If yu mammogram sho "abnormal cells," i nכmal fכ fil frayd εn wɔri. "Na kansa dis? Wetin go hapun to mai laif?" Sɔntɛm yu go de wɔnda. Bɔt nɔ panik. Sɔntɛm i nɔ go siriɔs lɛk aw yu tink. bכku tεm, dis na di εli stej fכ brεst kεnsar, we dεn kכl "Stage 0." Na dat wi de tok abaut tide. Lɛ wi tek tɛm luk kwik kwik wan bɔt wetin i rili bi, if na sɔntin we wi fɔ wɔri bɔt, ɛn us tritmɛnt dɛn de.
Wetin na dis ‘Stage 0’?
fכ simpul wan, stej 0 min se di kεnsar sεl dεm כ di abnכmal sεl dεm stil de usay dεn fכs stat, na di milk dכkt כ lכbul dεm na di brεst. dis sεl dεm nכ dכn spre (invayd) yet insay di hεlty tisu we de rawnd. Dɔktɔ dɛn kin kɔl dis kɔndishɔn "in situ." Dat min se "we i bin de."
Tink bɔt di milk dakt dɛn na di bɔdi lɛk wan sistɛm we de mek paip dɛn na os. Dɛn nɔmal sɛl dɛn ya de insay dɛn paip dɛn de nɔmɔ. Dɛn nɔ brok di paip dɛn wɔl yet ɛn spre to ɔda pat dɛn na di os. Na dat de apin ya. Dis rili impɔtant, bikɔs if dɛn no am na dis stej, dɛn kin trit am ɛn i kin lɛf smɔl fɔ lɛ i wɛl .
Tu men kayn ‘stej 0’ de. Lɛ wi luk dɛn wan bay wan.
| Speshal wok | DCIS (Dɔktal Karsinoma In Situ) . | LCIS (Lɔbular Karsinoma In Situ) . |
|---|---|---|
| Minin | di sεl dεm we nכ nכmal na di milk dakt dεm na di brεst. | di abnכmal sεl dεm na di gland dεm we de prodyuz milk (lobules) na di brεst. |
| Di kayn we aw i siriɔs | Dɛn kin tek dis as ‘pri-kansa’ kɔndishɔn. If dɛn nɔ trit am, i kin tɔn to invasive kansa tumara bambay. | Dis nɔto kansa. כltu, dεn kin tek am as ‘risk marker ’ we de mek di risk fכ gεt kεnsar na di tu brεst dεm insay di fכs tεm. |
| Fɔ no udat i bi | Bɔku tɛm dɛn kin no am bay we dɛn tek mammogram. | Bɔku tɛm, dɛn nɔ kin ebul fɔ fil wan lump. Dɛn kin si am bay we dɛn de du di brɔst bayɔpsi fɔ ɔda rizin. |
| Wetin fɔ du | Dɛn fɔ bigin fɔ trit am wantɛm wantɛm. | I nid fɔ wach gud gud wan ɛn tɔk to di dɔktɔ ɔltɛm. I kin nid fɔ gɛt tritmɛnt fɔ ridyus di prɔblɛm. |
Wetin na di tritmɛnt dɛm fɔ DCIS?
Bikɔs DCIS kin bi kansa we go skata tumara bambay, i impɔtant fɔ trit am jɔs afta dɛn dɔn no am. Bɔt gud tin na dat, di tritmɛnt dɛn kin rili wok.
1. Ɔpreshɔn
Dis na di men tritmɛnt. Tu kayn ɔpreshɔn dɛn de.
- Lumpectomy: Dis involv fɔ pul di lump ɔ eria nɔmɔ we gɛt abnɔmal sɛl dɛn, wit sɔm wɛlbɔdi tisu dɛn we de rawnd am. I nɔ de pul di wan ol bɔdi.
- Mastectomy: Sɔntɛnde, if di DCIS big ɔ i dɔn spre ɔlsay na di bɔdi, dɔktɔ dɛn kin se yu fɔ pul di wan ol bɔdi. Dis disizhɔn kin bi afta yu dɔn tɔk gud gud wan wit yu dɔktɔ.
Sɔm uman dɛn kin disayd bak fɔ mek dɛn du ɔpreshɔn fɔ mek dɛn bɔdi fayn bak afta dɛn dɔn pul dɛn mama. Na pɔsin insɛf sɛf disayd fɔ du sɔntin.
2. Rɛdieshɔn Tɛrapi
Dɛn kin gi redyushɔn tɛrapi afta dɛn dɔn pul di lumpectomy. Dis kin yuz ay ɛnaji rayt fɔ pwɛl ɛni maykroskɔpik abnɔmal sɛl we kin lɛf afta dɛn dɔn ɔpreshɔn. I tan lɛk fɔ klin di say fayn fayn wan afta dɛn dɔn du di ɔpreshɔn, ɛn dis kin mek di prɔblɛm nɔ kam bak.
