I kawr hma lamah hnim hring i nei tawh em? A nih loh leh i hriat tawh tu emaw chuan chutiang chu a nei tawh em? A châng chuan heng thilte hi i ngaihthah thei bawk. Mahse, vawiin hian thyroid cancer chi khat, a na zawk, mahse a tlem hle tih kan sawi dawn a ni. Chu chu `(Anaplastic Thyroid Cancer)` emaw `(ATC)` emaw an ti a. Hei hi a buaithlak deuhin a lang thei a, mahse awlsam takin han sawi ila, okay?
Anaplastic Thyroid Cancer (ATC) hi eng nge ni?
A awlsam zawngin, `(Anaplastic Thyroid Cancer)` emaw `(ATC)` emaw hi kan thyroid gland-a cancer chi khat, a darh chak hle a, a na hle . I hria em, `(thyroid)` gland hi hnim hring ang maia lian, i kawr hmalam, vun hnuai chiaha awm a ni. Kan taksa `(endocrine system)`, chu chu hormone siamtu system a pawimawh em em a ni. He `(thyroid)` atanga hormone siam chhuah hian taksaa hna pawimawh tam tak a thunun thei a ni.
He `(ATC)` hi `(undifferentiated thyroid cancer)` an ti bawk. A chhan chu heng cancer cell te hi thyroid cell hrisel pangngai angin an lang lo va, an awm lo bawk. An danglam vek tawh a, hriat harsa tak an ni tawh bawk. He cancer hi a nasat leh chak em avangin cancer chungchanga thutlukna siamtu American Joint Committee on Cancer (AJCC) chuan he `(ATC)` hi `(Stage IV)` cancer angin an ngai fo thin. Chumi awmzia chu a hriat chhuah hunah a hmasawn hle thei tihna a ni.
He ``(ATC)`` cancer hi tute nge vei tam ber?
Anaplastic Thyroid Cancer hi kum 60 chunglam ah hmuhchhuah a ni ber a, mipa aiin hmeichhiain he cancer hi an vei tam zawk tih hmuhchhuah a ni bawk.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Anaplastic Thyroid Cancer hi a takah chuan cancer chi khat a ni lo . Thyroid cancer zawng zawng zinga 2% vel a ni. Ngaihtuah teh, America ang ramah pawh kum tin mi maktaduai khat zinga mi pakhat emaw pahnih emaw chauhvin he natna hi an vei tih hmuhchhuah a ni. Chuvangin, hei hi mi tam tak tuar thei natna a ni lo.
Engtiang chiahin nge `(ATC)` hi a lo thang chak?
Hei hi he cancer chungchanga harsatna lian ber a ni. Anaplastic Thyroid Cancer hi cancer chi khat, a lo thang chak hle a, a na hle bawk . A chang chuan kar tlemte chhungin chak takin a thang thei a, taksa peng dangah a darh thei bawk.
Ngaihtuah teh, he ``(ATC)`` vei mi 50% vel ah hian natna hi an hriat chhuah meuh chuan cancer hi taksa hmun hla takah a darh tawh a, ``metastasized`` a ni tawh . A tam zawkah chuan hetiang hian cancer hi taksa peng hrang hrang ``(lungs)``, ``(bones)``, leh ``(brain) te ah a darh thin.
`(Anaplastic Thyroid Cancer)` natna lan chhuah dan chu engte nge ni?
Vawi tam tak chu ``Anaplastic Thyroid Cancer`` tih hi a lo lang hmasa ber thin.Tumor emaw lump emaw, kawng hmalam, thyroid gland bula lo awm.
Heng ``(ATC)`` tumor te hi an thang chak hle a, chuvang chuan damlo, a chhungte leh a thiante pawhin awlsam takin an hmu thei a ni. He tumor hi i khawih hian tlem chuan i khauh a, i hrehawm deuh mai thei .
He tumor hi a lo lian chhoh zel chuan a kawr hmun dang (thlipui, chaw kawng (esophagus) ang chi) te chu a press tan thin. Hetiang symptoms hi a awm thei:
- Chaw ei harsa (dysphagia) .
