Lobular carcinoma in situ (I-LCIS) ibhekisela kubukho beeseli ezingaqhelekanga ezigcinwe ngaphakathi kwee-loble zamabele akho. I-LCIS, ngelixa kungengomdlavuza, ithathwa njengalathisi-mngcipheko wokunyuka kwengozi, kwixesha elizayo, lokuphuhlisa umhlaza ongenawo umonakalo, nawuphi na uhlobo, nokuba lusebele.
Ukuba uye watshelwa ukuba unayo i-lobular carcinoma in situ (LCIS), awunayo umdlavuza webele we-lobular.
Ezi zimbini ezichaseneyo kakhulu.
Ininzi yabasetyhini abafumene i-LCIS abazange baphume ekumeni. Akuqhelekanga ukuba iindile ezininzi zibandakanyeke. Kwimizuzu yesithathu yeengxaki ezixilongwa, iindawo ze-lobular carcinoma in situ zifumaneka kubini amabele.
Ingozi Yenye Kansa
Kuqikelelwa ukuba iipesenti ezingama-20 ukuya kuma-40 ekhulwini kwabasetyhini abaneLCIS banokuthi bafumaneke ukuba banomhlaza wesibeleko osasazekayo oza kukhula ngaphandle kwendawo yawo yangaphambili kwiminyaka eyi-15 ezayo. Xa oku kwenzeka, le mihlaza emitsha ithambekele ekuqalekeni kwimizi yobisi kungekhona kwi-lobules.
Akunqabile ukuba neempawu zeLCIS. Amaninzi amaninzi, ayifumaneka nakwimimmogram eqhelekileyo. Ekubeni i-LCIS ingabangeli izibonda ezingabonwa okanye zive, zivame ukuxilongwa ngexesha le-biopsy, zenzelwe enye imeko. Ukuba i-biopsy ifumana ubungqina be-LCIS, qaphela ukuba le meko ibonakala ibonakala ifana nomhlaza wesifuba obizwa ngokuthi i-ductal carcinoma in situ.
Ngenxa yoko, unokufuna ukufumana uluvo lwesibini ukuqinisekisa ukuba ufumanisa. Uninzi lwababoneleli be-inshorensi lifihla indleko yombono wesibini.
Ngenxa yokuba i-lobular carcinoma in situ ayithathwa njengomhlaza wonyani okanye nokuba ngumhlaza ngaphambili, ugqirha wakho akanako ukucebisa ukuba uqale unyango olusebenzayo.
Nangona kunjalo, ekubeni i-LCIS inokwandisa umngcipheko wakho wokuphucula umdlavuza ongenaxesha elizayo, unokuncoma ukuba imeko yakho imele ilandelwe ngokulandelelana.
Ukuba ufumene i-LCIS kwaye unembali yomhlaza wesifuba kwintsapho yakho, ekubeka ingozi enkulu, ugqirha wakho unokucetyisa ukuba uthathe ukuthatha imishanguzo ukunciphisa umngcipheko wakho wokuphucula umdlavuza webele.
Izidakamizwa ezifana ne-anastrozole (Arimidex), i-exemestane (Aromasin), i-raloxifene (Evista), okanye i-tamoxifen (i-Nolvadex) inokucetyiswa. Ngaphandle kwe-tamoxifen, ezinye iziyobisi zilungele ukusetyenziswa kuphela ngabasetyhini abasemva.
I-Lobular Carcinoma ixutywa njani?
Ngelixa i-LCIS ingahle ifune ikhosi ngokukhawuleza okanye unyango olwenzelwe ukunciphisa ithuba lokuhlakulela umdlavuza webele we-invasive, ugqirha wakho uya kufuna ukuqala ukubeka iliso kuwe. Uya kwakhuthazwa ukuba wenze rhoqo ukuhlolwa kwebele, ulandele i-ofisi yokulandelelana, ufumane i-mammogram nganye ezintandathu kwiinyanga ezili-6 okanye ezili-12, kwaye, ukuba kubonisiwe, unokunye ukuhlola iimvavanyo.
Zomabini kufuneka zilandelwe, njengokuba abasetyhini abane-LCIS kwelinye isifuba sinomngcipheko owodwa njengabasetyhini kunye nawo amabini amabele. Unomngcipheko owodwa wokunyuka komhlaza kwisifo.
Bonke abesifazana abaneLCIS, kufuneka bathethe noogqirha babo malunga neminye yemingcipheko yomhlaza wesifuba, baze baxoxe ukuba babe ne- Magnetic Resonance Imaging (MRI) ngaphezu kwe-mammogram kuya kuba nayiphi na inzuzo eyongezelelweyo.
Abasetyhini, emngciphekweni ophezulu wokuphucula umdlavuza wesifuba ongenayo unokukhetha ukuhlinzwa okukhuselweyo okubizwa ngokuba yi-mastectomy elula. Ekubeni i-LCIS inomngcipheko ophezulu weengcambu zesifuba kuzo zombini amabele, zombini zisuswe ukunciphisa umngcipheko.
Ngoxa lo msebenzi uphintse amabini amabini, awusususi i-lymph nodes. Abasetyhini abakhetha ukufumana lo msebenzi, banokukhetha ukwakhiwa kwakhona.
Njengoko nayo yonke imiba yempilo yebele, kubalulekile ukufunda imbali yakho yentsapho, akusoloko kuyinto elula. Iintsapho ezininzi azi, okanye zikhetha ukungaxubusha ngezifo kunye neemeko zazo.
Ukuzi nje ukuba ngubani owayenomhlaza wesifuba kwicala likamama kunye nehloba lentsapho yinkcazelo enokwabelwana ngayo kunye nodokotela wakho wezilwanyana okanye ugqirha weentsapho ngexesha lokuhlolwa kwakho kwonyaka. Ukuba ugqirha wakho uvakalelwa kukuba imbali yakho yentsapho ibonisa ukuba ingozi yomdlavuza wesifuba ingabangela ukuba ingabonakali, ingabonisa ukuhlolwa kweempawu ezingakwazi ukubona umdlavuza webele, okanye imeko efana neLCIS.
Imithombo: I-American Cancer Society, iNational Cancer Institute, iMayo Clinic