Hetiang thil hi i hnuteah i hre ngai em? (Ductal Carcinoma in Situ - DCIS) Hemi chungchang hi han sawi ila!

`DCIS` tih hming hi i hre tawh em? Doctor pakhatin i hnute exam `(Mammogram)-ah a sawi a ni mai thei.` Hei hi a takah chuan hnute hnute tui kawng chhunga awm cancer natna a ni a, a tir lamah pawh hriat theih a ni. Lungngai suh, hei hi i hriat chuan hahdamna nasa tak a pe ang che.

DCIS (Ductal Carcinoma in Situ) tih hi eng nge ni?

A awlsam zawngin DCIS hi i hnute chhunga bawnghnute kawng (milk ducts) -a lo awm cancer a ni. Heng duct te hi i hnute i pek laiin i hnute atanga i hnute thlenga hnute phurtu an ni. "In situ" tih thumal hi "in place" tihna a ni. Chumi awmzia chu cancer cell te chu duct atanga lo thang chhuakin hnute hmun dangah an la darh lo tihna a ni.

Doctor-te chuan hei hi noninvasive emaw pre-invasive emaw hnute cancer an ti \hin. Chumi awmzia chu cancer cell te hi bawnghnute kawng bang piah lamah an lo thang lian lo tihna a ni. DCIS hi taksa peng dangah a darh (metastasize) tlangpui lo va, cancer nasa zawk, invasive zawk ang bawkin.

Mahse, DCIS hi hnute pawnah darh lo mah se, a then phei chuan invasive ductal carcinoma -ah a lo chang thei a ni. Chu chu hnute pawnah a darh thei tihna a ni. Chuvang chuan hemi chungchang hi doctor nena inbiakna neih a pawimawh em em a ni. Tichuan, he hlauhawmna tihziaawm thei tur enkawlna kawng hrang hrangte i sawi thei ang.

DCIS hi engtiang chiahin nge a hluar?

DCIS hi a takah chuan hmeichhiaah hnute cancer chi khat a ni ber. Hnute cancer hmuhchhuah thar zinga 20% atanga 25% vel a ni. Mipa pawhin DCIS hi an vei thei a, mahse a tlem hle (cancer hmuhchhuah zinga 0.1% aia tlem).

Tun dinhmunah chuan DCIS vei report zat hi a pung deuh hlek a ni. Mahse mithiamte chuan hei hi DCIS vei an pun vang ni lovin, mi tam zawk hmuhchhuah leh enkawl an nih vang a ni an ti . Chu chu mammogram ang chi test hmangin he natna hi a hmain hriat theih a ni tihna a ni.

DCIS natna lan chhuah dante chu engte nge ni?

A tam zawkah chuan DCIS hian symptom bik a nei lo . Engmah pawh i hre lo mai thei. Mahse, mi tlemte chauhvin hetiang thil hi an hre mai thei:

• Hnute chhunga lump ang maia hriat.
• Hnute vunah a hring (itching) thin.
• Nipple atanga discharge (e.g., thisen) lo chhuak.

Hetiang thil i hmuh chuan Doctor i pan nghal mai tur a ni lawm ni?

Eng thilin nge DCIS hi a thlen?

DCIS hi i hnute kawng chhunga cell hrisel tak takte an inthlak danglam hian a lo awm thin., chu chu an nihna a danglam tawh a, an thang chak hle a, thunun theih lohvin an thang chho mek tihna a ni. Thlai te tak te chu hnim ang maia thunun theih lohvin a lo thang lian ang bawkin. Mahse mithiamte chuan heng cell te hi engvangin nge an inthlak thut tih chiang takin an la hre lo a, mi thenkhat DCIS chu cancer na tak a nih laiin thenkhat erawh chuan an inthlak lo.

DCIS vei theihna tur risk factors te chu engte nge ni?

DCIS vei theihna tur, a nih loh leh i vei theihna tur tipung thei thil engemaw zat a awm. Eng nge an nih hi han thlir ila:

