Yu gɛt wan lump lɛk dis na yu bɔdi? Mek wi tok abaut Phyllodes Tumor!

Yu don eva fil wan lump na yu breast en wanda, "Wetin na dis?"? I rili rili kɔmɔn. Nɔto ɔl di lumps dɛn kin denja. Bɔt tide wi go tɔk bɔt wan kayn bɔdi we nɔ kin bɔku we ɔlman fɔ no bɔt. Dis na wetin wi kin kɔl Pyllodes Tumor ɔ Phyllodes tumor.

Wetin na Faylɔd Tɔmɔs? Lɛ wi ɔndastand gud gud wan!

Fɔ tɔk am simpul wan, phyllodes tumor na wan kayn tumor we nɔ kin apin so ɔltɛm we de divɛlɔp na di kɔnɛktiv tisu na yu brɛst. Naw yu go mɔs de wɔnda, "Wetin na dis kɔnɛktiv tisu?" We wi kin tink bɔt bɔdi, wi kin tink bɔt di fat we de mek di bɔdi in saiz ɔ di glandular tisu we de mek milk, nɔto so? di kכnektiv tisu na fayv tisu we de ol di tu kayn tisu dεm togeda εn de wok lεk sכpכt. I tan lɛk di wɔl dɛn na os, we de ɛp fɔ mek tin dɛn kɔntinyu fɔ de.

Dis na di say we di Phyllodes tumor dεm de fכm. Dɛn kin fil fayn, dɛn gɛt fayv, ɛn dɛn kin tan lɛk skata. We yu luk dɛn wit maykroskɔp, dɛn tan lɛk lif. Di nem kɔmɔt frɔm di Grik wɔd “phyllon,” we min “lif.” Sɔntɛnde dɛn kin kɔl dɛn sistosarkoma faylɔd. Bɔrku tɛm, dɛn tumbu ya nɔr kin fayn, ɔr nɔr kin gɛt kansa. Bɔt, sɔm tɛm dɛn kin apin, dɛn kin gɛt bad bad sik, ɔ kansa.

So, na phyllodes tumor kansa?

Dis na prɔblɛm we bɔku pipul dɛn gɛt. Sɔntɛm nɔto so! bכt 75% pan di faylod sist dεm nכto kεnsar. Dat min se dɛn nɔ de du bad. Bɔt lɛk 25% kin gɛt kansa. dis kεnsar faylod sist dεm de mek wan rili sכm pasεnshכn pan כl di brεst kεnsar dεm, we na 0.05%.

Dɛn wan ya de pan wan kayn kansa we dɛn kɔl sarkoma. Sarkoma na kansa we de divεlכp na di kכnektiv tisu. Dis difrɛn frɔm di kayn bɔdi kansa we wi kin si. Bikɔs dɛn kɔmɔn bɔdi kansa dɛn de kin apin bɔku tɛm na di glandular tisu dɛn lɛk di milk dakt ɛn di lobules.

wan spɛshal tin we de sho se di phyllodes tumor dεm na dat dεn nכ kin spre izi wan tru di lymphatic system. Dis min se dɛn nɔ kin spre kwik kwik wan to ɔda pat dɛn na di bɔdi lɛk sɔm ɔda kansa dɛn. Bɔt dɛn nɔ kin izi fɔ skata (mɛtastaz) tru di blɔd to ɔda pat dɛn na di bɔdi, lɛk di lɔng ɔ bon dɛn. Bɔt dat bak nɔ kin apin so ɔltɛm.

Bɔku tɛm, dɛn kin trit dis nɔmɔ na di say we di tumbu de. Bɔku tɛm, dɛn kin mɛn am wit wan simpul ɔpreshɔn we dɛn kɔl lumpectomy, we kin pul di tumbu nɔmɔ. di phyllodes tumor dεm nכ de rεspכnd fayn to di tεm we dεn de trit di ol bכdi, lεk kεmothεrapi, we dεn kin yus fכ כda brεst kεnsar dεm.

Udat kin gɛt faylɔd sist mɔ?

di phyllodes sist dεm de mek lεs dan 1% pan כl di brεst tכmכro dεm. Dis min se dɛn kin rili rare. Dɛn kin apin mɔ na uman dɛn bɔdi. Bɔt, na smɔl tɛm nɔmɔ, dɛn dɔn ripɔt se dɛn kin apin to man dɛn.

