Ingaba uneqhubu elinje esifubeni sakho? Masithethe ngePhyllodes Tumor!

Ngaba wakha waziva iqhuma esifubeni sakho waza wazibuza, "Yintoni le?"? Iqhelekile ngokwenene. Ayizizo zonke iqhuma eziyingozi. Nangona kunjalo, namhlanje siza kuthetha ngohlobo olungaqhelekanga lweqhuma esifubeni ekufuneka wonke umntu aluqaphele. Oku sikubiza ngokuba yi-'Phyllodes Tumor' okanye i-Phyllodes tumor.

Yintoni iPhyllodes Tumor? Masiqonde kakuhle!

Ngamafutshane, i-phyllodes tumor luhlobo olungaqhelekanga lwe-tumor oluvela kwi-connective tissue esifubeni sakho. Ngoku mhlawumbi uyazibuza, "Yintoni le connective tissue?" Xa sicinga ngamabele, sicinga nge-fatty tissue ezenza ubungakanani bamabele okanye i-glandular tissue evelisa ubisi, akunjalo? I-connective tissue yi-fibrous tissue ebamba zombini ezi ntlobo ze-tissue kunye kwaye isebenza njengenkxaso. Ifana neendonga zendlu, inceda ukugcina izinto zisendaweni yazo.

Kulapho kwakheka khona ii-tumor zePhyllodes. Zivakala ziqinile, zine-fibrous, kwaye zifana nezibazi. Xa zijongwa nge-microscope, zifana negqabi. Eli gama livela kwigama lesiGrike elithi "phyllon," elithetha "igqabi." Ngamanye amaxesha zibizwa ngokuba yi-cystosarcoma phyllodes. Uninzi lwexesha, ezi tumor azinabungozi, okanye azinamhlaza. Nangona kunjalo, kwiimeko ezingaqhelekanga, zinokuba yingozi, okanye zibe ngumhlaza.

Ngoko ke, ngaba umhlaza we-phyllodes sisimila?

Le yingxaki abantu abaninzi abanayo. Mhlawumbi akunjalo! Malunga ne-75% yee-phyllodes cysts azinawo umhlaza. Oko kuthetha ukuba azinabungozi. Nangona kunjalo, malunga ne-25% zinokuba ngumhlaza. Ezi cysts ze-phyllodes cysts zenza ipesenti encinci kakhulu yazo zonke ii-cancer zamabele, malunga ne-0.05%.

Ezi zezohlobo lomhlaza olubizwa ngokuba yi-'sarcoma'. I-Sarcoma ngumhlaza okhula kwizicubu ezidityanisiweyo. Oku kwahlukile kwiintlobo zomhlaza webele esizibona rhoqo. Kuba ezo ntlobo zomhlaza webele ziqhelekileyo zihlala zikhula kwizicubu ze-glandular ezifana ne-milk ducts kunye ne-lobules.

Uphawu olulodwa olukhethekileyo lwee-phyllodes tumors kukuba azisasazeki lula ngenkqubo ye-lymphatic. Oku kuthetha ukuba azisasazeki ngokukhawuleza kwezinye iindawo zomzimba njengeminye imidlaza. Nangona kunjalo, azinakusasazwa rhoqo ngegazi ukuya kwezinye iindawo zomzimba, njengemiphunga okanye amathambo. Kodwa oko kunqabile kakhulu.

Amaxesha amaninzi, oku kunyangwa kuphela kwindawo enethumba. Kwiimeko ezininzi, kunokunyangwa ngotyando olulula olubizwa ngokuba yi-lumpectomy, olususa ithumba kuphela. Ii-phyllodes tumors aziphenduli kakuhle kunyango lomzimba wonke, olufana ne-chemotherapy, esetyenziselwa eminye imihlaza yamabele.

Ngubani onokuba nethuba elikhulu lokufumana ii-phyllodes cysts?

Ii-cysts ze-Phyllodes zingaphantsi kwe-1% yazo zonke iithumba zamabele. Oku kuthetha ukuba azixhaphakanga kakhulu. Zixhaphake kakhulu emabeleni abafazi. Nangona kunjalo, kunqabile kakhulu ukuba zixhaphake emadodeni.

Nangona ezi thumba zinokuvela nakweyiphi na iminyaka, zixhaphake kakhulu kubafazi abakwiminyaka ephakathi, abaphakathi kweminyaka engama-40 nama-50. Kukwafunyaniswe ukuba abantu abanesimo semfuza esibizwa ngokuba yiLi-Fraumeni syndrome, enyusa umngcipheko wokuba nomhlaza, banamathuba amaninzi okufumana ezi thumba ze-phyllodes.