• I thisen chhungte (nu, unaunu, fanu) te hian hnute cancer an vei tawh a nih chuan.
• Tun hmaa hnute cancer i nei tawh a nih chuan , emaw, hnute chhunga cell-te chu a pangngai lo taka ṭhan chhoh theihna, atypical hyperplasia ang chi i neih chuan.
• Hmeichhia i ni (hei hi hmeichhia zingah a tam ber).
• Kum 30 aia upa a nih avangin . He risk hi kum upat deuh deuhin a pung deuh deuh thin.
• Kum 12 i tlin hmaa thlasik i neih tan chuan .
• Kum 30 i tlin hnua i naute hmasa ber i neih chuan .
• I hnute tissue a dense lutuk chuan ``dense breast tissue'' i nei thei bawk . Hei hi mammogram hmang chauhvin hriat theih a ni.
• Gene mutations thenkhat (e.g., BRCA1 leh BRCA2 genes) i neih chuan cancer vei theihna a tipung a ni.
• Tun hmaa i hnute emaw, i rilru emaw (condition dang atan) radiation therapy i lo dawng tawh a nih chuan.
• Naupai ngai lo emaw, naute hnute i pe ngai lo emaw a nih chuan .
• Kum 55 hnu lama menopause a lo tan tawh chuan .

Mahse, heng risk factor pakhat emaw a aia tam emaw i neih hian DCIS i nei dawn tihna a ni lo, a dik em? Entirnan, chhungkaw history-a hnute cancer neih hi DCIS vei theihna tur risk factor a ni a, mahse DCIS vei tam zawk chuan chhungkaw history-ah hnute cancer an nei lo. Risk factors hian condition lo awm theihna chance a tipung chauh a ni. Chuvangin anmahni fimkhur a pawimawh.

DCIS avanga harsatna awm thei te chu engte nge ni?

A pawimawh ber chu DCIS hi i enkawl loh chuan invasive ductal carcinoma ah a chang thei a ni. Chumi awmzia chu cancer hi bawnghnute kawng atanga lo piang chhuakin hnute chhunga tissue dangteah a darh thei tihna a ni. Chuvangin, DCIS i vei tih hmuhchhuah a nih chuan a rang thei ang bera enkawl a pawimawh hle.

Tin, DCIS i enkawl hnuah pawh i tar chhoh zel chuan hriselna lama harsatna dang i nei thei bawk. Entir nan:

• Osteoporosis (ruh hring hring) .
• Thisen sang a sang
• Lung natna

Heng harsatnate hi a tihziaawm theih nan, i doctor hnenah eng chen nge screening leh follow-up neih tur tih zawh hi a finthlak hle.

Engtin nge DCIS hi hmuhchhuah a nih?

Doctor te chuan DCIS vei zinga 90% aia tam chu mammogram hmangin an hmuchhuak thin . Chu chu i hnute X-ray lak tihna a ni. I mammogram result-ah rinhlelh awm tak tak, calcium deposit te te (microcalcifications) te a lan chuan biopsy an ti ang a, an nemnghet ang.

• Mammogram: I doctor chuan hnute enfiah fo (screening mammogram) bakah hian special mammogram (diagnostic mammogram) a ti thei bawk. Hei hian i hnute tissue chu angle hrang hrang atangin chipchiar zawkin a la thei a ni. Hei hian mammogram pangngai aiin a rei deuh a ni.
• Breast Biopsy: Doctor-te chuan he test hi i hnute chhungah cancer cell a awm loh nan an ti thin. He test-ah hian tissue te tak te pakhat lak a ni a, microscope hmangin an enfiah thin.

DCIS grade a awm em?

Ni e, doctor-te chuan DCIS hi grade thum-ah an dah a. Heng grade te hi microscope hmanga cancer cell te hi engtiang chiahin nge a pangngai lo tih leh an lo thang chak theih dan atanga teh a ni.

• Low grade (slow-growing): Cancer cell te hi hnute cell hrisel ang deuhin an lang. An thang zawi zawi a.
• Intermediate grade (fast-growing): Cell pangngai lo te hi hnute cell hrisel ang deuhin an lang a, mahse grade hniam nen chuan an danglam deuh hlek a ni.
• High grade (a thang chak leh thunun theih loh): Cancer cell te hi hnute cell hrisel te nen an lang danglam vek. Hengte hi a pung chak ber leh cancer na tak ni thei berte an ni.

DCIS hi eng stage nge ni?

DCIS hi hnute cancer stage 0 a ni . A tam zawk chu enkawl theih leh tihdam theih a ni. Doctor-te chuan cancer hi stage 0 atanga IV thlengin an thliar hrang a (4). Stage 0 tih awmzia chu cancer hi a bul tanna hmunah a awm a, a darh lo tihna a ni. DCIS hi stage 0 ni reng mahse, tumor hi eng ang pawhin a lian thei a, hnute chhunga bawnghnute kawng tam tak a huam thei bawk.

DCIS enkawl dan tur chu engte nge ni?