- Thâwk harsa (dyspnea) .
- Hoarseness emaw aw inthlak danglam emaw
- Cough awm reng
- Vocal cord a tichhe thei
Mite chuan an cancer chu taksa hmun dangah a darh (metastasized) tawhte chuan heng symptoms te nen hian symptom dang an nei thei bawk. Entir nan:
- Ruh natna
- A ruh (lumps) a hring chhuak .
- Taksa chak lohna
- Nervous system lama harsatna (e.g., lu na, seizures) .
Eng thilin nge Anaplastic Thyroid Cancer hi a thlen?
Dik tak chuan scientist te hian Anaplastic Thyroid Cancer (ATC) hi eng nge a thlen tih chiang takin an la hre lo. Mahse, a then phei chuan thyroid cancer chi dang (papillary emaw follicular thyroid cancer ang chi) nei te chuan hun kal zelah ATC an nei thei a ni.
Tin, ``ATC'' vei zinga 80% vel ah chuan he cancer hi hun rei tak atanga lo awm tawh ``goiter'' (thyroid gland lian) nen a awm thin . Thyroid cancer chi dang, a hmaa hriat chhuah loh a awm pawh a ni thei.
He natna `(Anaplastic Thyroid Cancer)` hi engtin nge an hriat chhuah?
Doctor-te chuan anaplastic thyroid cancer (ATC) an hriat theih nan fine needle aspiration (FNA) emaw needle biopsy emaw an ti tlangpui. Hei hian i kawr chhunga lump atang hian tissue sample tlemte tak tak, biopsy an tih chu needle te tak te hmanga lak a huam a ni . Chumi hnuah pathologist chuan tissue sample chu microscope hmangin cancer cell a awm em tih leh, a awm a nih chuan eng thyroid cancer chi nge a nih tih a en a.
A châng chuan doctor chuan ``core biopsy'' tih pawh a rawt thei a, chu chu needle lian deuh hmanga tih a ni.
ATC hi a dik tih finfiah a nih veleh i medical team chuan i hriselna zawng zawng tehna tur leh cancer a darh tawh em tih hriat nan test dang engemaw zat an order ang. Chung zingah chuan thisen test leh imaging test te pawh a tel thei a, chungte chu:
- ``CT (computed tomography) hmanga tihchhuah a ni''.
- ``Magnetic resonance imaging (MRI) hmanga tihchhuah a ni''.
- ``F-fluorodeoxyglucose positron emission tomography (FDG-PET) hmanga enfiah a ni'' tih a ni.
He cancer hi a nasat em avangin Anaplastic Thyroid Cancer vei zawng zawng hi Stage IV vei anga ngaih an ni. Mahse, subtype pathum a awm a, chungte chu:
- Stage IVA : (ATC) hi thyroid gland-ah chauh hmuh tur a awm. Damlo hmuhchhuah zinga 10% vel chu he category-ah hian an tel a ni.
- Stage IVB : (ATC) Thyroid gland ang bawkin cancer hi kawr chhungah (a tam zawkah chuan lymph node-ah) a darh tawh a, taksa hmun hla takah erawh a darh lo. Damlo 40% vel chu he category-ah hian an tel a ni.
- Stage IVC : (ATC) Thyroid gland bakah hian cancer hi taksa hmun hla tak tak dang (e.g., ruh, lung, thluak)-ah a darh tawh a ni. Damlo 50% velin he stage hi an nei a ni.
Anaplastic Thyroid Cancer hi engtin nge enkawl a nih?
Dik tak chuan `(Anaplastic Thyroid Cancer - ATC)` hi cancer enkawl harsa tak a ni . A chhan chu a nasat em avangin a darh chak hle a, a kawr chhungah leh taksa hmun hla tak takah (lung, ruh leh thluak ang chi) a darh thei a ni.
Chuvang chuan a rang thei ang bera enkawl tan a pawimawh hle a, `(ATC)` enkawlna lama tawnhriat nei doctor te hnen atangin enkawl a pawimawh hle.
