Lump de na di bɔdi? Yu tink se i de mek yu bon dɛn at? Yu tink se i kin bi sarkoma? Lɛ wi fɛn ɔndastand!

Yu dɔn notis nyu lump sɔmsay na yu bɔdi we nɔ de at, bɔt i de mek yu fred smɔl? Ɔ yu dɔn de fil pen na yu an ɔ yu fut fɔ no rizin fɔ lɔng tɛm? Sɔmtɛm wi nɔ kin pe atɛnshɔn tumɔs pan dɛn tin ya, bɔt na sɔm kayn we, dɛn tin ya kin bi sayn fɔ wan kayn kansa we dɛn kɔl ‘Sarcoma’ . Bɔku pipul dɛn kin wɔri smɔl we dɛn yɛri dis nem, bikɔs i nɔ kin bɔku. So, tide wi go tɔk bɔt Sarkoma, wetin i min, aw i de divɛlɔp, wetin na di sayn dɛm, ɛn if tritmɛnt de, na simpul we we yu go ɔndastand.

Wetin rili na Sarkoma?

Fɔ tɔk am simpul wan, Sarkoma na wan bad bad tumbu, dat na, kansa, we de divɛlɔp na di bon dɛn ɔ di sɔft tisu dɛn na wi bɔdi. Naw yu go de wɔnda wetin dis sɔft tisu de fɔ. Sכft tisu dεm na di tin dεm we de sכpכt כda strכkchכ dεm na wi bכdi. Fɔ ɛgzampul:

• Mɔsul dɛn (flɛsh) .
• Bɔmp
• Tεndon dεm (tisu dεm we de kכnεkt mכsul dεm to bon dεm) .
• Cartilage (sכft tisu we dεn kin fכnshכn na ples dεm lεk joyn dεm) .
• Ligament (tisu dεm we de kכnεkt di bon dεm togeda) .
• Blɔd vesel dɛn (blɔd veins) .
• Nɛv dɛn

Dis kayn kansa we dɛn kɔl sarkoma, rili nɔ kin bɔku. If wi tek di totɛl nɔmba fɔ di kansa dɛm we kin apin pan big pipul dɛm, sarkoma na smɔl, lɛk 1%. Bɔt lɛk 15% pan di kansa dɛn we kin apin to pikin dɛn kin bi sarkoma. Insay kɔntri lɛk Amɛrika, dɛn kin ripɔt lɛk 16,000 nyu wan dɛn we gɛt sarkoma ɛvri ia. pan dεn wan ya, lεk 4,000 na sarkoma we de divεlכp na di bon dεm, εn lεk 13,000 na sarkoma we de divεlכp na di sכft tisu dεm.

Usay sarkoma kin apin mɔ?

Jɔs tink bɔt dis, dis sarkoma kin kam ɛnisay na wi bɔdi, frɔm wi ed to wi fut finga dɛn. Bɔt sɔm ples dɛn de we dɛn kin si am mɔ:

• Na lɛk 40 pasɛnt (40%) pan dɛn kin apin na wi fut (leg, anklɛ, fut).
• lεk 15 pasεnt (15%) de involv di an dεm (sכlda, an, an, finga dεm).
• Na lɛk 30 pasɛnt (30%) de na say dɛn lɛk wi bɔdi, chɛst, bɛlɛ, ɛn wi bɔdi.
• Na lɛk fayvtin pasɛnt (15%) kin gɛt fɔ du wit di ed ɛn nɛk.

Wetin na di kayn Sarkoma?

Sarkoma nɔto jɔs wan kayn pɔsin. Na brayt wɔd fɔ wan big grup fɔ kansa we de divɛlɔp na di bon ɛn sɔft tisu dɛm. Infakt, dɛn dɔn no pas 70 sɔbtayp dɛn fɔ sarkoma. I rili kɔmplikt, nɔto so? Lɛ wi luk di tu men kayn dɛn.

1. Bɔn Sarkoma

dis na kansa we de stat dayrekt na di bon dεm (`primary bone sarcoma`). Mɔr pas wan pat pan tri pan dis kayn sarkoma kin de pan pipul dɛm wae nɔr rich 35. Dɛn kin si am bak pan pikin dɛm.

