Hetiang hian i hnute i hmuiah hian danglamna i nei em? Paget-a hnute natna chungchang hi i zir dawn teh ang!

I hnuteah hian danglamna tlemte, i hrual emaw, i hnute hring ang maia lang emaw i hmu ngai em? Vun natna pangngai a ni thei a, mahse i rilruah rinhlelhna tlem i neih chuan ngaihven a pawimawh. A chhan chu, a tlem berah chuan heng symptoms te hi hnute cancer chhinchhiahna hmasa ber a ni thei. Chu chu vawiin a kan sawi tur condition hmuh tur awm lo, mahse pawimawh tak tak zinga mi a ni.

Paget-a hnute natna hi eng nge ni?

A awlsam zawngin, Paget’s Disease of the Breast hi cancer chi khat, i hnute vunah lo awm, a awm lo hle a ni . A châng chuan hnute vêla vun dum zâwk, areola an tih pawh a nghawng thei bawk.

Ngaihtuah teh, hei hi a chang chuan hnute cancer-ah chauh a innghat thei a, chu chu hnute cancer hmasa ber (stage 0 hnute cancer) , `ductal carcinoma in situ` (DCIS) tia koh a ni. A nih loh leh, hnute pakhata bawnghnute kawng (milk ducts)-a darh chhuak `invasive breast cancer` na zawk nen a zui thei bawk. Hei hi mammary Paget’s disease an ti bawk.

Hei hi a chhan chu hnute vun hi `eczema` ang deuh a nih avangin mi tam tak chuan a tir lamah chuan vun pangngai mai mai niin an ngai a ni. A lan chhuah dan chu vun hring, vun hring, sen, a châng chuan natna lan chhuah, leh hnute aṭanga tui chhuak te hi a ni thei . Mahse, heng symptoms nei zawng zawng hian Paget natna hi an nei vek lo tih hre reng ang che. Mahse, he natna hi i neih chuan hengte hi hnute cancer hnuaia awm chhinchhiahna hmasa ber a ni thei .

Hei hi tuin nge tipung thei ang?

Paget natna hian hmeichhia a vei tam ber . Mahse, a tlem hle a, mipain an vei tih hriat a ni. Diagnosis kum zat chu kum 57 vel a ni . Mahse, chu aia naupang leh upa zawkah hmuh a ni tawh. Paget natna hi hnute cancer zawng zawng zinga 4% aia tlem lo a ni . Chuvangin, i ngaihtuah theih angin, hei hi thil awm lo tak a ni.

He natna hi engtiang chiahin nge a darh chak/nasat?

A hnuaia ductal carcinoma i neih leh neih lohah a innghat tak zet a, a awm a nih chuan eng stage-ah nge a awm tih ah a innghat tak zet a ni. Entirnan, i hnute kawng chhungah chauh cancer i neih a, a chhehvel hnute tissue-ah a darh lo a nih chuan ductal carcinoma in situ (DCIS) kan ti a ni. This is considered stage 0. Hetiang cancer chi hi a tlangpuiin surgery hmanga enkawl a ni a , lump(s) leh nipple lakchhuah a ni a , chu chu radiation therapy hmanga enkawl a ni.

Mahse, he `ductal carcinoma` hi bawnghnute kawng atanga a darh chuan `infiltrating ductal carcinoma` an ti a ni.A nih loh leh `invasive ductal carcinoma` tih pawh a ni thei. He cancer hi stage hrang hrangah a na zual zel a . A tir lamah chuan hnute tissue natna leh armpit-a `axillary lymph nodes` te chu paih chhuakin enkawl theih a ni. Mahse, he `invasive breast cancer` hi hnute piah lama a darh chuan, chu chu a hnu lama a darh chuan a na zual a , enkawl a harsa zual sauh sauh a ni.

Eng nge a lan chhuah dan?

Heng symptoms te hi i hnute leh/ emaw a chhehvel vun dum (areola) ah a awm tlangpui. A tam zawkah chuan hnute pakhat chauh a nghawng a, mahse a tlem hle a, a pahnih hian a nghawng thei. A tirah chuan heng symptoms te hi a lo thleng a, a kal zel angin a lang thei a, mahse hun kal zelah a zual thei hle . A lan chhuah dan chu:

• Nipple a itching a , a hnuah inflammation a thlen thei bawk .
• Vun vawt, vun hring (nipple chungah emaw a chhehvel emaw) a hring chhuak .
• Skin rash a lo lang thei. A sen, a sang, a hring, a na, a nih loh leh thisen chhuak a ni thei .
• Inflammation leh natna .
• Eczema a hnim ang bawkin, a hnah (crust) a lo piang a, tui a lo chhuak .
• Nipple atanga thisen emaw, pus ang chi tui lo chhuak .
• Flat emaw inverted emaw hnute .
• Vun hnuaia hnute zung (breast lump) palpable .

