Cancer nipples: symptoms, lapaʻau

Cancer - he maoli pilikia o kēia lapaau. Ua ua nō,ʻaʻole i loaʻa i ka lāʻau i hiki e 100% ka hoʻokōʻana, e hooki aku i ka ulu ana o malignant keena. Ma ka haukapilaʻo, kauka hoʻomau e kau i kaʻike, weliweli i kā lākou nā mea maʻi.

Aia He He hailona o ka maʻi 'aʻai. I kekahi hui, a me kekahi'aʻaʻa o ke kanaka kino i ke apo koke ma kekahi pathological kaʻina. Kekahi o ka hiki kahua o IIeEeAIEUAA - ka nipple ma luna o ka wahine o ka waiū. Kēia oncological maʻi ma ka lapaau ua kapaia Paget ka maʻi.

General 'ike e pili ana i ka maʻi

Ka mua 'ike ma Paget ka maʻi iʻikeʻia i loko o ka XIX kenekulia. Ua uaʻike ia i ka 1856 ma ka 'ōlelo Palani surgeon a me ka anatomist S. Velpeau loaʻa pathological loli o ka nipple-areolar eiiieaena. I ka 1874, J. Paget, mea he surgeon Pelekāne a me ka pathologist, oi piha study o ka maʻi. Ia mea ke kumu i kapaʻia kona inoa maʻi.

J. Paget maʻi i loko o ka hoʻopaʻa 'ana i hoike mai i ka hui ma waena o nā loli pathological o ka nipple-areolar eiiieaena a me ka umauma carcinoma. Oia ka hopena oia i ma ka hopena o ka 15 loina. Hoʻomalu i na wahine i kekahi superficial hoʻoʻino loli. Iloko o ka makahiki, ua ulu a pau nā mea maʻi 'aʻai o ka umauma nipple. J. Paget i? Aaeaaaaony i superficial li nui e loli ai i ka puni'aʻaʻa, a degenerative loli i loko o ia me ka hopena i ka hooulu ana o ka neoplasia.

O kēiaʻikepili ma o ka maʻi, a me nā symptoms o ka maʻi

Information e pili ana i ka maʻi i loko o ka 2011, ohi i ka ke Kalinika "Luna" (USA). Mau loea, ua hoʻoholo i ka palapala ma ka aneane na hihia a pau, i ka pathological hou o ka nipple hooleiiaʻi mawaho. Me ka hou Holomua o ka maʻi i loko o ke kaʻina komo ai hoopuniia lakou ili. Nō hoʻi, i ka hōʻike aeaiiua, nā keʻena lāʻau lapaʻau, ka mea hiki ke hoʻomaopopo i ka maʻi 'aʻai mōʻaukala ohi o Paget ka umauma i staging pololeiʻike, hiki ke lawe mai 6 a 8 mahina.

He aha symptoms i ano no keia maʻi 'aʻai? Women ka poe i noho nipples Ka maʻi 'aʻai, hoʻolauleʻa ai i hoʻololi i ka pā lonoaʻili o ka wahi. Ma ka hapanui o hoopii, e hoomanawanui i ohumu o ka ohane, kuni ka waiʻona ma. No ka mea, o na aahu ma ka nipple, a areola ana i loko o ka wahi o ka redness. Ka hoʻohuli ai i nā wahi e hiki olalo, e kahe mau. Ma ka hope kahua o ka hoʻonaʻauao ka mea, he nui kahe ana ke koko mai ka nipple (wā maʻi 'aʻai mea, he pono ole). Ke nipple ua huki. Loa pinepine ka mea, ua malama flattening o ka ulu ana o malignant hikoko.

Prevalence a me kumu o ka maʻi

Ka 'ole o nā mea a pau? Ueony neoplasias mammary Paget Ka maʻi' aʻai kaʻana like 'ana i haawi ai i 0.5-5%. Mea pōmaikaʻi, he pohihihi keia maʻi. I keiki kanaka, ka mea, ua IeAUPIIe, IAa IO ole 'akomi i. Ka hapanui pinepine diagnosed i loko o nā mākua i loko o pathology postmenopausal wahine (50-60 makahiki). Ka awelika makahiki o ka maʻi kanaka - 54 makahiki.

Kumu o ko Paget ka maʻi 'aʻai hiki ole ke kapaia. E like me nā maʻi 'aʻai, ka mea, ua paa hoi i hoomaopopo. Eia naʻe, loaʻa nō nā mea mahuʻi. Mua kau aku i ka pähola 'ia maʻi' aʻai e hoʻomōhala ai ma muli o ka poʻe Polenekia o atypical keena ma ka hale ilaloʻili lahilahi o ducts i loko o ka nipple epidermis.

