We di dɔktɔ tɛl yu se yu gɛt ‘Stage 0 Breast Cancer’, yu go mɔs gɛt bɔku kwɛstyɔn ɛn fred we de kam na yu maynd, nɔto so? Na nɔmal tin fɔ tin lɛk "Dis rili min se a gɛt kansa?" ɛn "Dis na denja?" fɔ kam na wi maynd. So tide, lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand, lɛk se yu de tɔk to yu padi.
Wetin na dis ‘faz 0’ rili?
Dis na rili smɔl kɔmplikɛt tɔpik. Sɔm dɔktɔ dɛn kin tink se dis na di fɔs tɛm we pɔsin kin gɛt kansa na in bɔdi. Ɔda pipul dɛn tink se na ‘prikansa’ we kin divɛlɔp to kansa.
Fɔ tɔk am simpul wan, kansa na wan sik we di sɛl dɛn na di bɔdi kin sheb nɔmal wan ɛn dɛn nɔ kin ebul fɔ kɔntrol dɛn. dis sεl dεm kin invayd di hεlty tisu dεm we de rawnd am bak. כltu, insay Stej 0 Breast Cancer , dεn abnכmal sεl dεm ya stil de כnli insay di milk dakt dεm na di brεst. Dɛn nɔ dɔn spre yet (invasive) insay di tisu we de rawnd. Dis min se dis na stej we nɔ de go bifo ɛn we rili bigin pas Stej 1.
Tu men kayn dis sik de:
1. Ductal Carcinoma In Situ (DCIS): We wi de tɔk bɔt Stej 0 Breast Cancer, bɔku tɛm wi kin min dis kɔndishɔn. na ya, di abnכmal sεl dεm de כnli insay di milk dakt dεm. Dɛn nɔ dɔn spre to di fat we de mek bɔku pan di bɔdi. Wi nɔ no yet di rayt tin we mek dis apin. Bɔrku pipul nɔr kin gɛt ɛni sik. Bɔt sɔntɛnde, dɛn nɔmal sɛl ya kin tɔn to kansa we go skata tumara bambay. Bɔt no we nɔ de fɔ tɔk fɔ tru if dat go apin ɔ nɔ go apin.
2. Noninvasive Paget’s disease of the nipple: Dis na wan kayn kansa we nɔ kin bɔku na di bɔdi.
Ɛni sayn de fɔ dis sik?
Bɔrku tɛm, Stej 0 Breast Cancer nɔr kin sho ɛni sayn. Bɔt sɔntɛnde, sɔm sayn dɛn kin sho. Lɛ wi tek wan luk pan wetin dɛn bi.
| Pozishɔn | Sɔm sayn dɛn we kin apin |
|---|---|
| Paget in Sik we de na di Nipple |
|
| DCIS (Dɔktal Karsinoma In Situ) . |
Aw yu no dis?
Bikɔs bɔku tɛm nɔr kin gɛt ɛni sayn, di bɛst we fɔ no Stej 0 Brɔst Kansa na fɔ de chɛk ɔltɛm . di mammogram na di mכst we fכ no dis kכndyushכn. Infakt, dɛn kin fɛn pas 90% pan di DCIS kes dɛm tru skrinin tɛst. Na dat mek dɔktɔ dɛn kin advays uman dɛn fɔ mek dɛn chɛk dɛn we dɛn smɔl.
Udat de pan big risk fɔ dis sik?
Di risk factor dɛm fɔ Stej 0 Breast Cancer rili fiba di risk factor dɛm fɔ regular breast cancer. Lɛ wi tek wan luk pan wetin dɛn bi. If yu gɛt wan ɔr mɔr pan dɛn tin ya, dat nɔ min se yu go mɔs gɛt di sik, bɔt i min se yu risk go bɔku smɔl.
| Risk factor | Tɔk bɔt |
|---|---|
| Ej | Di risk kin go ɔp wit di ej. |
| Famili istri | Fɔ gɛt yu fambul we de nia yu (mama, sista) we gɛt bɔdi kansa. |
| We pɔsin nɔ gɛt pikin | Uman dɛn we nɔ ɛva bɔn pikin kin gɛt ay risk. |
| Fɔs pikin | Fɔ bɔn yu fɔs pikin afta i ol 30 ia. |
| Pɔsin in yon istri | We i bin dɔn gɛt sik dɛn we nɔ gɛt kansa na in bɔdi bifo tɛm (e.g. Atypical Hyperplasia). |
| We yu de gɛt mɔnt | Menopause kin bigin bifo i ol 12 ia ɔ menopause kin apin afta i ol 55 ia. |
| Difrɛns dɛn we de bitwin di jɛnɛtiks | Fɔ gɛt jɛnɛtik muteshon we dɛn no se kin mek pɔsin gɛt kansa mɔ. |
Wetin na di tritmɛnt dɛn?
Wae dɛn dɔn no se yu gɛt DCIS, yu tɛst ripɔt go gɛt ‘grɛd’. Nyuklia gred 3 na di kayn we we nɔ kin skata, ɛn gred 1 na di kayn we nɔ kin skata. Dɛn go tɛst yu kansa sɛl dɛn bak fɔ si if dɛn gɛt ɛstrojen risepta. If dɛn na ER-positiv (ER+) , dis min se di kansa go mɔs gro sloslo.