Pawimawh: Heng symptoms zinga pakhat emaw pahnih emaw i neih chuan hlauthawng suh. Mahse, an awm reng emaw, an chhe zual emaw chuan damdawi lam thurawn i la ngei ang.

A chhan engte nge ni? Engvangin nge hetiang hi a lo awm?

Dik tak chuan, scientist-te chuan cancer thlentu dik tak chu an la hre lo . Mahse, chu chu hriat tumin zirchianna thar neih chhunzawm zel a ni. Kan hriat chian chu kan taksaa cell thenkhatah hian inthlak danglamna pangngai lo tak tak a awm a , chu chuan thunun theih lohvin a inthen darh a , a insiam thar leh thin . Tuna zirchianna chuan heng cellular inthlak danglamna te hi kan DNA (genetic code) ah hian a intan thei tih a tarlang . Mahse heng inthlak danglamnate hi engvanga lo awm nge, engtikah nge a awm tih chiang takin kan hre lo.

Scientist-te chuan cancer lo awm theihna tura puitu "risk factor" thenkhat a awm fo tih an hmuchhuak a. Heng thilte hian natna lo chhuahnaah hian chanvo a nei thei niin an ngai. Entirnan, environment toxins , emaw , zu i in emaw, zu emaw i in fo chuan natna i vei theihna a sang zawk. Mahse, mak tak maiin, hnute cancer 85% chu risk factor hriat lohte zingah a thleng thin .

Engtin nge he natna hi dik taka hriat theih a nih?

Doctor i hmuh hian i natna chu eczema -a enkawlna ang bawka enkawl a tum hmasa mai thei. Chu chuan a tihlawhtling lo a nih chuan, emaw, Paget’s Disease of the Breast a rinhlelh chuan, hnute tissue sample lak a, microscope hmanga enfiah a ngai mai thei. Hetiang hian paget cell te hi awlsam takin kan hre thei a ni. Punch biopsy a ti ngei ang . Hei hian tissue te tak te, round tak tak chu circular cutting tool (hole punch ang chi) hmanga lakchhuah a ni.

Paget’s Disease of the Breast i vei tih i hriat hnuah i doctor chuan ductal carcinoma in situ i nei em tih leh, a awm a nih chuan eng chen nge a darh tih hriat a duh ang Chutianga tih theih nân chuan i hnute tissue chu imaging test hmangin a enfiah hmasa ang . Entirnan , mammogram emaw, hnute ultrasound emaw tih theih a ni. Hmun rinhlelh awm tak hmuh a nih chuan hnute tissue sample lak nan needle biopsy neih a rawt thei bawk.

Engtin nge enkawl a nih?

Enkawlnaah hian operation leh a chang chuan cancer enkawlna dang pawh a tel .

Inzai

I hnute cancer eng pawh chu operation hmanga lakchhuah a ngai a ni. Mahse, tissue engzat nge lakchhuah tih chu i dinhmun a zirin a ni. Paget’s Disease of the Breast chauh i neih a, lump dang a awm loh chuan, minimal, breast-conserving surgery i nei thei a ni . Chumi awmzia chu i surgeon chuan a natna tissue chauh lakchhuah a tum dawn tihna a ni. I hnute, a chhehvel vun dum (areola), leh a chhehvela tissue pangngai tlemte chu a la chhuak ang .

Cancer hi eng chen nge a darh tawh tih a zirin i surgeon chuan mastectomy (a hnute zawng zawng lakchhuahna surgery) tih a rawt thei ang . I duh chuan a hnuah hnute siam thatna surgery pawh i nei thei bawk.

Adjuvant Therapy hmanga enkawlna a ni

Operation hnuah chuan cancer lo awm leh tawh lo turin enkawlna dang, complementary treatment pek i ni ngei ang. Heng `adjuvant therapies` te hian:

• Radiation therapy: High-energy rays hmanga cancer cell tihchhiat a ni.
• Chemotherapy: Damdawi hi cancer cell thah nan emaw, a thang chak lohna turin emaw hman a ni.
• `Hormone hmanga enkawlna`: 1.1.Hormone hian hnute cancer thenkhat a tipung thin. He enkawlna hian chu hormone te chu a block a ni.
• Immunotherapy: I immune system ngeiin cancer dona kawngah a pui thin.

