Sibanzi
I-angiosarcoma yesifuba ngumhlobo ongaqhelekanga womhlaza wesifuba oqala kwiiseli ezifakela imithwalo yegazi ngaphakathi kwesikhumba sakho okanye kwindawo ye-underarm. Iyakwenzeka ngenxa yokunyanga kwamayeza emilenze kunye nengaphezulu, kwaye inokukhula kwaye isasaze ngokukhawuleza. I-angiosarcoma yebele isenokuqala ukufana nokugqithiswa kwesikhumba, ukusuleleka okanye ukutyumla.
I-sarcoma luhlobo lomhlaza okhula kwiithambo ezinqabileyo okanye ezixhamlayo, kwaye i-angiosarcoma inokuvela kunoma yimuphi umzimba womzimba wakho.
Ngaphantsi kwe-10% yazo zonke ii-angiosarcomas zivela kwibele. I-Angiosarcoma yebele ibhalela malunga ne-0.04% okanye enye kwimiba engama-2,500 yonke isifo somhlaza wesifuba.
Le meko iyaziwa nangokuthi i-angiosarcoma yesifuba, i-angiosarcoma yamathumbu, i-haemangiosarcoma yebele, i-lymphangiosarcoma (xa ivela kwindawo yendawo ye-lymph node)
Iintlobo
I-angiosarcoma yeprayimari yesifuba isoloko ifunyanwe kubasetyhini abaselula, phakathi kweminyaka engama-20 ukuya ku-40. Ezi ngqungquthela ze-cancer eziphambili zibonakalisa njengobunzima obuchazwe kakubi kwibele. I-angiosarcoma yesiqhelo iphinda ifunyanwe kwabasetyhini abangaphezu kwama-40, iminyaka emi-5 ukuya kwe-10 emva kokuba sele befumana unyango lwe-radiation yomhlaza wesisu. I-American Cancer Society ithi i-angiosarcoma iyinkcenkcesha enqabileyo kakhulu yomsindo webele. Abasetyhini abaphuhlise i- lymphedema ngenxa ye-lymph node removal bangaphinda bafumane i-angiosarcoma, ingakumbi ukuba indawo yabo ye-underarm ifumene i-radiation.
Iimpawu
I-angiosarcoma yeprayimari (ifunyanwe kwisigulane engazange ibe nomhlaza wesifuba) inokuvakalelwa njengendawo exutyiweyo yesifuba.
Kwezinye iimeko, isikhumba esiseduze singaba luhlaza okomvu okanye sibomvu kwaye sibonakale sibe ne-rash okanye siyakhutshwa. I-angiosarcoma yesibini (ifunyanwe kwisigulane esele iphathwe ngumhlaza wesifuba) inokuvakalelwa njengobunzima obunzima, ubunzima obungenakubuhlungu ebusweni, isikhumba sinokuluhlaza okomvu okanye sibomvu ngaphezu kobunzima, kwaye kunokubakho ukuvuvukala kunye nokuziqhayisa kwezinye izicubu.
Ezinye izigulana zivakalisa ukuba zithenda, okanye zibuhlungu kakhulu, kuxhomekeke kubukhulu besisu.
Ukuxilongwa
- I-mammogram - i-angiosarcoma iya kubonakala ibe nenqwanqwa engaqhelekanga kwaye ayiyi kuba ne-spiky protrusions (i-spikes idla ngokubonakala kwi-carcinomas)
- I-Ultrasound - i-angiosarcoma iya kubonisa kakuhle kwi-ultrasound, eneemida ezicacileyo ezinokuthi zibe
- I-Breast MRI - olu hlobo lwesisu luza kuboniswa kwi-MRI, ukutyhila imithwalo yegazi echaphazelekayo kunye nezicubu ezijikelezayo
- I-skin punch biopsy - isampula yesikhumba echaphazelekayo iya kuthathwa kwaye inike uviwo olucokisekileyo kwilebhu, ukwahlula oku kwezinye izinto, i-cancer
- Vula i-biopsy yokuvotela - ukufumana isampula enkulu yesikhumba kunye ne-tumor yokuvavanywa kwebhu
Prognosis
Olu hlobo lomhlaza webele lubushushu, kwaye ukuhlaselwa kwakho kuya kuxhomekeka kwinqanaba apho libanjwe khona, lide liye lasasazeka ngexesha lokuxilongwa, kwaye liphathwa njani ngonya. I-Angiosarcoma yesifuba inokusasazeka nge-system yakho yegazi kwimiphunga yakho, isibindi, amathambo, isikhumba kunye nesinye isifuba sakho. Ingqondo yakho, ii-ovaries, kunye ne-lymph nodes nazo zinokuchaphazeleka yi-metastasis ye-angiosarcoma. Olu hlobo lomhlaza wesifuba lunomlinganiselo ophezulu wokuphindaphinda. Ukuxilongwa kwesifo se-angiosarcoma ngokuqhelekileyo kunesifo esibi, kwaye kuphela i-10% ukuya kwi-27% yezigulane ziya kusinda kulo mhlaza ngeminyaka emi-5.
Unyango
- I-Lumpectomy - utyando lokususa i-tumor kunye ne-wide marginal of surrounding tissu (inceda ukunqanda ukuphindaphinda)
- I-Mastectomy - utyando ukususa zonke izicubu zesifuba
- I-Chemotherapy - ezininzi i-angiosarcomas aziyi kuzuza kwi-chemo, kodwa ezinye zinakho
ILizwi
Uphando lwenziwe ngeendlela ezintsha zokuphatha i-angioscoma yebele, ukwenzela ukuba ilawulwe kangcono, ihlinzeke izigulane ngokuphila okungcono kunye nomgangatho wobomi. Ukuxiliswa kwe-irradiation (engancinci, ukunyuka kwamayeza omninzi) kunokunceda ukunqanda ukuphindaphinda kwendawo. I-Hyperthermia (ukuphatha izicubu ngokufudumala), i-interleukin-2 (isilwanyana esenza i-immune system yakho), kunye ne-anti-angiogenesis yonyango (njenge- Avastin ), ithathwa njengonyango lwezilingo kwaye zifumaneka kuphela kwilingo leklinikhi ngeli xesha.
Imithombo:
I-Radiology 2007; 242: 725-734. I-Angiosarcomas yamathambo: Ukufanekisa Ukufumana kwizigulane ezingama-24. Wei Tse Yang, MD, kunye al.
American Cancer Society. Yintoni i-Cancer Breast? Angiosarcoma. Ukuhlaziywa: 09/13/2007.
I-Iranian Journal ye-Radiology, Ubusika 2006, 3 (2). I-Angiosarcoma ye Breast; Ingxelo yeTyala kunye nokuHlola kweeNcwadi. D. Farrokh MD., J. Hashemi MD, kunye no-B. Zandi MD. Ifayile yefayile yeFayile.
Cancer. 2003 Apr 15; 97 (8): 1832-40. I-Angiosarcoma emva kwebele-kulondoloza unyango. Monroe AT, i-Feigenberg SJ, iMendenhall NP.