ATC enkawl hian doctor hrang hrang multidisciplinary team an thawk ho thin. He team-ah hian a tlangpuiin a hnuaia specialist te hi an tel thin:
- Endocrinologist te an ni
- Medical oncologist te an ni
- Radiation hmanga oncologist te an ni
- Surgeon te pawh an awm
`(ATC)` enkawlna hi a tlangpuiin heng thilte hi a inzawm khawm a ni:
- Inzai
- Radiation hmanga enkawlna a ni
- Chemotherapy hmanga enkawl a ni
- Palliative care (a natna lan chhuah dan tihtlem nan enkawl) .
`(ATC)` tan surgery neih a ni
`(ATC)` i neih chuan i medical team chuan tumor lakchhuah nan operation neih an rawt mai thei. Mahse, hriselna lama harsatna dang i neih chuan surgery hi a hlauhawm thei hle.
ATC enkawlna atana surgical procedure hman tlanglawn ber chu debulking surgery a ni . Hei hian cancer natna hrik awm chu a tam thei ang ber lak chhuah a huam a, a bik takin i larynx (i aw box chhunga awm) venhim tum laiin i thawkna kawng tichhe thei tur hmun eng pawh paih chhuah a ngai a ni.
Mahse, lungchhiatthlak takin, thil tam takah chuan, a natna chu a lian em em a, a awmna hmun leh a darh dan avang hian operation tih theih a ni lo mai thei.
Mahse hei hi hriat a pawimawh bawk: Surgery tih theih loh mahse radiation leh chemotherapy (ATC) aggressive combination an dawn hnua kum engemawzat dam chhuak damlo an awm tih report a awm bawk.
`(ATC)` tan radiation therapy hmanga enkawl a ni
Radiation therapy hi energy beam (radiation) chak tak hmanga cancer cell te tihlum emaw, an thang chak lohna tur emaw hmanga enkawlna a ni.
ATC i neih chuan i medical team chuan radiation therapy chi khat bik External Beam Radiation Therapy (EBRT) tih chu an rawn rawt mai thei. Hei hian X-ray chu enkawlna mamawhna hmun (a tam zawkah chuan tumor ngei emaw, ruh emaw, taksa peng dang emawa darh tawh cancer emaw)-a target dik tak a huam a ni.
`(ATC)` tan chemotherapy pek a ni
Chemotherapy hi cancer enkawlna chi khat a ni a, cancer cell te a tichhia a, a pung zel tur venna a ni.
ATC i neih chuan i medical team chuan operation hnua enkawlna dang atan chemotherapy emaw, cancer cell la awm zawng zawng tihhlum nan radiation therapy emaw atan an rawt thei ang. Chemotherapy, a bik takin ATC tan chuan radiation therapy thatna a tipung thei a ni. Hei hian cancer chu radiation lakah a sensitive zawk thei tihna a ni a, radiation therapy pawh a ti hlawk zawk thei tihna a ni.
Chemotherapy damdawi thar, cancer natna dang enkawlna kawnga result duhawm tak nei chu tunah chuan aggressive thyroid cancer tan pawh a awm tawh a ni. Heng damdawite hian taksa pum puia darh tawh cancer na tak takte chu tidam kim thei lo mah se, cancer thanna chu eng emaw chen chu a tikhawtlai thei a, a thunun thei hial a ni.
Thyroid cancer natna atana hman tur chemotherapy damdawi thenkhat chu:
- Taxanes (e.g., paclitaxel emaw docetaxel emaw) 1.1.
- Anthracyclines (e.g. doxorubicin) te hi a tha ber pawl a ni.
- Platinum analog (e.g. cisplatin emaw carboplatin emaw) te hi a inang lo hle.
Palliative Care hmanga enkawlna (ATC) te tan a ni.
Palliative care hi damdawi lam enkawlna chi khat a ni a, natna khirh tak avanga natna, symptoms leh lungngaihna tihziaawmna a ni.
`(ATC)` i neih chuan i medical team chuan heng palliative care treatment te hi `(ATC)` symptoms leh enkawlna avanga side effects te enkawlna atana pui turin an rawt thei ang.
Palliative care for (ATC)-ah hian:
- Tracheostomy (thâwk chhuahna kawnga ṭanpui tûra rilru chhunga tube dah) .