Pan ɔl we dɛn tumbu ya kin kam pan ɛni ej, dɛn kin bɔku pan uman dɛn we ol midul ej, bitwin 40 ɛn 50. Dɛn dɔn si bak se pipul dɛn we gɛt wan sik we dɛn kɔl Li-Fraumeni syndrome, we kin mek dɛn gɛt kansa, kin gɛt dɛn phyllodes tumor ya.

Wetin na di sayn dɛm fɔ wan phyllodes tumor? Aw yu no am?

Yu kin notis wan tin we at, smol, we dɛn dɔn difayn fayn fayn wan na yu bɔdi. wan faylod sist kin big pas 3 sεntimita, εn sכmtεm i kin big pasmak. I sɔprayz fɔ no se dɛn sist ya kin gro kwik kwik wan fɔ shɔt tɛm, bɔku tɛm fɔ sɔm wiks .

As di tumbu de gro, di skin we de na da say de kin shayn, translucent, ɔ pen as di tumor de strɛch. pan ɔl we wi nɔ no di rayt tin we kin mek i apin, dɛn se dɛn faylod tɔŋ ya kin bɔku na di lɛft bɔdi pas di rayt brɔst.

Impɔtant: If yu si nyu lump na yu brɔst, yu fil se i de gro kwik kwik wan, ɔ yu notis chenj na yu skin, mek shɔ se yu go to dɔktɔ.

If wan phyllodes tumor na kansa (malignant), ɔda sayn dɛn kin apia wit dɛn sayn ya. Fɔ ɛgzampul:

• Taya
• Shot we yu de blo
• Bɔn pen

Simptom dɛm lɛk dis kin min se di kansa kin dɔn spre to di bon dɛm ɔr di lɔng dɛm. So yu nid fɔ tek tɛm wit dɛn tin ya bak.

Aw dɛn kin no di Phyllodes Tumors?

We yu go to dɔktɔ, i go mɔs bi se i go du di tɛst dɛn we dɛn kin du ɔltɛm fɔ si if di bɔdi gɛt blɔd, lɛk fɔ tek ɔltra saund skan ɛn fɔ mek yu si mami ɛn dadi biznɛs wit pikin, fɔ mek shɔ se dɛn tin ya nɔto ɔda kayn bɔm.

כltu, fכ difrεnt wan faylod tכmכro frכm כda kayn brεst tכmכro we dεn kכl fibroadenoma, dεn kin nid fכ du bayopsi. fibroadenoma na fayn tכmכro bak we de fכm insay kכnektiv tisu. Sɔntɛnde, i kin at fɔ no difrɛns bitwin dɛn tu frɔm skan nɔmɔ.

Bayopsi na we yu dɔktɔ tek smɔl sampul pan di tisu frɔm yu bɔdi ɛn sɛn am to lab fɔ luk am ɔnda maykroskɔp. Bɔku tɛm dɛn kin du dis wit di ɛp we dɛn kin yuz ɔltra saund mashin ɛn spɛshal nidul we gɛt ol. I nɔ kin rili mek pɔsin fil pen.

sכmtεm, if di tisu sεmpl we dεn tek dis we at fכ no, yu dכkta kin se fכ du excision biopsy. Dis min se dɛn kin ɔpreshɔn di wan ol tumbu ɛn chɛk am. Infakt, dis na di tritmɛnt we dɔktɔ dɛn kin se if yu gɛt phyllodes tumor. Dis bayɔpsi kin tɛl yu ustɛm di kayn tumbu i bi, ilɛksɛf i gɛt kansa ɔ i nɔ gɛt kansa. If i gɛt kansa, dɛn kin yuz am bak fɔ chɛk if i dɔn skata to ɔda pat dɛn na di bɔdi.

Wetin na di difrɛns bitwin Phyllodes Tumor ɛn Fibroadenoma?

Dis na kwɛstyɔn we rili impɔtant. biכs, Fibroadenoma na di mכst kכmכn kayn benign lump we dεn kin si na di brεst. dis dεm de fכm bak na di kכnektiv tisu na di brεst. So, sɔntɛnde i kin at fɔ no difrɛns bitwin dɛn tu bay we dɛn de du mɛdikal tɛst, ivin we dɛn de skan.

Fibroadenomas nɔ de ambɔg pɔsin. Bɔt dɛn nɔ kin chenj to ɔda kayn tumbu dɛn. Sɔm dɔktɔ dɛn biliv se sɔntɛnde fibroadenomas kin bi phyllodes tumor.