Apat frɔm ɔl dis, yu dɔktɔ kin tɛl yu bak fɔ du tɛst fɔ yu jɛnɛtiks.
Wetin yu go du nɛks, i go dipen pan ɔl dɛn tin ya, ɛn bak di tin dɛn we yu lɛk. Bɔku spɛshal pipul dɛn biliv se i bɛtɛ fɔ mek dɛn gɛt sɔm tritmɛnt. Bikɔs pan ɔl we Stej 0 kansa nɔ de skata, i kin chenj tumara bambay, dɛn biliv se i bɛtɛ fɔ bi sef pas fɔ sɔri.
Di kɔmɔn tritmɛnt fɔ DCIS na:
- כpεrayshכn: fכ sכm sכm DCIS tכmכro dεm, dεn kin du lumpectomy, we de pul di abnכmal sεl dεm εn sכm sכm brεst tisu we de rawnd. Sɔm pipul dɛn kin disayd fɔ pul di bɔdi we dɛn kɔl mastectomy, we kin pul di wan ol bɔdi. Dɔn dɛn kin du ɔpreshɔn fɔ mek di bɔdi fayn bak if nid de.
- Radiation Therapy: Dɛn kin du dis afta dɛn dɔn pul di lumpectomy. Radieshɔn tɛrapi kin ɛp fɔ pwɛl ɛni abnɔmal sɛl we dɛn nɔ bin pul we dɛn bin de du di ɔpreshɔn ɛn i kin mek di kansa nɔ kam bak.
- Ɔmon Tɛrapi: Dis tritmɛnt afta dɛn dɔn ɔpreshɔn kin ɛp fɔ mek nyu kansa nɔ kam na di tu bɔdi.
Di tin we impɔtant pas ɔl na dat, dɛn kin yuz kemotɛrapi fɔ trit DCIS.Dis nɔ nid fɔ bi. di rizin fכ dis na biכs di risk fכ dεn sεl dεm ya fכ spre to fa fa pat dεm na di bכdi rili sכm.
I bɛtɛ fɔ wach ɛn wet we yu nɔ gɛt tritmɛnt?
Dis na tin we rili sɛnsitiv ɛn impɔtant. Na lɛk wan pat pan tri pipul dɛm wae gɛt DCIS gɛt chans fɔ gɛt invasive kansa tumara bambay. So, sɔm dɔktɔ dɛn kin se dɛn fɔ ‘wach ɛn wet’, wit tɛst ɔltɛm, pas fɔ trit am wantɛm wantɛm.
Dis na sɔntin we pipul dɛn kin agyu bɔt. Imajin, if dɛn du yu ɔpreshɔn (sɔntɛm wit redyushɔn tɛrapi) wan tɛm, yu go ebul fɔ protɛkt yu frɔm kansa we nɔ go ɛva skata. Bɔt yu kin gɛt tritmɛnt bak we nɔ rili nid.
Bɔt if yu disayd fɔ skip ɔpreshɔn ɛn redyushɔn tɛrapi fɔs ɛn jɔs de chɛk yu ɔltɛm, smɔl chans de fɔ mek di kansa dɔn go bifo smɔl (i at fɔ trit) bay di tɛm we dɔktɔ dɛn go fɛn am. Dis na tin we yu ɛn yu dɔktɔ fɔ tek tɛm tɔk bɔt.
Wetin na di rεkכvεshכn rεt fכ dis kכndyushכn?
Na dis na di gud nyus. If yu gɛt Stej 0 Brest Kansa, yu chans fɔ wɛl ɛn fɔ liv ɔlsay na di wɔl go bɔku pas di wan dɛn we gɛt Stej III ɔ IV kansa. Dis na bikɔs di sik nɔr dɔn spre yet to ɔda pat na di bɔdi.
di 5 ia rilitiv sכvayv rεt fכ pipul dεm we gεt 'lכkal' brεst kεnsar (i.e., kes dεm we di abnכmal sεl dεm stil de na di brεst, lεk Stej 0) na 99% . Fɔ tɔk am simpul wan, dis min se pɔsin we dɛn no se gɛt Stej 0 kansa gɛt 99% chans fɔ liv di nɛks 5 ia, jɔs lɛk pɔsin we nɔ gɛt kansa.
Na lɛk 1 pan ɛvri 5 nyu bɔdi kansa na DCIS. Bɔt ɔlmost ɔlman wae gɛt dis sik kin wɛl kpatakpata. I nɔ kin izi fɔ mek DCIS kam bak afta dɛn dɔn trit am.
Mɛsej we dɛn kin kɛr go na os
- Stej 0 Breast Cancer na wan stej we yu kin gɛt kansa we kin rili bigin. na ya, abnכmal sεl dεm nכ skata yet na do na di milk dakt dεm.
- Bɔrku tɛm, dis sik nɔr kin gɛt ɛni sayn. Dɛn kin no am tru tɛst lɛk mammogram.
- Bɔku tritmɛnt dɛn de we yu kin gɛt. Yu fɔ pik di wan we go fayn fɔ yu afta yu dɔn tɔk to yu dɔktɔ.
- Dɛn nɔ nid fɔ tek kimotɛrapi fɔ dis sik.
- Nɔ wɔri. Di rεt wae de liv fכ pipul dεm wae gεt Stej 0 Brεst Kεnsar rili hכy.If yu gɛt di rayt tritmɛnt, i pɔsibul fɔ mek yu wɛl ful wan.
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