- Chaw pekna tur pum chhunga tube dah (gastrostomy tube emaw G-tube) .
- Painkiller pek a ni
Doctor-te chuan cancer an enkawl rual hian palliative care an pe bawk. Palliative care tih hian cancer enkawlna a hlawhtling dawn lo tihna a ni lo.
Anaplastic Thyroid Cancer hi a dam kim thei em?
Vanduaithlak takin thyroid cancer chi dang thenkhat ang bawkin anaplastic thyroid cancer hi operation hmangin a dam kim thei lo . Thyroid gland zawng zawng paih chhuak thei thyroidectomy pawh hian ATC vei damlote dam chhung a ti rei lo.
Anaplastic Thyroid Cancer hi a veng thei ang em?
Lungchhiatthlak takin, a tam zawkah chuan Anaplastic Thyroid Cancer (ATC) ven dan tur a awm lo .
Mahse, goiter emaw non-cancerous (benign) thyroid nodule i nei tih hmuhchhuah a nih chuan doctor hnenah i thyroid hriselna enfiah fo a pawimawh. ATC hi a chang chuan thyroid cancer chi dang atang emaw, goiter atanga lo chhuak emaw a ni thei.
`(Anaplastic Thyroid Cancer)` ka neih chuan eng nge ka beisei ang?
Mi tin ang bawkin Anaplastic Thyroid Cancer (ATC) vei zawng zawng hi a danglam vek a ni. Tin, enkawlna dawngtu chhannate pawh chutiang bawk chu a ni. ATC awm dan ngaihtuah chuan hmalam hun dik taka sawi a harsa hle .
Mahse, scientist-te chuan nitin thyroid cancer natna zual tawh enkawlna tur damdawi thar an zawng chhuak zel a, chung zingah chuan (ATC) pawh a tel. Enkawlna chu harsa tak ni thei mah se, natna hmuhchhuah hmasak ber hunah beiseina bânsan loh a pawimawh .
Anaplastic Thyroid Cancer lama tawnhriat nei doctor team nen thawhhona tha tak neih a pawimawh hle. ATC lama tawnhriat nei doctor-te awmna damdawi in lian takah i kal thei lo a nih chuan, i awmna hmuna doctor-te chu chutiang tawnhriat nei centre-a specialist-te nen thawk hovin i enkawlna tur ruahmanna siam turin hrilh rawh.
Tin, enkawlna hrang hrang a hlauhawmna leh a hlawkna hriatthiam a pawimawh bawk. Nangmah ngeiin i sawi chhuah a ngai a, chhungte leh ṭhiante hnen aṭangin ṭanpuina i dawng tur a ni.
`(Anaplastic Thyroid Cancer)` damchhuah zat hi engzat nge ni?
Anaplastic Thyroid Cancer (ATC) dam rei zawng chu a natna hmuhchhuah atanga thla nga atanga thla ruk chhung a ni . ATC vei zinga 20% aia tlem chu an hmuhchhuah hnu kum khatah an dam chhuak .
Heng statistics te hi a hlauhawm deuh mai thei a, mahse `(Anaplastic Thyroid Cancer)` enkawl hnu kum engemaw zat dam tawh an awm tih hriat reng a pawimawh.
Anaplastic Thyroid Cancer hi eng prognosis nge ni?
Anaplastic thyroid cancer hi a nasat em avangin leh enkawlna tha tak tak a awm loh avangin natna hi a hmalam hun tur a tha lo fo thin
ATC vei tam zawk chu kum khat chhungin an thi a, chu chu tumor-in thawkna kawng a tihkhawtlai vang emaw, lung chhunga cancer darh zel avanga harsatna (pulmonary metastases) vang emaw a ni thei.
Mahse, ``(ATC)`` vei damlo, heng thilte nei te hian a tlangpuiin thlirna tha zawk tlem an nei thei a ni:
- Kum 60 hnuai lam nih.
- Tumor hi thyroid gland sir khatah chauh a awm a (unilateral tumor).
- Cancer natna hi a lian zawng hi centimetre 5 (5 cm) aia tlem a ni.
