Yu de fil pen na yu sholda ɛn yu an wik? I kin bi wan Pankɔst Tumɔ!

Yu kin gɛt pen na yu sholda we yu nɔ ebul fɔ ɛksplen, sɔntɛnde na di sayd na yu nɛk, wit pen dɔŋ yu an, yu an kin swɛ? Sɔntɛnde wi kin tink se na jɔs wan sprain ɔ wan pinch nerve. Bɔt sɔntɛnde, dɛn sayn ya kin bi sayn fɔ sɔmtin we rili siriɔs. Na di kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl Pancoast Tumor.

Wetin na Pankɔst Tumɔ? Fɔ tɔk am simpul wan...

Tink bɔt am, Pancoast tumor na wan kayn kansa na in lɔng . Bɔt i strenj smɔl. I de fכm na di tכp pat pan yu lכng dεm, rayt oba yu fכs rib. Nɔ lɛk ɔda kansa dɛn na di lɔng, Pankɔst tumbu nɔ de mek pɔsin kɔf ɔ pen na in chɛst . Bifo dat, bɔku tɛm, pipul dɛn we gɛt dis tumbu kin gɛt bad bad pen na dɛn sholda ɛn dɛn an kin wik . Dɔktɔ dɛn kin kɔl dis kɔmbayn pan di sayn dɛm "Pancoast syndrome." Pankɔst sindrom nɔr de kɔz di sayn dɛm fɔ di tipik lɔng kansa, so i kin tek sɔm tɛm fɔ no dɛn tumbu ya. Bɔrku tɛm, dɛn nɔ kin no if di kansa dɔn pas ɔl na di nerv ɛn blɔd vesel dɛn we de nia am. Dɛn gi di pankɔst tɔmɔs dɛn nem frɔm di raydiɔlɔjis we bin fɔs tɔk bɔt dɛn insay di fɔs pat pan di 20t sɛntinari. Wan ɔda nem fɔ dɛn na supɛriɔr sɔlkɔs tɔmɔ.

Yu tink se kayn tin dɛn de we kin apin to dis?

Yes, difrεn sכbtayp dεm de fכ Pankost tכmכro dεm. Di men wan dɛn na:

• nכn sכm sכl l כng kεnsar dεm - fכ egzampl, adenokarsinoma εn squamous sεl kansa.
• Smɔl sɛl lɔng kansa dɛn.

di mכtalman in Pankost tכmכro dεm na wan kayn kεnsar we dεn kכl adenocarcinomas . Dɛn kansa ya kin bigin na di layn na yu aywe ɛn alvɔlɔ (di smɔl smɔl ay sak dɛm na yu lכng), spεshal wan na di glandular sεl dεm we de mek mכkus.

Aw dis sik kin kɔmɔn?

di pankost tכmכro dεm n כ kin bכku , we de mek lεs dan 5% pan כl di lכng tכmכro dεm.

Wetin na di sayn dɛm fɔ dis? Lɛ wi tek tɛm luk am gud gud wan!

yu brachial plexus de afekt pan wan Pancoast tumor.dis nεv nεtwכk kin kכmprεs. dis nεv nεtwכk de kכmכt frכm yu כp chεst tru yu nεk to yu an dεm. We dɛn put dis prɛshɔn, sɔm patikyula sayn dɛn kin apin. Na dat mek dɔktɔ dɛn kin kɔl am Pancoast syndrome ɔ Pancoast-Tobias syndrome. Dɛn sayn ya kin apin na di sem say we di tɔŋ de . Fɔ ɛgzampul, if di tumbu de na yu rayt lɔng, di sayn dɛn go afɛkt di rayt say na yu bɔdi bak. Di sayn dɛm fɔ Pancoast tumor kin inklud:

• Bɔrku pen na yu sholda : Dis kin inklud pen na yu sholda blad.
• Pen we de rayt dɔŋ di an: Dis pen kin stɔp na di an, jɔs ɔp di smɔl finga.
• Wiknɛs na di an ɛn an.
• Pen na di nɛk.
• Pen na di ɔpa pat pan di rib dɛn.
• Swel na di ɔp an.
• Lɔs di dexterity na di an ɛn finga dɛn.
• Tingling ɔ numbness na di an.
• Taya.
• Chɛst tayt.
• We yu de lɔs yu wet we yu nɔ gɛt rizin.

