Mammogram i neih a, i doctor-in, "Stage 0 hnute cancer i nei a, DCIS an tih chu i nei a ni," a tih chuan hlauhna leh mangang tak tak i neih thut chu thil pangngai a ni. "Cancer" tih thumal kan hriat hian kan hlauthawng vek. Mahse DCIS chu eng nge a nih chiang taka i hriatthiam chuan he hlauhna hi a tul lo tih i hrechhuak ang. Chipchiar takin sawi ila, awlsam takin.
A awlsam zawngin DCIS (Ductal Carcinoma in Situ) tih hi eng nge ni?
He hming hi a buaithlak deuh niin a lang a, mahse a awmzia erawh a awlsam hle. Thumal khat hnu thumal khatin i then darh ang u:
- Ductal: Hei hian i hnute chhunga bawnghnute kawng (milk ducts) a kawk a ni. Duct te hi tube ang chi te tak te, hnute chhunga bawnghnute siamtu gland atanga hnute i pek laiin hnute thlenga hnute phur theitu a ni.
- Carcinoma: Hei hi cancer hming damdawi lam a ni. Cell than dan pangngai lo tihna a ni.
- In Situ: Hei hi hetah hian thumal pawimawh ber a ni. "In Situ" tih hi Latin tawnga "in place" tihna a ni. Chumi awmzia chu heng cancer cell pangngai lo te hi bawnghnute kawng chhungah chauh an lo piang tihna a ni. Duct bang chu an tichhia lo va , a chhehvel hnute tissue-ah an darh lo.
Tui pipe pakhat han mitthla teh. Pipe chhungah hian rust layer a awm a. Mahse rust hian pipe wall chhungah a lut lo va, a chhuak lo. DCIS chu chutiang chu a ni. Cancer cell (rust ang chi) te hi bawnghnute kawng (tui pipe) chhungah an awm a, mahse pawnah an la darh lo.
Hei vang hian doctor-te chuan DCIS hi "noninvasive" emaw "pre-invasive" emaw hnute cancer an ti a ni. Taksa hmun dangah a darh (metastasize) lo.
Mahse a pawimawh ber chu DCIS hi enkawl loh a nih chuan a chang chuan invasive ductal carcinoma-ah a chang thei a, chu chuan bawnghnute kawng bang a tichhia a, a chhehvel tissue-ah a darh thei a ni. Chuvang chuan a hmaa hriatchhuah leh enkawl a pawimawh em em a ni.
Hetiang dinhmun hi engtiang chiahin nge DCIS tia koh a nih?
DCIS hi a takah chuan hnute cancer chi khat a ni tlangpui. DCIS hian hnute cancer hmuhchhuah thar zinga 20% atanga 25% vel a huam a ni. Hmeichhiaah a tam ber. Mipa hi DCIS vei an tlem hle.
Tun hnaiah DCIS hri kai report a tam tawh hle. Mahse mithiamte chuan a chhan chu DCIS a lo awm tawh vang ni lovin, tunah chuan mammogram ang chi test hmangin a hma zawkin a hriat theih tawh niin an sawi.
DCIS natna lan chhuah dante chu engte nge ni?
DCIS-ah a tam berSymptoms a awm lo . Chu chu danglamna i hre lo mai thei tihna a ni. Hei hi mammogram pawimawhna a ni. Heng natnate hi natna lan chhuah hmain hriatchhuahna kawngah an pui thin.
Mahse, a tlem hle a, mi thenkhat chuan hetiang symptom hi an nei thei a ni:
- Hnute chhungah lump a awm tih hriat
- A vun rawng a chhuak
- Nipple atanga chhuak (thisen ang chi) .
DCIS vei chhan leh hlauhawmna
DCIS hi bawnghnute kawng chhunga cell hrisel tak takte an inthlak (mutations) a, thunun theih loha an lo thang lian tan hian a lo awm thin. Mahse mithiamte chuan heng cell te hi engvangin nge hetiang hian an inthlak tih chiang takin an la hre lo a, engvangin nge DCIS case thenkhat chu a hnuah aggressive cancer ah an lo chang ta a ni.
