ꯑꯩꯈꯣꯌꯒꯤ ꯃꯔꯛꯇꯒꯤ ꯀꯌꯥ ꯑꯃꯅꯥ ‘ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ’ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯩ, ꯅꯠꯇꯦ? ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯂꯥꯌꯅꯥ ꯃꯈꯜ ꯑꯃꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ, ꯃꯁꯤꯒꯤ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯃꯒꯅꯤ? ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯀꯦꯟꯁꯔ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯞ-ꯃꯄꯥꯡ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯕꯅꯥ ꯑꯗꯣꯃꯒꯤꯗꯃꯛ ꯑꯆꯧꯕꯥ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯥ ꯑꯣꯏꯒꯅꯤ꯫
ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯒꯤ ꯍꯧꯔꯀꯄꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯤꯀꯦꯁꯟ ꯇꯧꯕꯥ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯐꯣꯡꯗꯣꯀꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯗꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯗꯥꯏꯗꯒꯤ ꯍꯧꯔꯀꯄꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯁꯟꯗꯣꯀꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯌꯥꯝꯕꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ ꯀꯧꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯒꯤ ꯍꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯦꯗꯦꯅꯣꯀꯥꯔꯁꯤꯅꯣꯃꯥ ꯀꯧꯕꯥ ꯁꯕꯇꯥꯏꯄꯇꯥ ꯆꯜꯂꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯁꯉ꯭ꯒꯣꯝ ꯄꯨꯕꯥ ꯗꯛꯇꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯁꯉ꯭ꯒꯣꯝ ꯄꯨꯊꯣꯀꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ (lobules)ꯗꯒꯤ ꯍꯧꯔꯀꯄꯥ ꯀꯦꯟꯁꯔꯁꯤꯡꯅꯤ꯫
ꯗꯛꯇꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ꯫
ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯃꯈꯜꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯅꯤꯁꯨ ꯂꯩ꯫
1. ꯗꯛꯇꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ ꯏꯟ ꯁꯤꯇꯨ (DCIS): ꯃꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯅꯤ꯫ 'ꯏꯟ ꯁꯤꯇꯨ' ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤꯒꯤ ꯑꯔꯊꯗꯤ "ꯃꯗꯨ ꯃꯐꯝ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ" ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯍꯧꯖꯤꯀꯁꯨ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯊꯣꯡꯅꯥꯎꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯛꯇꯃꯛ ꯂꯩꯔꯤ꯫ ꯃꯈꯣꯌ ꯃꯄꯥꯟꯗꯥ ꯁꯟꯗꯣꯀꯈꯤꯗ꯭ꯔꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯅꯥ ꯅꯧꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ 5ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 1 ꯑꯣꯏ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯝꯃꯤ꯫
2. ꯏꯅꯚꯦꯁꯤꯚ ꯗꯛꯇꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ (IDC): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯃꯈꯂꯅꯤ . ꯃꯁꯤꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 80% ꯑꯣꯏ꯫ ‘ꯏꯅꯚꯦꯁꯤꯕ’ ꯍꯥꯌꯕꯁꯤ "ꯑꯦꯒ꯭ꯔꯦꯁꯤꯚ" ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯊꯣꯡꯅꯥꯎꯁꯤꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯦ꯫ ꯑꯥꯏ.ꯗꯤ.ꯁꯤ.ꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯁꯕ-ꯇꯥꯏꯞ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ, ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯁꯨꯞꯅꯇꯒꯤ ꯌꯦꯡꯁꯤ꯫
| ꯑꯥꯏ.ꯗꯤ.ꯁꯤ.ꯒꯤ ꯁꯕꯇꯥꯏꯞ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯄꯥꯎꯈꯨꯝ ꯑꯃꯥ꯫ |
|---|---|
| ꯃꯦꯗꯨꯂꯦꯔꯤ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ꯫ | ꯃꯁꯤꯒꯤ ꯃꯃꯤꯡ ꯑꯁꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ (5%ꯗꯒꯤ ꯇꯥꯗꯅꯥ)꯫ |
| ꯃ꯭ꯌꯨꯁꯤꯅꯣꯁ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ꯫ | ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯃ꯭ꯌꯨꯀꯁꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ (mucin) ꯌꯥꯝꯅꯥ ꯂꯩ꯫ ꯃꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ (꯲%ꯗꯒꯤ ꯇꯥꯅꯥ)꯫ |