Na lɛk 50% pan di pipul dɛm wae gɛt Pancoast tumor kin gɛt wan sik bak wae dɛn kɔl Horner’s syndrome , wae kin mek pɔrsin gɛt sɔm kayn sik lɛk:

• Fɔ mek yu fes flash .
• Aylid we de drɔp (ptosis).
• di aylid dεm we de tכn insay (enophthalmos).
• Nɔ swet (anhidrosis).

Wetin kin mek dis apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Di tin dɛm wae kin mek ɛn di risk factor dɛm fɔ Pancoast tumors kin fiba ɔda lכng kansa dɛm. Di men tin dɛn we kin mek pɔsin gɛt dis sik na:

• Fɔ smok .
• We pɔsin de smok we i de smok.
• Fɔ lɔng tɛm we pɔsin de yuz sɔm tin dɛn lɛk asbest, redɔn gas, ɛn ebi ebi mɛtal.

Jɔs tink bɔt, we wi de put wisɛf pan dɛn tin ya, wi de pwɛl wi lɔng dɛn we wi nɔ no. So i rili impɔtant fɔ tek tɛm wit dis.

Aw dis kin skata?

Kansa kin skata we di kansa sɛl dɛn brok kɔmɔt nia di fɔs tɔŋ, travul tru yu blɔd sistɛm ɔ limf sistɛm, ɛn mek nyu tumbu dɛn na ɔda pat dɛn na yu bɔdi. Bɔku tɛm, pankɔst tɔŋ dɛn kin kɔmɔt na di ɔp pat na di lɔng dɛn to dɛn say dɛn ya:

• Ɔpa chɛst.
• Upsaid daun.
• Rib dɛn we de na di tɔraks.
• Di blɔd vesel dɛn we de nia di an dɛn.

Dis we aw kansa de skata to say dɛn we de fa, dɛn kɔl am mɛtastas .

Aw dɛn kin no dis?

insay di fכs stej dεm, di Pankost tכmכro dεm nכ kin izi fכ si pan standad tu-dimenshכnal chεst εks-ray. Na dat mek i kin at fɔ no bɔt dɛn. If dɔktɔ sɔprayz se yu gɛt Pancoast tumor bay di sayn dɛm we yu gɛt, dɛn kin tɛl yu fɔ du ɔda tɛst fɔ no if yu gɛt di sik, lɛk:

• Ɔda tɛst dɛn we dɛn kin du fɔ tek pikchɔ.
• Nidul bayɔpsi.
• Vidio-asist thoracoscopy surgery (VATS) we dɛn kin yuz fɔ du di wok we dɛn kin du.
• Ɔpreshɔn we dɛn kin du fɔ pul di tɔrakot.

Test dɛn fɔ tek imej

Advans imej teknɔlɔji kin ɛp yu dɔktɔ fɔ gɛt klia pikchɔ bɔt yu lɔng dɛn. I kin ɔda tɛst dɛn lɛk dɛn wan ya:

• CT skan (CT - kɔmpyuta tomografi skan dɛn).
• PET skan (positron emission tomografi skan dɛn).
• MRI skan (MRI - magnɛtik rɛsɔnans imej).

Dɛn kayn skan ya kin gi bɔku tin dɛn lɛk di sayz we di tumbu gɛt, usay i de, ɛn if i dɔn skata to ɔda say dɛn.

Nidul bayɔpsi

We dɛn de tek nidul bayɔpsi, dɔktɔ kin tek wan sɛmpul pan wata, tisu, ɔ sɛl dɛn frɔm wan bɔdi we nɔmal. Dɔn dɛn kin sɛn di sampul to wan patɔlɔji lab fɔ mek dɛn du mɔ tɛst. Na de nɔmɔ wi go no fɔ tru if na kansa ɛn us kayn i bi.

