Stage 0 Breast Cancer chungchanga zawhna i nei em? I sawi dawn nia!

Doctor-in ‘Stage 0 Breast Cancer’ i vei thu a hrilh che chuan i rilruah zawhna leh hlauhna tam tak a lo thleng ngei ang, a dik em? "Hei hian cancer ka nei tihna tak tak em?" leh "Hei hi a hlauhawm em?" rilruah lo kal turin. Chuvangin vawiin hian he thu hi awlsam takin, i hriatthiam theih dan tur angin, i thianpa nen in inbia ang maiin han sawi ila.

He ‘phase 0’ hi eng tak nge ni?

Hei hi a takah chuan thupui buaithlak deuh a ni. Doctor thenkhat chuan hei hi hnute cancer hmasa ber niin an ngai. Mi dangte chuan ‘precancer’ niin an ngai a, chu chu cancer-ah a chang thei a ni.

A awlsam zawngin sawi ila, cancer hi taksaa cell-te chu a pangngai lo leh thunun theih loha an inthen darhna a ni. Heng cell te hian a chhehvel tissue hrisel te pawh an rawn lut thei bawk. Mahse, Stage 0 Breast Cancer -ah chuan heng cell pangngai lote hi hnute hnute tui kawng chhungah chauh an la awm a ni. An chhehvel tissue-ah an la darh (invasive) lo. Hei hian Stage 1 aiin a hmasawn lo zawk a, a hma lutuk tihna a ni.

Hetiang dinhmun hi chi hnih a awm a, chungte chu:

1. Ductal Carcinoma In Situ (DCIS): Stage 0 Breast Cancer chungchang kan sawi hian he natna hi kan sawi fo thin. Hetah hian cell pangngai lo chu bawnghnute kawng chhungah chauh a awm a. Hnute tam zawk siamtu thau tissue-ah an darh lo. Hei hi a chhan dik tak erawh hriat a la ni lo. Mi tam zawk chuan symptom engmah an nei lo. Mahse, a châng chuan heng cell pangngai lote hi cancer-ah an lo chang thei a, nakin lawkah a darh thei a ni. Mahse chu chu a thleng dawn nge dawn lo tih chiang taka sawi theih a ni lo.

2. Noninvasive Paget’s disease of the nipple: Hei hi hnute cancer chi khat a awm lo hle.

Hetiang dinhmun hi a lan chhuah dan a awm em?

A tam zawkah chuan Stage 0 Breast Cancer hian symptom a nei lo. Mahse, a châng chuan, chhinchhiahna ṭhenkhat a lo lang thei a ni. Eng nge an nih i han thlir teh ang.

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Engtin nge hei hi i hriat chian?

Symptoms a awm loh fo avangin Stage 0 Breast Cancer hriat theihna tha ber chu screening neih fo hi a ni. Hetiang dinhmun hi Mammogram hmanga hriat theih dan tlangpui a ni. Dik tak chuan DCIS vei zinga 90% aia tam chu screening test hmanga hmuhchhuah a ni. Chuvangin doctor-te chuan hmeichhiate chu an naupan lai atanga screening neih tir turin an fuih thin.

Hetiang dinhmun hi tute nge hlauhawm zawk?

Stage 0 Breast Cancer vei theihna tur risk factors hi hnute cancer pangngai vei theihna tur risk factors nen a inang hle. Eng nge an nih i han thlir teh ang. Heng thil pakhat emaw a aia tam emaw i neih hian natna hi i vei ngei ang tihna a ni lo va, mahse i risk chu a sang deuh tihna a ni.

Enkawlnate chu engte nge ni?

DCIS i vei tih hmuhchhuah a nih hnuah i test report-ah ‘grade’ a awm ang. Nuclear grade 3 hi a darh chak ber chi a ni a, grade 1 hi a darh tlem ber chi a ni. I cancer cell te pawh estrogen receptor an neih leh neih loh enfiah a ni ang. ER-positive (ER+) an nih chuan cancer chu a lo thang zawi zawi zawk tihna a ni.