Mahse, DCIS vei theihna, a nih loh leh vei theihna tipungtu thil engemaw zat hmuhchhuah a ni.
| Risk Factor a ni | Hrilhfiahna |
|---|---|
| Chhungkaw chanchin | Thisen chhungte (nu, unaunu, fanu)-a hnute cancer neih. |
| Mimal chanchin | Tun hmaa hnute cancer emaw, cell than dan pangngai lo (atypical hyperplasia) nei tawh. |
| Kum leh mipa leh hmeichhia | Hmeichhia leh kum 30 chunglam nih. |
| Hormone hmanga nghawng a neih dan | Kum 12 hmaa puitlin, kum 55 hnua menopause. |
| Naupai lai | Naupai ngai lo, kum 30 hnua fa hmasa ber neih, fate hnute pek loh. |
| Genetic factors atanga lo chhuak a ni | Genetic mutations ( BRCA 1 leh BRCA 2 ) neih a, chu chuan hnute cancer hlauhawmna a tipung a ni. |
| Thil dangte pawh | Hnute tissue dense tak nei, rilru lam area-a radiation therapy dawng tawh. |
Hetah hian hriatthiam tur pawimawh tak chu heng risk factor pakhat emaw a aia tam emaw i neih hian DCIS i nei ngei ang tihna a ni lo. Entirnan, chhungkaw history-a hnute cancer vei lote chuan DCIS an la nei thei tho. An sawi tum chu likelihood a sang deuh tihna chauh a ni.
Engtin nge DCIS hi hmuhchhuah a nih?
DCIS vei zinga 90% aia tam chu mammogram hmanga hmuhchhuah an ni . Mammogram-ah chuan hnute chhunga calcium deposit te tak te (microcalcifications) clusters a awm tih a lang. Hengte hi DCIS chhinchhiahna ber a ni.
Mammogram-a rinhlelh awm thil a lan chuan doctor chuan biopsy neih a rawt mai thei . Biopsy-ah chuan rinhlelh awm tissue sample tlemte tak tak lak a ni a, microscope hmangin cancer cell a awm em tih enfiah a ni.
DCIS-a Grade leh Stage hrang hrangte
DCIS hmuhchhuah a nih veleh doctor-te chuan a grade leh stage an rel thin.
- Stage: DCIS hi Stage 0 hnute cancer a ni fo thin . Hei hi chanchin lawmawm tak a ni a, a chhan chu cancer hi a darh lo tihna a ni.
- Grade: Hei hian cancer cell te chu cell hrisel nen an inang emaw, an danglam emaw tih leh an thang chak dan a kawk a ni. Grade lian pathum a awm a.
- Low Grade: Cancer cell te hi a tam zawk chu cell hrisel ang an ni a, an thang zawi zawi a.
- Intermediate Grade: Cancer cell hi cell hrisel nen hian a danglam deuh hlek a.
- High Grade: Cancer cell hi cell hrisel nen a danglam vek a, chak taka thang chak duhna an nei bawk.
DCIS enkawl dan tur chu engte nge ni?
DCIS hi cancer natna khirh tak ni lo mah se, a hnua cancer natna khirh takah a chan theihna tur venna atan enkawl a pawimawh hle. I doctor chuan i kum, DCIS grade, leh i mimal duhzawng te a zirin i tan enkawlna tha ber tur a ruat ang.