Sɔm pan di men kayn bon sarkoma na:

• Osteosarkoma we gɛt di sik(Dis na di kayn we dɛn kin si mɔ)
• Chondrosarkoma we gɛt di sik
• Chordoma we gɛt di sik
• Ewing in wan sik we dɛn kɔl sarkoma
• Fibrosarkoma we gɛt fibrosarkoma

Impɔtant: Nɔto ɔl di kansa dɛm we de kam na di bon dɛm na bon sarkoma. Sɔntɛnde, kansa sɛl dɛn we dɔn bigin ɔdasay na di bɔdi (lɛk di lɔng, bɔdi, ɔ tayroyd) kin travul tru di blɔd ɛn go na di bon dɛn. Dɛn kɔl dis mɛtastas bon kansa . Dis difrɛn frɔm di praymari bon kansa.

2. Sɔft Tisu Sarkoma

Dɛn tin ya kin bigin na wi mɔsul dɛn ɔ ɔda kɔnektiv tisu dɛn na di bɔdi. Nɔ lɛk bon sarkoma, sɔft tisu sarkoma kin bɔku pan big pipul dɛn. Bɔt sɔm kayn dɛn lɛk rhabdomyosarcoma kin bɔku pan pikin dɛn.

Bɔku kayn sɔft tisu sarkoma de:

• Angiosarkoma we dɛn kɔl Angiosarkoma
• Desmoplastic sכm sכm rawnd sεl tכmכro dεm
• Gεstrointestinal stromal tכmכro (GIST) .
• Leiomyosarkoma we dɛn kɔl Leiomyosarcoma
• Liposarkoma we gɛt di sik
• Malignant pεrifεral nεv sεt tכmכro
• Wan sik we dɛn kɔl schwannoma we gɛt bad bad sik
• Mayksofibrosarkoma we de mek pɔsin gɛt sik
• Sinovial sarkoma we de mek pɔsin gɛt sik
• Plɛomɔrfik sarkoma we nɔ difrɛn

Luk aw bɔku kayn dɛn de! Di kayn we aw dɛn kin trit ɛni wan pan dɛn tin ya ɛn di we aw dɛn kin trit dɛn kin difrɛn smɔl.

Udat dɛn kin gɛt bɔku risk fɔ gɛt sarkoma?

Sarkoma kin afɛkt pikin ɛn big pipul dɛn. Sɔft tisu sarkoma kin mɔs pan big pipul dɛn. Bɔt bon sarkoma kin bɔku pan pikin dɛn, yɔŋ pipul dɛn, ɛn pipul dɛn we dɔn pas 65. Sɔm stɔdi dɛn dɔn sho se bon sarkoma kin bɔku smɔl pan man dɛn ɛn pipul dɛn we blak ɔ Hispanik.

Wetin mek dis sarkoma kin kam? Wetin na di kɔz?

Dis na rili di prɔblɛm we bɔku pipul dɛn gɛt. Sarkoma kin kam we sɔm chenj dɛn apin na di jɛnɛtik infɔmeshɔn (DNA) na di bon sɛl dɛn we nɔ machɔ ɔ di sɔft tisu sɛl dɛn na wi bɔdi, ɛn dɛn sɛl dɛn de kin bi kansa sɛl dɛn. Dɔn dɛn kansa sɛl dɛn ya kin bigin fɔ sheb kwik kwik wan ɛn dɛn nɔ kin ebul fɔ kɔntrol dɛn. Afta sɔm tɛm, dɛn sɛl ya kin jɔyn togɛda fɔ mek wan tumbu. dis tכmכro de gro sכmtεm εn i kin pwεl εn invayd di hεlty tisu dεm we de rawnd am.

If dɛn nɔ trit dis fayn, di kansa sɛl dɛn kin skata tru wi blɔd ɔ di limf sistɛm.Kansa kin travul go fa fa pat na di bɔdi ɛn mek nyu tumbu dɛn. Dɛn kɔl dis mɛtastasis , ɔ di we aw kansa de skata. Fɔ trit kansa wae dɔn skata dis kayn wae nɔr kin izi.

Jɔs lɛk ɔda kayn kansa, di wan dɛn we de stɔdi bɔt dis nɔ dɔn fɛn wan patikyula rizin yet we mek wan sɛl we gɛt wɛlbɔdi kin tɔn to sarkoma sɛl wantɛm wantɛm.

