεpכta dεm. We sɔm ɔmon dɛn tay pan dɛn ɛntena dɛn ya, di kansa sɛl dɛn kin bigin fɔ sheb ɛn gro kwik kwik wan. Tink bɔt am lɛk ki we de fɛn lɔk. Bɔku pan di kes dɛm we man dɛn gɛt kansa na dɛn bɔdi, .rεsεpכta dεm de we de ansa di כmon dεm we dεn kכl εstrojen εn projεstεron. di mכst kכmכn tכp fכ invasiv daktal kכrεkshכn pan man dεm na εstrojen rεsεpכta-pכzitiv (ER+).

Wetin na di sayn dɛm fɔ man in bɔdi kansa?

Bɔku tɛm di fɔs sayn na we di bɔdi gɛt wan tin we nɔ de pen ɛn we at, ɛn bɔku tɛm de ɔnda di nipple . Ɔda sayn dɛn kin bi:

• Wan lump we de na di armpit.
• Di skin na di chɛst rɔf, i tan lɛk ɔrɛnj peel, ɛn i tan lɛk pit.
• di skin na di chεst כ di nipl de kam rεd εn flaky.
• Fɔ fil pen ɔ tayt na yu chɛst ɔ yu an.
• Wan klia wata ɔ sɔntin we tan lɛk blɔd we de kɔmɔt na di nipple, ɔ wan invayt nipple.

If yu si sɔntin lɛk dis, nɔ jɔs tink se, "Dis jɔs apin." Go to dɔktɔ wantɛm wantɛm.

Wetin na di tin dɛn we kin mek man gɛt kansa na in bɔdi?

Fɔ tɔk di kɔrɛkt tin, di chenj dɛn we de apin na di DNA ɔ di chenj dɛn we de apin na di bɔdi sɛl dɛn kin mek pɔsin gɛt bɔdi kansa. Dɛn sɛl dɛn ya we dɔn chenj kin bigin fɔ sheb kwik kwik wan ɛn dɛn nɔ kin ebul fɔ kɔntrol dɛn, ɛn dɛn nɔ kin day. Afta sɔm tɛm, dɛn kansa sɛl ya kin jɔyn togɛda fɔ mek tumbu dɛn. sכmtεm, di pat dεm pan dεn tכmכro dεm kin brok εn spre to כda pat dεm na di bכdi tru di limfatik sistεm כ di bכdi. We dis kin apin, dɛn kin kɔl am mɛtastas kansa.

Sayɛnsman dɛn stil de du risach bɔt wetin mek di sɛl dɛn we gɛt wɛlbɔdi kin tɔn to kansa sɛl dɛn.

Tin dɛn we kin mek pɔsin gɛt prɔblɛm

Sɔm tin dɛn kin mek yu gɛt mɔ kansa na yu bɔdi. Lɛ wi tek wan luk pan wetin dɛn bi:

• Ej: De risk fɔ gɛt dis sik kin go ɔp smɔl as yu de ol. Bɔrku tɛm dɛn kin no bɔt man in bɔdi kansa pan pipul dɛm wae dɔn pas 60. Dat nɔr min se i nɔ kin apin to yɔŋ pipul dɛm, bɔt di risk kin go ɔp wit di ej.
• Bayolojikal famili histri: If yu mama, papa, brɔda, sista, ɔ pikin dɔn gɛt bɔdi kansa ɔ ovarian kansa, yu go gɛt mɔ risk. Dis na bikɔs sɔm kansa dɛn kin pas dɔŋ tru di jin dɛn.
• Jin dεm: Sכm jεnεtik mכtεshכn dεm de mek di risk fכ gεt bכdi kεnsar. di wan dεm we kכmכn pas כl na BRCA1 εn spεshal wan BRCA2. pan tap dat, chenj dεm na di PTEN jin na Cowden sεndrכm, di TP53 jin na Li-Fraumeni sεndrכm, εn di MMR jin na Lynch sεndrכm kin inkrεs di risk bak.
• di εstrojen כmon we de inkrεs:Sɔm mɛrɛsin, lɛk sirosis na di liva, fat pasmak, ɔ wan jenɛtik kɔndishɔn we dɛn kɔl Klinefelter syndrome, kin mek di ɛstrojen lɛvɛl go ɔp na di bɔdi. If pɔsin drink rɔm pasmak, dat kin mek bak i gɛt dis sik.
• Testikul ishu dɛm: Yu de pan ay risk if yu dɔn ɔpreshɔn wan pan yu tɛstikul dɛm (ɔkiɛktɔmi), if yu dɔn gɛt ɛni trauma pan yu tɛstikul dɛm, ɔ if yu gɛt wan kɔndishɔn lɛk ɔkaytis, ɔ if yu gɛt tɛstikul dɛm we nɔ dɔn kam dɔŋ.
• Radiation therapy: If yu bin dɔn gɛt redyushɔn tɛrapi to di chɛst eria, yu risk fɔ gɛt brɔst kansa kin go ɔp.

