Doctor-in test report a pek che a, “Hetah hian i biopsy report a awm” a tih che chuan hlauhna tlem, thil hriat duhna leh zawhna tam tak pawh zawh hi thil pangngai a ni. A chhunga medical term leh number kan hmuh hian kan hrethiam thei lo. Chumi avang chuan a chang chuan a tul lovah kan hlauthawng thin. Chuvangin, vawiin hian cancer chungchanga he report pawimawh ber, Pathology Report i hmuh hi hlau lovin i hriatthiam theih dan tur kan sawi dawn a ni.
I en hmasa ang u, Pathology Report chu eng nge ni?
A awlsam zawngin, i taksa hmun rinhlelhna hmun aṭangin tissue te tak te, surgery emaw, biopsy emaw hmangin lak chhuah a ni a, lab-ah enfiah turin an thawn a ni. He tissue lama tui tak doctor a awm a. Pathologist kan ti a . He tissue chi khat hi microscope hmangin a en a, test dang a nei leh a, Pathology Report tih document a siam a, chutah chuan cancer cell a awm em tih te, a awm a nih chuan eng chi nge an nih tih te, an darh tawh em tih te ang chi thu pawimawh tak tak a tel a ni.
I enkawltu doctor chuan he report-a thu awmte a\angin a bul berah chuan i tana enkawlna tha ber tur chu a rel ang. Chuvang chuan a pawimawh em em a ni.
Report-ah hian eng nge a awm?
Heng report te hi cancer chi hrang hrang a zirin a danglam deuh thei. Mahse report zawng zawngah hmuh tur awm tlangpui element inang thenkhat a awm. An chanchin pakhat hnu pakhatin sawi ila.
1. I mimal leh sample information (Identifying Information) .
Hei hian i hming, i pian ni, damdawi ina registration number bakah i doctor, tissue test titu pathologist leh laboratory chungchang chipchiar takin a huam a ni. Tin, taksaa khawiah nge specimen lak a nih tih leh operation emaw biopsy hmanga lak a nih leh nih loh a tarlang bawk.
2. Gross sawifiahna
Hei hi a awlsam hle. Specialist chuan microscope hmanga tissue piece chu a en hmain mitin hmuh theih tissue chipchiar tak chu a ziak chhuak thin. Entîr nân, a lian leh te (a tlangpuiin centimetre-a chhut), a rit zawng, a rawng, leh a pianzia . Mahse, cancer tumor lian tham tak hi thawnthu thenkhat chauh a ni tih hre reng ang che. A chang chuan tumor lian zawkte hi tumor te zawk aiin an thang zawi zawk thei.
3. Microscopic hmanga sawifiahna
Hei hi report-a thil pawimawh leh buaithlak ber berte awmna hmun a ni. Hei hi pathologist chuan tissue chu slice te tak te takah a tan hnua a thil hmuhte a ziak chhuak a, chutah chuan special dye a hnawih a, high-powered microscope hmanga a en a ni. He section-ah hian thu tam tak a awm a, chu chu cancer cell-te hi eng ang nge an nih, cell pangngai nena an khaikhin dan, leh a chhehvel tissue-ah an darh tawh em tih te a ni.
Hemi section-ah hian i natna hmuhchhuah leh enkawl dan tur kaihruaitu tur thumal pawimawh tak tak a awm a. Chiang takin i hrethiam ang u.
| Report-a thumal tarlan chu | A awmzia awlsam tak |
|---|---|
| Pawl | Hei hian cancer cell te chu cell hrisel te nen an danglam (abnormal) zia a kawk a ni. Grade a san poh leh cancer hi a lo thang lian a, a darh zau zel bawk.
|
| Invasive / Invasive lo | Non-invasive (in situ): Hei hian cancer hi a bul tanna tissue-ah a innghat tihna a ni. Chumi awmzia chu a chhehvelah a darh lo tihna a ni. Hei hi dinhmun tha tak a ni. Invasive: Hei hian cancer chu a bul tanna hmun piah lamah a darh tawh tihna a ni a, a chhehvel tissue hrisel takah a darh tawh tihna a ni. |
| Tumor Margin a awm | Surgeon chuan cancer tumor chu a lakchhuah chuan a chhehvela tissue hrisel tak tak te chu a la chhuak thin. Chu tissue hrisel chu margin an ti a. Margin hi cancer cell awm leh awm loh enfiah a ni.
|
| Lymph Nodes (Lymph Nodes) te a awm | Tumor hi kan taksa hriselna (immune system) peng pakhat a ni. Cancer hi a darh tawh em tih hriat nan tumor bula tumor tlemte kan la chhuak a, kan test thin.
|
| Mitotic Rate a ni | Hei hian cancer cells te hi engtiang chiahin nge an inthen darh a, an lo thang chak tih a teh a ni. Value sang zawk chuan cancer hi a lo thang chak hle tihna a ni. |
4. Cancer Stage a ni
Hei hi mi tam takin hriat duh tak a ni. Cancer stage hi cancer lian zia leh a darh dan tlangpui a ni. Hei hi TNM system tih system hmanga teh a ni .
- T (Tumor): Cancer tumor bulpui ber leh a nihna.
- N (Nodes): Cancer hi a bul hnaia lymph node-ah a darh tawh em tih.
- M ( Metastasis ): Cancer hi a bul tanna hmun atanga hla takah taksa peng dang (e.g. liver , lungs , thluak) ah a darh tawh em tih.
Heng TNM value te hi a zirin cancer hi Roman numeral I, II, III, leh IV hmangin overall stage pek a ni. Stage I hi a hmasa ber a ni. Stage IV hi stage hmasawn ber a ni a, chutih lai chuan cancer hi a darh zau tawh hle. Cancer thenkhat pawhin Stage 0 an tih stage an nei bawk a, chu chu cancer chu a darh lo a, a hmasa ber a ni tihna a ni.
5. Final diagnosis leh comment dang pek belh tur
Report tawp lamah chuan pathologist chuan a chunga kan sawi zawng zawngte hi a khaikhawm ang a, a thutlukna hnuhnung ber a pe ang. Hei hi diagnosis an ti a . Hei hian cancer chi, grade, lymph node status, margin status, leh cancer stage te chiang takin a tarlang ang.
A châng chuan, diagnosis hi a buaithlak deuh a nih chuan, report-ah hian Comment section pawh a awm thei a, chu chu sawifiahna emaw, test dang rawtna emaw a ni thei bawk.
A pawimawh ber chu, he report hi nangmah chauhin chhiar la, thutlukna siam mai mai suh. I doctor chuan thumal tin leh a chhunga thu awm zawng zawng chu a hrilhfiah vek ang che. Zawhna, lungkhamna, rinhlelhna i neih apiang zawt rawh.
Take-Home Thuchah a ni
- I cancer pathology report hi i dinhmun leh nakin lawka enkawl dan tur chungchanga thutlukna siamna atana puitu document pawimawh tak a ni.
- Grade, Stage, Margin, leh Lymph Node Status tih ang chi thumal hian cancer awm dan, a zau zawng leh a nasat dan a sawi a.
- Report-ah hian Negative Margin (ramri-ah cancer cell a awm lo) leh Negative Lymph Nodes (node-ah cancer cell a awm lo) tih a awm a nih chuan chu chu thu lawmawm tak a ni.
- He report-a thil eng emaw chungchangah rinhlelhna emaw zawhna emaw i neih chuan i doctor hnenah hriattirna zawt la. Hlauh leh mualpho a ngai lo. A pawimawh ber chu uluk taka hriattir hi a ni.
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