Wetin na di tin dɛn we kin mek pɔsin gɛt sarkoma?

Pan ɔl we no dairekt kɔz nɔ de, dɛn dɔn no sɔm tin dɛn we kin mek pɔsin gɛt sarkoma. Dɛn na:

• Fɔ gɛt sɔm kemikal dɛn: Fɔ lɔng tɛm we yu de yuz tin dɛn lɛk asɛnik, sɔm kemikal dɛn we dɛn kin yuz fɔ mek plastic (e.g. vinyl chloride monomer), herbicides (e.g. phenoxyacetic acid), ɛn wud prɛzɛvɛtiv (e.g. chlorophenols).
• Radieshɔn: Fɔ gɛt bɔku bɔku raytin as tritmɛnt fɔ ɔda kansa bifo tɛm.
• Limfεdima: Na di an ɔ di leg dɛn kin swel fɔ lɔng tɛm.
• Sכm jεnεtik kכndishכn dεm: sכm jεnεtik kכndishכn dεm εn kromozom chenj dεm na dεn kin gεt am. Sɔm ɛgzampul dɛn na Gardner sindrom, Werner sindrom, von Hippel-Lindau sik, Gorlin sindrom, tuberous sclerosis, Li-Fraumeni syndrome, retinoblastoma, ɛn nyurofibromatosis tayp 1. Dɛn tin ya na tin dɛn we nɔ kin apin so ɔltɛm.

If yu gɛt dɛn tin ya we kin mek yu gɛt dis sik nɔ min se yu go rili gɛt sarkoma. Bɔt, i impɔtant fɔ mek wi no bɔt dɛn.

Wetin na di sayn dɛm fɔ Sarkoma? Aw yu no am?

Di sayn dɛm fɔ sarkoma kin difrɛn bad bad wan dipen pan usay di kansa de. Fɔ ɛgzampul, sɔm sarkoma nɔ kin sho ɛni sayn fɔs. Ɔda wan dɛn kin fil lɛk se na 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. Bɔt di pen kin jɔs bigin fɔ apin we di lump gro ɛn prɛs pan di nerv ɛn ɔgan dɛn we de nia am.

Bɔt sɔm sarkoma kin mek pɔsin fil pen fɔ lɔng tɛm ɛn swel na di bon dɛn na in an ɔ leg . Dis pen kin rili bad na nɛt . Dis kin mek i nɔ izi fɔ muv yu an ɔ yu fut ɛn du di wok dɛn we yu de du ɛvride.

Sɔm kɔmɔn sayn dɛm wae yu kin si na:

• Nyu lump ɔ swɛlin (dis kin mek yu fil pen ɔ i nɔ kin mek yu fil pen).
• Pen we yu nɔ ebul fɔ ɛksplen na yu an, yu leg, yu bɛlɛ, ɔ yu bɛlɛ.
• difεlεns fכ muv yu an כ leg (e.g., limp, limited muvmεnt).
• We yu de lɔs yu wet we yu nɔ gɛt rizin.
• Bak pen (especially if di kansa de na di spayna).

Mɛmba se dɛn kin si dɛn sayn ya bak pan bɔku ɔda sik dɛn. So, nɔ fred fɔ tink se na sarkoma jɔs bikɔs yu gɛt sayn lɛk dis. Bɔt, i fayn fɔ go to dɔktɔ ɛn gɛt advays.

Aw fɔ no di kɔrɛkt we aw pɔsin gɛt sarkoma? (Diagnosis) .

If yu gɛt sayn lɛk dis, yu dɔktɔ go aks yu fɔs bɔt yu sik ɛn du yu bɔdi ɛgzam. Dɔn, dɛn go nid fɔ du sɔm spɛshal tɛst fɔ no if yu gɛt sarkoma ɛn us kayn i bi. Di tɛst we impɔtant pas ɔl na bayɔpsi.

Bayopsi na fɔ tek wan smɔl pat pan di tisu frɔm di tumbu ɛn sɛn am na lab. Na de, wan spɛshal pɔsin we dɛn kɔl pathɔlɔjis kin chɛk di tisu ɔnda maykroskɔp fɔ si if i gɛt kansa sɛl dɛn ɛn if na so i gɛt, us kayn sarkoma i bi. Dis infɔmeshɔn go ɛp fɔ no di bɛst tritmɛnt fɔ yu.