| ꯇꯨꯕ꯭ꯌꯨꯂꯔ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ꯫ | ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯨꯕꯒꯨꯝꯕꯥ ꯁ꯭ꯠꯔꯀꯆꯔꯁꯤꯡ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯀꯨꯄꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯐꯖꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯏ꯫ |
| ꯄꯦꯄꯤꯂꯦꯔꯤ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ꯫ | ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯐꯤꯉ꯭ꯒꯔꯒꯨꯝꯕꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯃꯐꯃꯁꯤꯡ (papules) ꯂꯩ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ |
| ꯀ꯭ꯔꯤꯕ꯭ꯔꯤꯐꯣꯔꯝ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ꯫ | ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯟꯁꯔ ꯑꯁꯤꯒꯤ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯍꯤꯂꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ |
ꯂꯣꯕꯨꯂꯥꯔ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ꯫
ꯃꯈꯜ ꯑꯁꯤꯗꯥ, ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯁꯉ꯭ꯒꯣꯝ ꯄꯨꯊꯣꯀꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ (lobules)ꯒꯤ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯁꯦꯂꯁꯤꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
- ꯏꯅꯚꯦꯁꯤꯚ ꯂꯣꯕꯨꯂꯥꯔ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ (ILC): ꯃꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯑꯅꯤꯁꯨꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯇꯇꯥ ꯍꯧꯏ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯂꯤꯝꯐ ꯅꯣꯗꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯂꯣꯕꯨꯂꯥꯔ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ ꯏꯟ ꯁꯤꯇꯨ (LCIS): ꯃꯃꯤꯡ ꯑꯁꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯦꯜ.ꯁꯤ.ꯑꯥꯏ.ꯑꯦꯁ.ꯕꯨ ꯇꯁꯦꯡꯅꯥ ꯀꯦꯟꯁꯔꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯗꯦ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, LCIS ꯂꯩꯕꯅꯥ ꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
ꯑꯇꯣꯞꯄꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯃꯈꯂꯁꯤꯡ꯫
ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯈꯉꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫
- ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ (5%ꯗꯒꯤ ꯇꯥꯕꯥ) ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯁꯤꯡꯗꯒꯤ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯇꯇꯥ ꯂꯩꯕꯥ ꯂꯤꯝꯐꯦꯇꯤꯛ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯊꯤꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯗꯨ ꯁꯣꯟꯊꯍꯜꯂꯤ, ꯂꯥꯂꯍꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯍꯜꯂꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯣꯔꯦꯟꯖ ꯄꯤꯂꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
- ꯐꯥꯏꯂꯣꯗꯁ ꯇꯤꯎꯃꯔ: ꯃꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁꯨꯗꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯇꯤꯎꯃꯔꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌꯒꯤ ꯃꯅꯨꯡꯗꯥ 4ꯒꯤ ꯃꯅꯨꯡꯗꯥ 1 ꯈꯛꯇꯅꯥ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯔꯀꯏ꯫ ꯑꯇꯣꯞꯄꯁꯤꯡ ꯑꯁꯤ ꯕꯦꯅꯤꯐꯤꯁꯔꯤ ꯇꯤꯎꯃꯔꯁꯤꯡꯅꯤ꯫
- ꯑꯦꯟꯖꯤꯑꯣꯁꯥꯔꯀꯣꯃꯥ: ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯝꯐ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯆꯍꯤ 70ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏ꯫
- ꯄꯦꯖꯦꯇꯀꯤ ꯂꯥꯌꯅꯥ : ꯃꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯅꯥꯀꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ (areola)ꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯟꯁꯔ ꯑꯃꯅꯤ꯫ ꯅꯥꯀꯣꯡꯒꯤ ꯈꯣꯡꯗꯥ ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ, ꯂꯥꯂꯍꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯏ . ꯄꯦꯖꯦꯇꯀꯤ ꯂꯥꯌꯅꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯁꯨ ꯗꯤ.ꯁꯤ.ꯑꯥꯏ.ꯑꯦꯁ. ꯅꯠꯠꯔꯒꯥ ꯑꯥꯏ.ꯗꯤ.ꯁꯤ.
- ꯃꯦꯇꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ: ‘ꯃꯦꯇꯥꯁ꯭ꯇꯦꯇꯤꯛ’ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯔꯀꯄꯅꯤ ꯍꯥꯌꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ "ꯑꯦꯗꯚꯥꯟꯁ" ꯅꯠꯠꯔꯒꯥ "ꯁ꯭ꯇꯦꯖ 4" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯂꯤꯚꯔ, ꯕ꯭ꯔꯦꯟ, ꯁꯔꯨ ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁꯇꯥ ꯁꯟꯗꯣꯀꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯗꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯜ ꯑꯃꯠꯇꯒꯤ ꯑꯣꯏꯔꯕꯁꯨ, ꯉꯟꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫
ꯖꯤꯟ ꯑꯃꯁꯨꯡ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯀ꯭ꯂꯥꯁꯤꯐꯤꯀꯦꯁꯟ꯫
ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯥ ꯇꯧꯗꯨꯅꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯖꯦꯁ꯭ꯇꯦꯔꯣꯟ , ꯅꯠꯠꯔꯒꯥ ꯑꯀꯛꯅꯕꯥ ꯖꯤꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯀꯦꯟꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫
ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯗꯒꯤꯅꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ, ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯗꯨ ꯈꯅꯒꯠꯂꯤ꯫
- HER2-ꯄꯣꯖꯤꯇꯤꯚ: ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ 5ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 1ꯗꯥ `HER2` (Human Epidermal Growth Factor Receptor 2) ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯒꯤ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯍꯦꯅꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ HER2-ꯄꯣꯖꯤꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯀꯦꯟꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯑꯦꯒ꯭ꯔꯦꯁꯤꯚ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯁꯤꯕꯨ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯊꯦꯔꯥꯄꯤꯁꯤꯡ ꯂꯩꯔꯤ, ꯃꯗꯨꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯂꯥꯌꯍꯜꯂꯤ꯫
- ꯍꯣꯔꯃꯣꯟ ꯔꯤꯁꯦꯄꯇꯔ-ꯄꯣꯖꯤꯇꯤꯚ ꯅꯠꯠꯔꯒꯥ ꯅꯦꯒꯦꯇꯤꯚ: ꯀꯦꯟꯁꯔ ꯁꯦꯜ ꯈꯔꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯃꯊꯛꯇꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯐꯃꯁꯤꯡ (receptors) ꯂꯩ꯫ ꯁꯦꯜ ꯑꯁꯤ ꯊꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯔꯤꯁꯦꯄꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯃꯁꯤꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯀꯤꯍꯣꯂꯁꯤꯡꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫
- ꯏ.ꯑꯥꯔ.-ꯄꯣꯖꯤꯇꯤꯕ: ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯍꯣꯔꯃꯣꯟ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯦꯅꯕꯥ ꯉꯝꯕꯥ ꯔꯤꯁꯦꯄꯇꯔꯁꯤꯡ ꯂꯩ꯫
