I doctor-in hnute cancer i nei tih a hrilh che chuan i rilru put hmang chu thumal hmanga sawi a harsa hle. Mahse i doctor-in "Stage 2" leh "Grade 3" tih ang chi thu a hman hian a buaithlak zawk thei. Heng stage leh grade te hian eng nge a awmzia tak tak? Chûngte hriatna chuan rilru lama chakna leh i enkawl dân chungchânga thu tlûkna dik siam tûrin a ṭanpui ang che. Chuvangin he thu hi hlau lovin, awlsam tak leh chiang takin sawi ila.
Stage leh Grade hi eng nge an danglamna?
Hêng thumal pahnih hi i hriat chuan ri inang mah se, a takah chuan thil pahnih a awm a ni.
- Cancer Stage: A awlsam zawngin, cancer ‘stage’ tih hian taksaa cancer a darh tawhna a kawk a ni . Thingkung zung ang maiin, hnute atanga cancer a darh dan a en a, a bul hnaia lymph node emaw, taksa peng dang emaw-ah a darh tawh em tih a en bawk.
- Cancer Grade: Cancer pakhat ‘grade’ tih hian cancer cell-te an chetsual dan a kawk a ni. Chu chu microscope hmanga cell hrisel tak tak nena an lan dan a danglam zia te, an inthen darh a, an darh chak dan te a ni.
Heng thil pahnih hi doctor-in i tana enkawlna tha ber a thlan theih nan a pawimawh hle.
Breast cancer stage hrang hrangte hriatchhuah
Breast cancer stage hi 0 atanga 4 thlenga number pek a ni tlangpui a, a hniam poh leh cancer hi a darh zau lo zawk a ni.
- Stage 0: Hei hi a hmasa ber a ni. Cancer cell te hi bawnghnute kawng chhungah chauh an awm a. Pawnah an la darh lo. Hei hi `(Ductal Carcinoma In Situ - DCIS)` an ti bawk. Hei hi enkawl theih tak a ni.
- Stage I: Hei hi cancer hian hnute tissue hrisel takah a darh tawhna hmun a ni. Mahse tumor hi a la te (peanut ang maia lian pawh a ni mai thei) a, cancer hi hnute leh a bul hnaia lymph node tlemte chauh a ni. Hetiang dinhmuna cancer pawh hi tihdam theih a ni hle .
- Stage II: Tumor hi a lian deuh (lemon ang vel pawh a ni mai thei), emaw, armpit-a lymph node-ah a darh tawh a, mahse cancer hi hnute area-ah a la inkhung tlat thung.
- Stage III: Hei hi "locally advanced" cancer kan tih chu a ni. Hetah hian cancer hi rilru bang emaw vun emaw-ah a darh tawh a, lymph node engemaw zatah a darh thei bawk. Mahse a pawimawh ber chu taksa peng hla tak tak, thin emaw, lung emaw thlengin a la darh lo a ni. Enkawlna dik tak a awm chuan mi tam tak chuan he dinhmunah hian cancer hi an thunun thei a, an dam leh thei tawh a ni.
- Stage IV-naah chuan:Hei hi stage hmasawn ber a ni. Hetah hian cancer chu hnute piah lamah hmun hla tak tak, ruh, lung, thin emaw thluak emaw thlengin a darh ta a ni . Hei hi `metastatic` cancer kan ti bawk. He stage hi tihdam vek harsa tak ni mah se, tûn laia enkawlna hmasawn tak takte hian cancer ṭhanlenna chu a thunun thei a, a lan chhuah dân a tihtlem thei a, mi tam tak chu thla tam tak, a châng chuan kum tam tak chhûng nun ṭha tak nei thei a ni
Cancer grade leh test pawimawh dangte
Grade hi surgery emaw biopsy hmanga microscope hmanga cancer cell hmuhchhuah te enfiah a ni.
| Pawl | Awmzia |
|---|---|
| Pawl 1 a ni | Cancer cell hi cell hrisel nen an inang hle. Zawi zawiin an thang lian a, zawi zawiin an darh zau zel bawk. |
| Pawl 2 a ni | Cancer cell hi cell hrisel nen hian a danglam deuh hlek a. Rate hniam takah an thang lian thin. |
| Pawl 3 a ni | Cancer cell hi cell hrisel nen a danglam hle. An thang lian a, an darh chak hle. |
Hormone Receptor leh HER2 Status te hi a ni
Hei hi test dang a ni a, enkawl dan tur hriat chian nan a pawimawh hle.