Sɔm ɔda tɛst dɛn na:

• X-ray: Dis kin tek pikchɔ fɔ bon ɛn sɔft tisu.
• CT scan (Computed Tomography scan): Dis kin tek sɔm X-ray ɛn mek yu si di insay pat pan di bɔdi.
• MRI (Magnetic Resonance Imaging): Dis kin yuz big magnet, redio wev, ɛn kɔmpyuta fɔ mek klia ɛn ditayli pikchɔ dɛn bɔt di insay pat. If dɛn si sɔntin we nɔ kɔmɔn pan ɛkstrem rayt, dɛn kin aks yu fɔ mek dɛn du MRI.
• bon skan: insay dis, dεn de injεkt sכm sכm rεdyuaktiv mεtirial insay di bכdi fכ εp fכ no if di bon dεm nכ de wok (lεk bon sarkoma).
• PET skan (Positron Emission Tomography scan): Dis de yuz wan spɛshal kayn glukɔs. biכs di sεl dεm we de sheb kwik kwik wan, lεk di kεnsar sεl dεm, de yuz bכku glukכs, dis skan kin sho di εria dεm na di bכdi usay di glukכs lεvεl dεm nכ de hכy (we di tכmכro kin de).

Aw dɛn kin no di stej dɛm fɔ sarkoma?

Fɔ no di stej we pɔsin gɛt kansa rili impɔtant. I kin ɛp fɔ ɔndastand aw di kansa tranga ɛn di bɛst tritmɛnt we yu kin gɛt. di mכst sarkoma dεm dεn kכl dεm akɔdin to di TNM klasifikasiכn sistεm :

• T (Tכmכro): Dis de tכk bכt di sayz εn di say we di praymar kεnsar tכmכro de.
• N (Nodes): Dis de min if di kansa dɔn spre to di limf no dɛm we de nia de .
• M (Mεtastas): Dis de tכk bכt if di kεnsar dεn dכn spre (mεtastas) to כda כgan dεm we de fa na di bכdi.

Apat frɔm dat, dɔktɔ dɛn kin gred di kansa (Grɛd - G).Dis de tɔk bɔt aw di kansa sɛl dɛn fiba ɔ difrɛn frɔm di nɔmal sɛl dɛn. in jεnarכl, di mכr di kεnsar sεl dεm sכm kayn nכmal sεl dεm, na di bεtεh di prכgnosis.

We dɔktɔ dɛn de yuz ɔl dis infɔmeshɔn, dɛn kin no di stej we di sarkoma gɛt (na nɔmba frɔm 1 to 4). Di mɔ di nɔmba de bɔku, na di mɔ di kansa dɔn gro na di say we i de ɔ i dɔn skata ɔlsay na di bɔdi.

Di krayteria fɔ no di stej kin difrɛn smɔl fɔ ɛni kayn sarkoma. So, tɔk to yu dɔktɔ bɔt di stej we yu kansa gɛt ɛn aw i go afɛkt yu tritmɛnt ɛn aw yu go wɛl tumara bambay.

Wetin na di tritmɛnt dɛm fɔ Sarkoma?

We dɛn de trit sarkoma, nɔto jɔs wan dɔktɔ, bɔt na wan tim we gɛt spɛshal pipul dɛn we de wok togɛda. Dis tim kin gɛt ɔspitul dɔktɔ dɛn, raydiɔlɔjis, jɛnɛtiks, mɛdikal ɔnkɔlɔjis, redyushɔn ɔnkɔlɔjis, patɔlɔjis, pikin dɛn (fɔ pikin kansa), sayɛnsman dɛn, ɛn soshal woka dɛn.

Di tritmɛnt we yu go gɛt go dipen pan bɔku tin dɛn, lɛk:

• Sarkoma tayp.
• Di sayz ɛn di say we di tumbu de.
• Yu jenɛral wɛlbɔdi.
• If dɛn jɔs dɔn no di sarkoma ɔ i dɔn bigin fɔ gɛt am ɛn kam bak (i ​​kin kam bak).