Lolina o pathological loli

Nipple Ka maʻi 'aʻai e holomua i loko o kekahi o ka hiki koho:

1. Keʻano mua ua malama wale i pathological keʻano o ka hanaʻana i loko o ka nipple a me ka areola. Other loli mea i 'akomi i.
2. Ma ka lua o kaʻano o ka hooulu ana o ka maʻi 'aʻai ua' akomi i hana kupua symptoms i loko o ka nipple-areolar eiiieaena. He aha nō ka mea hiki hoailona e hōʻike Ka maʻi 'aʻai o ka nipple? Photos o ka maʻi, i hiki ke ike i kekahi mau buke a me ka 'inikua' atikala noonoo redness, Ua ho'ēmi ', ulceration. Ma waho aʻeo ia mau symptoms, palpable induration, popo i loko o ka umauma.
3. I ke kolu o kaʻano, ili loli ka mea,ʻaʻole hoʻi i mālama. Ma ka lapaʻau ninaninau hoikeia mai iʻeho ma ka umauma a me ka, iloko o histological ninaninau hoike Paget Ka maʻi 'aʻai (like me ka mea i hoʻoholo' kaulele).

Cancer o ka nipple: hōʻailona, ke kaumaha ma muli o nāʻano o ka maʻi

heʻano o nā symptoms ke hana i ka maʻi 'aʻai. Ke kaumaha ma muli o ka lapaʻau kiʻi, hiki ke hoʻolaha Paget ka maʻi 'aʻai like penei:

• maʻi eczematid;
• huʻi eczematid;
• psoriatic palapala;
• pigmentary palapala.

Pehea e holo ai ka nipple ma ka umauma Ka maʻi 'aʻai? Ke pane i keia ninau hilinaʻi nui ma luna o ke kino o ka mea maʻi. I ka maʻi eczematid i ka wahine no ka wā lōʻihi o ka manawa, he mea he nipple eczema. Ma a puni ia crusts. ka mea, nalo ka wā, i ko lakou wahi i kekahi 'uwe anaʻili kai. I ka huʻi eczematid ia hyperemia. Ke olonā granularity ma luna o kaʻili kai, oozing, ulceration i kekahi ano o keia maʻi, e like Paget ka maʻi (a me ka maʻi 'aʻai nipple). Symptoms o psoriatic palapala ma luna o ka ili ikea like exfoliated flakes, oiai ka pigment palapala - i loko o ka palapala o ke kiko ma kela aoao o ka areola.

ʻike, o ka maʻi 'aʻai

Ka wā kēia malignant keʻano o ka hanaʻana 'ia i loko o ka mammary gland, kauka i hoakaka ia mammography. Kēia 'ole-invasive study o ka umauma Ka maʻi' aʻai, no ka a X-Ray, ultrasound hiki ke hoʻohana. Ma ka papa o ka mea hiki ke 'akomi i hikoko. Kekahi hana o kaʻike, - MRI. Mahalo iā ia, poe akamai i hōʻike i nā hoʻololi i loko o ka nipple, i mea clinically undetectable.

O na wahine a me kēia umauma Ka maʻi 'aʻai nipple malama lapaʻau kiʻi Paget ka maʻi, ua häʻawi mai ai iä ka nipple a me ka areola biopsy o ka mānoanoa holoʻokoʻa. Kēia like e ae he pololeiʻike, e hoʻokūpaʻa ai ke Säkona i ke alo o ka maʻi 'aʻai.

Hiʻona o ka hana maikaʻiʻole o ka maʻi 'aʻai o ka nipple

Iapaau ana hoʻomalu hoʻoholo ke kaumaha ma muli o ka loaa PalekanaEND_LINK hopena. I ka wā o ka biopsy mea io, ka mea, ua lawe mai hōʻeuʻeu ka mālamaʻana o ka hoʻomanawanui. Inā ka maʻi e hoonoho iho i manao ai, hoikeia mai symptoms, he lua biopsy.

Ma ka hōʻoiaʻiʻo aku o Paget ka maʻi, he hana e wehe iʻeho, a puni nā'aʻaʻa, a pau loa ma ka umauma. A laila hāʻawi i nā lapaʻau, hiki hope luku'āno'ē keena.

No ka 'ike hou aku e pili ana i kaʻoki lāʻau lapaʻau lapaʻau

Ka hana mea nui a me ka pono i koe i loko o ka hoʻohui pū Inc o ka maʻi 'aʻai e like me Ka maʻi' aʻai o ka umauma nipple. Akamai no ka lōʻihi manawa hiki ole mai i kekahi hopena like i ka nohoʻana i loa ka hoʻokō. I mālama 'ia nā haʻawina. Ke Kulanui o Hawaii ua kālailai hopena o ka hana maikaʻiʻole o ka 36 hoʻomanawanui iki mai. A pau i ka hanaia hui,ʻoki kino. I ka wā e hiki mai, no ka hoʻomanawanui i ka awelika o ka 113 mahina. I ka 11% o na wahine i ka recurrence.