Enkawl dan tlangpui pahnih a awm a, chungte chu:
| Enkawl dan tur | A awlsam zawngin... |
|---|---|
| 1. Lumpectomy / Hnute humhalhna surgery + Radiation Therapy | Hei hian DCIS hmanga tissue awmna hmun chauh surgery hmanga lakchhuah a ngai a, chubakah a chhehvela tissue hrisel tlemte pawh lakchhuah a ngai bawk. Hei hian i hnute tam zawk chu a tichhe vek a ni. Operation hnuah chuan cancer cell la awm zawng zawng tihhlum nan radiation therapy an pe tlangpui. |
| 2. Mastectomy tih a ni | Hetah hian DCIS-in a nghawng hnute zawng zawng chu surgery hmangin lakchhuah a ni. Hetiang tih hi DCIS hi hnute hmun zau takah emaw, hnute kawng engemaw zatah emaw a darh tawh a nih chuan, emaw, lumpectomy tih hi duhthlan tur a nih loh chuan a tha hle. Mastectomy hnuah pawh radiation therapy a ngai lo tlangpui. |
Mastectomy i neih chuan i doctor nen breast reconstruction surgery chungchang i sawi thei ang.
Surgery hnua enkawlna
Operation hnuah i doctor chuan DCIS lo kir leh tawh lo turin hormone therapy a rawt thei ang. Hei hian damdawi Tamoxifen emaw Aromatase Inhibitors emaw hman a huam a ni . He enkawlna hi kum nga vel a awh tlangpui.
DCIS hi a dam kim thei ang em?
Ni e, a dik tak zet! DCIS hi enkawl theih tak leh tihdam theih vek a ni. Enkawlna dawngtute damna rate hi a sang hle a, 100% vel a hnaih hle.
Enkawlna hnua DCIS lo kir leh theihna hi a tlem hle. A lo let leh a nih pawhin nunna atana hlauhawm a ni lo tlangpui.
Engtin nge i tih ang?
DCIS ven dan tur chiang tak awm lo mahse, a hmaa hriatchhuah chuan a dam kim thei a ni.
- Mammograms neih fo rawh: Kum 40 i tlin hnuah kum khatah vawi khat mammogram neih a tha tlangpui a, mahse, i risk factors a zirin, hetiang hi tih vawi engzat nge tih tur tih chu i doctor nen sawiho rawh.
- Doctor thupek zawm rawh: Enkawl zawhah doctor-in a tih angin check-up turin kal rawh. A tlangpuiin kum nga hmasa berah leh a hnu kum tin thla 6-12 danah check-up neih a ngai thin.
- I doctor zawhna zawt rawh: DCIS i vei tih i hriat chuan zawhna emaw, i ngaihtuahna emaw i neih apiang chu i doctor nen sawiho rawh. Zawhnate zawt la, "Ka tan chuan eng nge enkawlna tha ber?", "Enkawlna hian eng chen nge a daih ang?", "Hetiang hun chhung hian hna ka thawk chhunzawm thei ang em?"
Cancer i vei tih i hriat chuan hlauhna leh lungkhamna i neih hi thil pangngai a ni. Mahse DCIS hi hnute cancer hmasa ber, natna tha lo leh tihdam theih sang tak a ni tih hre reng ang che. Enkawlna dik leh enkawl zui zel chuan nun hrisel tak i hmang thei ang.
Take-Home Thuchah a ni
- DCIS hi hnute cancer vei hmasa ber (Stage 0) a ni . Hetah hian cancer cell te hi bawnghnute kawng chhungah chauh an awm a, a chhehvel tissue-ah an darh lo.
- Hei hi noninvasive cancer a nih avangin taksa peng dangah a darh lo.
- DCIS hian symptom a nei lo fo thin . Mammogram hmanga hriat chhuah a ni fo.
- DCIS hi enkawlna hmanga tihdam vek theih a nih avangin hlauh a ngai lo.
- Enkawl loh chuan cancer na tak a nih theihna a awm a, chuvangin damdawi lam thurawn angin enkawlna zawn a pawimawh hle .
- Damdawi lam checkup mumal leh mammogram neih hi a hmaa natna hriat theih dan tha ber a ni.
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