Heng zawng zawng bakah hian i doctor pawhin genetic testing neihpui turin a rawt thei bawk.

I tih leh tur chu heng zawng zawngah hian a innghat a, chubakah i mimal duhzawngah pawh a innghat bawk. Specialist tam zawk chuan enkawlna engemaw zat neih a tha zawkin an ngai. A chhan chu Stage 0 cancer hi darh lo mah se, nakin lawkah a danglam thei a, ngaihdam ai chuan him taka awm a tha zawkin an ngai a ni.

DCIS enkawlna hman tlanglawn tak takte chu:

• Surgery: DCIS tumor te tak te tan chuan lumpectomy tih theih a ni a, chu chuan cell pangngai lo leh a chhehvel hnute tissue tlemte a paih chhuak thei a ni. Mi thenkhat chuan mastectomy tih an thlang a, chu chuan hnute zawng zawng a paih chhuak vek a ni. Chumi hnuah chuan a tul chuan hnute siam\hatna surgery pawh tih theih a ni.
• Radiation Therapy: Hei hi lumpectomy hnua tih thin a ni tlangpui. Radiation therapy hian operation chhunga cell pangngai lo lakchhuah loh zawng zawng a tichhia a, cancer lo kir leh theihna a ti tlem bawk.
• Hormone Therapy: Operation hnua he enkawlna hian hnute pahnihah cancer thar a lo awm loh nan a pui thei a ni.

A pawimawh ber chu DCIS enkawl nan Chemotherapy hman a ni.Hei hi a tul lo. A chhan chu heng cell te hi taksa hmun hla tak takah an darh theihna chance a tlem hle a ni.

Enkawlna tel lova en leh nghah hi a tha zawk em?

Hei hi thil sensitive tak leh pawimawh tak a ni. DCIS vei hmun thuma ṭhena hmun khat vel chuan nakin lawkah invasive cancer vei theihna chance an nei a ni. Chuvangin, doctor thenkhat chuan enkawl vat ai chuan, ‘enkawl leh nghak’ tih dan, test fo te nen an rawt mai thei.

Hei hi sawisel a hlawh hle. Ngaihtuah teh, vawi khatah operation (radiation therapy hmang pawh ni se) i nei vek a nih chuan, cancer darh ngai lo tur lakah i him thei ang. Kawng lehlamah chuan, a tul tak tak lo enkawlna pawh i nei thei bawk.

Mahse a tir lamah surgery leh radiation therapy skip a, checkup neih reng mai mai i tum a nih chuan doctor-te’n an hmuh hunah chuan cancer hi a lo hmasawn deuh (enkawl harsa zawk) a nih theihna chance tlemte chauh a awm. Hei hi mimal thutlukna a ni a, i doctor nen uluk taka sawiho tur a ni.

He natna avanga dam lehna rate hi engzat nge ni?

Hetah hian chanchin lawmawm chu a awm e. Stage 0 Breast Cancer i neih chuan Stage III emaw IV cancer vei te aiin i dam leh theihna chance leh dam rei theihna chance a sang zawk hle. Hei hi a chhan chu he natna hi taksa peng dangah a la darh loh vang a ni.

‘Local’ hnute cancer vei (i.e., hnute chhunga cell pangngai lo awm, Stage 0 ang chi) te kum 5 chhunga dam rei zat chu 99% a ni . A awlsam zawngin sawi ila, Stage 0 cancer vei nia hriat chuan cancer nei lo ang bawkin kum 5 lo awm turah damchhuah theihna chance 99% a nei tihna a ni.

Breast cancer hmuhchhuah thar 5 zinga 1 vel chu DCIS a ni. Mahse he natna vei zawng zawng deuhthaw hi an dam vek thei. DCIS hi enkawl hnua lo kir leh hi a tlem hle.