‘Hnute cancer’ kan ngaihtuah hian hnute chhunga hnim hring (lump) kan ngaihtuah fo thin a ni lawm ni? Mahse, hnute cancer zawng zawng hi lump angin a chhuak vek lo tih i hria em? Vawiin hian cancer chi khat, a nungchang danglam deuh deuh, taksa chhunga rukbo taka darh thin chungchang kan sawi dawn a ni. Hei hi Invasive Lobular Carcinoma, a tawi zawngin (ILC) an ti a.
A awlsam zawngin sawi ila, Invasive Lobular Carcinoma (ILC) hi eng nge ni?
Awle, hetiang hian han sawi ila. I hnute hian hnute siamtu gland a nei a. Doctor te chuan hengte hi "lobules" an ti thin. Hetiang cancer chi hi heng bawnghnute siamtu glands atang hian a intan thin.
Breast cancer chi dang ang lo takin, heng ILC cancer cells te hi an inzawm khawm a, tumor siam ai chuan, hnute tissue kaltlangin cell pakhat zel row-in an darh chhuak thin Chu chu rulhut line ang maiin han ngaihtuah teh. Hei vang hian tumor chu hetiang hian a darh thin.
ILC hian hnute cancer 10% atanga 15% vel a huam a ni. Hetiang cancer chi hi hmeichhe hormone estrogen hian a tichak fo thin. Cancer a lo thang zawi hle bawk. Kum tam tak chhung chu symptom i neih hmain emaw, mammogram hmanga hriatchhuah a nih hmain a awm thei. Cancer dang ang bawkin ILC hi hnute tissue kaltlangin emaw taksa peng dangah emaw a darh thei a ni.
Tumor a awm loh chuan engtin nge he natna lan chhuah dan hi i hriat theih ang?
Hei hi a pawimawh ber a ni. ILC cancer hian lump a siam loh avangin hnute chhunga inthlak danglamna fiah lo dangte lakah fimkhur hle tur a ni. A tir lamah chuan inthlak danglamna i hmu lo mai thei. Mahse cancer a zual zel chuan heng symptoms te hi a lo lang thei a ni.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Hnute vun thicking emaw inthlak danglam emaw | Hnute hmun khata vun chu a tlangpui aia thim zawkin a lang thei. Dimpling a awm thei a, chu chu orange peel-a vun ang mai a ni. |
| Hnute hring emaw, a khat emaw | Lump awm tawh lo mah se, hnute sir khat emaw, a then emaw chu a tlangpui aia a hring emaw, a khat emaw a ni thei. Tin, hnute pianzia leh a lian leh te pawh a danglam thei bawk. |
| Inverted nipple a ni | Pawn lama awm tlangpui hnute chu chhung lam hawia pil ang maiin a lang. |
| Armpit-a lump a awm | I hnute ah lump i nei lo a nih pawhin i armpit ah lump i la hre thei tho. |
| Hnute na emaw, lum emaw | Chhan bik nei lovin hnute na emaw, khawih pawhin lumna emaw i nei thei. |
| Nipple atanga chhuak | Nipple atanga tui chhuak chi hrang hrang (a bik takin thisen chhuak), nu hnute pe lai i nih loh chuan. |
A pawimawh ber chu i hnute hi nang aia hre chiang an awm lova, chuvangin danglamna tlemte pawh i hmuh chuan ngaihthah suh.
He cancer vei theihna tur risk factors te chu engte nge ni?
Cancer dang ang bawkin, he cancer hi eng nge a thlen tih chiang taka sawi a harsa hle. Genetic mutation a ni a, chu chuan cell hrisel tak takte chu cancer-ah a chantir a ni. Mahse zirchiangtute chuan ILC vei theihna tipungtu thil engemaw zat an hmuchhuak a ni.
- Kum 55 chunglam a nih avangin.
- Kum 30 hnua i fa hmasa ber neih emaw, fa neih loh emaw.
- Tun hma pawhin hnute cancer a lo vei tawh bawk.
- Chhungkaw member (a bik takin nu, unaunu, fanu) hnute cancer emaw ovarian cancer vei neih.
- Lobular Carcinoma In Situ (LCIS) tih hming pu condition neih: Hei hi cancer a ni lo va, nakin lawka cancer vei theihna tipungtu cell inthlak danglamna a ni.
- Genetic mutations thenkhat chu inherit a ni.
- Kum 12 tlin hmaa puitlin.
- Menopause hi kum 55 hnuah a thleng thin.
- Menopause hnua symptoms lo awmte tan hormone therapy engemaw zat ei.
ILC avanga harsatna bikte chu engte nge ni?
ILC cancer-ah hian harsatna hrang hrang pahnih a awm a, chu chu ngaihven bik a ngai a ni.
1. Taksa hmun danglam takah a darh: Hnute cancer chi dang hi thluak, ruh, thin, leh lungah a darh tlangpui. ILC cancer pawh chutiang hmunah chuan a darh thei bawk. Mahse hei bakah hian cancer a darh tlangpui lohna hmun danglam takah pawh a darh thei bawk.
- Chaw ei dan (intestine, pum) .
- Hmeichhe chi thlah dan (ovaries, uterus) .
- A chhungril lam (peritoneum) .
- Thluak leh ruhro (Leptomeninges) vel khuhna te .
- Mit vel tissue a awm
2. Hun engemaw chen enkawl hnua a lo lang leh: Hei hi he cancer natna hlauhawm ber a ni. Enkawlna leh a dam tawh nia ngaih hnuah pawh kum 10 atanga kum 15 hnuah pawh taksa hmun hla takah cancer hi a lo lang leh thei a ni . Hei hi `(Metastatic Invasive Lobular Carcinoma)` kan ti a.