Aw fɔ ridyus di prɔblɛm?

If yu tink se yu kin gɛt wan jenɛtik muteshon we de mek yu gɛt kansa mɔ, i go fayn fɔ mek yu gɛt jenɛtik tɛst. If pɔsin na yu famili dɔn gɛt brɔst ɔ ovarian kansa, dat na sayn fɔ se yu kin gɛt di BRCA2 jin muteshon. Dis jin muteshon nɔ kin jɔs mek yu gɛt kansa na yu bɔdi, bɔt i kin mek yu gɛt kansa bak na yu skin (melanoma), pankrias kansa, ɛn prɔstat kansa.

Dɔktɔ kin ɛp yu fɔ disayd if fɔ tɛst yu jɛnɛtiks fayn fɔ yu.

Aw dɔktɔ dɛn kin no bɔt dis?

We yu go to dɔktɔ, i go aks yu bɔt di sayn dɛn we yu gɛt ɛn di tin dɛn we kin mek yu gɛt dis sik. Dɔn dɛn go du bɔku tɛst fɔ no if yu gɛt man in bɔdi kansa:

• Breast exam: Di dɔktɔ go fil yu brɔst tisu ɛn chɛk fɔ ɛni chenj na yu skin, lumps, ɔ ɔda tin we nɔ fayn.
• Imej tɛst: We dɛn tek mammogram, i kin no bɔku pan di bɔdi kansa na man dɛn. Dis kin tek ɛkstrem rayt fɔ di bɔdi. Sɔntɛnde dɛn kin du ɔltra saund bifo ɔ afta di mammogram fɔ no mɔ bɔt di lump.
• Bayopsi: Dis na di bɛst we fɔ mek shɔ se . Di dɔktɔ kin tek wan smɔl pat pan di tisu frɔm di lump ɔ di say we dɛn tink se i gɛt ɛn sɛn am na di lab fɔ luk ɔnda maykroskɔp fɔ si if di kansa sɛl dɛn de.

Insay di lab, di wan dɛn we de stɔdi bɔt di sik kin chɛk di tisu sɛmpul fɔ si if i gɛt kansa sɛl dɛn, ɛn if i gɛt di ɔmon riseptɔ dɛn we wi bin dɔn tɔk bɔt, ɛn if i gɛt di HER2 riseptɔ (wan prɔtin we de ɛp di kansa fɔ gro). Dis infɔmeshɔn go rili ɛp yu dɔktɔ fɔ plan yu tritmɛnt.

Stej dɛm fɔ man in bɔdi kansa

Wae dεn kכnfכm kεnsar, dכkta dεm go disayd in `stej`. Dis min se yu fɔ luk di sayz ɛn usay di tumbu de fɔ si aw fa i dɔn skata ɛn aw i siriɔs. na dis tεm, yu kin gεt כda `imaging` tεst dεm bak, εn bak yu kin gεt `sεntinεl node bayopsi`. Dis min se dɛn fɔ pul wan ɔ mɔ limf no dɛn nia di tɔŋ fɔ chɛk if di kansa sɛl dɛn de.

di men stej dεm fכ man in bכdi kεnsar na:

