"Seoa" XXI lekholong la lilemo la - letsoele carcinoma

Letsoele carcinoma - ke hlahala ea dinama tse nyenyane tse epithelial sefubeng, eo Ho thehoa ho tswa ho ducts kapa lobules tšoelesa. carcinoma ena ke o tloaelehileng haholo oa kankere tsohle. Lipalo-palo li bontša hore e mong le mosali ea borobong lefatšeng e na le kankere ea matsoele. tepelletse maikutlong Early fana tšepo bakeng sa ho hlaphoheloa. Boholo ba basali ba fumana liphetoho tse bohloko ka lebaka la ho ba lilemo li mashome a mahlano. Ka tloaelo ho, bakuli ba retelehela ho ba nang le tsebo ha hlahala se mabifi sethaleng. 'nete ea hore mamello ne a sa hlokomele ho fihlela qetellong ea hore ho hlokahala hore hlahlojoa kamehla.

Mofuta o mong oa kankere

Carcinoma tsa mefuta e latelang:

- papillary carcinoma - hlahala e ntse e hōla ka sefubeng Strait, se na le lengolo la tlaase ea malignancy;

- medullary lihlahala - e kholo boholo carcinoma le ho kenella ka hare ka dinama tse nyenyane tse e potolohileng;

- infiltrating carcinoma ductal - the atileng ka ho fetisisa le e tšoauoa ka phatlalatso ea ho ea boahelani makala ka thuso ea lithapo tsa;

- Paget hlahala - ama nipple le areola, ntle tšoanang eczema.

Diagnosing letsoele carcinoma kenyelletsa ditokiseletso mekhoa setshehetso sa tlhahlobo le na le mehato e 'meli:

1. Primary tepelletse maikutlong (screening) - etsa hore ho be bonolo ho tseba hore na liphetoho tse bang teng qalong ho sefuba ntle lekanngwang tlhaku bona. Ho akarelletsa: hlahloba ikemetseng tsa mosali oa sefuba, a tlhahlobo le rerisana ea ditsebi tse fapa-fapaneng (oncologist, endocrinologist, ngaka e buoang). E boetse e akarelletsa screening bakeng mammogram ka;

2. Diagnostic tlhakiso - dumella borapelli ho lemoha liphetoho tse ka sefuba, ho utloisisa sebōpeho le tlhaku ea ketsahalo e.

Kahoo, phumano ya kankere ea sefuba e kenyeletsa:

- itlhahloba;

- mammography;

- tomosynthesis;

- ya khomphuta ya hao tlhathoba;

- biopsy;

- mali teko;

- ductal lavage;

- X-ray hlahloba sefuba;

- khoheli gomoso litšoantšo;

- oa ultrasound.

sethaleng letsoele carcinoma:

Mohato ke - letsoele carcinoma, e seng disentimetara kholoanyane ho feta tse peli feela mammary tšoelesa. Mothating ona e le monyetla ho hlaphoheloa.

Sethaleng II - hlahala se ke ha e emetse disentimitara tse fetang tse peli, empa ena metastasize ka axillary nodes lisele tsa mmele. Kapa tjhelete ya lihlahala a ka finyella disentimetara tse hlano, empa ntle le ho timetsoa ha tsamaiso ea lymphatic.

Mohato III A - hlahala boholo ke tse hlano kapa ho feta di emetse disentimitara le metastasis ho nodes axillary lisele tsa mmele.

Ka sethaleng III - e beha tabeng ea tshebetso ya ho boikatiso ka letsoele potolohileng dinama tse nyenyane tse (letlalo, metshetshe mesifa).

Mohato III C - letsoele carcinoma e ka ba leha e le efe ka boholo, ba disseminated ka potolohileng dinama tse nyenyane tse 'me metastasis ka nodes ho feta lisele tsa mmele.

Sethaleng IV - Kankere e tšoauoa ka ho ata ha tshebetso ya ho likarolo tse ling tsa 'mele.

Kotsi lintlha:

- ho hloka basali ba bana;

- Boimana ka mor'a lilemo tse 32;

- mathoasong a qala ho ea khoeling;

- menopause morao;

- liketsahalo tsa kankere ea matsoele ka lapeng;

- Long e telele-hormone phekolo.

kalafo buoa

Ka tloaelo ho, kankere ea matsoele e hloka ho buuoa. hlahala ena e ne e excised tloha sefubeng hammoho le tse ba potolohileng dinama tse nyenyane tse phetseng hantle. Haeba ho na le metastases ka nodes lisele tsa mmele, ba ba boetse ba tlosoa.

carcinoma Phekolo ntle ho buoa

Ka tloaelo ho, ka mor'a hore ho kenella ho buoa khanna mahlaseli le chemotherapy. kalafo joalo thibela le ponahalo ea dihlahala. Ts'ebetso ea ho lelefatsa bophelo ba lijo dumella ho timetsa hlahala le thibela ho ikatisa lisele tse kankere. Phekolo ea lik'hemik'hale timetsa mochine oa karohano ea lisele e sa tloaelehang, ea isang ho lefu la bona. The ts'ebetso ea ho lelefatsa bophelo ba lijo tshebetsong le sebetsang sebakeng sa heno 'me a etsoa chemotherapy e generalized sebediswa. Bakeng sa e mong le e le mamello, setsebi sa khetha motho rarahaneng phekolo.