Doctor-te hian engtin nge hei hi an hmuh?
Doctor hnenah hnute lump chungchang i hmuh chuan i symptoms te a zawt hmasa ang che a, i hnute leh i armpit te chu a enfiah hmasa ang. ILC hi lump a nih loh avangin routine exam hmangin a hriat theih loh mai thei. Chuvangin hetiang test tur hian refer i ni mai thei.
- Mammogram: Hnute X-ray hmanga lak a ni. Mahse, ILC cancer a darh dan avang hian a chang chuan mammogram-ah chiang takin a lang thei lo.
- Breast Ultrasound: Hei hian hnute hmun bik ngun zawka en theihna a pui a ni.
- Breast MRI scan: Hei hian hnute tissue thlalak chiang tak, chipchiar tak a siam thei a ni. ILC ang chi cancer hriat harsa tak takte hriatchhuah nan MRI hi a pawimawh hle.
Heng test-te a\anga rinhlelhna a awm chuan, a dawt leh tur chu biopsy . Chumi awmzia chu hnute atanga tissue te tak te tak te chu anesthesia hmangin la chhuakin microscope hmangin an enfiah tihna a ni. He biopsy chauh hian cancer cell a awm leh awm loh 100% a nemnghet thei a ni.
Cancer natna stage hrang hrang
Biopsy-in cancer a nih thu a finfiah hnuah chuan cancer awmna zau zawng chu hriat chian a ni a, a stage chu hriat chian a ni. He stage a zirin enkawl dan tur ruahman a ni.
| Dawhsan | Hrilhfiahna |
|---|---|
| Stage I a ni | Cancer hi centimetre 2 aia te a ni. A bul hnaia lymph node-ah a darh tawh emaw, a bo tawh emaw pawh a ni thei. |
| Stage II-na a ni | Cancer hi centimetre 2-5 inkar a lian a, a bul hnaia lymph node-ah a darh tawh a ni. A nih loh leh centimetre 5 aia lian mahse lymph node-ah a darh lo. |
| Stage III-na a ni | Cancer hi hnute chhunga lymph node engemaw zat leh a bul hnaia lymph node-ah a darh tawh a ni. |
| Stage IV-na a ni | Cancer hian taksa peng hla tak tak, lung, thin emaw, ruh emaw thlengin a darh tawh a ni. (Metastatic) a ni. |
ILC enkawlna tur engte nge ni?
I doctor chuan i tana tha ber tur enkawlna ruahmanna siam turin thil tam tak a ngaihtuah ang a, chutah chuan i cancer stage te, hormone-sensitive (ER+) a nih leh nih loh te, leh i hriselna zawng zawng te pawh a tel ang. Hei hi a tlangpuiin enkawlna pakhat emaw, a inzawm emaw a ni thei.
- Surgery: Hnute hmun emaw, hnute pum pui emaw, cancer cell awmna chu lakchhuah a ni.
- Chemotherapy: Cancer cell tihhlumna tur damdawi chak tak pek. Surgery hma emaw, operation hnuah emaw pek theih a ni.
- Radiation Therapy: Operation hnua cancer cell awm thei zawng zawng tihchhiat nan high-energy rays hman a ni.
- Hormone Therapy: Cancer hi estrogen-sensitive (ER+) a nih chuan chu hormone hnathawh tikhawlo thei damdawi pek thin a ni.
- Targeted Therapy: Cancer cells thanna tichhe thei genetic change bik target tu damdawi.
Enkawlna hnua dam leh hun chhung hi mi hrang hrangah leh enkawlna i dawn dan azirin a inang lo. Hemi chungchang hi i doctor nen inhawng takin sawi rawh.
He natna vei theihna chance engzat nge awm?
Cancer tih thumal kan hriat hian kan hlau vek. Mahse heng thilte hi hriat chian a pawimawh. Heng ``survival rates'' te hi cancer vei an nih hnu kum 5 emaw kum 10 emaw chhunga dam chhuak zat a ni.
Research atanga a lan dan chuan ILC cancer vei hmuhchhuah zinga 94% chu kum 5 hnuah pawh an la dam. Kum 10 hnuah chuan he percentage hi 86% velin a pung a ni . Hnute cancer chi dang nena khaikhin chuan kum 10 chhunga damchhuah zat hi a hniam deuh hlek a ni. Doctor-te chuan a chhan zawng chhuakin a enkawl dan siam that tumin zirchianna an nei chhunzawm zel a ni.
Hengte hi statistics mai a ni tih hre reng ang che. I mimal dinhmun chungchanga hrilhlawkna an ni lo. I dinhmun sawifiahna tha ber chu i doctor chauhin a pe thei che a ni.
Take-Home Thuchah a ni
- Invasive Lobular Carcinoma (ILC) hi hnute cancer chi khat, lump angin a lang ngai lo.
- Hnute vun a inthlak danglamna fiah lo tak tak, a thim, a hring, a pianzia inthlak, leh hnute indentation te chu hre reng ang che.
- I hnute dinhmun pangngai hriat a pawimawh hle. Thla tin hnute self-exam neih thin ang che.
- Tlemte emaw, danglam bik emaw i hmuh chuan, "Engmah a ni lo mai thei" tih ngaihtuahin ngaihthah suh. Doctor pan nghal rawh.
- Cancer dang ang bawkin hei hi a hmaa hriatchhuah a nih poh leh enkawlna a hlawhtlin theihna a sang zawk.
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