• Stej 0: di kεnsar sεl dεm de כnli insay di brεst dakt dεm. Dɛn kin kɔl dis bak Ductal Carcinoma In Situ.
• Stej I: di tכmכro sכm εn i nכ spre to di limf no dεm.
• Stej II: di tכmכro big sכmtεm pas stej I. i kin dכn spre to sεvεra aksila limf no dεm.
• Stej III: Di kansa dɔn spre to sɔm limf no dɛm, di tumbu kin big, ɛn di kansa sɛl dɛn kin dɔn spre to di chɛst wɔl ɔ skin.
• Stej IV: Di kansa sεl dεm dכn spre to fa fa pat dεm na di bכdi. Insay man dɛn bɔdi kansa, di say dɛn we i kin pas na di bon dɛn, di lɔng dɛn, ɛn di liva .

Aw dɛn kin trit man in bɔdi kansa?

Di tritmɛnt we yu go gɛt go dipen pan bɔku tin, lɛk di kayn kansa ɛn aw fa i dɔn skata (stej). Yu kin nid fɔ mek dɛn du bɔku tritmɛnt dɛn wan afta di ɔda. Yu dɔktɔ go ɛksplen dis to yu ditayli.

Ɔpreshɔn

Di tritmɛnt we dɛn kin yuz mɔ fɔ man in bɔdi kansa we kin bigin na ɔpreshɔn. Bɔku tɛm, dɛn kin pul di wan ol bɔdi. Dɛn kɔl dis mastectomy . Sɔntɛnde, dɛn kin du lumpectomy, we kin pul di tumbu nɔmɔ, bak, bɔt fɔ man dɛn, na di mastectomy we dɛn kin pul pas ɔl.

sכmtεm dεn kin du ``radikal mastektomi``. insay dis, dεn kin pul di כl brεst tisu, di limf no dεm na di armpit, εn pat pan di chεst mכsul. bכt naw di mכst kכmכn na ``modified radical mastectomy.`` insay dis, dεn nכ de pul di mכsul tisu, εn dεn de pul sכm sכm limf no dεm bak.

Redyushɔn tɛrapi

Rɛdyeshɔn tɛrapi fɔ brɔst kansa kin yuz ɛkstrem rayt ɔ ɔda kayn rayt we gɛt bɔku ɛnaji fɔ pwɛl di kansa sɛl dɛn. Dɛn kin gi dis tritmɛnt afta dɛn dɔn pul di lumpectomy fɔ kil ɛni kansa sɛl we lɛf. Sɔntɛnde, redyushɔn tɛrapi kin kil smɔl smɔl kansa sɛl dɛn we dɛn nɔ go ebul fɔ pul bay ɔpreshɔn ɛn we de nia di chɛst wɔl ɔ di skin. Dis kin ɛp fɔ mek di tumbu dɛn nɔ gro bak.

Kimotɛrapi

Kimotɛrapi na fɔ yuz spɛshal mɛrɛsin fɔ kil di kansa sɛl dɛn ɔlsay na di bɔdi. Fɔ lokaliz (nɔ-malignant) tumor, dɛn kin gi kemotɛrapi bifo dɛn du ɔpreshɔn fɔ shrink di tumor. Ɔ, dɛn kin gi kemotɛrapi afta dɛn dɔn ɔpreshɔn am wit redyushɔn tɛrapi fɔ ridyus di risk fɔ mek di tumbu kam bak ɔ di kansa go skata to ɔda pat dɛn na di bɔdi. Dɛn nɔ kin gi dɛn tritmɛnt ya di sem tɛm, bɔt dɛn kin gi dɛn wan afta di ɔda wan.

Ɔmon tɛrapi

If di kansa sɛl dɛn de yuz ɔmon dɛn lɛk ɛstrojen fɔ gro, dɔktɔ dɛn kin yuz ɔmon tɛrapi fɔ mek di ɛstrojen nɔ bɔku ɔ fɔ mek i nɔ ebul fɔ du am. Tamoxifen na wan mɛrɛsin we dɛn kin yuz fɔ mɛn man dɛn bɔdi kansa. Dɔn bak, di mɛrɛsin dɛn we dɛn kɔl aromatase inhibitors, we dɛn kam togɛda wit di gonadotropin-releasing hormone (GnRH) agonists, kin stɔp di growth fɔ di kansa sɛl dɛn we di ɔmon dɛn kin mek.

