Breast biopsy report-ah khan ‘ADH’ tih a awm em? Hemi chungchang hi awlsam takin han sawi ila (Atypical Ductal Hyperplasia)

Mammogram hnuah i doctor chuan tissue te tak te a la a, test turin a thawn ta ang u. Hei hi biopsy kan ti a. Ni engemaw zat hnuah report a lo lang leh a, "Atypical Ductal Hyperplasia" emaw "ADH" emaw a tih chuan rang takin hlauhna leh lungkhamna nasa tak i nei mai thei. "Hei hi cancer a ni em?" Mahse, lungngai suh. ADH hi cancer a ni lo. Mahse, nakin lawkah hnute cancer vei theihna tur tlem a tipung thei dinhmun a ni. Chuvang chuan fimkhur a pawimawh hle. Vawiin hian ADH hi eng nge a nih, a awmzia tak tak leh kan tih tur chungchang hi awlsam tak leh chiang takin sawi ila.

A awlsam zawngin sawi ila, Atypical Ductal Hyperplasia (ADH) hi eng nge ni?

Hei hi hrethiam tur chuan hnute insiam dan hi han thlir hmasa ila. Kan hnute hian hnute siamtu glands (lobules) leh chu hnute chu hnute thlengin a phur thei tube (ducts) te tak te network a nei a. A tlangpuiin heng bawnghnute kawng chhung lam bang hi uluk takin an inzawm khawm a, cell layer hnih a awm bawk.

Mahse, Atypical Ductal Hyperplasia (ADH) an tih dinhmunah chuan hetiang hi a thleng thin:

• Hyperplasia: Heng bawnghnute kawng chhunga cell te hi an lian chho zel a. "Hyperplasia" tih thumal awmzia tak chu "cell tamna" tihna a ni.
• Atypical: Heng cell te hi cell hrisel pangngai ang an ni lo. An pianzia, an lian leh te leh an cell inzawmkhawm dan te hi "atypical" a ni. Chumi awmzia chu layer hnih-a dah ai chuan chaotic, multi-layered pattern-a pack khawm an ni tihna a ni.

A pawimawh ber chu heng cell te hi cancer an ni lo . Cell tha lo (benign cell) an ni. Mahse, cancer natna hmasa ber Ductal Carcinoma in Situ (DCIS) an tih dinhmunah chuan cell nen hian inanna engemaw zat an nei a ni. Phên dangin sawi ila, heng cell te hi cell pangngai leh cancer cell inkar hmun khatah an awm a ni. Hei vang hian ADH vei chuan ADH nei lo aiin nakin lawkah hnute cancer a vei theihna chance a sang zawk niin an sawi.

ADH neih hi eng nge a awmzia?

I biopsy report-ah ADH a awm a nih chuan cancer i nei tihna a ni lo. Mahse, doctor-te chuan he natna hi nakin lawka hnute cancer vei theihna tipungtuah an ngai a ni. Zirna hrang hrangah chuan ADH vei hmeichhia chu he natna nei lo hmeichhia aiin a let li velin hnute cancer a vei tam zawk thei tih hmuhchhuah a ni.

Hemi avang hian i doctor chuan i schedule pangngai aia hnai deuh deuha hnute cancer screening neih tir che a rawt mai thei. Entir nan:

• Kum tin mammogram neih thin.
• Breast ultrasound emaw MRI scan emaw pawh a ni mai thei.
• Doctor hnenah hnute enfiah fo thin (clinical breast exams).

Hetianga regular screening neih chhan chu cancer a lo awm palh a nih chuan a hmasa berah hmuhchhuah a nih theih nan leh hlawhtling taka enkawl theih a nih theih nan a ni.

ADH natna lan chhuah dan chu engte nge ni?

A tam zawkah chuan ADH symptom bik a awm lo. Hei hian engmah i hre lo mai thei tihna a ni. Mi tam zawk chuan biopsy an tih hian he natna hi an vei tih hmuhchhuah a ni a, hei hi chhan dang vangin mammogram-a thil dik lo hmuh a nih vang a ni.

Mahse, a tlem hle a, mi thenkhat chuan a hnuaia symptoms te hi an nei thei a ni. Hengte hi ADH vang nge ni lo tih sawi a harsa a, mahse hetiang thil i hmuh chuan doctor pan ngei ngei tur a ni.

