Yu gɛt wan lump na yu nɛk? Lɛ wi tɔk bɔt Papillary Thyroid Cancer (PTC)!

Yu dɔn ɛva notis wan smɔl tin we de na yu nɛk? Ɔ dɔktɔ dɔn tɔk bɔt am to yu we dɛn de du ɛgzam? Sɔntɛnde, smɔl smɔl tin lɛk dis kin bi di fɔs sayn fɔ wan sik we dɛn kɔl Papillary Thyroid Cancer (PTC). Nɔ wɔri, wi go tɔk bɔt am ditayli ɛn simpul wan.

Wetin na papillary thyroid carcinoma (PTC)? Wetin na di tayroyd gland?

Fɔ tɔk am simpul wan, papillary thyroid cancer (PTC) na wan kayn kansa we kin kam na wi tayroyd gland. i de stat na di fכ likul sεl dεm na di tayroyd gland. Dɛn sɛl dɛn ya kin mek wan prɔtin we dɛn kɔl tayroglobulin . Di tin we impɔtant pas ɔl fɔ no na dat PTC na di kayn tayroyd kansa we bɔku pipul dɛn kin gɛt .

Naw lɛ wi luk wetin na di tayroyd gland . Imajin am, na di fɔs pat na yu nɛk, ɔnda di skin, wan smɔl ɔgan we tan lɛk bɔtaflay. Dat na di tayroyd gland. Dis na pat pan wi ɛndokrin sistɛm . Di men wok we i de du na fɔ mek ɛn pul ɔmon dɛn we de kɔntrol bɔku impɔtant wok dɛn na wi bɔdi.

We i kam pan PTC, i kin bi kansa we de gro sloslo . כlso, bכku tεm i kin כnli divεlכp na wan say (lob) na di tayroyd gland.

Difrɛn sɔbtayp dɛn de fɔ `PTC`?

Yes, sɔm sɔbtayp dɛn de fɔ `PTC`. pan dεn wan ya, di fכlikul sכbtayp na di wan we kכmכn pas כl. sכmtεm dεn kin kכl am `miks papila-fכlikul vεryכnt`. Di ɔda sɔbtayp dɛn nɔ kin kɔmɔn so. Bɔt dɛn kin gro ɛn skata kwik kwik wan . Dɛn kayn sɔbtayp dɛn ya na:

• `Kɔlɔm`
• `Tɔl sɛl`
• `Insular`
• `Difyuz sklerɔsis`

sכmtεm dεn kin kכl am bak `PTC` `papillary thyroid carcinoma` .

Udat kin gɛt papillary thyroid kansa?

Fɔ tru, PTC kin divɛlɔp insay ɛnibɔdi. Bɔt i kin mɔs bi pan big pipul dɛn we dɔn ol . Dɔn bak, uman dɛn kin gɛt dis sik pas man dɛn.

PTC na wan sik we nɔ kin apin so ɔltɛm na pikin dɛn. Bɔt na di kayn tayroyd kansa we kin kam pan pikin dɛn.

Aw kɔmɔn dis `PTC`?

Tayrɔyd kansa na wan sik we pipul dɛn kin gɛt. Bɔt as wi bin dɔn tɔk, 80% to 85% pan di kes dɛm na di kayn PTC. Dat min se lɛk et pan tɛn pipul dɛn we gɛt tayroyd kansa gɛt dis kayn.

`PTC` na siriɔs kɔndishɔn?

Kansa we gɛt ɛni kayn kansa, na siriɔs tin. I nid fɔ gɛt mɛrɛsin ɛn i kin spre (metastasize) to ɔda pat dɛn na di bɔdi. Bɔt di prɔgnosis fɔ PTC rili gud we yu kɔmpia am wit ɔda kayn tayroyd kansa.