- Cancer hi lymph node emaw hmun hla takah emaw a darh lo.
Anaplastic Thyroid Cancer ka neih chuan engtin nge ka in enkawl theih ang?
Anaplastic thyroid cancer i neih chuan i in enkawl dan tha ber chu i prognosis hriatthiamna chiang tak neih hi a ni. I dinhmun bik a zirin eng nge i beisei theih tih doctor zawt rawh.
Hengte hi i tan emaw, i doctor tan emaw inbiakna awlsam tak a ni lo va, mahse a pawimawh hle. I doctor hian i taksaa thil thleng leh nakin lawka thil thleng thei turte hriatthiamna a pe thei che a ni. I duhthlan turte ngaihtuah turin an pui thei bawk che a, ṭanpui thei tur thilte pawh an rawt thei bawk.
Anaplastic Thyroid Cancer ka neih chuan hospice care hi ka ngaihtuah tur em ni?
Hospice care chu natna khirh tak, nun tikhawtlai thei nei te chu an ni hnuhnung berte chu thlamuanna, zahawmna, thununna leh nunphung tha tak nena nunpui tura puitu enkawlna a ni.
Mite’n natna khirh tak an do lai hian an hun leh tha chu damdawi lam enkawlnaah an hmang fo thin. Hospice enkawlna chungchang ngaihtuah hian, chu ngaihtuahna chu natna a\angin a inthlak a, an hun hman dan tur lam a pan ta a ni. Mi tam tak chuan an doctor, chhungte leh an hmangaih dangte nena an sawi dun hnuah hospice care zawn an tum a ni. Hospice enkawlna chungchang i ngaihtuah a nih chuan, i doctor hnenah thu leh hla leh hmanraw zawng turin tanpuina dil rawh.
Cancer vei nia hriat chu eng chi pawh ni se, thil mak tak a ni thei. Anaplastic thyroid cancer hmalam hun tha lo tak nen chuan a hlauhawm zual thei hle. Anaplastic thyroid cancer (ATC) enkawl hi thil harsa tak ni thei mahse, i hmuhchhuah hmasak ber hunah beiseina bansan loh a pawimawh. Natna thihna thlen thei ngaihtuahna i buaipui a nih chuan i healthcare team nen inbia ang che. I kalna tur kawng zawh tura pui thei tur resources zawng turin an pui thei che a ni.
Kan sawiho tawh a\anga hriat reng tur pawimawh ber berte (Take-Home Message) .
Okay, chuti a nih chuan tunah chuan kan sawi tawh `(Anaplastic Thyroid Cancer - ATC)` chungchangah hian ngaihdan engemaw zat i nei ta. Hei hi thupui pawimawh tak ni mahse, fimkhur a pawimawh hle.
A pawimawh ber chu i kawrfual thar, rang taka lo thang lian, ei harsa, thawk harsa, i aw inthlak danglam ang chi symptoms i neih chuan doctor i pan ngei tur a ni.
- ATC hi thyroid cancer chi khat , a tlem hle a, mahse a na hle a, a darh chak hle .
- Hmeichhia kum 60 chunglam a nghawng fo thin .
- Symptoms a lang nghal vat thei. A bulpui ber chu kawr chhunga lump, natna, ei harsa, leh thawk harsa te hi a ni .
- Enkawlna hi a harsa hle, mahse enkawlna kawng hrang hrang (surgery, radiation, chemotherapy, palliative care) inzawmkhawm hmanga enkawl a ni.
- Natna hi rang taka hriatchhuah a pawimawh hle a , medical team tawnhriat ngah tak atanga enkawlna lak a pawimawh hle .
- Hetiang dinhmun harsa takah hian , rilru chakna leh chhungte leh thiante puihna hi a hlu hle.
He thu hi i tan a \angkai ngei kan beisei. Hemi chungchanga zawhna dang i neih chuan doctor rawn tur a ni. Hrisel takin awm rawh!
` Anaplastic thyroid cancer, thyroid cancer, neck tumor, cancer symptoms, cancer enkawlna, ATC, thyroid gland
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