Targeted therapy

Di tritmɛnt dɛm we dɛn kin tɔch kin wok bay we dɛn kin ambɔg sɔm patikyula prɔses dɛm we kin ɛp di kansa sɛl dɛm fɔ gro. Dɛn tritmɛnt ya kin jɔs wok pan sɔm patikyula kayn kansa sɛl dɛn. Fɔ ɛgzampul, sɔm tritmɛnt dɛn kin jɔs wok pan bɔdi kansa we gɛt ɔmon riseptɔ. Tritmεnt dεm de bak, lεk PARP inhibito dεm, fכ kεnsar sεl dεm we gεt BRCA jin mכtεshכn.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt wan lump we yu nɔ ɛksplen na yu bɔdi we nɔ de go afta tu wik, mek shɔ se yu go to dɔktɔ. Dɔn bak, fala wetin yu dɔktɔ tɛl yu bɔt aw ɔltɛm yu fɔ gɛt kansa skrinin.

Wetin kin apin if a gɛt man in bɔdi kansa? (Prɔgnosis) .

Di kayn kansa ɛn di stej we i de, kin rili afɛkt di we aw yu sik de go, dat na di prɔgnosis. If dɛn no am kwik, di rit we dɛn kin mɛn kin bɔku pasmak.

Wan stכdi we dεn jכs du sho se di mכtalman rεt fכ man dεm we gεt brεst kεnsar (hכmon-rεspכnsiv - `HR+` tayp) bay kεnsar stej na: Insay 20 ia afta dεn no di sik:

• Stej I: 12.4% bin day wit brɔst kansa.
• Stej II: 26.2% day wit brɔst kansa.
• Stej III: 46% bin dɔn day wit brɔst kansa.

Bɔt i sɔri fɔ no se bɔku man dɛn kin delay fɔ go to dɔktɔ. Dis dɔn mek, bay di tɛm we dɛn no se dɛn gɛt di kansa, di kansa dɔn ɔlrɛdi go bifo, ɛn dis kin mek i nɔ izi fɔ trit am.

Na dat mek wi se, if yu notis ɛnitin we nɔ kɔmɔn na yu bɔdi, go to dɔktɔ wantɛm wantɛm. Bɔku man dɛn nɔ kin tink se dɛn gɛt bɔdi kansa. So dɛn nɔ kin no di sayn dɛm. Bɔt man dɛn kin gɛt kansa na dɛn bɔdi.If yu no am kwik kwik wan ɛn trit yu, dat kin sev yu layf. If pɔsin na yu famili dɔn gɛt bɔdi kansa, tɔk to yu dɔktɔ bɔt aw fɔ no kansa kwik kwik wan.

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

Okay, so lɛ wi sɔma sɔm pan di tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Man dɛn kin gɛt bɔdi kansa bak. Pan ɔl we i nɔ kin bɔku, nɔ ignore am.
• wan bכdi we nכ de fil pen, spεshal wan כnda di nipl, kin bi wan big sayn. Luk bak fɔ lumps na di armpit, di skin chenj, ɛn di nipple discharge.
• Di risk kin pasmak if pɔrsin na yu famili gɛt histri bɔt bɔdi kansa, if yu dɔn pas 60 ia, ɔr if yu gɛt sɔm kayn jenɛtik kɔndishɔn (BRCA).
• If yu gɛt ɛni dawt, nɔ shem ɛn go to dɔktɔ we yu nɔ de te. Tεst lεk mammogram εn bayopsi kin kכnfכm di sik.
• If dɛn kech am kwik, di chans fɔ mek dɛn mɛn am kin bɔku! Difrɛn tritmɛnt dɛn de we yu kin du, lɛk ɔpreshɔn, redyushɔn tɛrapi, kemotɛrapi, ɛn ɔmon tɛrapi.

If yu no dis kin mek big chenj na yu layf ɛn ɔda man dɛn we yu sabi. Stay wit wɛlbɔdi!

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