Nō hoʻi, i ke kukulu hema Korean study i hana. Nā hualoaʻa i ua kālailai e hana maikaʻiʻole o ka 104 wahine me ka maʻi 'aʻai o ka nipple. Mastectomy poe akamai i hāʻawi 92 hoʻomanawanui iki mai, 12 kanaka hoolilo i ka hui, kēia hana. A laila i ia akulla ma hope o mastectomy a me kekahi ma hope o ka lua o ka hana koho 3 recurrence. Haʻawina Ua hoike ia i ka hui, hana mai i hoʻonui i ka manawa o ka ulu i ka relapse o na wahine. Kēia hana o ka iapaau ana i haawiia mai ai i nā mea maʻi me ka resection o ka nipple-areola eiiieaena.

pāhawewe Inc

Haʻi'ōlelo lapaʻau no ka maʻi 'aʻai - mea pāhawewe Inc. Kona hana mea e luku i nā aeee i e i ka pathological pulakaumaka. Ka pāhawewe ke Inc e Makuakane me ia, akā, me he hopena o ka iapaau ana poino ole wale kaʻeho akā, i ola keena. No ka mea, o ka hopena maikaʻi 'ole ma ke kino, he meaʻaoʻao ole:

• Local - hoʻokino pāhawewe'ā, he ua uuku na mea nui hemorrhage ma muli o ka ulu fragility o na moku i ke koko;
• 'ōnaehana - hoʻomanawanui iki mai ohumu o ka nausea, ka luaʻi, nawaliwali, luhi.

Chemotherapy no ka maʻi 'aʻai ana i ka nipple

Chemotherapy komo ai i ka hooponopono ana o kekahi mau 'anticancer ai' e pale aku i ka ulu ana o malignant keena, a me ka detrimental hopena ma luna o lākou. Oia lapaʻau o Ka maʻi 'aʻai o ka nipple ua papahana e hana i ka kēia mau hana:

• Kāohiʻana o metastatic maʻi;
• ka hoʻokō keiki ma luna o kaʻeho no mahope palapala noi o kūloko lapaʻau koho (ʻoki kino a me ka pāhawewe).

Chemotherapy, pāhawewe Inc like hoʻi, pu ma kaʻaoʻao 'ole. I ka 80% o ka hihia o ka nausea a me ka luaʻi. Nō hoʻi, ma muli o ka chemotherapy, ka lauoho hoʻomaka e haule mai, e oi brittle kui, deteriorating ikaika loa ka makemake,ʻai loliʻano.

hōmona Inc

Oia lapaau ke kōkua pū mai i loko o ke alo o ka hōmona-e kaukaʻi hikoko i loko o ke kino. Eia naʻe, Paget ka maʻi 'aʻai no ka lōʻihi manawa i hui ole ia i ka hikoko. I ka 1949 ka mea, ua ka mua manawa? Aaeaaaaony i ka maʻi i pane i ka hōmona Inc, akā, ma lalo o kekahi mau kumu. Ma hope noiʻi hoao keia. Hormonal Inc no ka mea, he maʻi like maʻi 'aʻai omaka ua hooiaio ae mana ma ke alo o ka malignant neoplasm o progesterone receptors a me estrogen.

I kēia manawa, i ka pono no ka hormonal Inc, ka lawelaweia ana nā mea maʻi "Tamoxifen", "Zitazonium ',' Nolvadex '. Ka mea, i manaoia ke "gula paʻamau" i loko o ia kanaka. Eia naʻe, he mea kekahi ano ma i mau ai 'hiki ke hoʻohana: kaʻeho e i receptors no steroid hormones (> 10 fmol / mg kumuʻiʻo). Ka pono e hoakaka i ka iapaau ana o hormonal ai 'mākaukau.

Ke prognosis o Ka maʻi 'aʻai o ka nipple

Cancer mea ia i mea nui a me ka pilikia maʻi. Mea i koe a me ka maʻi 'aʻai o ka umauma nipples. He aha e ia i ka hopena o ka lapaau? Prognosis hilinaʻi nui ma luna o ka hoʻohui pū 'ia o nā kumumea:

• ke kahua o ka maʻi;
• i ka makahiki o ka maʻi kanaka;
• helu o ke komo pū o lymph moku;
• ke degere o ka malignancy;
• i ke alo o adverse morphological aʻe.

Kauka i na hihia a pau, i ka wa o ka nipple kanaka make o ka maʻi 'aʻai. Make, i hookuu i loaʻa i loko o ka hopena o ke kahua, ma ka nui hoopii, i ka liluwelo aggressiveness a me ka malignancy. Penei, ka wā i hana kupua symptoms hiki aole e hookaulua i ke kipa i ke kauka. Na koke oe nana i ke akamai, i ka wikiwiki ka mea, e kau i ka pololeiʻike, a me ka hoakaka i ka pono lapaau.