VATS (vidio-asist thorakoscopy ɔpreshɔn) .

We dɛn de du dis, dɔktɔ kin kɔt smɔl na yu chɛst ɛn put wan tɔrakskɔp (wan tin tiub we gɛt smɔl kamɛra pan am). Dis kin mek i ebul fɔ luk insay yu chɛst ɛn chɛk fɔ si if yu gɛt tumbu ɔ ɔda tin dɛn we nɔ fayn. If dɛn fɛn ɛni wan, dɛn kin tek wan sɛmpul pan di tisu ɛn sɛn am na lɛbɔtri fɔ mek dɛn tɛst am.

Thoracotomy we dɛn kin du

Sɔntɛnde, dɔktɔ kin nid fɔ pul di bɔdi we dɛn kɔl thoracotomy. insay dis, dεn kin mek wan say na di rayt כ lεft say na yu chεst, bitwin di rib dεm. dis de mek dεn si di lכng we afekt klia wan εn tek bayopsi fכ eni tisu we nכ nכmal. Bɔku tɛm, dɛn go pul di tumbu bak di sem tɛm. Dis go mek yu nɔ gɛt bɔku ɔpreshɔn.

Lɛ wi lan bɔt aw dis kansa de stej.

Lɛk ɔda kayn kansa na dɛn lɔng, dɔktɔ dɛn kin klas Pankost tumor dɛn bay we dɛn de yuz wan we fɔ mek kansa stej . Dɛn kin yuz Roman nɔmba dɛn (I, II, III, IV) ɛn sɔbtayp dɛn (A, B) fɔ tɔk bɔt aw di tumbu dɔn go bifo ɛn aw fa i dɔn skata. Fɔ Pancoast tumor, dɔktɔ dɛn kin yuz di lɛta dɛn T, N, M ɛn di nɔmba dɛn 1, 2, 3, 4 fɔ sho aw di sik bad:

• Di lɛta T de tɔk bɔt di sayz we yu tumbu gɛt ɛn aw fa i dɔn skata.
• Di lɛta N de tɔk bɔt if di kansa dɔn skata to yu limf no dɛm .
• Di lɛta M de sho if di kansa dɔn go fa fa say dɛn na di bɔdi (mɛtastas) .

na us stej dεn kin fכn pan Pankost tכmכro dεm mכst?

biכs i at fכ no di Pankost tכmכro dεm na di fכs stej dεm, dεn kin no bכku pan dεm na stej T3 כ T4. T3 min se di kansa dɔn spre to yu chɛst wɔl ɔ yu sɔri-at na yu. T4 min se di kansa dɔn spre to ɔda strɔkchɔ dɛm, lɛk yu brachial nerves ɔ spaynal kɔd. Dis na sik we rili siriɔs.

Wetin na di tritmɛnt?

Dis kin dipen pan usay di tumbu de ɛn aw fa di kansa dɔn skata. Bɔku tritmɛnt dɛn de we yu kin pik:

• Kemoradiation ɛn ɔpreshɔn.
• Kemoimmunotherapy ɛn ɔpreshɔn.
• Kemoradyeshɔn ɛn imyunotɛrapi.
• Redyushɔn tɛrapi.
• Tritmɛnt we dɛn de tɔk bɔt.

Kemoradiation ɛn ɔpreshɔn

Ɔpreshɔn na di bɛst tritmɛnt ɛnitɛm we i pɔsibul. Bɔt bifo dɛn du di ɔpreshɔn, dɔktɔ dɛn kin gi yu kemoradyeshɔn — we na kɔmbayn kemotɛrapi ɛn redyushɔn tɛrapi — fɔ mek di tumbu smɔl. Di ɔpreshɔn fɔ pul wan Pancoast tumor kin kɔmplikt smɔl. Bɔku tɛm, dɔktɔ we de du ɔpreshɔn go gɛt fɔ pul yu tu rib dɛn we de ɔp. dεn kin gεt bak fכ pul wan big at εn riples am wit vaskulכr graft — wan atifishal tiub we de alaw bכdi fכ fכlכ. Yu dɔktɔ we de du di ɔpreshɔn go ɛksplen ɔl dis to yu bifo dɛn du di ɔpreshɔn.