Zithini iimpawu zethumba le-phyllodes? Uyibona njani?

Ungabona iqhuma eliqinileyo, eligudileyo, nelicacileyo esifubeni sakho. I-phyllodes cyst idla ngokuba nkulu kuneesentimitha ezi-3, kwaye ngamanye amaxesha ingaba nkulu kakhulu. Okumangalisayo kukuba, ezi cysts zinokukhula ngokukhawuleza kwixesha elifutshane, ngesiqhelo iiveki ezimbalwa .

Njengoko ithumba likhula, ulusu olukuloo ndawo lunokukhanya, lukhanye, okanye lube buhlungu njengoko ithumba liqhubeka. Nangona isizathu esichanekileyo singaziwayo, kuthiwa ezi thumba ze-phyllodes zixhaphake kakhulu kwibele lasekhohlo kunelasekunene.

Kubalulekile: Ukuba ufumana iqhuma elitsha ebeleni lakho, uzive ngathi likhula ngokukhawuleza, okanye uqaphela utshintsho eluswini lwakho, qiniseka ukuba ubona ugqirha.

Ukuba ithumba le-phyllodes libangela umhlaza (liyingozi), ezinye iimpawu zinokuvela kunye nezi mpawu. Umzekelo:

• Ukudinwa
• Ukuqhawukelwa ngumphefumlo
• Intlungu yethambo

Iimpawu ezinje zithetha ukuba umhlaza usenokuba usasazeke emathanjeni okanye emiphungeni. Ngoko ke kufuneka uzilumkele ezi zinto.

Zifunyaniswa njani iiPhyllodes Tumors?

Xa ubona ugqirha, kusenokwenzeka ukuba uya kuqala enze uvavanyo oluqhelekileyo lwamaqhuma amabele, olufana ne-ultrasound scan kunye ne-mammogram, ukuqinisekisa ukuba ezi azizo ezinye iintlobo zamaqhuma.

Nangona kunjalo, ukuze kwahlulwe ithumba le-phyllodes kolunye uhlobo lwethumba lebele elibizwa ngokuba yi-fibroadenoma, kufuneka kwenziwe i-biopsy rhoqo. I-Fibroadenoma ikwalithumba elingenobungozi elenzeka kwizicubu ezidityanisiweyo. Ngamanye amaxesha kunokuba nzima ukwahlula zombini kwi-scan kuphela.

I-biopsy kuxa ugqirha wakho ethatha isampuli encinci yezicubu ebeleni lakho aze ayithumele kwilebhu ukuze ayijonge phantsi kwe-microscope. Oku kudla ngokwenziwa ngoncedo lomatshini we-ultrasound kunye nenaliti ekhethekileyo engenamngxuma. Ayibuhlungu kakhulu.

Ngamanye amaxesha, ukuba isampuli yezicubu ezithathwe ngolu hlobo kunzima ukuyifumanisa, ugqirha wakho unokucebisa ukuba kwenziwe i-"excision biopsy". Oku kuthetha ukuba lonke ithumba liyasuswa ngotyando kwaye lihlolwe. Enyanisweni, olu lonyango olucetyiswa ngoogqirha ukuba une-phyllodes tumor. Le biopsy inokukuxelela ukuba loluphi uhlobo lwethumba, nokuba ngumhlaza okanye akunjalo. Ukuba ngumhlaza, ingasetyenziselwa ukujonga ukuba isasazeke na kwamanye amalungu omzimba.

Yintoni umahluko phakathi kwePhyllodes Tumor kunye neFibroadenoma?

Lo ngumbuzo obaluleke kakhulu. Kuba, i-'Fibroadenoma' lolona hlobo luqhelekileyo lweqhubu elingabonakaliyo elibonakala ebeleni. Ezi zikwavela nakwizicwili ezidityanisiweyo zebele. Ke ngoko, ngamanye amaxesha kunokuba nzima ukwahlula phakathi kwezi zimbini ngovavanyo lwezonyango, kwanakwiiskeni.

Iifibroadenoma azinabungozi. Nangona kunjalo, azinakutshintsha zibe zezinye iintlobo zeethumba. Abanye oogqirha bakholelwa ukuba iifibroadenoma ngamanye amaxesha zinokuba ziithumba zephyllodes.

Kubaluleke kakhulu ukuba ugqirha wakho aqinisekise ukuba iqhuma lakho liyi-fibroadenoma okanye yi-phyllodes tumor. Ngenxa yokuba ezi ntlobo zimbini zamaqhuma ziziphatha ngendlela eyahlukileyo, oogqirha bawaphatha ngendlela eyahlukileyo. Ii-Fibroadenoma zihlala zifana okanye zibe ncinci ngokuhamba kwexesha. Nangona kunjalo, ii-phyllodes tumors, nangona zingenabungozi, zinokukhula ngokukhawuleza kwaye zibangele iintlungu. Ke ngoko, zihlala zisuswa kwangethuba ukuthintela iingxaki ezizayo.