Bɔrku tɛm, dɛn kin trit PTC fayn fayn wan. I nɔ kin izi bak fɔ mek i day. So, i impɔtant fɔ mek yu nɔ fred ɛn fala di rayt advays we dɔktɔ gi yu.

Usay `PTC` de spred fɔs?

If PTC spre, i go mɔs bi se i go spre fɔs to di limf no dɛm na di nɛk . dis no dεm na sכm sכm tin dεm we shep lεk bin we de pat pan wi bכdi in limfatik sistεm εn imyun sistεm.

Aw fa `PTC` de skata?

pan ɔl we PTC de gro sloslo, bɔku tɛm i kin spre to di limf no dɛm na di nɛk. Fɔ tɔk roughly, lɛk 30% pan di pipul dɛm wae gɛt PTC go dɔn spred to ɔda eria dɛm (metastatic papillary thyroid cancer) di tɛm wae dɛn no di sik .

Wetin na di simptom dɛm fɔ `PTC`?

Bɔku tɛm, di men sayn fɔ PTC na we wan nodul we nɔ de pen de apia na di tayroyd gland . Ɔda sayn dɛn bak kin nɔ de.

Bɔt nɔto ɔltɛm, sɔm pipul dɛn kin gɛt pen na dɛn nɛk, dɛn jaw, ɔ dɛn yes . If di lump big fɔ pres pan wi windpaip ɔ esophagus, i kin mek i nɔ izi fɔ blo ɔ swɛla .

Impɔtant: If yu notis nyu lump na yu nɛk, ilɛksɛf i nɔ de mek yu fil pen, yu fɔ rili go to dɔktɔ. Di kwik we yu no am, na di mɔ di tritmɛnt go wok fayn.

Wetin na di tin dɛm we de mek `PTC`?

Sayɛnsman dɛn stil nɔ no di rayt tin we kin mek pɔsin gɛt PTC, bɔt dɛn dɔn no bɔku tin dɛn we kin mek pɔsin gɛt dis sik mɔ ɛn mɔ, lɛk we pɔsin kin gɛt raytin ɛn sɔm tin dɛn we kin apin to pɔsin we gɛt jɛnɛtiks .

Radieshɔn ɛksplɔshɔn ɛn `PTC`

Pipul dεm we dεn bin dכn εkspos to bכku ayonayz rεdyushכn insay dεn istri kin gεt PTC mכr. Di we dɛn we dis raytin kin kɔmɔt na do na:

• Dɛn kin gi ay doz ɛksternal raytin tritmɛnt to di nɛk fɔ trit kansa ɔ ɔda tin dɛn we nɔ gɛt kansa, mɔ we i smɔl.
• Radieshɔn we dɛn kin gɛt frɔm nyuklia pawa plant aksidɛnt dɛn. Fɔ ɛgzampul, afta di nyuklia aksidɛnt we bin apin na Chɛnobil insay 1986, di nɔmba fɔ di wan dɛn we gɛt PTC na di say dɛn we bin de nia de bin go ɔp frɔm 3 tɛm to 75 tɛm.

Jɛnɛtik kɔndishɔn ɛn `PTC`

difrεn jεnεtik (inhεrit) kכndishכn dεm de we de asai wit PTC:

• Familial Adenomatous Polyposis (FAP / Gardner syndrome): Dis na wan sik we nɔ kin apin so ɔltɛm, we pɔsin kin gɛt frɔm am. I kin mek pɔsin gɛt bɔku bɔku polip na in kɔlon ɛn rɛktum, we kin bi kansa. Pipul wae gɛt FAP kin gɛt mɔr risk bak fɔ gɛt tumor na ɔda pat dɛm na dɛn bɔdi, inklud di tayroyd gland. di kכndyushכn de kכz fכ wan inhεrit mכtεshכn na di APC jin.
• Werner syndrome : Dis na wan sik bak we nɔ kin apin so ɔltɛm. I de sho sayn dɛm fɔ se pɔsin de ol kwik kwik wan (progeria). Pipul wae gɛt Werner syndrome kin gɛt bɔrku risk fɔ gɛt kansa. Di kayn we we pipul dɛn kin gɛt mɔ na tayroyd kansa. mכr dan 80 difrεn mכtεshכn dεm na di WRN jin dεn dכn fכnshכn pan pipul dεm we gεt dis kכndyushכn.
• Carney complex type 1 : Dis kכndyushכn de inkrεs bak di risk fכ divεlכp difrεn kayn tכmכro dεm, inklud di tayroyd tכmכro dεm. כltεm i kin kכz bay mכtεshכn dεm na di PRKAR1A jin.