Kemoimmunotherapy ɛn ɔpreshɔn

Sɔntɛnde, dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn ɛn tek kemoimmunotherapy.– dat na, dɛn kin yuz wan kɔmbaynshɔn fɔ kemotɛrapi ɛn imyunotɛrapi. Pan ɔl we kemotɛrapi kin kil di kansa sɛl dɛn ɛn mek di tumbu nɔ gro sloslo, di imyunotɛrapi kin mek yu yon imyun sistɛm ɛp fɔ fɛt di kansa.

Kemoradyeshɔn ɛn imyunotɛrapi

Sɔntɛnde, ɔpreshɔn nɔto sɔntin we pɔsin kin du. If na so i bi, yu mɛdikal tim kin tɛl yu fɔ yuz kemoradyeshɔn ɛn imyunotɛrapi.

Redyushɔn tɛrapi

If ɔpreshɔn nɔ pɔsibul ɛn di kansa dɔn skata to ɔda pat dɛn na di bɔdi, yu dɔktɔ kin tɛl yu fɔ yuz redyushɔn tritmɛnt nɔmɔ fɔ kɔntrol di kansa we de gro. Dis sɔpɔtiv kia we kin mek di kansa nɔ bɔku ɛn i kin mek yu nɔ gɛt di sik.

Targeted therapy

Sɔm pipul dɛn kin bɛnifit frɔm di tritmɛnt we dɛn kin yuz fɔ mɛn pipul dɛn . Dis tritmεnt de tכk bכt di jεnεtik mכtεshכn dεm we de mek hεlty sεl dεm bi kεnsar sεl dεm. Fɔ no if yu na gud kandidet fɔ targeted therapy, dɔktɔ go tɛst yu kansa sɛl dɛn fɔ si if dɛn gɛt patikyula riseptɔ fɔ sɔm patikyula prɔtin dɛn. If yu gɛt kwɛstyɔn bɔt dis, tɔk to yu dɔktɔ.

Yu tink se dɛn go ebul fɔ stɔp dis?

Pan ɔl we dɛn nɔ kin ebul fɔ stɔp Pankɔst tumbu dɛn ɔl, tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt dis kayn kansa:

• Nɔ smok ɛn ɔda tin dɛn we dɛn kin yuz fɔ smok. If yu de smok, tɔk to yu dɔktɔ fɔ ɛp yu fɔ lɛf fɔ smok.
• Nɔ smok we yu de smok as yu ebul.
• Mek shɔ se di say we yu de nɔ gɛt ɛnitin we de ambɔg yu lɛk asbest .

Pan ɔl we dɛn tin ya kin tan lɛk smɔl tin, dɛn kin rili afɛkt yu wɛlbɔdi as tɛm de go.

Apat frɔm dat, if pɔsin na yu famili gɛt histri fɔ gɛt kansa na yu lɔng, ɔ if yu gɛt bɔku chans fɔ gɛt kansa na yu lɔng, i go fayn fɔ aks yu dɔktɔ bɔt aw fɔ chɛk yu kansa fɔ mek yu nɔ gɛt kansa .

Wetin fɔ ɛkspɛkt if yu gɛt Pancoast tumor?

If dɛn no se yu gɛt Pancoast tumor, yu dɔktɔ go put togɛda wan tritmɛnt tim we dɛn mek fɔ yu patikyula nid dɛn. Yu tritmɛnt tim kin gɛt:

• Di dɔktɔ dɛn we de du ɔpreshɔn pan di tɔraks.
• Nyurosɔjɔn dɛn.
• Ɔnkɔlɔjis , dat na, mɛdikal ɔnkɔlɔjis, ɔspitul ɔnkɔlɔjis, ɛn redyushɔn ɔnkɔlɔjis.