- ꯄꯤ.ꯑꯥꯔ.-ꯄꯣꯖꯤꯇꯤꯕ: ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯍꯣꯔꯃꯣꯟ ꯄ꯭ꯔꯣꯖꯦꯁ꯭ꯇꯦꯔꯣꯅꯗꯥ ꯌꯥꯑꯣꯕꯥ ꯌꯥꯕꯥ ꯔꯤꯁꯦꯄꯇꯔꯁꯤꯡ ꯂꯩ꯫
- ꯍꯣꯔꯃꯣꯟ ꯔꯤꯁꯦꯄꯇꯔ-ꯄꯣꯖꯤꯇꯤꯚ ꯍꯥꯌꯕꯁꯤ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯕꯨ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛ ꯂꯩ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯅꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯣꯔꯃꯣꯟ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ (ꯍꯣꯔꯃꯣꯟ ꯊꯦꯔꯥꯄꯤ)ꯅꯥ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯝꯃꯤ꯫
- ꯍꯣꯔꯃꯣꯟ ꯔꯤꯁꯦꯄꯇꯔ-ꯅꯦꯒꯦꯇꯤꯕ ꯍꯥꯌꯕꯁꯤ ꯔꯤꯁꯦꯄꯇꯔ ꯑꯅꯤꯃꯛ ꯂꯩꯇꯦ ꯍꯥꯌꯕꯅꯤ꯫
- ꯇ꯭ꯔꯤꯄꯜ-ꯅꯦꯒꯦꯇꯤꯕ: ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯀꯦꯁ ꯱꯵% ꯑꯣꯏꯔꯤ꯫ ꯃꯃꯤꯡ ꯑꯁꯤꯅꯥ ꯇꯥꯛꯂꯤꯕꯒꯨꯝꯅꯥ, ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯔꯤꯁꯦꯄꯇꯔꯁꯤꯡ (ꯏ.ꯇꯤ.ꯑꯥꯔ.ꯁꯤꯡ) ꯂꯩ꯫, ꯄ꯭ꯔꯣꯖꯦꯁ꯭ꯇꯦꯔꯣꯟ ꯔꯤꯁꯦꯄꯇꯔꯁꯤꯡ (ꯄꯤ.ꯑꯥꯔ.) ꯑꯃꯁꯨꯡ ꯍꯦꯔ꯲ ꯄꯨꯝꯅꯃꯛ ꯌꯥꯑꯣꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯍꯣꯔꯃꯣꯟ ꯊꯦꯔꯥꯄꯤ ꯅꯠꯠꯔꯒꯥ HER2-ꯇꯥꯔꯒꯦꯠ ꯊꯦꯔꯥꯄꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯈꯔꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯣꯏꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯦꯡꯁꯤꯡꯁꯨ ꯂꯩꯔꯤ꯫
ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯀꯦꯟꯁꯔ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯋꯥꯍꯪ ꯄꯨꯝꯅꯃꯛ ꯍꯪꯕꯗꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ, ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ꯫
- ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯗꯨꯗꯥ ꯀꯗꯥꯏꯗꯒꯤ ꯍꯧꯔꯀꯄꯒꯦ (ꯃꯤꯜꯀ ꯗꯛꯇꯁꯤꯡ/ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ), ꯃꯁꯤꯅꯥ ꯁꯟꯗꯣꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ (ER, PR) ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡ (HER2)ꯅꯥ ꯁꯣꯀꯍꯅꯕꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
- ꯗꯤ.ꯁꯤ.ꯑꯥꯏ.ꯑꯦꯁ.ꯒꯨꯝꯕꯥ ꯃꯈꯜ ꯈꯔꯗꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ, ꯑꯗꯨꯒꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯃꯈꯂꯁꯤꯡꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯅꯍꯥꯛꯀꯤ ꯀꯦꯟꯁꯔꯒꯤ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯁꯨꯡ ꯖꯦꯅꯦꯇꯤꯛ (ꯔꯤꯁꯦꯄꯇꯔ) ꯁ꯭ꯇꯦꯇꯁ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯄꯤꯅꯕꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ, ꯀꯦꯟꯁꯔ ꯃꯈꯜ, ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯊꯧꯔꯥꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯟꯅꯕꯗꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯈꯉꯍꯅꯕꯥ ꯑꯁꯤ ꯃꯥꯏꯄꯥꯀꯈꯤꯕꯥ ꯂꯥꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯅꯤ꯫
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