Bɔt wi fɔ mɛmba se na 5% nɔmɔ pan ɔl di PTC pasɛnt dɛn gɛt fɔ du wit dɛn kayn jɛnɛtik kɔndishɔn ya.

Aw fɔ no `PTC`?

כlsay na di tεm, wan PTC de prεzεnt lεk wan lump na di tayroyd gland. Yu go dɔn fil am yusɛf, ɔ dɔktɔ go si am we dɛn de du yu nɛk ɛgzam ɔltɛm. Sɔntɛnde, dɛn kin fɛn di lump bay we dɛn de skan fɔ ɔda kɔndishɔn.

Yu dɔktɔ kin ɔda fɔ du dɛn tɛst ya fɔ no if yu gɛt PTC:

• Imej tɛst : Dɛn tɛst ya kin ɛp fɔ no di tayroyd nodul. Fɔ ɛgzampul, dɛn kin du tayroyd ɔltrasɔund , CT skan , ɛn/ɔ MRI skan .
• Fayn nidul aspireshɔn (nidul bayɔpsi ): Bɔku tɛm, dɔktɔ go tek smɔl sampul pan di tisu (bayopsi) frɔm yu tayroyd nodul yuz wan nidul we rili tan. Wan dɔktɔ we de stɔdi bɔt di sik go luk di tisu ɔnda maykroskɔp fɔ si if ɛni kansa sɛl de ɛn if na so i bi, us kayn tayroyd kansa i bi.

Sɔntɛnde, yu dɔktɔ kin rifer yu fɔ gɛt kɔyl fɔ yu jɛnɛtiks fɔ si if yu gɛt jɛnɛtik kɔndishɔn we kin mek yu gɛt PTC, ɛn ɔda kayn tumbu dɛn.

Aw dɛn kin trit PTC?

Di tritmɛnt fɔ PTC dipen pan di saiz fɔ di tɔŋ ɛn if di kansa dɔn skata.

Ɔpreshɔn na di men ɛn kɔmɔn tritmɛnt fɔ PTC.I dipen pan di saiz ɛn usay di tumbu de, yu dɔktɔ kin pul wan pat pan di tayroyd gland (lobectomy) ɔ di wan ol gland (thyroidectomy). If di kansa de na di tayroyd gland dɛn, di dɔktɔ we de du di ɔpreshɔn kin pul di gland dɛn we gɛt di sik di sem tɛm we dɛn du di tayroyd ɔpreshɔn ɔ we dɛn du di sɛkɔn ɔpreshɔn.

Impɔtant: If dɛn pul yu wan ol tayroyd gland (total thyroidectomy), yu go nid fɔ tek tayroyd ɔmon pils fɔ di res ɔf yu layf .