Yu mεdikal tim go rεkomεnd tritmεnt bay di sayz כf di Pankost tכmכro, usay i de, εn if di kansa dכn spre to כda εria.

Aw fast dɛn nɛt ya kin gro?

Bɔku tɛm, di pankɔst tɔŋ dɛn kin gro sloslo . Bɔt, na smɔl tɛm nɔmɔ, tumbu kin gro kwik kwik wan. Yu dɔktɔ go de wach aw di tumbu de gro ɔltɛm bifo, di tɛm we dɛn de trit am, ɛn afta dɛn dɔn trit am.

Wetin na di layf we pɔsin kin liv?

Insay di las sɔm ia, di tin dɛn we dɛn dɔn mek pan tɛknɔlɔji dɔn mek di nɔmba fɔ pipul dɛn we kin mɛn pan Pankɔst tumbu dɛn dɔn go ɔp smɔl smɔl. Bɔt bɔku tin stil de fɔ lan bɔt dis sik. di fayv ia rεt fכ pipul dεm we gεt εli stej, כspitul tritmεnt pan Pankost tכmכro de bitwin 30% εn 50% . Dat min se lɛk af pan di pipul dɛn we dɛn no se gɛt di sik we dɛn kɔl Pankɔst tɔmɔs we dɔn bigin, stil de alayv fayv ia afta dɛn dɔn no se dɛn gɛt di sik. Bɔt i impɔtant fɔ mɛmba: Dɛn sɔvayv rɛt ya na jɔs ɛstimat. Dɛn nɔr kin tɛl yu bɛtɛh aw lɔng yu go liv ɔr aw wan patikyula tritmɛnt go woke fayn fɔ yu. Tɔk to yu dɔktɔ fɔ ɔndastand gud gud wan aw dis kansa de afɛkt yu.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt siriɔs pen na yu sholda, yu an de pen, yu an wik, ɔ ɔda sayn dɛn we de sho se yu gɛt Pankɔst tumbu, yu fɔ go to dɔktɔ wantɛm wantɛm. Fɔ no am kwik kwik wan na di men tin.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

If dɛn no se yu ɔ pɔsin we yu lɛk gɛt Pancoast tumor, yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Usay di tumbu de?
• I dɔn skata to di tisu dɛn we de rawnd am?
• Yu tink se i dɔn skata na di say dɛn we de fa fawe na di bɔdi?
• Us stej a gɛt kansa?
• Us tritmɛnt opshɔn dɛn a gɛt?
• A go ebul fɔ wok we dɛn de du tritmɛnt?
• Aw lɔng tritmɛnt kin tek?
• Aw di we aw a de si tin de?

Dis na Pancoast tumor ɔ na pinched nerve?

Sɔm pipul dɛm wae gɛt Pancoast tumor kin se dɛn sik kin bigin wit "pinched nerve" filin . If yu gɛt dis kayn pen ɛn i kin te fɔ pas tu wiks, mek dɔktɔ no. Sɔntɛm i nɔ kin bi nɔmal tin.

Faynal Mɛsej fɔ Tek-Hom

di pankost tכmכro dεm de stat na di כp pat na yu lכng. Dɛn difrɛn frɔm ɔda kayn lכng tכmכro dεm biכs i at fכ no dεm we dεn bigin. Fɔ no se yu gɛt Pancoast tumor kin bi wan ɛkspiriɛns we kin rili kɔnfyus. I kin tranga fɔ plan wetin fɔ du nɛks.

Bɔt mɛmba se yu dɔktɔ de fɔ ɛp yu. Aks am fɔ no mɔ bɔt di patikyula tin we de apin to yu. If yu ebul, jɔyn sɔpɔt grup, ilɛksɛf na yusɛf ɔ na di Intanɛt. We yu tɔk to ɔda pipul dɛn we de go tru di sem tin dɛn we yu de go tru, dat kin rili bɛnifit yu fɔ yu maynd, filin, ɛn spiritual wɛlbɔdi. Nɔ ɛva sɔfa yu wan.

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