Sɔm pan di men we dɛn fɔ trit am na:

1. Ɔpreshɔn

Insay dis, dɔktɔ dɛn kin tray fɔ pul ɔl di kansa sɛl dɛn ɛn dɛn kin kip bɔku tin dɛn we gɛt wɛlbɔdi. di tכmכro dεn de kכl wit nεgεtiv margin fכ hεlty tisu we de rawnd di tכmכro (`wayd lokal εksizishכn`). Dis kin tray fɔ pul rili smɔl, maykroskɔpik kansa sɛl dɛn we nɔ de lɛf ɛni wan.

Sɔntɛnde, dɛn fɔ mek di say we di sik afɛkt bak. We dɛn de du ɔpreshɔn fɔ sev di an ɛn fut, dɛn kin pul di tɔŋ ɛn if nid de, dɛn kin bil di jɔyn bak wit mɛtal riplesmɛnt. Sɔntɛnde, dɛn kin yuz bon frɔm ɔda pat na di bɔdi ɔ ɔda graft fɔ tek di bon we dɛn pul. Bɔt sɔm tɛm dɛn de, di tin we sef ɛn we bɛtɛ pas ɔl na fɔ pul di an we gɛt di sik (we dɛn kɔt am). Dis na tin we rili at fɔ disayd fɔ du.

2. Rɛdieshɔn Tɛrapi

Insay dis, dɛn kin yuz ɛkstrem rayt we gɛt bɔku ɛnaji fɔ pwɛl di kansa sɛl dɛn. Di gol na fɔ mek di sɛl dɛn we gɛt wɛlbɔdi nɔ pwɛl bɛtɛ. Dɛn kin gi redyushɔn tɛrapi insay (put insay di bɔdi) ɔ na do (dɛn kin gi am frɔm ɔdasay na di bɔdi bay mashin). Di advans teknɔlɔji tide de mek di raytin bim ebul fɔ dayrɛkt di kansa jɔs, ɛn dis de mek di wɛlbɔdi tisu we de rawnd am nɔ bɔku.

Dɛn kin yuz redyushɔn tɛrapi we dɛn kin gi insay , we dɛn kin kɔl bak brachytherapy , fɔ sarkoma we nɔ dɔn skata. Dɛn kin gi am we dɛn de du ɔpreshɔn (intra-ɔpareshɔn rediotɛrapi) ɔ tru plastic tyub (kateta) afta dɛn du ɔpreshɔn (intastitial brachytherapy).

Dɛn kin yuz redyushɔn tɛrapi bak pan kes dɛm we di kansa dɔn skata (mɛtastas sik).

3. Kimotɛrapi

Dis kin yuz drɔgs we de kil di kansa sɛl dɛn we de sheb kwik kwik wan ɔ we de mek dɛn slo fɔ gro. Dɛn kin gi dɛn mɛrɛsin ya insay di bɛlɛ ɔ as pils we dɛn kin tek wit mɔt. Dɛn kin gi dɛn fɔ mek di tumbu smɔl bifo dɛn du di ɔpreshɔn ɔ fɔ kil ɛni kansa sɛl we lɛf afta dɛn du di ɔpreshɔn. Sɔntɛnde, dɛn kin gi kemotɛrapi wit redyushɔn tɛrapi.

4. Targeted Tɛrapi

Dis na wan tritmɛnt we rili spɛshal. I de yuz drɔgs we de tɔch sɔm patikyula wikɛd tin dɛn we de na di kansa sɛl dɛn we nɔ de ambɔg di sɛl dɛn we gɛt wɛlbɔdi. Bɔt dis tritmɛnt de wok pan di kayn kansa sɛl dɛn nɔmɔ we gɛt dɛn wikɛd tin dɛn we dɛn dɔn tɔk bɔt. Yu dɔktɔ kin tɛl yu fɔ du am as wan tritmɛnt ɔ yu kin yuz am wit ɔda tritmɛnt dɛn.

5. Imyunotɛrapi / Bayolojikal Tɛrapi

Dis min se wi fɔ mek wi bɔdi in yon imyun sistɛm strɔng , ɛn ɛp am fɔ no ɛn fɛt di kansa sɛl dɛn. Kansa sɛl dɛn kin ayd frɔm wi imyun sistɛm, ɔ stɔp am fɔ wok. Dis na di rizin we mek di kansa sɛl dɛn de gro insay di bɔdi. Immunotherapy de wok bay we i de disable dis difens mεkanism dεm fכ di kansa sεl dεm εn εp wi bכdi fכ fεt kansa insεf.

