I hnute ah hian hetiang lumps hi i nei em? (Intraductal Papilloma) chungchang hi han sawi ila!

Thil mak tak tak, i hnute chhunga hnah te tak te ang chi emaw, i hnute atanga tui lo chhuak ang chi thil emaw i hmu a, i lungkham deuh tawh em? Chutiang a lo thlen chuan thil chi hrang hrang kan ngaihtuah thin a ni lawm ni? Mahse lump emaw change emaw zawng zawng hi cancer hlauhawm a ni lo. Vawiin hian hnute chhunga awm, mahse cancer ni lo, mahse ngaihven hlawh tak dinhmun kan sawi dawn a ni. Chu chu `(Intraductal Papilloma)` an tih natna a ni. A hming hi i hriat chuan a mak deuhin a lang thei a, mahse awlsam takin i hrethiam ang u.

Hei hi eng nge ni (Intraductal Papilloma)? A awlsam zawngin sawi ila...

A awlsam zawngin sawi ila, Intraductal Papilloma hi i hnute chhunga milk ducts chhunga lo awm, benign growth a ni. Ngaihtuah teh, kan hnute hian tube te tak te system a nei a, chu chuan bawnghnute a siam a, chu chu hnute thlengin a phur a ni lawm ni? Heng tube, chu chu bawnghnute kawng (milk ducts) te hi heng a lo thang lian te hi a lo pian chhuahna hmun a ni. "Papilloma" tih thumal hian wart ang maia lo thang lian tihna a ni. Hengte hi cell chi khat "Epithelial cells" tih atanga siam an ni. Heng "Epithelial cells" te hi kan taksa chhung leh pawn lam khuh tu cell chi khat an ni. "Intraductal" tih hian "duct chhunga" (intra - chhung lam, ductal - duct nena inzawm) tihna a ni. Chuvangin, heng zawng zawng hi a inzawm khawm chuan Intraductal Papilloma chu benign growth a ni a, milk ducts chhungah a lo awm a, wart ang mai a ni.

A pawimawh ber chu he lump ``Intraductal Papilloma`` an tih hi cancer (benign) a ni lo. Mahse, i doctor chuan he lump hi a enfiah ang a, cancer thlen thei atypical cells a awm loh nan a enfiah ang. Chuvangin hei hi hriat chian a pawimawh hle.

Hei hi chi hrang hrang (Intraductal Papilloma) a awm em?

Ni e, chi hnih a awm ber a:

1. Papilloma pakhat chauh awm: 1.1.

• Hei hi a tam ber chi a ni. A hming ang bawkin lump pakhat angin a lo piang a ni.
• Hei hi i hnute bula bawnghnute kawng lian takah a lo awm fo thin.
• Lump chu a lian deuh deuh chuan hnute hnung lamah emaw, a bulah emaw, lump te tak te ang maiin i hre thei.
• Thu lawmawm tak chu he papilloma chi hian i dam chhungin hnute cancer vei theihna a tipung lo.

2. Papillomas tam tak emaw Papillomatosis emaw:

• Hetiang chi ah hian lump pakhat aia tam a lo awm thin.
• Hengte hi hnute atanga hla deuha awm milk duct te tak teah an lo piang a ni.
• Hetiang chi vei te hian an dam chhungin hnute cancer vei theihna chance a sang deuh thei a ni. Mahse, lungngai suh, i doctor chuan hei hi "tlemte" awmzia chu a hrilhfiah belh ang che.
• Papilloma hriat chhuah zinga 10% vel chauh hi he chi hi an ni a, ``Papillomatosis'' an ti a ni.Chu chu a tlem deuh tihna a ni.

Intraductal Papilloma hi engtiang chiahin nge a awm?

Intraductal papillomas hian hnute natna tha lo (benign breast lesions) zinga 10% vel a huam a ni. Chung zinga a tam zawk chu solitary papillomas anga ngaih a ni. Chuvangin, hei hi thil awm lo tak a ni lo.