He natna hi a dam kim thei ang em?

Breast cancer atanga damchhuah theihna chance chu cancer hmuhchhuah a nih huna a stage ah a innghat a ni . Paget’s disease of the nipple, hnute chhungah chauh awm, emaw, ductal carcinoma in situ (stage 0) , milk ducts atanga darh lo emaw i neih chuan i prognosis a tha hle Mi tam zawk chu heng natna hi a hmaa hmuhchhuah leh enkawl an nih chuan an dam kim vek thin . Mahse, hnute cancer a darh tawh chuan hneh a harsa zual sauh sauh a ni.

Chuvangin inthlak danglamna tlemte pawh ngaihven a, damdawi lam thurawn lak a pawimawh em em a ni.

Engtikah nge Doctor ka hmuh ang?

I hnute a inthlak danglamna i hmuh chuan, vun inthlak danglamna emaw, vun hnuaia inthlak danglamna emaw pawh nise, doctor pan fo ang che. A tam zawkah chuan cancer a ni lo mai thei a, mahse check neih hi a tha ber fo . If you have symptoms like eczema on or around the nipple or areola, and you’ve tryed to treatment it yourself and it doesn’t help , doctor hmu turin appointment siam ngei ang che.

He natna hi i vei a nih chuan engtin nge i in enkawl ang?

I tana i tih theih tha ber chu a rang thei ang bera enkawl tan hi a ni . Mahse, support i mamawh bawk . At the very least , i rintlak mi pakhat i biak theih nan zawng la , i appointment-ah kal la, inchhung hnathawhnaah tanpui rawh.

Doctor hnena zawh tur zawhna list keng la, a sawi chu ziak chhuak turin inpeih la, a nih loh leh mi pakhatin i tan ziak turin hrilh rawh. Nakinah in review leh thei ve ve.

Hetiang hun lai hian rilru lama chak taka awm reng a pawimawh bawk. Thlamuanna thlen thei thil ti la, chhungte leh thiante biak la, a tul chuan counselling zawng rawh.

Paget-a hnute natna leh ‘Paget’ natna’ dangte hi inzawmna a awm em?

Hei hi mi tam takin zawhna an zawh thin a ni. Kum zabi 19-na tawp lama English surgeon pakhat Sir James Paget-a chuan damdawi lama thil hmuhchhuah tam tak a nei a. A hming chawia natna chi hrang hrang vuah a awm a, mahse a zawng zawng hi an inzawm vek lo .

Entirnan, `Paget's disease of the bone` tih hi Cancer ni lo ruh natna a ni. Paget-a hnute natna nen a inzawm lo.

Mahse,Cancer dang hmuh tur awm lo, `extramammary Paget's disease` (EMPD) an tih pawh a awm a, chu chu a pianphungah chuan a inang deuh hlek a ni.

Paget natna hi hnute vunah hian microscope hmanga hmuh theih cancer cell danglam tak tak a awm a ni. Paget-a’n a sawi hmasak vangin Paget cell an ti a ni. Extramammary Paget natna (EMPD) pawhin heng Paget cells te hi a nei ve bawk. Chutiang bawkin rash a nei bawk a, mahse nipple-ah ni lovin, genitals-ah a awm zawk . Hêng natna pahnih hi inang mah se, natna hrang hrang an ni . An thleng dun lo.

Take-Home Thuchah a ni

Okay, chuvangin vawiinah hian i hriat reng theih nan thil pawimawh tak tak kan sawi tawh thenkhat chu hetiang hi a ni:

• Paget’s Disease of the Breast hi hnute chhunga hnute kawng (milk ducts) cancer hmasa ber a ni . A châng chuan, hnute cancer hmasawn zawkin a zui thei bawk.
• I hnuteah inthlâk danglamna i hmu thei a, chu chu a hring hring, vun hring hring, tui chhuak, a nih loh leh hliam dam lo te hi a ni .
• Hei hi i hriat chian a, i enkawl hma chuan i dam lehna tur a tha zawk.
• Mi tam zawk chu an dam vek a , mahse lakchhuah nan operation a ngai mai thei .
• I hnute, a bik takin i hnuteah inthlak danglamna danglam tak i hmuh chuan hun khawhral lovin damdawi lam thurawn lak a tha ber .

He thu hian hriattirna i neih ngei kan beisei. Hrisel takin awm rawh!

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