6. Tɛmral Ablashɔn

Sɔntɛnde, dɛn kin pwɛl di sarkoma bay we dɛn ɔt am ɔ friz am . dis na wan intavεnshכnal raydiolojist de du am, we de yuz skan (lεk CT skan) fכ no di tכmכro prεsis εn insay wan spεshal instrכmεnt (wan prob).

7. Palliative Care we de mek pɔsin nɔ fil fayn

Dis nɔto tritmɛnt we de mɛn kansa. Bɔt i rili impɔtant. Dis na spɛshal mɛrɛsin fɔ pipul dɛm wae gɛt siriɔs sik lɛk kansa. Di palliativ kia tim gɛt dɔktɔ dɛn, nɔs dɛn, soshal woka dɛn, ɛn pipul dɛn we sabi bɔt it. Dɛn kin woke fɔ pul di sik ɛn mɛn di sayd ɛfɛkt dɛm wae di tritmɛnt kin gɛt.Dis grup de ɛp yu bak fɔ dil wit di strɛs ɛn chalenj dɛm wae kin kam wae yu gɛt kansa ɛn fɔ kip yu kwaliti layf.

8. Klinik Trial dɛn

Yu dɔktɔ kin tɛl yu bak fɔ tek pat pan wan klinik trial . Dis na stɔdi dɛm wae de tɛst di sef ɛn ifektiv fɔ nyu tritmɛnt dɛm fɔ kansa. Nyu tritmɛnt fɔ sarkoma de ɔltɛm na di risach faz. Dipen pan aw yu gɛt di sik, dis kayn trial kin bi opshɔn fɔ yu.

Aw layf tan lɛk wit Sarkoma? (Sɔvayv Rɛt) .

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. insay sכft tisu sarkoma, di fayv ia sכvayv rεt na bכt 81% if di kεnsar nכ bin spre to כda pat dεm na di bכdi (mεtastasized). Bɔt pan kes dɛm we gɛt mɛtastas kansa, dis nɔmba na lɛk 15%. pan osteosarcoma, di kayn bon sarkoma we kכmכn pas כl, di fayv ia rεt we de liv na bכt 77% if di kεnsar nכ bin spre, εn insay kes dεm fכ mεtastas kεnsar, na lεk 26%.

Bɔt nɔr bays yu prɔgnosis pan dɛn nɔmba ya nɔmɔ. Di tin we go apin to yu go dipen pan bɔku tin, lɛk di kayn sarkoma we yu gɛt, usay i de, yu jenɛral wɛlbɔdi, ɛn aw yu de du tritmɛnt. Yu dɔktɔ na di bɛst pɔsin fɔ no di rayt tin fɔ yu sityueshɔn.

Wetin na di bɛst tɛm fɔ go to dɔktɔ?

If yu gɛt nyu lump – ilɛksɛf i de pen ɔ i nɔ de pen – mɔ if i di sayz lɛk gɔlf bɔl (lɛk 5 sɛntimita), go to dɔktɔ wantɛm wantɛm. Dɔn bak, if yu ɔ yu pikin gɛt bon pen we nɔ gɛt ɛni injury , ɛn i nɔ de wɛl fɔ insɛf, go to dɔktɔ.

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

Sarkoma nɔto wan kayn kansa. Na wan grup we gɛt difrɛn kayn tɔŋ dɛm we kin kam na wi bon ɔ sɔft tisu dɛm. Di sayn dɛm kin difrɛn difrɛn wan bay usay di tumbu de. If dɛn no se yu gɛt sarkoma, mɛmba se di tritmɛnt we yu go pik ɛn di we aw di sik go kam tumara bambay, dipen pan bɔku tin dɛn. Yu dɔktɔ kin ɛksplen ɔl dis to yu.

Nɔ panik, bɔt tek tɛm. If yu notis ɛnitin we nɔ kɔmɔn, tɔk to dɔktɔ bɔt am. Di kwik we dɛn no am, na di mɔ i go bi se di tritmɛnt go wok fayn.

` Sarkoma, kansa, bon kansa, sɔft tisu kansa, kansa simptom, kansa tritmɛnt, Sarkoma