Hetiang natna lan chhuah dan hi engte nge ni? Engtin nge kan hriat?

Papilloma zawng zawng hian symptom a nei vek lo. A châng chuan, doctor chuan test, mammogram ang chi i neih hian chhan dang vangin lump danglam tak a hmu ṭhin. Chutih lai chuan i hre lo pawh a ni thei.

Mahse, papillomas thenkhat chuan hnuteah inthlak danglamna a thlen thei a ni. Heng ang symptoms te hi fimkhur rawh:

• Nipple atanga thisen chhuak chiang tak emaw thisen chhuak: Hei hian hnute pakhat chauh a nghawng tlangpui. Hetiang thil hi a thleng thut tih i hriat chuan hlauthawng suh la, doctor pan rawh.
• Hnute hnung lama hnim hring (lump) te tak te hriat: He lump hi a na thei a, a na lo thei bawk.
• Hnute hmun khata natna emaw, nuam lo emaw hriat: Chu hmun khata natna awm reng i neih chuan chu pawh chu hre reng ang che.

Heng symptoms te hi i neih chuan doctor advice la ngei ang che. Chu chu a tha ber a ni. Internet-a thu hriat tur zawng mai ai chuan doctor hmuh a, thurawn dik tak lak hi a pawimawh zawk hle.

Eng thilin nge Intraductal Papilloma hi a thlen?

Intraductal Papilloma hi milk ducts-a epithelial cells lo thang lutuk vang a ni a, hei hi a hmain kan sawi tawh a ni. Thlai a lo thang chak lutuk ang mai a ni. Mahse, mithiamte chuan heng cell te hi engvangin nge an thang chak em em tih hi chiang takin an la hre lo. Research a la kal zel a.

Mi thenkhat chuan "papilloma" tih thumal an hriat hian hrik `(Human Papillomavirus - HPV)` nen hian inzawmna a nei niin an ngai. Mahse chutiang inzawmna chu a awm lo. HPV virus chi hrang hrang hlauhawm tak tak thenkhat chuan cancer chi hrang hrang vei theihna an tipung tih hi a dik a ni. Mahse, HPV infection hian `(Intraductal Papilloma)` a thlen lo va, a hlauhawmna a tipung hek lo. An pahnih hi inthlunzawm loh a tha zawk, a dik em?

Hei hi eng risk factors nge a nghawng?

`(Intraductal Papilloma) lo awm chhan dik tak hriat tumin zirchianna a la kal zel a ni.` Tuna hriat lar chu a hnuaia mite hian he natna hi i vei theihna a tipung thei tih hi a ni:

• Kum: Kum 35 leh 55 inkar i nih chuan Intraductal Papilloma i vei theihna a sang zawk. Mihring hmuhchhuah tam zawk hi perimenopausal an ni. Mahse, multiple papillomas nei te chu papilloma pakhat nei te aiin an naupang zawk thei.
• Hormone estrogen nena inzawmna:I dam chhungin hormone `(Oestrogen)` i hman tawh chuan i risk a sang thei. Entirnan, puitlin hma, menopause tlai, fa neih loh hian i taksain `(Oestrogen)` a tawrh rei zawng a tipung a ni. Tin, birth control pill `(Oestrogen)` awmna hman hi a factor a ni.
• Chhungkaw chanchin: I chhungkuaa tu emaw chuan hnute cancer a vei tawh a nih chuan hnute cancer vei theihna a sang zawk. Hei hian cancer ni lo hnute natna, intraductal papilloma ang chi i neih theihna a tipung thei bawk.

Intraductal Papilloma hian cancer vei theihna a tipung em?

Hei hi mi tam tak tan chuan harsatna lian ber a ni. Sawi tawh ang khan Intraductal Papilloma hi cancer a ni lo. Mahse, doctor-te chuan heng lumps hi "high-risk precursor lesion" anga ngaih a nih avangin an ngaihtuah hle. Hei hian a chang chuan doctor-te chuan papilloma chhungah emaw, a bulah emaw cancer (malignant) lo thei cell an hmu thei tihna a ni.