Ngaba i-phyllodes cysts kufuneka isuswe ngokwenene?

Ewe, yiloo nto oogqirha bayicebisayo. Nokuba ithumba alinabungozi, kungcono ukulisusa. Ukususa ithumba elinobungozi elibizwa ngokuba yi-phyllodes kunokuyithintela ukuba ingabi nkulu, ibe buhlungu ngakumbi, okanye ibe ngumhlaza kwixesha elizayo. Ekubeni la mathumba anokukhula kwaye atshintshe ngokukhawuleza, kulula kuwe nakugqirha wakho ukuwasusa onke ngaxeshanye kunokuba kufuneka wenze ii-biopsy eziphindaphindiweyo.

Zombini iithumba ze-phyllodes ezingalunganga nezinobungozi zinyangwa nge-lumpectomy. Oku kubandakanya ukususa ithumba kunye nenani elincinci lezicubu eziphilileyo (umda) ezijikeleze yona. Ezi zicubu ziphilileyo ziyasuswa ukuze kuthintelwe ukuba ithumba lingabuyi kwindawo enye (ukuphinda libuye), njengoko zombini iintlobo zeethumba zinokuphinda zibuye.

Ukuba ithumba lakho liyingozi, ugqirha wakho unokucebisa unyango lwe-radiation ebeleni emva kotyando ukuze kutshatyalaliswe naziphi na iiseli zomhlaza eziseleyo kwaye kuthintelwe ukuba umhlaza ungabuyi.

Ngaba iithumba ze-phyllodes ezinobungozi zinokunyangwa?

Ewe, inganyangeka.Ukuba umhlaza ususiwe ngokupheleleyo, utyando lunokuwunyanga. Oku kudla ngokuba lula ukukwenza ukuba umhlaza awusasazekanga ngaphaya kwethumba lokuqala. Xa umhlaza usasazeke kwamanye amalungu omzimba (umhlaza osasazekayo), kunzima kakhulu ukufumana nokususa zonke iiseli zomhlaza. Ezinye iimhlaza ezisasazekileyo zinyangwa nge-chemotherapy yomzimba wonke. Nangona kunjalo, njengoko bekutshiwo ngaphambili, olu nyango alusebenzi kakuhle kwiithumba ze-phyllodes.

Nokuba umhlaza ubonakala ngathi awusekho ngokupheleleyo, ungabuya. Zombini ii-phyllodes cysts ezingalunganga nezingalunganga zinokukhula emva kweminyaka zisusiwe. Ukuba oku kuyenzeka, ithumba elitsha linokunyangwa ngokulisusa ngomda omkhulu wezicubu eziphilileyo kunezo zangaphambili. Nangona kunjalo, malunga nama-30% abantu abanee-phyllodes cysts ezinomhlaza emabeleni baya kufa ngenxa yesi sifo. Ke ngoko, kubalulekile ukuqaphela oku kwaye ulandele icebiso likagqirha wakho.

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu ngee-phyllodes nuts. Nazi izinto ezibalulekileyo onokuzifunda kweli bali:

• Ii-phyllodes tumors luhlobo olungaqhelekanga kakhulu lwe-breast tumors. Ii-phyllodes tumors ezinomhlaza zinqabile nangakumbi.
• Ukuba ufumana iqhuma ebeleni lakho, ungoyiki uye kugqirha. Nokuba liqhuma le-phyllodes, ukulisusa kuya kuyisombulula ingxaki.
• Ugqirha uza kuqhubeka ekujonga rhoqo ukuze abone ukuba ithumba liyakhula kwakhona na.
• Kukho into ekufuneka uyenze kwicala lakho: jonga amabele akho rhoqo (`uvavanyo lwakho lwebele`).
• Okukhona uqaphela amaqhuma ngokukhawuleza, kokukhona iziphumo ziya kuba ngcono.

Ungalibali: Uyayazi kakuhle imizimba yakho. Ukuba ubona naluphi na utshintsho okanye nantoni na engaqhelekanga, akukaze kube kudala ukuthetha nogqirha ngayo. Ukuhlala usempilweni yeyona nto ibalulekileyo!

I- phyllodes tumor, ii-breast cysts, umhlaza webele, ii-phyllodes cysts, i-fibroadenoma, utyando lwebele, ukuzihlola amabele