I rili impɔtant fɔ mek yu dɔktɔ no if yu lump na fibroadenoma ɔ na phyllodes tumor. Bikɔs di tu kayn lumps dɛn kin biev difrɛn, dɔktɔ dɛn kin trit dɛn difrɛn we. di fibroadenomas kin de di sem ɔ i kin smɔl as tɛm de go. Bɔt di phyllodes tumor, pan ɔl we i nɔ fayn, i kin gro kwik ɛn mek pɔsin fil pen. So, bɔku tɛm dɛn kin pul dɛn kwik kwik wan fɔ mek dɛn nɔ gɛt prɔblɛm dɛn tumara bambay.

Yu tink se dɛn rili nid fɔ pul di phyllodes cyst dɛn?

Yɛs, na dat dɔktɔ dɛn kin se. Ivin if di tumbu nɔ fayn, i bɛtɛ fɔ pul am. If yu pul wan benign phyllodes tumor, i kin mek i nɔ big, i nɔ go mek i fil pen mɔ, ɔ i nɔ go gɛt kansa tumara bambay. Bikɔs dɛn tumbu ya kin gro ɛn chenj kwik kwik wan, i kin izi fɔ mek yu ɛn yu dɔktɔ pul dɛn ɔl wan tɛm pas fɔ gɛt bayɔpsi bɔku tɛm.

כl tu di benign εn malign phyllodes tumor dεm dεn de trit dεm wit lumpectomy. dis involv fכ pul di tכmכro wit sכm hεlty tisu (wan margin) we de rawnd am. dis hεlty tisu dεn kin pul fכ mek di tכmכro nכ kam bak na di sem ples (a rikarεshכn), biכs di tu kayn tכmכro dεm kin kam bak.

If yu tumbu na bad bad tin, yu dɔktɔ kin tɛl yu bak se dɛn go gi yu redyushɔn tɛrapi to di bɔdi afta dɛn dɔn du yu ɔpreshɔn fɔ pwɛl ɛni kansa sɛl we lɛf ɛn fɔ mek di kansa nɔ kam bak.

Yu tink se dɛn kin mɛn di malign phyllodes tumor dɛn?

Yɛs, i kin mɛn.If dɛn pul di kansa kpatakpata, ɔpreshɔn kin mɛn am. Dis kin izi fɔ du if di kansa nɔ dɔn spre pas di fɔs tɔŋ. We kansa dɔn skata to ɔda pat dɛn na di bɔdi (mɛtastatik kansa), i kin at fɔ fɛn ɛn pul ɔl di kansa sɛl dɛn. Sɔm kansa dɛn we dɔn skata, dɛn kin trit dɛn wit ɔl bɔdi kemotɛrapi. Bɔt as wi bin dɔn tɔk, dis tritmɛnt nɔ kin rili wok fɔ di phyllodes tumors.

Ivin if i tan lɛk se di kansa dɔn go ɔlsay, i kin kam bak. כl tu di benign εn malignant phyllodes cyst dεm kin gro bak ia afta dεn pul dεm. If dis apin, bɔku tɛm dɛn kin wɛl di nyu tumbu bay we dɛn pul am wit wan big margin we gɛt wɛlbɔdi tisu pas di wan we bin de bifo. כltu, lεk 30% pan di pipul dεm we gεt kεnsar phyllodes sist dεm na di brεst go day frכm di sik. So, i impɔtant fɔ no bɔt dis ɛn fala yu dɔktɔ in advays.

Di tin dɛn we impɔtant pas ɔl fɔ mek yu mɛmba (Take-Home Message) .

Okay, so wi don tok plenti boht phyllodes nat. Na di impɔtant tin dɛn we yu kin pul kɔmɔt na dis stori:

• Phyllodes tumors na wan kayn brεst tכmכro we rili rεs. Kansa faylod tכmכro dεm kin ivin rεr.
• If yu si wan lump na yu brɔst, nɔ panik ɛn go to dɔktɔ. Ivin if na phyllodes tumor, if yu pul am, i go sɔlv di prɔblɛm bɔku tɛm.
• Di dɔktɔ go kɔntinyu fɔ de chɛk yu ɔltɛm fɔ si if di tumbu de gro bak.
• sכmtin de we yu nid fכ du pan yu pat: de chεk yu brεst כltεm (breast self-exams).
• Di kwik we yu no di lumps, na di mɔ di tin dɛn we go apin go fayn.

Nɔ fɔgɛt: Yu sabi yu bɔdi pas ɔlman. If yu notis ɛni chenj ɔ ɛnitin we nɔ kɔmɔn, i nɔ kin ɛva let fɔ tɔk to dɔktɔ bɔt am. Fɔ gɛt wɛlbɔdi na di tin we impɔtant pas ɔl!