Mahse hei hi a thleng tlem hle. Doctor-te chuan hetiang thil hi an hmu fo mai thei:

• Atypical cells, emaw Atypical Ductal Hyperplasia (ADH): Hei hi i hnute tui kawngkhar chhunga cell te inthen darh chak a, a pangngai lo taka an lo thang lian thin hi a ni. Heng cell te hi a hnuah cancer cell ah an chang thei a ni. Mahse, Intraductal Papillomas zinga za zela tlemte chauh, 3% vel chauh chu ADH-ah an lo chang ta a ni.
• Ductal Carcinoma In Situ (DCIS): DCIS hi cancer a ni a, a invasive lo emaw, preinvasive emaw a ni. Chumi awmzia chu cancer dang angin bawnghnute kawng (milk ducts) pawnah a darh lo tihna a ni. DCIS hi intraductal papillomas percentage tlem zawk, 2.5% vel a ni.

Papillomas tam tak nei te hian solitary papillomas nei te aiin heng atypical cells te hi an nei tam zawk. Multiple papillomas hian hun kal zelah hnute cancer vei theihna a tipung deuh bawk. Hemi chhan hi zirchiangtute chuan an la chhui mek a ni.

Mahse hriat reng tur pawimawh tak chu ADH leh DCIS te hi a dam vek thei tih hi a ni. Chuvangin a hmaa hmuhchhuah a nih chuan ngaihtuahawm tur a awm lo.

Engtin nge Intraductal Papilloma hi hmuhchhuah a nih?

Intraductal Papilloma i neih leh neih loh hriat chian theihna awmchhun chu hnute biopsy neih hi a ni . Biopsy-ah chuan i doctor chuan a lump zawng zawng emaw, a then emaw chu a la chhuak a, lab-ah a thawn thin. Chutah chuan pathologist pakhat chuan cell pangngai lo a awm leh awm loh a enfiah a.

Conventional imaging study, mammogram, ultrasound, emaw magnetic resonance imaging (MRI) te hian a lo thang dan pangngai lo a lantir thei a ni. Mahse, biopsy tel lo chuan lump hi papilloma a ni tih erawh sawi chian theih a ni lo.

Entirnan, Intraductal Papilloma hi mammogram-ah chuan mass, nodule emaw calcifications angin a lang thei. Heng thilte hi hnute hnah chi hrang hrangah hmuh tur a awm a, cancer leh cancer ni lo pawh a ni.

Chuvangin Intraductal Papilloma dik taka hriat theih nan doctor chuan tissue chu direct-in a enfiah a ngai a ni.

Heng hnute chhunga hnim hring chi hrang hrangte hi engtin nge i enkawl?

`(Intraductal Papilloma)` enkawl dan hi thil engemaw zatah a innghat a, chu chu i lumps neih zat, cell pangngai lo a awm leh awm loh, i symptoms, lump lian leh te, leh hnute cancer i vei theihna te hi a ni.

• Solitary papillomas: Hengte hian cell pangngai lo emaw, symptoms a thlen emaw a nih chuan lakchhuah a ngai mai thei. Lump lian tham leh hnute cancer i vei theihna hian operation a ngai leh ngai loh pawh a nghawng dawn a ni. A châng chuan doctor-te chuan solitary papillomas chu x-ray hmanga enfiah an tum ṭhin.
• Multiple papillomas: Hengte hi paih chhuah a ngai a, a chhan chu cancer ni lo mah se, cancer hmaa inthlak danglamna an neih theihna chance a sang hle.

Intraductal papillomas zawng zawng hi paih vek a ngai em?

I doctor chuan a chang chuan papillomas te tak te, symptomatic, single papillomas te enfiah turin a rawt thei bawk. Mahse, intraductal papillomas tam zawk chu lakchhuah a ngai dawn a ni.

