I-tumor i-tumor iyinxalenye engavumelekanga yentsholongwane yebele, enokuthi ingabi nantoni (ingozi) okanye inobungozi (umdlavuza). Olu hlobo lwesisu lubizwa ngokuba yi-sarcoma kuba lwenzeka kwiisisombululo (i-stroma) ezixhambileyo zesifuba sakho, kunokuba zifake izibilini ze- epithelial (ibhande lamadada kunye ne-lobes). Iimvumba ze-Phyllodes zithatha igama lawo kwigama lesiGrike elithi phullon (iqabunga) ngenxa yesimo sabo sokwanda kwamagqabi.
I-akhawunti ye-Phyllodes tumors ezingaphantsi kwe-1% yazo zonke iisomhlaza zebele. Nangona i-tumor ingaba yincinci, isabonwa njengoluhlobo lomhlaza wesifuba , kuba unako ukuhlaselwa.
I-tumor i-tumor iyaziwa nangokuthi i-phylloides tumor, PT, i-cystosarcoma phyllodes, i-cystosarcoma phylloides kunye ne-fibroadenomas enkulu.
Izimpawu kunye neMpawu
I-tumority tumor will feel like firm, smooth-side, bumpy (hhayi spiky) inhlamba yakho. Ulusu lwesifuba phezu kwesisu luya kuba lubomvu kwaye lufudumele kumgca. Olu hlobo lwesisu luya kukhula ngokukhawuleza kakhulu-kangangokuthi inkunzi ingaba mkhulu kwiiveki ezimbalwa.
Ngenxa yokuba isifo se-Phyllodes singafana ne- fibroadenoma , le mibini miqathango ihlala iphosakele. Uninzi lwabasetyhini abafumana ukuba bane-Phyllodes tumor edlalwa yi-premenopausal. Kwiimeko ezinqabileyo kakhulu, amantombazana asetsheni angafumaneka ukuba unalo hlobo lwesisu.
Ukuxilongwa
Kwi-mammogram, i-tumor ye-Phyllodes iya kuba nomda ochazwe kakuhle.
Nangona kunjalo, i- mammogram okanye i- breast ultrasound , nangona kunjalo, iyakwazi ukwahlula ngokucacileyo phakathi kwe-fibretenomas kunye neengxaki ze-Phyllodes ezinobungozi. Olu hlobo lwesisu sesifuba aluqhelekanga kufumaneka kumancinci . Iiseli ezivela kwi-biopsy intsaliti zinokuvavanywa kwilebhu kodwa ngokungaqhelekanga zinika ukuxilongwa ngokucacileyo, kuba iiseli zifana ne-carcinomas kunye ne-fibroadenomas.
I- biopsy evulekile evulekileyo , ekhokelela kwisiqendu sezimba, iya kunika isampula engcono yeeseli kwaye iya kubangela ukuxilongwa ngokufanelekileyo kwi-tumor ye-Phyllodes.
Ucwaningo lwesiTaliyane oluqhathanisa i- mammograms , i-ultrasounds kunye ne- MRIs yebele ye-Phyllodes tumor yachaza ukuba ii-MRIs zinike umfanekiso ochanekileyo kwezi zicubu kwaye zancedisa oogqirha bacwangcise imisebenzi yabo. Nangona i-tumor yayisondele kakhulu kwiisundu zesikhumba sesifuba, i-MRI yebele ikwazi ukunikela umfanekiso ococekileyo we-Phyllodes tumor kune-mammogram okanye i-ultrasound.
Amanqanaba
Uninzi lweengcingo zesifuba lubalwa njengezigaba 1 ukuya ku-4, kodwa akusiyo imeko ye-tumority tumor. Emva kokugqithiswa kwe-biopsy, i-pathologist iya kufunda iiseli phantsi kwe-microscope. Izimbini ezibini ziqwalaselwa: isantya apho iiseli zihlula kunye nenani leeseli ezinokungafani ngendlela yesampuli. Ngokuxhomekeka kwindlela iiseli ezidibana ngayo nale migaqo, i-tumor ihlelwe njengobunobunzima (inobungozi), umda ongezantsi okanye onobungozi (umdlavuza). Uninzi lwee-Phyllodes izicubu ziphendulela.
Prognosis
Ukuxela kwakho, okanye umbono emva kwonyango, kulungile kakhulu kwi-tumor ye-Phyllodes. Kukho ithuba eliphantsi lokuphindaphinda kwi-tumor ye-Phyllodes ukuba uneminyaka engama-45 okanye ngaphezulu. Kwizigulane ezinokuxilongwa kwemiphunga emida okanye emangalisa, ukuhlaselwa kwakho kuyahluka.
Amathumbu omda we-border ayenokukwazi ukuba ngumhlaza, kwaye nangemva kokuhlinzwa, ukuba ezinye iiseli zihlala (nangona ziimeko ezinqabileyo) ziya kulungelelanisa. Izidumbu ezinobungozi zingaphinda zibuye emva kweminyaka emibili emva kokonyango kwaye zisenokusasazeka kwimiphunga yakho, amathambo, isibindi nesibindi sesifuba . Kwiimeko ezimbalwa, i- lymph nodes zabandakanyeka ngokunjalo.
Unyango
Ugqirha ukususa i-tumor ye-Phyllodes yonyango oluqhelekileyo . Olu hlobo lwesisu aluphendulanga kakuhle kwi- radiation , chemotherapy okanye i- hormone therapies . Ukuba isisu sakho sincinci kwaye sinobunzima, singasuswa kunye ne-lumpectomy. Iimvumi ezinkulu ezinobunzima zingadinga i- mastectomy , ukuze zisuse zombini i-tumor kunye nomda ococekileyo weengxube zebele.
Izibilini ezibulalayo zisuswe ngokugqithiswa kwendawo yangaphakathi (WLE) okanye i-mastectomy ukususa ubuninzi beethambo ezichaphazelekayo ngokunokwenzeka.
Imithombo
American Cancer Society. Yintoni i-Cancer Breast? I-Invasive (okanye ukungena ngaphakathi) I-Ductal Carcinoma.
Ann Ital Chir. 2005 kuMar-Apr; 76 (2): 127-40. Ukwelashwa nophando lwe-MRI kuma-phyllodes tumors of the breast: amava ethu kunye nokuhlaziywa kweencwadi. Franceschini G, D'Ugo D, Masetti R, Palumbo F, D'Alba PF, Mulè A, Costantini M, Belli P, Picciocchi A.