3. Ɔmon Tɛrapi
If yu DCIS gɛt ɔmon-rɛsɛptɔ pɔsitiv, yu dɔktɔ kin tɛl yu fɔ tek ɔmon tɛrapi afta dɛn dɔn du di ɔpreshɔn. Dɛn mɛrɛsin ya de ridyus di risk fɔ mek nyu kansa kam na di tu brɔst dɛn tumara bambay.
Wetin yu kin du fɔ pɔsin we gɛt LCIS?
As wi bin dɔn tɔk, LCIS nɔto kansa, bɔt na wɔnin sayn fɔ tumara bambay . So, di we aw fɔ trit am difrɛn smɔl. Di men tin ya nɔto fɔ panik, bɔt fɔ du tin di we aw yu dɔn plan.
- Klos monitarin: Dis na di tin we impɔtant pas ɔl. I rili impɔtant fɔ mek yu de chɛk yu bɔdi ɔltɛm, yu fɔ tek yu mama in bɔdi, ɛn ɔda skan dɛn we yu nid fɔ du lɛk aw yu dɔktɔ tɛl yu fɔ du.
- Ɔmon tɛrapi: Dɛn kin gi uman dɛn we gɛt LCIS ɔmon tɛrapi bak (e.g., Tamoxifen) fɔ ridyus di risk fɔ gɛt kansa tumara bambay.
- Preventive Surgery: Dis nɔto sɔntin we ɔlman kin du. Bɔt sɔm tɛm dɛn de, uman dɛn we kin gɛt bɔku bɔku kansa na dɛn bɔdi kin disayd dis. Udat de fɔdɔm insay dis grup we gɛt bɔku prɔblɛm?
- If pɔsin we de nia yu fambul (mama, sista) dɔn gɛt bɔdi kansa.
- If dɛn dɔn no se yu gɛt difrɛn difrɛn jin dɛn we de mek yu gɛt mɔ kansa na yu bɔdi, lɛk BRCA1 ɔ BRCA2 .
We dɛn kayn tin ya kin apin, sɔm uman dɛn kin disayd fɔ du dabl mastectomy fɔ mek dɛn nɔ gɛt prɔblɛm dɛn tumara bambay. Dis na tin we pɔsin kin disayd fɔ du fɔ insɛf ɛn we rili siriɔs, ɛn i fɔ bi afta we dɛn dɔn tɔk bɔt am gud gud wan wit dɔktɔ.
Aw yu kin pik wetin go fayn fɔ yu?
Afta yu dɔn rid ɔl dis, yu go de wɔnda se, "Wetin bɛtɛ fɔ mi?" Di ansa de wit yu, wit yu dɔktɔ.
Mɛmba se, ‘Stage 0’ nɔto day sɛnt. Dis na sik we dɛn kin trit bad bad wan, we dɛn kin no kwik kwik wan.
Yu dɔktɔ go tɛl yu bɔt di bɛst tritmɛnt plan fɔ yu, ɛn i go tek tɛm tink bɔt di kayn sik we yu gɛt (DCIS ɔ LCIS), in saiz, yu ej, yu famili istri, ɛn wetin yu lɛk. Mek shɔ se yu tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu . Fɔ tɔk to am opin wan na di bɛst tin we yu go disayd fɔ du.
Mɛsej we dɛn kin kɛr go na os
- 'Stej 0' brεst kεnsar min se di abnכmal sεl dεm de stכk usay dεn bigin (insay di dakt כ gland dεm). Dɛn nɔ dɔn spre yet to di tisu dɛn we de rawnd.
- DCIS na wan sik wae nid fɔ gɛt tritmɛnt kwik kwik wan bikɔs i kin bi kansa wae de skata if dɛn nɔ trit am.
- LCIS nɔto kansa, bɔt na wɔnin sayn fɔ di fiuja kansa risk, ɛn i nid fɔ gɛt klos mɛdikal monitarin.
- Di we dɛn lɛk ɔpreshɔn, redyushɔn tɛrapi, ɛn ɔmon tɛrapi kin rili wok fayn ɛn dɛn kin gɛt bɔku rit fɔ mɛn.
- I impɔtant fɔ tɔk bɔt ɔl yu opshɔn dɛm, dɛn gud ɛn bad tin dɛm, wit yu dɔktɔ ɛn mek di disizhɔn we bɛtɛ fɔ yu. I impɔtant fɔ mek dɛn no ɛn nɔ fred.
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