Papillomas tihbo nan hian enkawlna hrang hrang hman a ni a:

• Vacuum-assisted excision (VAE): Hei hian suction device nena inzawm needle te tak te hmanga lump chu lakchhuah a ni.
• Excisional breast biopsy (Lumpectomy tia hriat bawk): He surgery-ah hian a lump leh a chhehvela tissue hrisel tak tak (a margin) te chu lakchhuah a ni a, chu chuan cell pangngai lo a awm loh nan a ni.
• Mastectomy: Papillomas tam tak i neih a, hnute cancer vei theihna sang tak i neih chuan hnute pumpui lakchhuah a ngai mai thei (mastectomy). Mahse, hei hi a tlem hle a, special case-ah chauh tih a ni.

I biopsy report a zirin i doctor chuan eng treatment option nge i tana tha ber tih a hrilhfiah ang che.

Intraductal Papilloma hi engtiang chiahin nge a nasat?

Hetah pawh hian Intraductal Papilloma hi cancer a ni lo. Mahse, a tlem berah chuan heng lumps-ah hian cell pangngai lo tak tak a awm thei a, chu chu enkawl ngai a ni thei. Multiple papillomas i neih chuan i dam chhungin cancer vei theihna a sang deuh thei. Hei hian cancer a awm leh awm loh enfiah fo a ngai mai thei tihna a ni.

Thu lawmawm tak chu heng cell pangngai lo, a nih loh leh precancerous cells te hi an siam chhuah theihna tur enkawlna hmangin an lo awm thei lo tih hi a ni. Tin, cell pangngai lo i neih pawhin operation hian cancer a nih loh nan a veng thei bawk. Chuvangin lungngai suh.

Papillomas lo awm hi a veng thei ang em?

Vanduaithlak takin `(Intraductal Papilloma) lo awm tur ven dan tur a awm lo.Amaherawhchu, hnute cancer screening neih fo hian i doctor chuan i hnute hriselna a en reng thei a ni. Tin, i hnute a danglamna i hriat veleh doctor pan a, thurawn dil chu a \angkai hle bawk.

Hrilhfiahna hmasa ber hriatchhuah a, enkawlna \ha tak dawng a nih chuan, cancer ni lo hnute dinhmun chu cancer-ah a lo chang ngai lovang tih theih a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Intraductal Papilloma i vei tih hmuhchhuah a nih chuan i doctor hnenah heng zawhnate hi zawt ngei ang che:

• Bump engzat nge ka neih?
• Papillomas zawng zawng hmuh chhuah nan eng imaging procedure nge ka tih a ngai ang?
• Ka `(Biopsy)` report result hian eng nge a awmzia?
• Hnute cancer vei theihna a sang zawk em?
• He papilloma hi paih chhuah nan hian operation emaw, enkawlna dang emaw ka mamawh ang em?
• Enkawl zawhah hian engzat nge hnute cancer screening neih a ngai ang?

Heng zawhnate bakah hian i thil ngaihtuah apiang, i hlauhthawn leh rinhlelhna i neih apiang chu i doctor nen zalen takin sawipui rawh. Chumi hnuah chauh chuan hriatthiamna chiang tak i nei thei ang.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Intraductal papillomas hi cancer ni lo, a lo thang lian a ni. Mahse, papilloma pakhat emaw a aia tam emaw i neih chuan enkawl emaw, enkawl reng emaw i mamawh mai thei. Intraductal papilloma tam zawk hi cancer a ni ngai lo va, mahse cell pangngai lo takah a lo thang chak lo hle. I biopsy result, papillomas i neih zat leh i dam chhunga hnute cancer vei theihna tur chuan i enkawl dan tur a hril ang.

Chuvangin, i hnuteah danglamna i hmuh chuan ngaihthah suh. Doctor pan nghal rawh. Early detection hi a tha zawk tur a ni. I doctor chuan thurawn leh enkawlna tha ber ber a pe ang che. Lungngai suh, nangmah chauh i ni lo!

` Intraductal Papilloma, Hnute Lumps, Nipple Discharge, Hnute hriselna, Cancer nei lo Tumors, Hmeichhe hriselna, Biopsy