ADH vei chhan leh a hlauhawmna

Doctor-te chuan heng bawnghnute kawngkhar chhunga cell-te hi engvangin nge hetiang hian an awm tih chiang takin an la hre lo. Mahse, chutiang bawk chuan hnute cancer vei theihna tur risk factors te hian ADH lo awm theihna kawngah pawh a pui thei niin an ngai.

ADH nghawng thei risk factors te

• Chhungkaw chanchin: Chhungkaw member (a bik takin nu, unaunu, fanu) hnute cancer vei neih.
• Genetic mutations: Hnute cancer hlauhawmna tipung thei genetic mutations neih, `BRCA1` emaw `BRCA2` emaw ang chi.
• Mimal chanchin: A hmain cancer natna dang a lo nei tawh bawk.
• Obesity: Taksa rihna hrisel tak vawn that loh.
• Nunphung: Zu in leh zuk leh hmuam hman.

ADH hi engtin nge enkawl a nih?

I biopsy-in ADH i nei tih a finfiah hnuah, i doctor chuan a dawt leh atan tih tur tenau dang dang a rawt tlangpui ang. Hei hi excisional biopsy an ti a .

Hei hian tissue pangngai lo (ADH) awmna hmun chauh ni lovin, a chhehvela tissue hrisel tlemte pawh lakchhuah a huam a ni. Engvangin nge hetiang hian tih a nih? A chhan chu a chang chuan, ADH hmuhna hmun hnaih takah, natna khirh zawk a awm thei a, chu chu cancer hmasa ber `DCIS` ang chi, emaw, cancer cell thup te hi a ni.

Surgery laiin tissue lakchhuah chu lab-ah thawn kir leh a nih a, cancer cells a awm loh thu finfiah a nih chuan enkawlna i mamawh tawh lovang. Chuta tang chuan i tih tur chu i doctor-in a rawt angin hnute enfiah fo mai tur a ni.

Risk-Reducing Damdawi te

I ADH dinhmun leh thil dang (chhungkaw chanchin ang chi) avanga hnute cancer vei theihna a sang hle a nih chuan, i doctor chuan i hlauhawmna tihziaawmna turin damdawi thenkhat a pe thei ang. Heng damdawi te hian taksaa hormone estrogen hnathawh a tikhawlo a, hna an thawk a ni.

• Tamoxifen: Hmeichhia menopause paltlang lo tan.
• Raloxifene (Evista®), Exemestane (Aromasin®), Anastrozole (Arimidex®): Hmeichhe naupai tawh tan.

Heng damdawi te hi kum nga thleng hman theih a ni. Mahse, heng damdawi zawng zawng hian side effect engemaw zat a neih avangin, i tan a tha em tih hriat nan i doctor nen uluk taka sawiho a pawimawh hle.

I doctor zawh tur zawhna

ADHD i vei tih i hriat chuan zawhna tam tak neih hi thil pangngai a ni. Doctor i hmuh hunah heng zawhnate hi zawt hreh suh.

• "Doctor, he ka test report hian eng nge a awmzia tak tak?"
• "Surgery ka mamawh tak tak em?"
• "Nakin lawkah hnute cancer ka vei theihna tur risk eng nge ni?"
• "Engzat nge mammogram ang chi test ka neih ang?"
• "Ka nun danah eng inthlak danglamna nge ka neih?"
• "Ka tan chuan genetic counseling lak hi a tha em?"

ADHD neia i nun lai hian engtin nge i risk i tihtlem theih ang?

I ADH condition kha control thei lo mah la, nakin lawka cancer i vei theihna tur tihziaawmna tur thil i tih theih a awm. Hengte hian nun hrisel tak nei turin a pui thei bawk che a ni.

• Rihna hrisel tak vawng reng rawh: Exercise leh ei leh in inthlau tak hi a pawimawh hle.
• Exercise: Nitin active taka awm tum ang che.
• Zu khap: A theih ang anga zu in tlem emaw, titawp vek emaw.
• Meizial zuk loh tur: Meizial leh zuk leh hmuam hman hian cancer vei theihna a tipung nasa hle.

Tin, mahni hnute enfiah pawh hi tih danah siam bawk ang che . Thla khatah vawi khat tal i hnute hmel pangngai chu hre reng ang che. Chutiang chuan, lumps thar, thickening thar emaw, inthlak danglamna emaw chu rang takin i hre thei ang.