Ɔda tritmɛnt dɛn fɔ PTC na:

• rεdio ayodin tεrapi : di tayroyd sεl dεm εn di PTC sεl dεm de abzכp di minral ayodin (we de fכn insay sכm it dεm). Fɔ dis rizin, sɔntɛnde, dɔktɔ dɛn kin yuz wan kayn ayodin we gɛt redioaktiv fɔ pwɛl ɛni nɔmal tayroyd tisu we lɛf afta dɛn dɔn pul di tayroyd gland, ɛn ɛni tayroyd tisu we gɛt kansa we kin lɛf.
• Radiation therapy : Radiation de kil di kansa sel dεm εn stכp dεm fכ gro. Insay ɛksternal redyushɔn tɛrapi, wan mashin kin dayrɛkt pawaful bim dɛn we gɛt ɛnaji dairekt to di tɔŋ. insay intanεt rεdyushכn tεrapi, dεn kin put redioaktiv sid dεm insay כ rawnd di tכmכro.
• Kimotɛrapi : Kimotɛrapi drɔgs we dɛn kin gi insay di bɛlɛ (IV) ɔ bay mɔt (ɔral) kin kil di kansa sɛl dɛn ɛn stɔp di kansa fɔ mek i nɔ gro. Bɔt na smɔl pan di pipul dɛn we gɛt tayroyd kansa nɔmɔ nid kemotɛrapi.

Wetin na di sayd ɛfɛkt ɛn kɔmplikeshɔn dɛm fɔ `PTC` tritmɛnt?

Wan sayd ɛfɛkt we pɔsin kin gɛt we dɛn kin pul tayroyd ɛn we dɛn kin yuz redio ayodin na we dɛn kin gɛt haypotayroyd we kin de sote go. So, if yu gɛt wan pan dɛn tritmɛnt ya ɔ ɔl tu, yu go nid fɔ tek tayroyd ɔmon pils fɔ di res ɔf yu layf.

Bɔku prɔblɛm dɛn de we kin apin we dɛn de du ɔpreshɔn pan tayroyd:

• Sik we de prɛd.
• We yu pul di paratayrɔyd gland dɛn we yu nɔ gɛt aksidɛnt ɔ pwɛl , we de kɔntrol di lɛvɛl we di kalsiɔm de na yu blɔd.
• Damej to di laryngeal nerve we de kam bak, we de rɔn biɛn di tayroyd gland. Dis kin mek di vɔys de ala ɛn wik.

Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt we i gɛt redioaktiv ayodin tritmɛnt:

• Nɔs ɛn vɔmit.
• Sialadenitis - di saliva gland we dɔn swel.
• Transiɛnt tayrotoksikɔsis.
• Pulmonary fibrosis na sik we de mek di lכng tisu de skata.
• I nɔ kin ebul fɔ bɔn pikin fɔ sɔm tɛm ɔ fɔ ɔltɛm.
• LukimiyaSmɔl risk fɔ gɛt lukimiya, bɔdi kansa, ɔ blad kansa.

Yu tink se dɛn kin mek `PTC` nɔ apin?

Bɔrku pipul dɛm wae gɛt tayroyd kansa nɔr gɛt ɛni patikyula tin wae kin mek dɛn gɛt dis sik. So, bɔku pan di kes dɛm fɔ PTC nɔ kin ebul fɔ stɔp.

We pɔsin gɛt raytin, mɔ we i smɔl, na sɔntin we dɛn no se i kin mek pɔsin gɛt PTC. Bikɔs ɔf dis, dɔktɔ dɛn nɔ de yuz raytin igen fɔ sik dɛn we nɔ siriɔs. Pikin dεm kin gεt rεdyushכn bak frכm imej tεst lεk εks-ray εn CT skan, bכt dεn kin gεt bכku lכw dכz. I nɔ klia to aw dɛn kin mek di risk fɔ PTC bɔku.

If pɔsin na yu famili dɔn gɛt tayroyd kansa, yu kin want fɔ gɛt kɔyl fɔ yu jɛnɛtiks . Dis go ɛp fɔ no if yu gɛt wan jenɛtik kɔndishɔn we de put yu pan ay risk fɔ gɛt PTC. If yu du dat, yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn pan yu tayroyd gland bifo yu gɛt kansa.

Wetin na di prɔgnosis fɔ PTC?