DCIS hi cancer na tak ni lo mahse, enkawl a pawimawh . A nih loh leh doctor hnenah i dinhmun enfiah fo tir rawh. Hei hi a chhan chu DCIS chi thenkhat, a bik takin high-grade te hi enkawl loh chuan invasive an ni thei a ni. Hei hian cancer hi i hnute kawng kaltlangin a darh thei tihna a ni a, a chhehvel hnute tissue-ah a darh thei tihna a ni.

DCIS enkawlna atana hman tlanglawn berte chu:

• Breast-Conserving Surgery (BCS) emaw Lumpectomy: Hei hian cancer cell awmna hmun chauh lakchhuah a ni a, chubakah cancer chhehvela hnute hrisel tak tak tlemte lakchhuah a ngai bawk. Hei hian tissue hrisel (margin) tlemte a paih chhuak a, chu chuan cell pangngai lo a awm loh nan a pui a ni. I doctor chuan i hnute tam zawk chu a awm reng ang.
• Radiation therapy: He enkawlna hi BCS surgery hnuah pek thin a ni tlangpui. Cancer cell la awm zawng zawng tihlum nan leh cancer lo kir leh theihna tur a tihziaawm nan hman a ni. Mi thenkhat chuan he enkawlna hi ni engemaw zat an mamawh a, thenkhat chuan kar tlemte chhung an mamawh bawk. I doctor chuan i mimal enkawlna ruahmanna chungchang a sawipui ang che.
• Mastectomy: Hei hian hnute natna zawng zawng, a then phei chuan hnute pahnih (double mastectomy) lakchhuah a ni. BCS i dawng thei lo a nih chuan (entir nan, DCIS chu hnute pum puiah a darh tawh a, tumor a lian hle a nih chuan, emaw, radiation therapy i duh loh chuan) mastectomy tih a ngai mai thei.

Mastectomy i neih tawh chuan hnute siam thar leh chu i ngaihtuah mai thei . Hei hi i hnute siam thar lehna tur surgery a ni. Hei hi i mastectomy neih rualin emaw, i hnute lak hnuah emaw tih theih a ni. BCS i neih chuan hnute siam thar hi a ngai lo fo. I hnute enkawl dan tur i duh dan tur chu i doctor nen sawiho rawh.

DCIS surgery hnuah eng nge thleng?

Operation hnuah i doctor chuan DCIS a lo awm leh loh nan damdawi a pe thei a, a bik takin i DCIS hi hormone-sensitive (ER-positive) a nih chuan. Damdawi hman tlanglawn ber berte chu:

• A rilru a buai em em a, a rilru a hah em em bawk a.
• Aromatase titawptu ( e.g. anastrozole, letrozole) te hi a tha hle.

He enkawlna hi hormone therapy an ti a . Heng damdawi te hian cancer cell te tihpunna tura puitu hormone estrogen chu a titawp a ni. Enkawl hun chhung zawng zawng hi kum nga vel a ni tlangpui.

DCIS hi ven theih a ni em?

DCIS vei theihna tur risk factor tam tak (e.g., chhungkaw chanchin, genetics) hi kan thunun theih emaw, kan ven theih loh tak tak a ni lo. Mahse, a hmaa hmuhchhuah a nih chuan , DCIS hi tihdam theih a nih a rinawm zawk. Chuvang chuan mammogram hi a pawimawh em em a ni.

• Hmeichhe tam zawk chuan kum 40 an tlin hnuah kum tin (a nih loh leh kum hnih danah, an doctor thurawn a zirin) mammogram an nei tan tur a ni .
• Hnute cancer vei theihna i nei sang zawk a nih chuan (entir nan, i chhungte zinga mi pakhatin a vei a nih chuan) i doctor chuan screening neih hmasak phawt turin a rawt thei che a ni.

I risk factors atanga thlirin i doctor nen inbiakna neih a tha ber.

DCIS hmang hian engzat nge dam rei zawng?

Hei hi chanchin tha ber a ni! DCIS vei damchhuah zat hi a sang hle a ni . American Cancer Society sawi dan chuan DCIS vei (leh enkawltu zawng zawng) zawng zawng deuhthaw chu tihdam theih an ni . Chumi awmzia chu kum 10 chhunga damchhuah zat chu 98-99% vel a ni tihna a ni.

Enkawl hnua result hi a tha hle tlangpui. DCIS hi a lo lang leh fo thin. A lo awm a nih pawhin (hnute pakhatah emaw, hnute dangah emaw, cancer na tak angin a ni mai thei), enkawl leh tihdam theih a ni fo. Chuvangin DCIS hi nunna tichhe thei a ni lo, uluk taka enkawl a nih chuan.