- ER/PR dinhmun: Hnute cancer cell thenkhat chuan an thanlen theih nan hmeichhe hormone `Estrogen (ETU) ` leh `Progesterone (PR)` te an mamawh a. I cancer cell te hi heng hormone te chhanna pe thei receptor an nei em tih enfiah a ni ang. An tih chuan `ER-positive` emaw `PR-positive` emaw an ni ang. Chutiang mite tan chuan hormone therapy hi a hlawk hle thei a ni.
- HER2 dinhmun: `HER2` hi cancer cell te than chakna ti chaktu protein a ni. I cancer hian he `HER2` protein hi a siam tam lutuk chuan `HER2-positive` a ni. Hei hi targeted therapies hrang hrang a awm a.
- Triple-Negative: Cancer pakhat chu heng pathum: ER, PR, leh HER2 te hi negative a nih chuan ``Triple-Negative Breast Cancer.`` kan ti thin.Hemi atan hian enkawl dan a inang lo.
Heng zawng zawng hi a khawlkhawm hian doctor chuan i tana tha tur treatment plan a siam ang a, result tha ber a pe ang che.
He TNM system hi eng nge ni?
Doctor-te’n cancer stage dik taka an hriat theihna tura an hman dan chipchiar dang chu ``TNM Staging System`` an ti a.He system-a letter awmte hian a hnuaia mi hi a kawk a ni.
| Lehkhathawn | Awmzia | Hrilhfiahna awlsam tak |
|---|---|---|
| T (Tumor) a ni. | A rah ber | Engtiang chiahin nge tumor hi a lian? Vun emaw, rilru bang emaw-ah a darh tawh em tih chu T letter-in a zui a, chu chu number (T1, T2...)-in a tarlang a ni. A tam poh leh tumor a lian zawk thin. |
| N (Nodes) te chu a ni. | Lymph nodes a awm thin | A bul hnaia lymph node-ah a darh tawh em? A darh zau zawng chu N letter leh number (N0, N1...) hmangin a tarlang a ni. N0 tih awmzia chu a darh lo tihna a ni. |
| M (Metastasis) a ni. | Hmun hla tak atanga darh | Letter M hian cancer hi taksa peng hla tak tak (ruh emaw lung emaw)-ah a darh tawh em tih a tarlang a (metastasis). M0 tih awmzia chu hla taka darh a awm lo tihna a ni. M1 tih awmzia chu a darh tawh tihna a ni. |
Survival rates hi hlau suh.
Online i en chuan "kum 5 chhunga damchhuahna rate" tih ang chi statistics i hmu ang. Heng number te hi i hmuh hian hlauthawng tih hi thil pangngai tak a ni. Mahse khawngaihin hre reng ang che, hengte hi damlo data sang tam tak atanga averages chauh a ni.
I chunga thil thleng tur dik tak chu tumahin an sawi thei lo. I result hi thil tam tak a zirin a danglam thei a, chung zingah chuan i kum, i hriselna zawng zawng, leh enkawlna i dawn dan te pawh a tel. Thil dang chu, heng statistics te hi historical data atanga siam a ni. Heng zat hi enkawlna thar a awm chhoh zel avangin a tha zawngin a danglam zel a ni.
Chuvangin heng number te hi phur lutuk suh. Heng thilte hi i dinhmunah engtin nge a hman tih hriat tur tha ber chu i doctor hi a ni. Hemi chungchang hi tlang takin sawipui rawh.
Take-Home Thuchah a ni
- Cancer stage hian eng chen nge a darh tawh tih min hrilh a. Grade hian cancer cells te hi an aggressive zia min hrilh a.
- I cancer stage, grade leh information dang (ER, PR, HER2) hriat hian i tana enkawlna tha ber leh tangkai ber thlang turin a pui thei che a ni.
- Stage III ang chi advanced stage-ah pawh enkawl dan dik a nih chuan dam leh theihna chance tha tak a awm. Stage IV-ah pawh tunlai enkawlna hian kum tam tak chhung chu natna thunun chungin dam takin a pui thei che a ni.
- Internet-a statistics (Survival Rates) i hmuh te hi average value chauh a ni. I mimal dinhmunah a hman loh mai thei. Chuvangin hlau suh.
- Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh. I healthcare team member pawimawh tak i ni. Hemi chungchang hi i chhungte leh i thiante nena sawi dun hian i inrintawkna a tipung bawk ang.
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