In jɛnɛral, di prɔgnosis fɔ PTC rili gud , mɔ if yu nɔ rich 40 ia ɛn di tumbu smɔl. Bɔku tɛm, dɛn kin trit PTC fayn fayn wan. Ivin if i dɔn spre to di limf no dɛm na di nɛk, i nɔ kin kil pɔsin.

Tin dɛm wae kin ridyus di rεt fɔ wɛl bɔdi na:

• Fɔ dɔn pas 55 ia we dɛn no se i gɛt di sik.
• Di tumbu de kam big .
• Di kansa dɔn go fa fa say dɛn na di bɔdi .
• fכ gεt wan rare, agresiv sכbtayp fכ `PTC` (e.g. `tכl sεl vεryכnt`, `difכs sklεrosis vεryכnt`, `sכlid vεryכnt`).

Yu kin sev `PTC`?

Di sɔvayv rɛt fɔ PTC rili ay . Mɔ pas 90% pan di big pipul dɛm we gɛt PTC de liv fɔ at le 10 to 20 ia afta dɛn dɔn gɛt tritmɛnt.

Ustɛm a fɔ si dɔktɔ bɔt `PTC`?

If dɛn no se yu gɛt PTC, yu go nid fɔ mit wit yu mɛdikal tim ɔltɛm fɔ wach aw yu tritmɛnt de go bifo. Yu go nid bak fɔ gɛt lɔng tɛm fɔlɔp visit ɛvri 6 to 12 mɔnt fɔ at le fayv ia fɔ chɛk fɔ si if i kam bak.

If dɛn pul yu tayroyd gland ɛn/ɔ dɛn gi yu tritmɛnt wit redioaktiv ayodin as pat pan yu tritmɛnt, yu go nid fɔ tek tayroyd ɔmon pils fɔ di res ɔf yu layf . Dɔktɔ go wach yu tayroyd ɔmon lɛvɛl ɔlsay na yu layf fɔ mek shɔ se yu mɛrɛsin doz rayt fɔ yu.

If dɛn no se yu gɛt kansa, ilɛk us kayn kansa, dat kin mek yu sɔprayz. Bɔt di gud nyus na dat, bɔku tɛm di prɔgnosis fɔ PTC kin rili gud. Yu mɛdikal tim go wok wit yu fɔ no di bɛst tritmɛnt plan fɔ yu.

## Impɔtant tin dɛn fɔ mɛmba (Take-Home Message)

Okay, so, frɔm wetin wi dɔn tɔk bɔt, dɛn tin ya na di impɔtant tin dɛn we yu nid fɔ mɛmba:

• Papillary thyroid cancer (PTC) na di kayn tayroyd kansa we kɔmɔn pas ɔl ɛn i gɛt di bɛst prɔgnosis.
• Di men sayn na wan lump we nɔ de pen na di nɛk. If yu si sɔntin lɛk dat, yu go mɔs go to dɔktɔ.
• Ɔpreshɔn na di men tritmɛnt. Redioaktiv ayodin tɛrapi kin nid bak.
• If dɛn pul di tayroyd gland kpatakpata, yu go gɛt fɔ tek di tayroyd ɔmon fɔ di res ɔf yu layf .
• Di kwik we dɛn kin no dis sik, na di mɔ di tritmɛnt kin wok fayn. So, fɔ chɛk yu dɔktɔ ɔltɛm ɛn fɔ fala advays rili impɔtant.
• Nɔ fred. Nɔto yu wan de. Dɔktɔ dɛn, fambul dɛn, ɛn padi dɛn de fɔ ɛp yu.

A op se dis infɔmeshɔn go ɛp yu. If yu gɛt ɛni kwɛstyɔn, nɔ shek fɔ aks yu dɔktɔ. Stay wit wɛlbɔdi!

` Tayroyd kansa, papillary tayroyd kansa, PTC, nɛk nodul, tayroyd ɔpreshɔn, redyushɔn tɛrapi, ɔmon tɛrapi