Engtin nge ka in enkawl ang?

DCIS hmang hian enkawl hnuah pawh doctor enkawlna hnuaiah i awm chhunzawm zel a ngai dawn a ni.

• Thla 6 atanga thla 12 danah doctor pan a ngai tlangpui ang , kum nga tal, kum khatah vawi khat.
• Tin, kum tin mammogram i neih a ngai ngei ang.
• Hormone therapy i ei a nih chuan i doctor-in a hrilh ang chiah chiah i ei tur a ni.

Amaherawhchu, mi tin dinhmun a inang lo. I doctor nen thawk ho la, enkawlna hnua i enkawlna tur ruahmanna siam rawh. Doctor thupek zawm fimkhur a pawimawh.

Engtikah nge Doctor ka hmuh ang?

I doctor-in a tih angin i check-up leh mammogram te hi lo thlir ve suh. Chutih lai chuan i hnute chu enkawl tha rawh.

• I hnuteah lump thar i hmuh chuan.
• I hnute vun a inthlak danglam (redness, dimpling, wrinkling, emaw orange peel appearance) i hmuh chuan.
• I hnute a inthlak danglam (indentation, redness, skin flaking, discharge) i hmuh chuan.
• I hnute emaw, i hnungzang emaw-ah natna awm reng i neih chuan.

If you notice any changes that could be signs of breast cancer , hlauthawng suh la, tihkhawtlai suh, mahse doctor pan nghal rawh.

I doctor hnenah eng zawhna nge i zawh tur?

DCIS i nei tih i hriat chuan zawhna tam tak neih hi thil pangngai a ni. An vai hian i doctor zawt rawh. Entirna thenkhat chu hetiang hi a ni:

• DCIS grade engzat nge ka neih?
• Eng ang enkawlna nge ka mamawh? Inzai? Radiation hmanga enkawl a ni em? Hormone hmanga enkawl a ni em?
• Heng enkawlnate hian eng side effect nge a neih?
• Enkawlna hian eng chen nge a daih?
• Enkawlna dawng chungin hna ka thawk thei ang em?
• DCIS a lo awm leh theihna chance chu engzat nge ni?
• Follow-up atan engzat nge ka lo kal a ngai dawn?
• Engzat nge mammogram tih ka mamawh ang?
• Ka chhungte hi hlauhawmah an awm em? Engtin nge an tih ang?

Cancer i vei tih hriatchhuah hi nun tidanglam thei thil a ni. Beisei tur i hriat loh avangin hlauhna leh lungkhamna i neih hi thil awmdan pangngai a ni. I doctor chu tanpui turin a awm a ni. DCIS hi cancer chi khat a ni a , tihdam theihna chance a sang hle . I doctor chuan i tan a tha tur personalized treatment plan a siam thei ang.

I hriat reng tur pawimawh ber (Take-Home Message) .

Okay, chuvangin kan sawi tawh `DCIS` (Ductal Carcinoma in Situ) chungchanga hriat reng tur thenkhat chu hetiang hi a ni:

• DCIS hi cancer hmasa ber (Stage 0) a ni a, hnute bawnghnute kawng (milk ducts)-ah chauh a awm a ni . Chumi awmzia chu hnute pawnah a la darh lo tihna a ni.
• A tam zawkah chuan symptoms bik a lantir lo . Mammogram hmanga hmuhchhuah a ni ber .
• DCIS hian invasive cancer a nih theihna a neih avangin, a hmaa hriatchhuah leh enkawl a pawimawh hle .
• Enkawlna chu operation (lumpectomy emaw mastectomy emaw) a ni tlangpui. Radiation therapy leh hormone therapy te pawh pek theih a ni.
• DCIS hi damna sang tak a ni . Chuvangin hlau suh la, huaisen takin enkawlna chu hmachhawn rawh.
• I doctor thurawn angin a hun ruatah check-up leh mammogram neih ngei ngei tur a ni .

A pawimawh ber chu nangmah chauh i ni lo. I doctor, chhungte leh i thiante an awm vek a. Hemi chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh. I hriselna enkawl hi i tanpui theihna lian ber a ni.

` DCIS, Ductal Carcinoma in Situ, Hnute Cancer, Bawnghnute Ductal Cancer, Mammogram, Biopsy, Lumpectomy, Mastectomy, Hnute hriselna